Switching from Aiji to Aiwei: What to Know About Birth Control Pills - Obstetrics and Gynecology

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I was originally taking Aikij 21 regularly, but today I could only find Aivee 24+4 at the time to take my medication.
Can I finish the 28 pills of Aivee and then directly switch back to Aikij regardless of whether my period has come or not? Thank you.

Ting, 20~29 year old female. Ask Date: 2022/12/09

Dr. Cao Guotao reply Obstetrics and Gynecology


Hello, contraceptive pills are usually started on the fifth day of your menstrual cycle.
Wishing you good health!

Reply Date: 2022/12/09

More Info


When switching from one birth control pill to another, such as from Aiji (a 21-day pill) to Aiwei (a 24+4 pill), there are several important considerations to keep in mind to ensure continued contraceptive effectiveness and to manage any potential side effects or complications.

First, it is essential to understand the composition and dosage of both pills. Aiji typically contains a combination of estrogen and progestin, taken for 21 days, followed by a 7-day break during which menstruation occurs. On the other hand, Aiwei consists of 24 active pills followed by 4 placebo pills. The additional active pills in Aiwei may provide a slightly different hormonal profile, which could affect your body differently than Aiji.

When transitioning from Aiji to Aiwei, it is generally recommended to start the new pack immediately after finishing the last active pill of Aiji. This means that you would take the Aiwei pills without a break, regardless of whether you have your period or not. This approach helps maintain consistent hormone levels in your body, which is crucial for preventing ovulation and ensuring contraceptive effectiveness.

However, there are a few key points to consider:
1. Timing and Consistency: It is important to take the new pill at the same time each day to maintain its effectiveness. If you miss a dose, follow the instructions provided with the medication regarding missed pills.

2. Potential Side Effects: Switching birth control pills can lead to changes in your body, including alterations in menstrual cycle regularity, mood changes, or other side effects. Monitor how your body responds to the new pill and consult your healthcare provider if you experience significant discomfort or unusual symptoms.

3. Backup Contraception: If you are switching pills and are concerned about the possibility of reduced effectiveness during the transition, consider using a backup method of contraception, such as condoms, for the first month after switching.

4. Consult Your Healthcare Provider: Before making any changes to your birth control regimen, it is always best to consult with your healthcare provider. They can provide personalized advice based on your medical history and specific needs.

5. Understanding Your Cycle: It is also helpful to track your menstrual cycle and any changes you experience after switching pills. This information can be valuable for discussions with your healthcare provider.

In summary, you can switch from Aiji to Aiwei by taking the Aiwei pills immediately after finishing Aiji, without a break. Continue taking Aiwei as directed, and keep an eye on how your body reacts to the new formulation. If you have any concerns or experience significant changes, reach out to your healthcare provider for guidance.

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