Consultation on Birth Control Pills for Menstrual Regulation - Obstetrics and Gynecology

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Consultation for Menstrual Regulation with Oral Contraceptives


Hello Doctor: I have some important matters to attend to in February, and I need to avoid having my period two days prior (as I experience severe discomfort).
Therefore, on January 16, I visited the obstetrics and gynecology department at Veterans General Hospital, and the doctor recommended that I take birth control pills (Yueji) continuously for two packs to skip my period during that time.
I started taking them on January 17 and have been taking them until today, February 26.
However, the birth control pills have caused a noticeable decline in my mood, so I am considering stopping the medication.
I have taken them for 10 days, and my last period started on January 12, with my usual cycle being approximately 32 days.
I would like to ask the doctor: since this is my first time taking birth control pills, what effects might stopping the medication before finishing a full pack have on my body? Also, based on the information provided, when can I expect my next period after stopping the pills? Will it follow my original cycle, or will it be different? Thank you, Doctor!

Xiao Xiaojie, 20~29 year old female. Ask Date: 2023/01/26

Dr. Zhang Kunmin reply Obstetrics and Gynecology


Hello, regarding your question: Interruption of birth control pills may lead to temporary irregular bleeding or unstable menstrual periods.
Thank you! Wishing you peace and health, Dr.
Zhang.

Reply Date: 2023/01/26

More Info


When it comes to the use of birth control pills for menstrual regulation, there are several important factors to consider, especially for someone who is new to hormonal contraceptives. Birth control pills, such as the one you mentioned (悦己), are commonly prescribed not only for contraception but also for managing menstrual cycles and alleviating symptoms associated with menstruation, such as severe discomfort or mood swings.

Firstly, it is essential to understand that hormonal contraceptives work by altering the hormonal balance in your body. They typically contain synthetic versions of estrogen and progesterone, which help to regulate the menstrual cycle. When you take these pills continuously, as your doctor recommended, it can prevent the shedding of the uterine lining, thereby postponing your period. This method can be particularly useful for individuals who have significant life events or discomfort associated with their menstrual cycle.

In your case, you have been taking the pills for about 10 days, and you are experiencing noticeable mood changes, which can be a side effect of hormonal contraceptives. It's not uncommon for some individuals to experience mood swings, depression, or anxiety when starting birth control pills, as the body adjusts to the new hormone levels. If these symptoms are severe or concerning, it is advisable to consult your healthcare provider for further evaluation and possible alternatives.

Regarding your question about stopping the pills after only 10 days, it is generally safe to discontinue them at any time, but there are a few considerations. When you stop taking birth control pills, your body will begin to revert to its natural hormonal cycle. Since you started your last menstrual cycle on January 12 and typically have a 32-day cycle, you might expect your next period to occur around mid-February, assuming your cycle returns to its regular rhythm. However, because you have only taken the pills for a short duration, your body may take some time to adjust, and the timing of your next period could be unpredictable. It may come earlier or later than expected, as your body recalibrates its hormonal levels.

It's also important to note that stopping the pills abruptly does not typically cause any long-term negative effects on your health. However, if you have been using the pills for a longer duration, your menstrual cycle may take a few months to return to its pre-pill state. Some individuals may experience irregular cycles or changes in flow and symptoms during this adjustment period.

If you are considering stopping the pills due to mood changes, it is crucial to discuss this with your healthcare provider. They can provide guidance on managing side effects and may suggest alternative methods of menstrual regulation or contraception that might be better suited to your needs. Additionally, if you have any underlying health conditions or concerns about your menstrual cycle, your doctor can help address those issues as well.

In summary, while it is generally safe to stop taking birth control pills after a short duration, be prepared for some variability in your menstrual cycle as your body adjusts. If mood changes are significant, consulting your healthcare provider is essential for finding the right approach to managing your menstrual health.

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