How to Properly Transition Between Birth Control Pill Packs - Obstetrics and Gynecology

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Regarding the usage of the Yejih contraceptive pill?


Doctor, I would like to ask, I have finished the first pack of the contraceptive pill, and my period started during the 7-day break! Should I wait until the full 7 days are over before starting the next pack of contraceptive pills, or should I start the next pack on the first day of my period during the 7-day break?

Nai Me, 30~39 year old female. Ask Date: 2023/02/07

Dr. Cao Guotao reply Obstetrics and Gynecology


Hello, start taking the contraceptive pill on the fifth day of your menstrual period.
If you have a gap, your period will come, and you should start taking the medication on the fifth day.
Wishing you good health!

Reply Date: 2023/02/07

More Info


When transitioning between birth control pill packs, it's essential to follow the specific guidelines provided by your healthcare provider or the instructions that come with your medication. In your case, since you have completed your first pack of the "Yue Ji" birth control pills and are now in the 7-day break period, here’s how you should proceed.

Typically, most combination oral contraceptives (like "Yue Ji") are designed to be taken for 21 days followed by a 7-day break during which you may experience withdrawal bleeding, similar to a menstrual period. If your period starts during this 7-day break, it is generally recommended to wait until the end of the 7-day break before starting your next pack. This means you would resume taking the pills on the same day of the week that you started your first pack, regardless of whether your period is still ongoing or has ended.

However, if your period starts on the first day of your break, you should still wait until the full 7 days are completed before starting the next pack. This ensures that you maintain the correct hormone levels and effectiveness of the birth control method. Starting the next pack early, on the first day of your period, could potentially disrupt the hormonal cycle and may lead to unintended consequences, such as breakthrough bleeding or reduced contraceptive efficacy.

It’s also important to note that if you have any concerns about your menstrual cycle or the effectiveness of your birth control, you should consult with your healthcare provider. They can provide personalized advice based on your health history and any other medications you may be taking.

In summary, after completing your first pack of "Yue Ji" and entering the 7-day break, you should:
1. Wait until the end of the 7-day break to start your next pack, even if your period begins during this time.

2. Resume taking the pills on the same day of the week that you started your first pack.

3. Consult your healthcare provider if you have any questions or concerns about your birth control method or menstrual cycle.

This approach helps ensure that you remain protected against pregnancy and maintain a consistent routine with your birth control pills.

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