Should You Pause Birth Control Pills During Your Period?

Medication issues

Hello Doctor: I take the contraceptive pill by finishing one pack, resting for 7 days, and then starting a new pack on the 8th day.
This time, I started the first pack on the second day of my menstrual cycle and took one pill.
Do I need to stop taking the pills and wait until the 5th day of my period to start taking them again? Thank you!

Lanlan, 40~49 year old female. Ask Date: 2023/05/12

Dr. Chen Zhiyu reply Obstetrics and Gynecology

Hello, please consult at the obstetrics and gynecology outpatient clinic.
Thank you.

Reply Date: 2023/05/12

More Info

When it comes to the use of birth control pills, particularly in relation to menstruation, there are several important considerations to keep in mind. Your question about whether to pause birth control pills during your period is a common one, and understanding the mechanics of how these pills work can help clarify the situation.

Birth control pills, also known as oral contraceptives, are designed to regulate your menstrual cycle and prevent ovulation. Most birth control pill regimens involve taking a pill daily for 21 days, followed by a 7-day break during which you typically experience your menstrual period. This is known as the "21/7" regimen. Some formulations may have different schedules, such as extended-cycle pills, which allow for fewer periods per year.

In your case, you mentioned that you started taking your first pack of pills on the second day of your menstrual cycle. This is generally acceptable. In fact, starting the pill during your period can be beneficial because it can help regulate your cycle and may even reduce menstrual symptoms over time. If you start taking the pill during your period, it is effective in preventing pregnancy right away, especially if you start within the first five days of your cycle.

You do not need to pause your birth control pills just because your period has started. Continuing to take the pills as prescribed is important for maintaining their effectiveness. Stopping the pills midway through your cycle could lead to irregular bleeding or spotting and may reduce the contraceptive effectiveness of the pills.
If you are concerned about any specific side effects or interactions, it is always best to 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, you do not need to stop taking your birth control pills if your period starts while you are on the first pack. Continue taking them as directed, and you can expect your menstrual cycle to become more regular over time. If you have any further questions or concerns, don’t hesitate to reach out to your healthcare provider for guidance.

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