Common Questions About Pre-Conception Pill Usage and Effects - Obstetrics and Gynecology

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Questions related to the timing of taking emergency contraceptive pills?


Hello Doctor: I previously took Diane for over a year, but I stopped the medication for about 5-6 months due to experiencing low mood.
Later, my doctor mentioned a recurrence of polycystic ovary syndrome, so I started taking it again.
The doctor prescribed Xin Wuneng for me and informed me that I could start taking it on that day (9/16) and continue until my period arrives, then stop for a week before starting the next cycle of medication.
I started taking it on 9/16, finished one pack, and after a week off, I have been taking it until now (my period came around 10/11).
I have the following questions: 1.
Is this method of taking the medication correct? 2.
Does this method provide effective contraception? 3.
Since switching to Xin Wuneng, I have developed a lot of acne on my face.
Is this related to hormonal imbalance? (Previously, while taking Diane, my skin condition was very good.
I am unsure if this is due to incorrect usage or the brand.) 4.
Do I need to stop taking the medication before starting the next cycle? If so, how long should I stop? Thank you, Doctor.

Hu, 20~29 year old female. Ask Date: 2023/10/29

Dr. Zhang Kunmin reply Obstetrics and Gynecology


Hello, inquirer: This type of contraceptive pill should be taken daily at a fixed time according to the instructions on the packaging, with one tablet swallowed with an adequate amount of liquid for 21 consecutive days.
After a 7-day break, you should start the next pack.
During this 7-day break, withdrawal bleeding usually occurs; it typically begins 2 to 3 days after taking the last pill and may continue until the next pack is started.
If there are any side effects, please consult a physician for evaluation.
It is generally recommended to have an assessment with a trusted physician at least once a year (after one year of use) to determine the course of the next year’s usage, rather than purchasing the pills from a pharmacy each time.
Although long-term use followed by discontinuation may temporarily affect ovulatory function, it can usually be restored with ovulation-inducing medications.
Thank you! Wishing you peace and health.
Dr.
Zhang

Reply Date: 2023/10/29

More Info


When it comes to pre-conception pill usage and its effects, there are several important factors to consider, especially regarding the timing, effectiveness, and potential side effects of hormonal contraceptives. Based on your questions, I will address each one in detail.

1. Correct Usage of the Pill: You mentioned that you started taking the pre-conception pill (欣無妊) on September 16 and continued until your menstrual period began around October 11. This method of taking the pill is generally correct, as hormonal contraceptives can be started at any time in your cycle, but starting them during the first five days of your menstrual period ensures immediate contraceptive protection. If you started taking the pill outside of this window, it is recommended to use an additional form of contraception for the first seven days.

2. Effectiveness of the Pill: When taken correctly, pre-conception pills like 欣無妊 are highly effective in preventing pregnancy. The effectiveness can be compromised if pills are missed or taken inconsistently. Since you have been taking the pill as prescribed, you should have adequate contraceptive protection. However, if you have any doubts about your adherence to the regimen, it may be wise to consult with your healthcare provider.

3. Acne and Hormonal Changes: You noted an increase in acne after switching to 欣無妊, which could indeed be related to hormonal changes. Different formulations of hormonal contraceptives can affect individuals differently, particularly in terms of side effects like acne. The previous pill you were on (黛莉安) may have had a different hormonal composition that was more suitable for your skin. It’s not uncommon for some women to experience skin issues when switching contraceptives, and this can be due to the type and dosage of hormones in the new pill. If the acne persists or worsens, it would be advisable to discuss this with your doctor, who may suggest alternative contraceptive options or additional treatments for acne.

4. Stopping the Pill: Regarding whether you need to stop taking the pill, it depends on your specific goals. If you are planning to conceive, it is generally recommended to stop taking the pill at least one month before trying to conceive to allow your menstrual cycle to regulate. However, many women can conceive immediately after stopping the pill. If you are using the pill solely for contraception, you do not need to stop unless you wish to become pregnant or are experiencing adverse effects. If you decide to stop, it is usually suggested to wait until the end of the current pack to maintain cycle regularity.

In summary, your current method of taking the pre-conception pill appears to be correct, and it should provide effective contraception if taken consistently. The side effects you are experiencing, such as acne, may be related to hormonal changes from the new pill, and it would be beneficial to discuss these concerns with your healthcare provider. Always remember that individual responses to hormonal contraceptives can vary widely, and finding the right one may take some time and adjustments. If you have any further questions or concerns, don't hesitate to reach out to your healthcare provider for personalized advice.

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