How Will 21-Day Birth Control Pills Affect My Next Period? - Obstetrics and Gynecology

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When will my next period come after taking a 21-day oral contraceptive pill?


On November 6, the first day of my menstrual period started.
The app predicts that my next period will be from December 6 to 13.
Since I will be traveling abroad from December 2 to 5 and have a wedding photoshoot on December 20, I hope my next period will arrive as predicted by the app.
I am concerned that starting to take the 21-day oral contraceptive pill for the first time today, November 8, might cause my next period to come earlier.
Will this have any effect?

zero zero, 20~29 year old female. Ask Date: 2023/11/08

Dr. Cao Guotao reply Obstetrics and Gynecology


Hello, please start taking the contraceptive pill from November 12th.
Wishing you good health.

Reply Date: 2023/11/08

More Info


When starting a 21-day birth control pill regimen, it is important to understand how it may affect your menstrual cycle, especially if you have specific plans or events coming up, such as traveling or a wedding.
First, let’s clarify how the 21-day birth control pills work. These pills contain hormones (estrogen and progestin) that prevent ovulation, thicken cervical mucus, and thin the uterine lining. Typically, you take one pill every day for 21 days, followed by a 7-day break during which you will have a withdrawal bleed that resembles a period. This withdrawal bleed usually occurs about 2-3 days after you stop taking the pills.

In your case, you mentioned that your last menstrual period started on November 6, and you plan to start taking the pills on November 8. If you take the pills as directed, you will complete the 21-day cycle around November 28. After this, you will have a 7-day break, during which you can expect your withdrawal bleed to occur, likely around December 5 to December 7. This timing aligns closely with your app's prediction of your next period, which is set for December 6-13.

It is important to note that while the withdrawal bleed is generally predictable, individual responses to birth control pills can vary. Some women may experience changes in their cycle, including lighter periods, missed periods, or even changes in the timing of their withdrawal bleed, especially during the first few months of starting the pill. However, since you are starting the pill shortly after your last period, it is unlikely that your next period will come significantly earlier than expected, but it could be slightly delayed or lighter than usual.

If you are concerned about the timing of your period due to your travel plans and wedding preparations, you may want to consider starting the pills earlier or consulting with your healthcare provider. They can provide personalized advice based on your health history and specific needs. Additionally, if you are looking to skip your period altogether for your wedding, some women choose to take active pills continuously without the 7-day break, but this should only be done under the guidance of a healthcare professional.

In summary, starting the 21-day birth control pills should not drastically alter the timing of your next period, and it is likely to align with your app's predictions. However, individual experiences may vary, and it’s always best to consult with a healthcare provider for tailored advice and to discuss any concerns you may have regarding your menstrual cycle and upcoming events.

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Dr. Cao Guotao reply Obstetrics and Gynecology
Hello, please continue to finish your medication; it will still provide contraceptive effects. Remember that the correct way to take birth control pills is to start on the fifth day of your menstrual period. Wishing you good health.

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