How to Manage Your Menstrual Cycle: Inducing or Delaying Your Period?

If you are regularly taking medication and want to inquire about methods to induce or delay menstruation, please consult a healthcare professional for personalized advice?

Hello Doctor, I am currently taking 21 pills of the oral contraceptive (Mirelle) and my cycle seems to be normal.
I expect to finish the pills on March 11 and have my period around March 15, but I have an important event on March 17-18 and would prefer not to have my period during that time.

1.
Should I try to induce my period or delay it?
2.
I have looked up some information, and if I want to delay my period, I can continue taking the next pack of pills starting March 16 after finishing the current pack on March 15, but I should not finish the next pack, correct?
3.
I am currently leaning towards inducing my period.
If I choose to induce it, can I simply stop taking the current oral contraceptive?
I would like to know which option is better, and the correct methods for both.
Thank you for taking the time to answer my questions.

Wawa, 20~29 year old female. Ask Date: 2024/03/04

Dr. Cao Guotao reply Obstetrics and Gynecology

Hello, do not stop; continue taking the next pack of birth control pills until the 15th, then stop.
Your period will likely arrive around the 20th.
Start the new pack of birth control pills on the fifth day of your period.
Wishing you good health!

Reply Date: 2024/03/04

More Info

Managing your menstrual cycle, especially when you have important events coming up, can be a concern for many individuals. In your case, you are currently taking a combined oral contraceptive pill (the "美適濃" brand, which is likely a form of birth control that contains both estrogen and progestin) and are looking to either induce or delay your period. Here’s a detailed breakdown of your options and some important considerations.

Inducing Your Period
If you want to induce your period, the general approach is to stop taking the birth control pills. When you stop taking the pills, your body will typically experience a withdrawal bleed, which mimics a menstrual period. This withdrawal bleed usually occurs within a few days after stopping the pills. However, this method can be unpredictable, and the timing of the bleed may vary from person to person.
1. Stopping the Pills: If you choose to stop taking the pills, do so at the end of your current pack (around 3/11). You may expect your period to start within a few days after stopping, but it could take longer for some individuals.

2. Considerations: Stopping the pills can lead to irregular bleeding or spotting, and it may take some time for your cycle to regulate again after stopping hormonal birth control. If you have a history of heavy or painful periods, this method might not be ideal.

Delaying Your Period
If you prefer to delay your period, continuing to take the birth control pills is the recommended method.
1. Continuing the Pills: After finishing your current pack on 3/11, you can start the next pack immediately on 3/12 without taking the placebo pills. This method is often referred to as "stacking" or "continuous use" of birth control pills.
2. Duration: You can continue taking the active pills for as long as you wish to delay your period. However, it is generally advised not to skip the placebo pills for more than a few months without consulting a healthcare provider, as this can lead to breakthrough bleeding or other side effects.

3. Consultation: It’s important to discuss this with your healthcare provider, especially if you plan to use this method frequently. They can provide guidance tailored to your health history and needs.

Recommendations
Given your situation, if your primary concern is to avoid having your period during your important event on 3/17-3/18, delaying your period by continuing to take the pills is likely the best option. This method is generally safe for most individuals and can effectively postpone your menstrual cycle.

Final Thoughts
Regardless of the method you choose, it’s essential to consider your overall health and any potential side effects. If you have any underlying health conditions, or if you experience significant side effects from hormonal contraceptives, it’s crucial to consult with your healthcare provider. They can help you weigh the pros and cons of each option and ensure that your choice aligns with your health goals.

In summary, if you want to delay your period, continue taking the active pills without interruption after your current pack. If you decide to induce your period, stop taking the pills, but be prepared for the possibility of irregular bleeding. Always prioritize your health and consult with a healthcare professional for personalized advice.

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