Delayed menstruation
Hello Dr.
Jan: I would like to ask you about my menstrual period, which is expected around June 30.
Due to traveling abroad, I would like to postpone my period by 2-3 days.
During this time, if I engage in sexual activity, would it still be considered a safe period? 2.
After delaying my period, if I plan to take birth control pills for contraception and to alleviate ovulation pain, should I start taking them on days 3-5 after my period begins? However, I have a history of migraines, so I am unsure which type of birth control pill to purchase to minimize side effects.
3.
I am currently taking antithyroid medication (white pills) and medication for palpitations (red pills).
Will these affect the efficacy of the birth control pills?
Yun, 20~29 year old female. Ask Date: 2004/06/18
Dr. Zhan Deqin reply Obstetrics and Gynecology
It is never absolutely safe at any time.
Starting from the fifth day, it is sufficient to use a low estrogen content.
Reply Date: 2004/06/18
More Info
When considering delaying your menstrual period, particularly for personal reasons such as travel, it is essential to approach this matter with a clear understanding of the implications for your health and safety. Here’s a comprehensive overview addressing your questions and concerns.
1. Delaying Your Period: It is possible to delay your menstrual cycle using hormonal contraceptives, such as birth control pills. If you are already on a combined oral contraceptive pill, you can skip the placebo pills and start a new pack immediately to delay your period. This method is generally safe for most women, but it is crucial to consult your healthcare provider to ensure that this approach is suitable for you, especially considering your medical history.
2. Safety During Intercourse: If you are using hormonal birth control correctly, you should be protected from pregnancy, even if you delay your period. However, if you are not on any form of contraception or if you are unsure about your current method's effectiveness, it is advisable to use additional protection, such as condoms, to prevent unintended pregnancy. Remember that the timing of your menstrual cycle does not necessarily correlate with your fertility window, so understanding your cycle is vital.
3. Starting Birth Control Pills: If you plan to start taking birth control pills to manage your menstrual cycle and alleviate symptoms like ovulation pain, it is typically recommended to begin taking them at least a week before your expected period. However, if you have a history of migraines, particularly with aura, you should be cautious. Certain types of birth control pills, especially those containing estrogen, can increase the risk of stroke in women with migraines. Therefore, it is essential to discuss with your healthcare provider which type of contraceptive is safest for you. Progestin-only pills or non-hormonal methods may be more appropriate alternatives.
4. Interactions with Other Medications: You mentioned that you are currently taking medications for hyperthyroidism and heart palpitations. It is crucial to inform your healthcare provider about all medications you are taking, as some can interact with hormonal contraceptives, potentially affecting their efficacy. Your doctor can help you determine the best contraceptive method that will not interfere with your current medications.
5. Health Considerations: When considering hormonal manipulation of your menstrual cycle, it is essential to weigh the benefits against potential side effects. Common side effects of hormonal contraceptives include nausea, breast tenderness, mood changes, and headaches. Given your history of migraines, monitoring how your body responds to any new medication is critical. If you experience significant side effects, consult your healthcare provider for alternatives.
6. Consultation with Healthcare Provider: Before making any changes to your contraceptive method or attempting to delay your period, it is highly recommended to have a thorough discussion with your healthcare provider. They can provide personalized advice based on your health history, current medications, and specific needs.
In summary, while it is possible to delay your period safely using hormonal contraceptives, it is essential to consider your overall health, particularly your history of migraines and current medications. Always consult with your healthcare provider to ensure that you choose the safest and most effective method for your situation.
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