Should You Continue Birth Control Pills to Delay Your Period? - Obstetrics and Gynecology

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After taking menstrual delay medication?


Hello Dr.
Lu: I started taking birth control pills last week because my menstrual period coincides with my plans to go swimming next week, hoping to delay my period.
However, I started experiencing abdominal bloating and mild cramping yesterday, along with a slight indication of bleeding.
Should I continue taking the pills, or would it be better to induce my period and let it come? Thank you!

Bu zhidao gai jixu fuyong, 30~39 year old female. Ask Date: 2011/06/17

Dr. Lü Lizheng reply Obstetrics and Gynecology


Hello, the effectiveness of contraceptive pills for delaying menstruation may not be sufficient.
If you still wish to postpone your period, it is advisable to consult a gynecologist for a prescription.
Wishing you safety and health.
Sincerely, Dr.
Lu Li-Cheng, Director of the Department of Obstetrics and Gynecology, Taoyuan General Hospital, Ministry of Health and Welfare.

Reply Date: 2011/06/17

More Info


When it comes to managing your menstrual cycle with birth control pills, it's important to understand how these medications work and the implications of continuing or stopping them. Birth control pills are designed to regulate hormonal levels in your body, which can help in delaying your period if taken correctly. However, if you are experiencing abdominal discomfort and spotting, it may indicate that your body is reacting to the hormonal changes.

Firstly, if you have just started taking the pills and are already experiencing side effects such as abdominal pain and spotting, it is advisable to consult your healthcare provider before making any decisions. Spotting can occur when you first start taking birth control pills, especially if you are not on a continuous regimen. This is often referred to as "breakthrough bleeding" and can be a normal response as your body adjusts to the hormones.

If your goal is to delay your period for an upcoming event, continuing to take the pills as prescribed may help. Most birth control pills can be taken continuously to skip a period, but this should be done under the guidance of a healthcare professional. If you are experiencing significant discomfort or if the spotting becomes heavier, it may be a sign that your body is not tolerating the medication well, and you should seek medical advice.

On the other hand, if you decide to stop taking the pills, your period may come sooner than expected, but it is also possible that it may take some time for your cycle to regulate again. Stopping the pills abruptly can lead to a variety of symptoms, including heavier bleeding or more intense menstrual cramps when your period does arrive.

In summary, here are a few key points to consider:
1. Consult Your Healthcare Provider: Before making any changes to your medication regimen, it's crucial to discuss your symptoms with your doctor. They can provide personalized advice based on your health history and current situation.

2. Understand Your Body's Response: Spotting and abdominal discomfort can be common when starting birth control pills. If these symptoms persist or worsen, it may indicate that the pills are not suitable for you.

3. Consider Your Options: If delaying your period is essential for your plans, your healthcare provider may suggest alternative methods or adjustments to your current regimen. If you choose to stop taking the pills, be prepared for your period to arrive, but understand that it may not be immediate.

4. Monitor Your Symptoms: Keep track of any changes in your body, including the intensity of pain and the nature of the bleeding. This information will be helpful for your healthcare provider in assessing your situation.

Ultimately, the decision to continue or stop taking birth control pills should be made in consultation with your healthcare provider, who can guide you based on your specific health needs and circumstances.

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