Menstrual Changes After Taking Yaz: Your Questions Answered - Obstetrics and Gynecology

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Yuezi issues


Hello Doctor, I have a question.
I started taking Yaz in January this year, and I happened to have gastroenteritis, so my period in January was very light and brownish.
Then, my period came on February 28 and lasted about three to four days.
Since I started a new pack of Yaz, my period was expected to start from March 27 to March 29.
However, on March 27, I had a severe headache and took one Bayer aspirin.
The next day, I had a very light period, and by yesterday (March 29), I only had 3-4 drops of light brown blood, along with abdominal pain and breast tenderness, which are typical symptoms before or during menstruation.
Could this be related to taking aspirin the day before my expected period? This also happened in January, so I want to confirm.
I started a new pack of Yaz yesterday (March 29).
Thank you! Please reply to my email: [email protected].
Thank you!

Xiao Yue, 20~29 year old female. Ask Date: 2015/03/30

Dr. Cao Guotao reply Obstetrics and Gynecology


Hello, if you are taking the Yaz contraceptive pill, your menstrual cycle should be regular.
It is unrelated to other medications.
If your cycle is irregular, you might consider switching to a different brand.
Wishing you good health.

Reply Date: 2015/03/30

More Info


When it comes to understanding menstrual changes after starting a contraceptive pill like Yaz, there are several factors to consider. Yaz is a combination oral contraceptive that contains estrogen and progestin, and it can influence your menstrual cycle in various ways.
Firstly, it’s not uncommon for women to experience changes in their menstrual cycle when they start taking birth control pills. These changes can include lighter periods, irregular bleeding, or even missed periods altogether. This is due to the hormonal adjustments that occur in your body as it adapts to the new hormone levels introduced by the pill.
In your case, you mentioned experiencing a very light period that was brownish in color, which can often indicate older blood that is taking longer to exit the body. This is a common occurrence, especially when starting a new contraceptive method. The fact that you had a brief episode of gastrointestinal issues (gastroenteritis) in January could also have contributed to the irregularity of your menstrual cycle, as stress on the body can impact hormonal balance.

Regarding your use of aspirin, it is generally not known to significantly affect menstrual flow or timing. However, aspirin can thin the blood, which might lead to lighter bleeding in some cases. If you took aspirin shortly before your expected period, it could potentially have contributed to the lighter flow you experienced.
It’s also important to note that the timing of your menstrual cycle can be influenced by various factors, including stress, diet, exercise, and overall health. If you are experiencing significant discomfort, such as abdominal pain and breast tenderness, these symptoms can also be associated with hormonal fluctuations and are not uncommon when starting a new contraceptive.

If you continue to have concerns about your menstrual cycle or if the irregularities persist, it would be advisable to consult with a healthcare provider. They can assess your symptoms in the context of your overall health and contraceptive use, and they may suggest monitoring your cycle for a few more months to see if it stabilizes.
In summary, changes in your menstrual cycle after starting Yaz can be expected, and while aspirin may have a minor effect, it is unlikely to be the primary cause of your symptoms. Keep track of your cycles and any accompanying symptoms, and don’t hesitate to reach out to a healthcare professional for personalized advice and reassurance.

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