Reduced Menstrual Flow After Starting Birth Control Pills - Obstetrics and Gynecology

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Decreased menstrual flow?


Hello, doctor.
I would like to ask a question.
I took my first dose of the oral contraceptive (Yasmin) on Tuesday night when my period started, but I noticed that my flow has been lighter than usual these past two days.
Is this a normal phenomenon? If I only take it for one cycle and then stop, will my period return to normal immediately? Thank you!

SH, 20~29 year old female. Ask Date: 2015/08/14

Dr. Lü Lizheng reply Obstetrics and Gynecology


After your menstrual period has ended or is about to end, around the fifth day, you can start taking birth control pills to minimize the impact on your menstrual cycle.
Taking the pills too early may alter the flow of your period.
After completing one cycle of the pills, your period should return within one to two days after stopping.
Sincerely, Dr.
Li-Cheng Lu, Taoyuan Hospital.

Reply Date: 2015/08/14

More Info


When starting birth control pills, such as the one you mentioned (Yasmin), it's not uncommon to experience changes in your menstrual flow. Many women report lighter periods after beginning hormonal contraceptives, and this can be considered a normal response to the hormones in the pills. The active ingredients in these pills work by regulating your hormonal levels, which can lead to a reduction in the thickness of the uterine lining. As a result, when you do have your period, it may be lighter than what you are used to.

The reduction in menstrual flow can occur for several reasons. First, the hormones in the birth control pills suppress ovulation and alter the hormonal signals that regulate the menstrual cycle. This can lead to a thinner endometrial lining, which means there is less tissue to shed during your period. Additionally, some women may experience changes in their menstrual cycle as their bodies adjust to the new hormones, which can take a few months.

If you only take the birth control pills for one cycle and then stop, your menstrual flow may return to what is considered "normal" for you, but this can vary from person to person. Some women may find that their periods return to their previous patterns immediately after stopping the pills, while others may experience irregularities for a few cycles as their body readjusts to its natural hormonal rhythm. It’s important to note that it may take some time for your menstrual cycle to stabilize after discontinuing the pills.

If you have concerns about your menstrual flow or any other side effects while taking birth control pills, it is always a good idea to consult with your healthcare provider. They can provide personalized advice based on your health history and any specific symptoms you may be experiencing.

In summary, experiencing a lighter menstrual flow after starting birth control pills is generally normal and can be attributed to the hormonal changes induced by the medication. If you decide to stop taking the pills after one cycle, your menstrual flow may return to its previous state, but this can vary. Always feel free to reach out to your healthcare provider for any questions or concerns regarding your menstrual health and birth control options.

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