Regarding emergency contraceptive pills?
Hello, Doctor.
I have been taking the oral contraceptive pill, Yaz, for a long time.
If I want to delay my period due to travel, can I simply continue taking the pills after finishing the 21 tablets and then take an additional 7 tablets? This would mean taking a total of 28 tablets before stopping for 7 days, and then resuming the next 21 tablets.
Is this acceptable? Additionally, I would like to ask, I have been on the oral contraceptive pill for a while now, and I notice that when I have about 7 pills left, I start experiencing common premenstrual symptoms such as abdominal discomfort and breast tenderness.
However, I understand that birth control pills are supposed to regulate hormones, so I shouldn't be experiencing premenstrual symptoms.
Is this normal for me? Thank you!
yu, 20~29 year old female. Ask Date: 2015/11/08
Dr. Lin Wenbin reply Obstetrics and Gynecology
1.
Please consult a physician in person to discuss, as the components of contraceptive pills vary, and each individual may respond differently to the medication.
2.
Taking contraceptive pills may also lead to the aforementioned symptoms; it is advisable to have a thorough examination by a physician.
Reply Date: 2015/11/08
More Info
When it comes to delaying your period using birth control pills, it is indeed possible to manipulate your menstrual cycle by adjusting how you take your pills. In your case, you are considering taking the active pills continuously without the usual break after completing a pack of 21 pills. This method is commonly referred to as "skipping your period" or "menstrual suppression."
To answer your question directly: Yes, you can skip the placebo week (the seven days when you typically do not take any pills) and continue taking the active pills for an extended period. By doing this, you can delay your period until you finish the additional pills. However, it is important to note that this should be done with caution and ideally under the guidance of a healthcare provider.
The mechanism behind this is that the hormones in the birth control pills prevent ovulation and stabilize the endometrial lining, which is what sheds during menstruation. By continuously taking the active pills, you are essentially preventing the hormonal drop that triggers your period. Many women successfully use this method for various reasons, including travel, special events, or simply to avoid the discomfort of menstruation.
However, there are a few considerations to keep in mind. First, while many women can skip their periods without any issues, some may experience breakthrough bleeding or spotting, especially if they are new to this method. This is generally not harmful but can be inconvenient. Additionally, if you have any underlying health conditions or are taking other medications, it is crucial to consult with your healthcare provider to ensure that this method is safe for you.
Regarding your second question about experiencing premenstrual symptoms (PMS) while on birth control pills: It is not uncommon for women to still experience some PMS-like symptoms even when taking hormonal contraceptives. While birth control pills are designed to regulate hormones and minimize these symptoms, they do not eliminate them entirely for everyone. Factors such as individual hormonal responses, the specific formulation of the birth control pill, and even lifestyle factors can contribute to the persistence of these symptoms.
If you are experiencing significant discomfort or if the symptoms seem to worsen, it may be worth discussing with your healthcare provider. They can evaluate whether your current birth control method is the best fit for you or if an alternative might be more effective in managing your symptoms.
In summary, you can delay your period by continuously taking your birth control pills, but it's advisable to do so under medical supervision. Additionally, experiencing premenstrual symptoms while on the pill can be normal for some women, but any significant changes or concerns should be addressed with a healthcare professional. Always prioritize your health and well-being by seeking personalized advice from your doctor.
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