Missed period while taking oral contraceptives?
I started taking the contraceptive pill "Yueji" on November 3rd and have been taking it regularly.
After stopping the medication, my period has not yet arrived, and I have taken a pregnancy test which came back negative.
I am experiencing premenstrual symptoms such as lower abdominal pain and breast tenderness.
If my period does not arrive within seven days, should I start taking the second pack of "Yueji" on the eighth day? Will it still be effective as a contraceptive? If my period arrives afterward, should I still take the second pack on the eighth day regardless of whether my period has ended, or should I wait until my period is over to start taking it? Will it still provide contraceptive protection in that case? Thank you, doctor, for your hard work!
Niming, 20~29 year old female. Ask Date: 2015/11/26
Dr. Lü Lizheng reply Obstetrics and Gynecology
1.
If your period has not arrived within seven days, please start taking the second pack on the eighth day.
2.
There will still be contraceptive effectiveness.
3.
If your period does occur afterward, regardless of whether it has ended or not, you should still take the second pack on the eighth day.
Respectfully, Dr.
Li-Cheng Lu, Taoyuan Hospital.
Reply Date: 2015/11/26
More Info
When dealing with missed periods after stopping birth control pills, it's important to understand how hormonal contraceptives work and what steps to take next. In your case, you started taking the "Yue Ji" birth control pills on November 3rd and have not had your period since stopping the pills. You have also taken a pregnancy test, which came back negative, and you are experiencing premenstrual symptoms such as lower abdominal pain and breast tenderness.
Firstly, it is not uncommon for menstrual cycles to be irregular after stopping hormonal birth control, especially if you have been on it for an extended period. The hormones in birth control pills can suppress your natural menstrual cycle, and it may take some time for your body to readjust once you stop taking them. This adjustment period can lead to missed periods or delayed menstruation.
If your period does not arrive within seven days after stopping the pills, you should consider the following steps:
1. Wait for Your Period: If you experience symptoms of menstruation, such as cramping or breast tenderness, it may indicate that your period is on its way. It is advisable to wait a few more days to see if your period arrives.
2. Starting the Next Pack: If your period has not arrived by the eighth day after stopping the pills, you can start the next pack of "Yue Ji." However, it is crucial to note that starting the new pack without having your period may not provide immediate contraceptive protection. The effectiveness of the pills can be compromised if they are not taken as directed, especially if you are not on a consistent cycle.
3. Contraceptive Effectiveness: If you start the new pack without having your period, it is recommended to use an additional form of contraception (like condoms) for the first seven days of the new pack to ensure you are protected against pregnancy.
4. If Your Period Comes: If your period arrives after you have already started the new pack, continue taking the pills as scheduled. You do not need to wait for your period to finish before continuing with the next pack. The birth control pills will still be effective as long as you take them consistently.
5. Consult Your Healthcare Provider: If you continue to experience irregular periods or have concerns about your menstrual cycle after stopping birth control, it is advisable to consult with your healthcare provider. They can provide personalized advice and may recommend further evaluation to rule out any underlying issues.
In summary, if your period does not arrive within seven days after stopping the pills, you can start the next pack on the eighth day. However, be aware that you may need to use additional contraception for the first week. If you have any ongoing concerns or irregularities, don't hesitate to reach out to your healthcare provider for guidance.
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