Taking Birth Control Pills Late: Effects on Your Menstrual Cycle - Obstetrics and Gynecology

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Taking the next pack of emergency contraceptive pills late?


If you start the next pack of birth control pills two days late and begin taking them on the third day, will this cause your next menstrual cycle to be irregular?

Ying, 20~29 year old female. Ask Date: 2015/12/07

Dr. Lin Wenbin reply Obstetrics and Gynecology


Menstrual irregularities are common.

Reply Date: 2015/12/07

More Info


Taking birth control pills late can have various effects on your menstrual cycle, but it largely depends on how late you take them and your individual body response. When you take your birth control pills consistently, they work to regulate your hormones, which in turn helps to maintain a regular menstrual cycle. If you start a new pack of pills late, such as two days after your scheduled start date, it can potentially disrupt this regulation.

When you miss a dose or start a new pack late, the primary concern is the risk of unintended pregnancy, especially if you have had unprotected intercourse during the time you missed the pills. However, if you are taking combination pills (which contain both estrogen and progestin), the risk of pregnancy is generally low if you resume taking the pills as soon as you remember. It's important to follow the instructions provided with your specific birth control pill, as different brands may have different guidelines for missed doses.

In terms of your menstrual cycle, starting the new pack late may lead to some irregularities. You might experience changes in the timing of your next period, such as it being delayed or coming earlier than expected. Some women may also notice changes in the flow or symptoms associated with their period, such as increased cramping or spotting. However, these effects are usually temporary, and your cycle should stabilize once you resume taking the pills consistently.

If you find that you are frequently forgetting to take your pills on time, it may be worth discussing alternative contraceptive methods with your healthcare provider. Options such as the contraceptive implant, IUD, or injection can provide more consistent hormone levels without the need for daily adherence.

In summary, taking your birth control pills late can potentially affect your menstrual cycle, but the extent of the impact varies among individuals. It's crucial to stay informed about your specific birth control method and to consult with your healthcare provider if you have concerns about missed doses or changes in your menstrual cycle. Regular communication with your healthcare provider can help you manage your contraceptive needs effectively and maintain reproductive health.

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