Birth Control Pills: Side Effects and Concerns After Ovarian Surgery

Medication Consultation

Hello Doctor, on November 27th, I underwent surgery to remove a portion of a right ovarian luteal cyst (the ovary was not removed).
I was hospitalized for five days for treatment.
Upon discharge, I received the first dose of the human papillomavirus vaccine.
After returning home to rest, I went back for a follow-up appointment on December 9th to have my surgical stitches removed.
At that time, the doctor advised me to take birth control pills to allow my ovaries to rest and prevent ovulation.
I started taking Yaz (28-day pack) that evening and have been consistent with my medication without missing any doses.
However, after my follow-up appointment, I caught a cold and visited a nearby clinic on December 11th.
The cold medication was too strong, causing nausea and vomiting.
During the vomiting, I experienced mild discomfort in my lower abdomen and slight discomfort at the surgical site, but these symptoms disappeared after resting.
I later switched to a different cold medication, and my cold improved.
By December 16th, I had completed the cold medication.
Throughout my illness, I continued to take Yaz on schedule.
However, for the past three days, I have been experiencing severe nausea and dizziness, along with some mild discomfort in my lower abdomen.
Could these symptoms be side effects of taking Yaz? My menstrual cycle has not changed, and this week is when my period is due.
I am taking the birth control pills to adjust my cycle.
Could this be the reason for these symptoms? P.S.
I have not engaged in sexual intercourse, so I completely rule out the possibility of pregnancy.
Thank you for your response, Doctor.

Wendy, 20~29 year old female. Ask Date: 2015/12/19

Dr. Lin Wenbin reply Obstetrics and Gynecology

It may be related to the effects of birth control pills; please consult the prescribing physician for discussion.

Reply Date: 2015/12/19

More Info

After undergoing surgery for a right ovarian cyst on November 27, it is understandable to have concerns regarding the use of birth control pills, particularly in relation to potential side effects and the impact on your recovery. You mentioned that you were prescribed the birth control pill "Yaz" (which contains drospirenone and ethinyl estradiol) to help your ovaries rest and prevent ovulation. This is a common practice after ovarian surgery to minimize the risk of further complications.

Firstly, it is important to recognize that birth control pills can have side effects, and nausea is one of the more common ones. The nausea and dizziness you are experiencing could indeed be related to the birth control pill, especially since you have been taking it consistently and have not missed any doses. Other potential side effects of Yaz include headaches, breast tenderness, mood changes, and changes in menstrual bleeding patterns. Given that you are also recovering from surgery, your body may be more sensitive to hormonal changes, which could exacerbate these side effects.

Additionally, the nausea you experienced after taking cold medication could have contributed to your discomfort. Some medications can interact with birth control pills, although most common over-the-counter cold medications do not significantly affect their efficacy. However, if the cold medication was particularly strong or if it caused gastrointestinal upset, it could have compounded your symptoms.

Regarding your concerns about the timing of your menstrual cycle, it is not uncommon for birth control pills to alter your cycle, especially when you are trying to manipulate it for specific reasons. Since you are taking Yaz to adjust your cycle, it is possible that your body is still adjusting to the hormonal changes, which could lead to symptoms such as nausea and abdominal discomfort.
If your menstrual cycle has not changed and you are approaching your expected period, it is also worth noting that some women experience breakthrough bleeding or spotting when starting a new contraceptive method. This could be a normal response as your body adjusts to the hormones in the pill.

In summary, the symptoms you are experiencing could be attributed to the birth control pill, especially considering your recent surgery and the medications you have taken for your cold. It is essential to monitor your symptoms closely. If the nausea and discomfort persist or worsen, it would be advisable to consult your healthcare provider. They may consider adjusting your birth control method or exploring other options to alleviate your symptoms.

Lastly, it is reassuring that you have not engaged in sexual intercourse, which effectively rules out the possibility of pregnancy. However, if you have any concerns about your health or the effects of the medications you are taking, do not hesitate to reach out to your healthcare provider for personalized advice and support. Your well-being is paramount, and they can provide the best guidance based on your specific situation.

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