Discontinuation of pre-exposure prophylaxis (PrEP)?
Hello, doctor.
I started taking the oral contraceptive pill for the first time on the fifth day of my menstrual cycle and took it for seven days before stopping.
About six days later, my period came.
I believe my cycle has been disrupted.
If I currently do not have a need for contraception, should I continue taking the pills? If I choose not to continue and let my period come, will it affect the timing of my future cycles? Thank you.
Ai Ai, 20~29 year old female. Ask Date: 2016/02/28
Dr. Zhang Kunmin reply Obstetrics and Gynecology
Hello, based on your description, there is currently no need for supplementation.
However, if the bleeding continues or if your cycle remains irregular, it would be best to consult a gynecologist.
Thank you! Wishing you peace and health, Dr.
Chang.
Reply Date: 2016/02/28
More Info
When it comes to the use of birth control pills, particularly after a brief period of use, there are several important considerations to keep in mind. Based on your situation, where you started taking the pill on the fifth day of your menstrual cycle, took it for seven days, and then stopped, it is essential to understand how this may affect your menstrual cycle and overall reproductive health.
First and foremost, it's important to recognize that birth control pills work by regulating hormones in your body to prevent ovulation and create a controlled menstrual cycle. When you take the pill consistently, it can help to stabilize your cycle, but stopping it abruptly, especially after a short duration, can lead to fluctuations in your hormone levels. This is likely why you experienced a return of your menstrual period shortly after stopping the pills.
Now, regarding your question about whether you should continue taking the pills or if you can let your cycle return naturally: if you have no current need for contraception, it is generally acceptable to stop taking the pills. However, it’s important to note that your menstrual cycle may take some time to regulate itself after discontinuation. Some women may experience irregular cycles for a few months after stopping hormonal birth control, while others may find that their cycles return to normal relatively quickly.
If you choose not to continue taking the pills, your menstrual cycle may indeed change in timing and flow. This is a normal response as your body readjusts to its natural hormonal rhythms. If you are concerned about irregularities or if your periods do not return to a regular pattern after a few months, it would be wise to consult with a healthcare provider. They can provide guidance and assess whether there are any underlying issues that need to be addressed.
In summary, if you do not have a need for contraception at this time, you can choose to stop taking the birth control pills. Just be aware that your menstrual cycle may be irregular for a while as your body readjusts. If you have any concerns about your menstrual health or if you experience significant changes, it’s always best to seek advice from a healthcare professional. They can provide personalized recommendations based on your health history and current situation.
In conclusion, while stopping birth control pills can lead to changes in your menstrual cycle, it is a common and manageable situation. Monitoring your cycle and consulting with a healthcare provider if needed will help ensure that you maintain your reproductive health effectively.
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