No periods while taking birth control pills: can OCs have an effect? Delayed menstruation after stopping birth control pills The pills have ended but there are no periods
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The hormonal contraceptive drug “Silhouette” will protect against unwanted pregnancy, eliminate painful symptoms accompanying the premenstrual period, and improve the condition of the skin. Review after review of women say that this is a reliable contraceptive. The main thing is not to skip taking pills.
"Silhouette": composition
The main active components of the drug are ethinyl estradiol (0.03 mg) and dienogest (2 mg). When combined, they give an antiandrogenic and contraceptive effect. The composition is complemented by the following ingredients:
- lactose monohydrate;
- corn starch;
- hypromellose;
- talc;
- potassium polacrilin;
- magnesium stearate;
- opadry II 85F18422 white (shell).
Release form of the drug
The drug “Silhouette” (reviews claim that this product helps improve the condition of the skin and remove acne) is produced in white tablets, which are enclosed in a blister in the amount of 21 pieces. Blisters are packed in a cardboard box of 1-3 pieces.
Pharmacological effects
"Silhouette" is a combination drug with a pronounced antiandrogenic effect. Here, ethinyl estradiol acts as an estrogen, and dienogest functions as a progestogen.
The drug inhibits ovulation, affects the peristalsis of the fallopian tubes and endometrium, and increases the viscosity of cervical mucus. The antiandrogenic effect is achieved through the close interaction of ethinyl estradiol and dienogest, which reduces the concentration of androgens in plasma.
It has been proven that the drug, thanks to the active interaction of its components, eliminates acne of varying severity and treats seborrhea.
The “Silhouette” contraceptive (reviews from some women say that the drug was not suitable and has many side effects) should be taken in an amount of 1 mg/day to prevent ovulation.
Indications
“Silhouette” (review after review of women note an increase in body weight as a result of regular use of the drug) is recommended for use as a contraceptive to prevent unwanted pregnancy. The contraceptive has also shown its effectiveness in the treatment of acne.
Contraindications
The combined contraceptive “Silhouette” (tablets) fully justifies its purpose. But it cannot be used or its use should be discontinued in cases of special sensitivity to the active and minor components in its composition. You should not use the drug if you have arterial or venous diseases. The reason for the ban is thrombosis, myocardial infarction, thromboembolism of varying severity, cerebrovascular disorders of the ischemic and hemorrhagic apparatus.
You should refrain from taking the medicine in a state preceding thrombosis. This is angina pectoris, damage to the heart valve and atrial fibrillation, surgery with prolonged immobilization.
You should not use a contraceptive if you have pancreatitis, porphyria, jaundice or congenital hyperbilirubinemia. You should not take tablets if you have sickle cell anemia, diabetes mellitus, arterial hypertension, dyslipoproteinemia, or if you are predisposed to arterial thrombosis. Women over 35 years of age who smoke should refrain from taking it.
A taboo is imposed for liver diseases of varying severity and malignant diseases of the genital organs and breasts. You should not use the medicine if there is bleeding from the vagina of unknown origin. Reasons for the ban include migraine, epilepsy, lactase deficiency, pregnancy, and breastfeeding.
Care should be taken when taking the drug if there is a disruption in the functioning of the cardiovascular system, obesity, or low blood clotting. People with arterial hypertension, uterine fibroids, mastopathy, multiple sclerosis, severe depression, ulcerative colitis, cerebrovascular accident, heart failure, breast cancer, vision problems, and herpes should think about its use.
Dosage and method of administration
Silhouette should be taken daily for 21 days. You should take one tablet every day. Dragees are consumed according to the days of the week indicated on the blister. A new package is started after a week's break, during which menstruation usually arrives. The bleeding may not stop before taking pills from a new pack, but despite this, you should continue to take the pills.
The transition to this contraceptive from drugs containing only progesterone can be carried out at any time. In the case of the first hormonal contraception, the drug “Silhouette” (tablets) is prescribed on the day of the start of menstruation. When switching from other combined contraceptives, Silhouette is taken on the first day after a seven-day break. You can take the drug the next day after taking the last pill from the old package.
The transition from implants to occurs on the day of removal of the implant, and from injections - on the next day after the administration of the last contraceptive injection.
After an abortion during the period from the first to the twelfth week of pregnancy, the drug should be taken immediately, especially if there are no other methods of protection. After delivery or abortion in the second trimester, a contraceptive is prescribed on days 21-28. A later period of contraceptive use necessitates the need for additional methods of protection over the next seven days. If sexual intercourse took place at an “unprotected” moment, then before using the pills you need to completely exclude pregnancy and wait until the first menstrual cycle.
Missed pills
To achieve the proper contraceptive effect, the use of “Silhouette” must be constant. A delay of less than twelve hours in taking the pill does not reduce the effectiveness of contraception. In this case, the lady should take the drug at the first opportunity. Delay of more than twelve hours significantly reduces contraceptive protection. In this case, the following nuances must be taken into account:
- the break in taking hormonal pills should not be more than seven days;
- the effect of hypothalamic-pituitary-ovarian regulation is achieved only with daily seven-day medication.
In this situation, the lady needs to take a hormonal drug at the first opportunity, even if two pills need to be taken at the same time. The next tablet is taken at the allotted time.
Additional contraceptive measures:
- Apply in the first week for the next seven days. If you had sexual intercourse before the missed pill, you need to rule out pregnancy.
- In the second week they are not used if the woman no longer violates the regimen. In situations where more than one tablet is missed, additional protection should be used for the next seven days.
- Do not use in the third week unless more than one tablet has been missed. Here, the use of tablets from the current pack begins immediately without a week's break. At this time, menstruation may not occur or bleeding may occur. You can go the other way and immediately stop taking pills from the current pack, take a seven-day break and then switch to taking the medicine from the new pack.
Side effects
Depending on what kind of birth control pills a woman takes, certain side effects appear. So, while taking Silhouette, anemia, tachycardia or myocardial infarction may occur. Headaches, nausea, vomiting, weight gain, back pain, depressed mood, chest pain and enlarged mammary glands often occur. In some cases, migraines, excessive excitability, and dizziness are observed. Abdominal pain and malfunction of the genitourinary system occurred infrequently. Acne, eczema, dermatitis and other allergic manifestations were noticed. Patients noted an increase in appetite and weight loss. In particular situations, vaginitis, vaginal candidiasis, varicose veins, and arterial hypotension occur. Fatigue, swelling, ovarian cysts, bleeding of various origins, salpingitis, endometritis and cramps in the calf muscles occur.
Rarely, visual impairment, tinnitus, sinusitis, bronchitis, diarrhea, dyspepsia, gastritis, cholelithiasis, fungal infections, oral herpes, mastitis, vulvovaginal itching, fibrocystic dysplasia of the mammary glands, insomnia, anorexia, decreased libido, apathy and aggressiveness.
special instructions
Before taking a contraceptive, you need to conduct a full medical examination and completely exclude pregnancy. Hormonal tablets "Silhouette" may not act as effectively in cases of missed doses, gastrointestinal disorders and during concomitant treatment. St. John's wort significantly reduces the effect of the drug.
In the first three months of taking the contraceptive, bleeding from the vagina may be observed, which is associated with the adaptation period. If this happens all the time, you should consult a gynecologist.
There may be a complete absence of menstruation in the interval between taking the medicine from the old and new packaging. If you take the pills without skipping doses, then pregnancy should be ruled out. If there are irregularities in taking the drug, then before starting a new pack, you should make sure that there is no pregnancy.
The use of a combined contraceptive increases the likelihood of venous thromboembolism, especially in the first year of using a hormonal contraceptive. This picture is due to the combination of ethinyl estradiol and dienogest. The occurrence of the disease is indicated by pain in the legs and chest with numbness of the left arm, shortness of breath, coughing attacks, prolonged headaches, partial loss of vision, diplopia, blurry and fainting and dizziness, weakness and partial numbness of the limbs, abdominal pain.
Using the drug worsens migraines and increases the risk of developing cervical and breast cancer. Promotes the development of benign and malignant tumors. Increases blood pressure, provokes the development of pancreatitis, acute and chronic liver diseases, diabetes mellitus, chloasma, ulcerative colitis and Crohn's disease.
Taking the drug may distort biochemical analysis, including indicators responsible for the functions of the liver, thyroid gland, and kidneys. As a rule, changes are minor and fluctuate within normal limits.
Storage period and conditions
The drug "Silhouette" should be stored in a cool place, protected from direct sunlight at a temperature not exceeding 25 °C. The shelf life of the medicine is two years.
The drug "Silhouette" (tablets): price
The contraceptive is produced in Hungary by JSC Gedeon Richter. The combined product “Silhouette” (tablets) is distinguished by its affordable cost compared to analogues. The price may vary depending on the pharmacy chain, but in general, pack No. 21 costs about 500-600 rubles, and pack No. 63 costs about 1500-1600 rubles.
Why does my period get delayed when taking birth control pills? An experienced gynecologist will answer this question. The duration of the menstrual cycle for each woman depends on the characteristics of her body, genetic predisposition and lifestyle. On average, the period from one menstruation to the next lasts 28 days. But there are shorter and longer cycles. If a woman decides to protect herself from an unwanted pregnancy using birth control pills, then it is necessary to consult with a gynecologist so that, taking into account each day of the menstrual cycle, the doctor correctly calculates the day of the onset of ovulation.
Causes of the phenomenon
If menstruation occurs irregularly or is absent, the doctor will prohibit you from using this method of contraception, since it will be very difficult, almost impossible, to “catch” the moment of ovulation. To use the pills, a woman's menstrual cycle must be stable to avoid unwanted pregnancy.
To better understand what happens in a woman’s body after taking birth control pills, you first need to know how this whole process occurs without outside intervention. The first day of the menstrual cycle is considered the day when menstruation began, that is, the day when the inner layer of the uterus was detached, which caused bleeding.
From this day the rest of the countdown begins. It lasts from 5 to 7 days. After bleeding stops, the maturation of a new follicle begins in the ovary - a shell (ball), in which the egg will mature. On the 14th day of the cycle, ovulation occurs. The follicle ruptures, and the mature egg is released and begins to move towards the fallopian tubes, where it will meet the sperm. This whole process lasts about 15 minutes. The released egg remains viable for 12 to 24 hours, and if fertilization does not occur, it simply dissolves and pregnancy does not occur.
The body, having received this “signal”, stops producing hormones necessary to prepare for further gestation, and the uterine layer begins to be rejected, which ends in bleeding, i.e. menstruation. This happens every month.
Mechanism of action of contraceptives
These pills contain synthetic hormones similar to those produced by the female body. And when the body “sees” that there is no shortage of these hormones, it simply stops producing them. As a result, the woman's ovary stops functioning and the egg is not produced, and without it, pregnancy cannot occur.
At a certain stage, a woman stops taking pills, which gives the body, after stopping them, the opportunity to “work” itself, i.e. produce a hormone that promotes the shedding of the uterine layer, which will cause the woman to menstruate.
Why can a period be delayed when taking birth control pills?
The first thing you need to think about is the onset of pregnancy. If sexual intercourse took place, then there is a possibility that the woman could become pregnant. This can happen due to failure to take the pills correctly:
- if, due to forgetfulness, the medicine was not taken;
- violation of the reception time interval;
- parallel use of antibiotics, which weakens the effect of the contraceptive;
- Drinking alcohol also reduces the effect of the pills.
If there is such doubt, you should immediately stop taking the pills until the reason for the lack of menstruation is determined.
For some women, during the period of birth control pills, their periods are very scanty and end quickly. This is considered the norm. The entire volume of excreted blood may be about 60 mg. This also has its positive side: the level of iron and hemoglobin in the blood increases.
We have already talked about the fact that birth control pills contain hormones. And no one can exclude the fact that their use will not affect the work of other organs. We are talking about the thyroid gland, adrenal glands, pancreas, gastrointestinal tract, liver, and urinary system. Any violation on the part of one of the above organs can lead to excess weight, tumors, blood clots with cessation of menstruation.
The function of the ovaries is related to the thyroid gland, so if the natural functioning of the ovaries is suppressed, the functioning of the thyroid gland may be disrupted.
The adrenal glands also produce hormones, and when an additional batch of the same “stuff” enters the body, their function will be suppressed.
Hormones affect the functioning of the pancreas, disruption of which can lead to diabetes mellitus or pancreatitis.
From the stomach, exacerbation of gastritis may occur, which will lead to intestinal dysbiosis.
The liver works under pressure to remove harmful substances from the blood.
And if the liver fails, the functioning of blood vessels will be disrupted, which can lead to heart disease and blood clots.
Additional prevention
A delay in menstruation can also be caused by severe stress, changes in diet, such as diet, climate change, physical activity, and overwork.
The reason for a delay in menstruation may be infections in the urinary system, such as cystitis or kidney disease.
A delay in menstruation while taking birth control can be the onset of a gynecological disease, so if the delay is more than 7 days and the test is negative, then you need to see a gynecologist to find out the reason for the absence of menstruation. Signs of gynecological diseases can be nagging pain in the lower abdomen, general weakness, pain in the lower back and other symptoms.
After all, taking contraceptives does not prevent infection from entering the genitals, but most likely the opposite - sexual activity occurs without a condom, which means that the risk of contracting a sexually transmitted infection is increased. An inflammatory process and a number of other diseases may appear.
A delay in menstruation can also occur after gynecological procedures, for example after curettage of the uterus or after surgery.
It should be noted that not only traditional medicines can have side effects, but also folk remedies. Lemon or ascorbic acid, for example, can delay your period.
If for some reason there is a need to take any medication, you should carefully study the instructions or consult a doctor to find out whether such a drug will weaken the effect of birth control pills and whether it will cause delays in menstruation in the future.
If a woman, having completed a 21-day course of contraceptives, does not take a break between doses (if the instructions require it), then in this way she will “delay” the onset of her period, and it will not come.
Sometimes women use this “technique” when for some reason they do not want menstruation to begin, but this maneuver cannot be used often, as this will lead to various diseases, because in this way the “laws of nature” are completely violated.
We must remember that protection with oral hormonal contraceptives can disrupt the regularity of the menstrual cycle, and in the future, with their endless use, lead to the complete disappearance of menstruation.
Everyone's sensitivity is different, and therefore no one can predict in advance how the female body will react to these pills. It may have no effect on one woman, but cause a lot of problems for another.
One may experience a delay in menstruation, while another may experience a complete cessation. Doctors consider both cases to be within normal limits, unless there are other health problems.
When taking birth control pills, your period should begin after the end of the last pill. It should be understood that when using oral contraceptives, menstruation is not full. The appearance of menstrual-like discharge is observed. But the appearance of such secretions does not always occur in a timely manner. During the first three cycles, the body becomes accustomed to the drug. In some cases, in the presence of hormonal disorders, menstruation is restored after six months.
Your doctor will help you choose the right remedy
Menstruation changes when taking birth control pills. Medicines contain varying doses of the estrogen hormone. He is responsible for the formation of the first phase of the female cycle. Also during this period, the release of a follicle-stimulating substance is observed. It causes active activity of one of the ovaries. A small cavity containing the egg appears on the surface of the organ. Midway through the menstrual cycle, estrogen is replaced by luteinizing hormone. It is responsible for the release of the egg from the follicle. This period is called ovulation. It is during ovulation that a woman can become pregnant.
Birth control pills increase your own estrogen levels. Against this background, the follicle-stimulating substance ceases to be produced. Ovulation does not occur. The woman becomes temporarily sterile.
All oral contraceptives contain 21 tablets. After finishing one package, you need to take a week break. During the break, your period should begin. Regardless of whether menstruation has begun or not, the next package begins after a 7-day break. This technique allows you to get an ideal cycle of 28 days.
Modern contraceptives affect not only a woman’s fertility, but also the quality of cervical mucus. Normally, a woman’s vaginal discharge quality changes throughout her entire cycle. Before ovulation, the volume of cervical mucus increases significantly. It becomes transparent and viscous. This quality of discharge allows sperm to quickly overcome the uterine cervix and enter the cavity.
A young married couple should think about the issue of contraception in advance
Birth control pills have a negative effect on the secretory glands of the cervical canal. The drug reduces mucus secretion. This process is accompanied by an increase in the viscosity of cervical secretions. In such secretions, male reproductive cells cannot actively move. A large number of sperm are retained in the mucus and die after some time.
The effect of the drug is also based on the amount of active substance. Modern contraceptives contain small doses of the substance. This quality helps to avoid various complications. At high doses, women often experience sudden weight gain, dizziness, and mood swings. It is for this reason that you should visit a doctor before starting oral contraceptives. Self-administration can greatly harm the female reproductive system.
Formation of a cycle during contraception
Menstruation does not begin immediately while taking birth control pills and may have various deviations from the norm. When using hormonal medications, menstruation should begin within three weeks. But the formation of a cycle does not occur immediately. In the first few months, the appearance of discharge may occur before the end of the package. Some patients do not start their periods after the first package. For this reason, a woman should be aware of what problems may arise in the first three cycles of oral contraception. The following possible problems are being considered:
- reduction in the volume of secretions;
- failure of the duration of menstruation;
- absence of menstruation;
- change in premenstrual symptoms.
Most women note a decrease in the volume of discharge. Menstruation becomes scanty, mucous impurities disappear. This change occurs due to a decrease in the level of follicle-stimulating hormone. It is responsible not only for the formation of the follicle, but also for the growth of the endometrial layer of the uterus. This tissue serves as a kind of bed for the fertilized egg. For a normal pregnancy, the tissue must have a thickness of at least 11 mm. If conception does not occur, during menstruation, the remnants of the endometrium are removed from the uterus.
The number of days of the menstrual cycle varies from woman to woman
When the level of follicle-stimulating hormone decreases, the endometrium does not grow to the desired size. Its thickness is 3–5 mm. With this thickness, the volume of discharge is significantly reduced.
The duration of menstruation varies from woman to woman. The discharge can last from three to seven days. When taking birth control pills, the duration of menstruation also decreases. This is due to a decrease in the volume of secretions. Menstruation in the first cycles can last 2-3 days. After the body gets used to the tablets, the duration can be 3–5 days.
In some cases, the discharge disappears during the first cycles. Don't be afraid of this. The body needs some time to develop a habit of the drug. If there is sufficient estrogen accumulation, menstruation will return on its own.
What else affects the cycle
In rare cases, periods do not begin immediately after stopping the pills. In a normal cycle, discharge appears the next day after the end of the package. At first, menstruation can begin on any day of the seven-day break. But it is worth knowing that if menstruation began on the last day of the break, taking the pills begins strictly according to the schedule - on the eighth day. Gradually, the duration of the cycle normalizes. The cycle length will be four weeks.
A change in premenstrual symptoms is also noted. A few days before the expected period, women experience a variety of symptoms. There is an increase in breast volume, nagging pain in the lower abdomen, changes in mood, and a slight increase in body weight. These symptoms occur due to progesterone. The hormone affects the activity of the vascular, nervous and lymphatic systems. When taking oral contraceptives, the increase in progesterone stops. The hormone is produced in the corpus luteum, which forms at the site of the burst follicle. Due to the lack of ovulation, progesterone cannot rise. For this reason, premenstrual syndrome disappears. This is not something to be afraid of. The body takes a break from the activity of progesterone.
The listed problems arise in the first 2–3 cycles of therapy. Normally, side effects should disappear after getting used to the active substance. If these disturbances do not disappear, you need to inform your gynecologist about this. The doctor must change the drug or method of protection against unwanted pregnancy.
Possible complications when taking the drug
After getting used to it, your period comes on the 22nd day of the cycle. But even with the normalization of the body’s activity, unwanted problems may appear. The following pathologies may occur:
- cessation of ovarian function;
- breakthrough bleeding;
- hormonal imbalance;
- change in the quality of vascular fiber;
- dyspeptic symptoms;
- allergic reactions to active substances;
- change in the thickness of blood fluid;
- onset of pregnancy.
Uncontrolled use of drugs can cause complications
Ovarian failure is diagnosed only after stopping birth control. With this pathology, the absence of ovulation is detected for several cycles. During diagnosis, the doctor discovers the presence of multiple small follicles on the surface of the ovary. In this case, no dominant neoplasm is detected. With such ovaries, pregnancy is impossible. This pathology has been found in many women in recent years. In most cases, organ activity normalizes on its own. If the problem does not disappear, it is necessary to undergo complex hormonal treatment.
Some patients are faced with the fact that menstruation began while taking birth control pills. The volume of discharge gradually increases. They contain no mucus impurities. The color of your period becomes bright red. Such discharge indicates breakthrough bleeding. Pathology is detected in 20% of patients. The problem is associated with disruption of hormones and blood vessels. A sharp surge in progesterone causes endometrial rejection. The walls of the uterus are damaged. Blood begins to leak from damaged vessels. In case of such a complication, it is necessary to call an ambulance. Only specialists can competently stop blood loss.
Often, after stopping contraception, women complain of irregularities in their menstrual cycle. In the first few months, your own cycle is restored. If changes in the duration of menstruation persist, it is necessary to undergo a medical examination. A woman needs to donate blood three times during her cycle. The liquid is tested for the content and amount of a certain hormone. The reason for the surges is a malfunction of a hormone. After the examination, the doctor prescribes additional drug treatment.
Problems also arise with the vascular fiber. A change in the volume of menstruation also occurs when the walls of blood vessels are damaged. Contraceptives cause changes in the elasticity of blood vessels. The fiber becomes less flexible and dense. Against this background, a change in the general condition of the vascular tissue occurs. With long-term use of birth control pills, women may develop varicose veins. The disease is characterized by the formation of cavities on the vascular fiber. The fluid stagnates in them and leads to the formation of large venous nodes. This pathology can affect any organ.
Additional factors
Some patients complain of the appearance of dyspeptic symptoms during menstruation when taking oral contraceptives. Nausea, vomiting or diarrhea may occur during treatment. Normally, such complications should disappear within three months. If they persist, you need to contact your gynecologist to change the drug.
Some pills lead to an increase in allergic reaction
Like many medications, birth control pills can cause a variety of allergic reactions. Exacerbation of allergies often occurs during menstruation. To get rid of the problem, you also need to visit a medical center.
Oral contraceptive medications do not always cause thinning of menstrual flow. In some cases, periods become thick and scanty. This pathology develops due to an increase in the level of platelets and leukocytes. The growth of platelets is accompanied by the formation of neoplasms in the vascular lumen. Women taking oral contraceptives often suffer from thrombophlebitis.
The annotation attached to the drug clearly states the rules of administration. Birth control pills must be taken at exactly the same time every day. If a woman forgets to take the medicine, she must take the pill at any time. At the same time, the instructions state that it is necessary to adopt additional protection methods. If a woman does not take it, she needs to closely monitor the onset of her next period. If there is a slight delay, it is recommended to do a test for the presence of human chorionic gonadotropin. A common consequence of this disorder is pregnancy.
How to avoid complications
Birth control pills and periods are interconnected. In order not to get several unwanted complications, you need to follow the following rules:
- choice of drug by a specialist;
- preventive medical examination;
- carefully follow the instructions for use.
It is not recommended to purchase hormonal medications on your own. The wrong choice of drug can cause undesirable consequences. For this reason, the choice of oral contraception should only be made by the attending physician.
During every three cycles you need to undergo a gynecological examination. It will help to timely identify the onset of problems. The doctor can also track how the body reacts to the drug used. To reduce the risk of adverse reactions, the patient must follow all recommendations prescribed in the instructions.
When using contraception, you need to monitor the characteristics of your menstruation. Any alarming symptoms require a timely visit to the doctor.
Menstrual irregularities after taking or stopping hormonal contraceptives occur quite often. The delay after contraceptive medications does not depend on the woman’s age; even in a young and healthy body, there is a failure of the ovulation process and other phases of the cycle. Gynecologists assure that such a delayed situation is a natural and natural reaction of the body to a dose of hormones not planned by nature.
The main purpose of contraceptive drugs is to eliminate favorable conditions for conceiving an unplanned child. They contain a large number of so-called female hormones that affect the functioning of the ovaries. These contraceptives affect the ovulation process, slow it down or completely block it. In addition, their action is aimed at changing the structure of the uterine mucosa and genital tract, making it thicker and more viscous. This condition of the membranes prevents the invasion of sperm into the fallopian tube. At the same time, the lining of the uterus itself becomes thinner - if the egg is fertilized, the embryo will not implant. Therefore, after taking contraceptives, the delay is not surprising.
There are also combined contraceptives that combine both a male hormone (progestin) and a female hormone (estrogen). In a woman's body, the ovaries produce estrogen from puberty until menopause. Its highest concentration occurs during ovulation; birth control pills reduce this level of the hormone, preventing the maturation of the egg.
Combined contraceptives can be monophasic - the entire intake is one level of hormones, and triphasic - the set of hormones is different during the menstrual cycle. All combined products qualify for:
- Microdosed are prescribed to nulliparous girls who have just begun to be sexually active. Small doses of hormones in these drugs do not disrupt the menstrual cycle, taking them is not accompanied by side effects, and delay is unlikely.
- Low dosage drugs are used when, for some reason, a small dosage of hormones does not have an effect on the girl’s body.
- Highly dosed Contraceptives are used to treat serious hormonal disorders in middle-aged and elderly women.
- Progestin tablets is a contraceptive for nursing mothers. They do not contain estrogen.
When choosing contraceptive drugs, it is important to take into account the woman’s age, the presence or absence of hormonal disorders and the fact of pregnancy and childbirth. This is required so that after taking contraceptives, the delay does not become a symptom of a serious problem with the body.
What to expect after stopping contraceptives?
When you stop taking hormonal medications, the ovaries become more active. Due to the fact that the supply of gestagens and estrogens is stopped, the body begins to prepare for ovulation. The pituitary gland regains the ability to produce hormones that stimulate follicle maturation.
A woman may experience symptoms of contraceptive withdrawal:
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When you stop taking contraceptive medications, the ovulation process stabilizes after 1–2 years. By this time, a woman can already plan a pregnancy and is preparing for a new addition to the family; during this entire period, minor delays in menstruation are possible. But there are cases when pregnancy occurs immediately after stopping contraceptives. This happens due to too active activity of the ovary after prolonged stagnation. Also, successful fertilization depends on the timing of taking contraceptives. Thus, a woman taking the drug for less than six months can quickly become a mother after discontinuation. Protection for more than 3 years significantly increases this time. Gynecologists recommend abandoning hormonal contraceptives 6 months before the desired date of conception. This period, under favorable conditions, will be enough reproductive function for complete recovery.
The body of a healthy woman begins to function normally within 3 months after giving up contraceptives. But hormonal drugs are prescribed not only to protect against unwanted pregnancy. They are taken to treat endometriosis, fibroids, uterine bleeding and other diseases. In such a situation, it is impossible to completely abandon contraceptive drugs until recovery.
Rules for stopping pills
Some women independently decide to stop taking hormonal pills, and are faced with a whole bunch of withdrawal symptoms. After taking contraceptives, a delay in menstruation will be the first result of improper action. This should absolutely not be done, even if before taking it the hormonal levels functioned stably, without failures.
By adhering to only three rules for canceling contraceptives, a woman ensures a minimal reaction of the body and eliminates delay:
- The end of taking medications should be agreed with the attending physician after a thorough examination and analysis.
- The cycle should be completed before stopping;
- Abrupt refusal of hormonal drugs is prohibited. A special dosage reduction regimen prepared by a doctor is required.
Also, you should not switch to other types of birth control pills on your own. It is impossible to predict how the body will react to this change. Therefore, your doctor will help determine the correct choice of means and actions during the transition. And it is very important to choose the same specialist who prescribed previous contraceptives.
A woman should understand that interrupting the course of taking the drug is fraught with serious consequences for her health. Such as:
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You must take all the pills from the pack according to the prescribed schedule and wait until your period begins. After its completion, another week must pass before it is safe to take the new drug.
Delayed menstruation after stopping the pills
A normal occurrence is a delay in menstruation when you stop taking contraceptives. When a delay occurs for several days after taking contraceptives, then the body begins to feel a lack of artificial hormones. In such a situation, he has to remember the mechanism for independently producing them. This process can take a long time - the ovaries are used to being in an inhibited state.
Lack of menstruation after Yarin
Long-term use of the combined drug Yarina causes ovarian hyperinhibition syndrome. In this condition, the woman’s gonadotropic function of the pituitary gland is blocked. This phenomenon is reversible and after a period of time, periods will appear again.
Delay after Qlaira
The composition is significantly close to the natural hormones of the human body. After taking the drug, side effects occur in very rare cases. If after cancellation there is a delay in menstruation, then the woman should be patient. After taking contraceptives, the delay will pass by the next menstrual cycle, and spotting will appear according to the timing. But they may be more abundant than usual. There is no need to be alarmed; in 2–3 months the situation will stabilize.
No periods after stopping Jess
This monophasic contraceptive includes categories of tablets with two different actions. The first (pink) contains hormones to prevent unplanned pregnancy, the second is a pacifier. The reception is calculated according to a certain scheme that cannot be violated. If after discontinuation of the drug there is a delay in menstruation, then you can safely go to the gynecologist to confirm pregnancy. The fact is that missing even one real pill can lead to conception.
After Lindinet
The drug dosage regimen involves a seven-day break in each menstrual cycle. In theory, the usual discharge should begin at this time, but there is a delay in menstruation. This can happen when you miss a dose in combination with unprotected sex. After discontinuation of Lindinet, a delay in menstruation means pregnancy.
How long can there be a delay?
Long-term use of contraceptives teaches a woman’s body to exist according to an artificial scheme. In it, the reproductive function is in a sleepy state, and the ovaries are not able to produce the required amount of hormones. In such a situation, you should not be surprised by the delay. The body will need some time to fully recover. The duration of the process depends on the individual characteristics of the woman and the duration of exposure to contraceptives. Sometimes it happens that a woman regains the ability to fertilize in the next menstrual cycle after stopping contraceptives.
And for some women, after taking contraceptives, the delay continues for more than a year. In advanced cases, hormonal imbalance becomes chronic, and only a doctor can prescribe adequate treatment. Most often, you have to return to hormonal therapy, and the gynecologist can artificially induce menstruation. In such a situation, a woman needs to prepare for quite a long treatment to restore reproductive function.
Contraceptive drugs in any case cause a delay in menstruation. Whether it is a slight delay in monthly bleeding or a long period of absence, women are advised to listen to their feelings and adhere to the rules of discontinuation of contraceptives. This will help prevent the development of complications in the future, and not blame yourself for futile attempts to get pregnant.
Menstrual irregularities during the period of using contraceptives occur in 80% of women. In most cases, this is a consequence of hormonal changes, which are provoked by taking hormonal drugs. However, often a visit to the doctor reveals not only temporary problems, but also pathologies of the reproductive system that require treatment. Individual reactions to medications are no less common: in such cases, the question of replacing a specific drug with a drug of similar action or choosing another contraceptive option is raised.
Why do I not have periods when taking birth control pills?
Every gynecologist periodically hears the following complaint from his patients: “I take birth control pills, and I don’t have my period.” There are also other menstrual cycle disorders. In each case, the problem must be solved individually, since both the causes of these phenomena and the situations themselves may be different:
- The failure of the cycle is caused by the initial intake of the hormonal drug. If the absence of menstruation or very weak discharge is observed in the first two to three months of using the medicine, this can be considered normal. The body simply adapts to the new hormonal state;
- With birth control, your period comes at the wrong time, and the discharge becomes too long or heavy. In such a situation (especially if it occurs over several cycles), it makes sense to think about replacing the drug, since failures may be a consequence of individual intolerance. Sometimes such phenomena are caused by an imbalance between the content of estrogens and progestins in the body. Then the situation can be corrected by prescribing a product containing only progestin as an additive to a complex oral contraceptive;
- A woman takes hormonal contraceptives, but has not had periods at all for six months or more. This is an alarming symptom indicating serious problems in the reproductive system. In such cases, it is necessary to discontinue the drug, complete examination and switch to a hormonal-free method of contraception, so as not to aggravate the situation and cause irreparable harm to health;
- The habitual irregularity of menstruation increases when taking a contraceptive. In young nulliparous women suffering from cycle instability, constant use of hormones, as a rule, leads to improvement: the schedule acquires natural stability, pain decreases, and the intensity of PMS decreases. Much less frequently, but still there are situations when menstruation becomes even more irregular with birth control. Consultation with a gynecologist is necessary, since the problem may be the result of pathologies that were not previously diagnosed;
- A woman has been taking birth control pills for many years, and her periods are becoming less and less frequent. New generation hormonal contraceptives not only inhibit the ovulation process, but also change the structure of the endometrium to prevent implantation of the fertilized egg. As a result, the amount of biological material that is released during each menstruation decreases. This is normal and does not have any negative consequences.
Often the cause of cycle failures is not so much the drug itself as errors made during its use. Adjusting hormonal levels is a very delicate process, and any fluctuation in the amount of biologically active substances in the body can disrupt it. The absence of menstruation while taking birth control, as well as the appearance of untimely or breakthrough bleeding, can be a consequence of missing regular doses of the drug or taking two tablets at the same time in order to restore the level of protection.
Cycle stability and use of other types of contraceptives
The likelihood of disruption of the menstrual schedule while taking contraceptives containing hormones does not depend on the dosage form of the contraceptive. Using vaginal rings, hormonal patches, implants, medicated IUDs, or injections can also cause bleeding between periods or changes in the timing of your period. In all cases, a doctor must find out the cause of the failure and help solve the problem.
The intrauterine device sometimes causes irregular spotting. In addition, in the first months after installation of the IUD, menstruation in many women becomes more abundant and painful. If symptoms do not disappear after the adaptation period (after 3-4 months), the question may arise of replacing a specific device model or choosing a different method of protection.