On Sugar Pills After Starting Birth Control Again and No Period Yet

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Cleoanne B. Estrera, RN, MSN, NP-C, Nurse Practitioner, Women'due south Health Coordinator, Duke Pupil Wellness

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Dearest Birth Control Pill, Where's My Menstruation?!

I've been on the pill for about a year. I follow instructions, accept information technology at the same fourth dimension every day and all that, but for the by few months, I either haven't gotten my period or I've gotten a REALLY modest amount of bleeding at the end of the pack - similar hardly annihilation at all. My md says it's because I'm on a depression-dose pill and getting a barely-there flow or no flow is pretty common, but I'm freaking out and running to the drugstore every month for a pregnancy test. What gives? Where's my menstruum?

--Sincerely, Anxious and On The Pill


Dear Anxious,

I become it. I actually practise. You lot take your pill every day, you lot have sexual activity, you cantankerous your fingers and hope the pill does its job, and at the terminate of the month yous breathe a giant sigh of relief when your period comes. But WAIT! No period or a super-low-cal period?! UNACCEPTABLE. Mini panic assail and a trip to Target for a pregnancy test.

LET'Due south Accept A STEP Back, SHALL WE? Let's talk nearly what the pill is and what information technology does. The combination oral contraceptive pill (lovingly known equally "the pill" for short), contains estrogen and progestin. These hormones in the pill work in the following ways to foreclose pregnancy:

  • Stops ovulation (the release of an egg from your ovary). No Egg = No Babe.
  • Thickens cervical mucus, which acts like a roadblock to sperm.
  • Thins the lining of your uterus so a fertilized egg would not be able to implant.

THE PILL AND PERIODS.

Did you detect my quotation marks? When you lot take the pill, your normal menstrual bicycle DOES NOT HAPPEN. When the pill was starting time developed, it was felt that women would non be cool if they didn't get a period every calendar month, so as a outcome, the traditional pill ended upwards having 21 days of active pills (pills containing hormones), followed by a pill-free interval of seven days (either sugar pills or no pills). Your body withdrawing from the hormones in the pill results in a "withdrawal bleed", which kinda sorta resembles a period and is withal often called a "menstruum" for simplicity's sake. BUT Information technology'S Not A Menstruation, and light bleeding or no bleeding during that fourth dimension is common. Bottom Line: the pill was manufactured to imitate a menstrual bicycle for cultural reasons simply. Your "period" on the pill serves no biological purpose.

HOW Effective IS THE PILL?

For women who use the pill perfectly, equally in, they take information technology correctly and consistently, nigh 1 out of 100 will go pregnant each year. But let'south be existent. For women who apply the pill typically (this includes inconsistent and incorrect use a 'cause you lot know, we're human beings and all), about 9 out of 100 women volition go meaning each yr.

HOW Practise I AVOID MY MONTHLY FREAK OUT IF I DON'T Drain?

I like Target runs as much as the side by side person and, yes, if you miss pills, skip pills, or are late with taking pills - your risk for pregnancy goes up, then by all means, walk yourself over to Student Health or the drugstore for a pregnancy test if yous don'€™t bleed during your placebo week. Only do me a favor, save yourself a lot of grief, and go really proficient almost taking your pill. Have it at the same fourth dimension every twenty-four hours. Set an alarm on your iPhone or get your partner to call or text you lot when information technology'€™s time to take the next i. Fifty-fifty improve, accept your birth control pill similar a boss AND become your partner to use condoms. If not getting pregnant and avoiding STDs are at the top of your priority list, utilise ii methods every single time. Then you can spend your Target coin on really fun stuff. Like pillows with snowflakes on them. And leftover Halloween candy.

Desire to start birth control or talk about your options? Make an appointment to see united states of america at the Student Health Center.

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cobbthys1968.blogspot.com

Source: https://studentaffairs.duke.edu/blog-entry/dear-birth-control-pill-where%E2%80%99s-my-period

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