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Risks of starting pill without having period - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Birth Control
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2408 Questions
Doctor :   Hi
Doctor :   Iam.Dr.
User :   Hi
Doctor :   Please post your query
User :   I already chatted with a doctor on here today, but had to leave before finishing all my questions
Doctor :   ok
User :   I was asking about starting up birth control pills after not taking it for a month
Doctor :   ok
User :   It is assumed that I am not pregnant because I took the test, was not sexually active from the middle of my last active month (May)
User :   And also, I had irregular periods before starting the pill
Doctor :   ok
User :   My question was that, it is said that I need to take the pill after my period starts or on the Sunday if that's when it starts
Doctor :   you were taking nortel
Doctor :   is nt it?
User :   however, my period hasnt come since the end of May, when I finished my last pack and had my period on schedule
User :   yeah that's right
Doctor :   ok
User :   So where it was left off, I asked what would be the risks if I decide to take the pill now without waiting for my period, since I have had months where I don't have a period
Doctor :   How long have you been taking the pill now?
User :   Started in February, and took it through May
User :   only skipped June
User :   and I want to start it again for this month
Doctor :   Since your periods are regular
User :   well they started becoming regular after taking the pill
Doctor :   you can start the drug
Doctor :   with your periods start
User :   Okay, but I'm worried that it wont come this month, and I don't want to wait another month to start taking
Doctor :   OK
User :   Last time it was told to me that if I start taking it without waiting for my period, the hormone balance could become crazy
Doctor :   When are you expecting it this month
User :   I was expecting it by last week
Doctor :   Ok
Doctor :   It can be some hormonal imbalance sometimes
User :   yeah, and i've looked into that
Doctor :   And you can go for a blood hcg test
Doctor :   to rule out prgnancy too
User :   I've seen that there are many cases that regular periods don't return for a few months
User :   pregnancy is ruled out
Doctor :   ok
User :   I haven't had sex since mid May
User :   and I had my period
Doctor :   so its hormonal
Doctor :   changes
User :   yeah, so my question is, what are the risks if I start taking the pill without having my period
Doctor :   ok
Doctor :   there can be hormonal imbalance
User :   okay, is that serious?
User :   my main concern is that will I have the same protection?
Doctor :   Yes
Doctor :   But i would advise you to wait till your next period starts
User :   why is that?
Doctor :   to let the hormonal balance to be normal
User :   could you explain more then, if I take the pill before I have my period, what would I experience?
Doctor :   You might experience nausea ,weakness sweating etc
Doctor :   If you have an imbalance
User :   but that's just the risk right?
Doctor :   yes
User :   okay, so let me confirm. If I start taking it tomorrow, about the same time I would be if I didn't skip June, then I should have the same reliability against becoming pregnant? The only concern is related to hormonal balance and issues of nausea, etc?
Doctor :   yes
Doctor :   If you stop taking the pill and then go on it again, you may go through the same side effects that you already went through during the first few months of pill use.
Doctor :   It is safe for you to be on the pill for years, whether for regulation of menstrual cycles, cramps, hormone replacement, or birth control.
User :   okay, so then those side effects should only last about a month
Doctor :   yes
User :   because I didn't really experience those during my first month anyway
Doctor :   ok
Doctor :   I would advise you to consult an gynaecologist too
User :   why is that?
Doctor :   If you feel any side effects in between
User :   oh i see
Doctor :   For you it will be ok i feel
User :   great
Doctor :   You can start the pills after next period
Doctor :   Did you understood what i said?
User :   yeah, but you understand that my period may not come this month?
User :   And i want to start it for this month
Doctor :   ok
User :   since my period is irregular, it's normal that it doesnt come sometimes
User :   and like i said, it's ruled out that I'm pregnant
Doctor :   You may repeat a pregnancy test later too
User :   but like i said, i had my period after I stopped having sex, before I stopped taking the pill
Doctor :   ok
Doctor :   Then it is the matter of hormonal balance
User :   yeah, you said that
Doctor :   that will come in a week
Doctor :   or two
Doctor :   So after that you can start the pill
User :   if i start the pill before then?
Doctor :   you might have adverse effects ten
User :   for example?
Doctor :   nausea headache breast tenderness..
User :   okay, i'm fine with that
User :   i just want to make sure I have reliable birth control for this month
Doctor :   ok
User :   if I take it for this month before my period starts, could the period start before the pack for this month is finished?
Doctor :   you will get back to normal soon
Doctor :   yes it can happen
Doctor :   and it depends on the hormone balance
User :   okay
Doctor :   since you are sure of
User :   yes
Doctor :   not having pregnancy
User :   okay, so then, if i do take the pill early, and my period starts in the middle of the pack, what should i do then?
Doctor :   its hormonal trouble you have
User :   okay, so then, if i do take the pill early, and my period starts in the middle of the pack, what should i do then?
Doctor :   continue
Doctor :   is there anything else i can help you with?
User :   no that's fine
User :   thank you
Doctor :   Thanks for consulting..Bye for now
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