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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Taken Oral Contraceptive. Have Noticeably Less Bleeding. Are They Related?

Hi Doc! i got married last year nd had oral contraceptives for 2 months ,then discontinued it coz my husband went to abroad.Now im united with my husband again after ten months nd taking contraceptives again.The problem is dat im noticing less bleeding nd almost no pain during periods.Before my weddind i used to have lots of pain nd bleeding, nd after my separation(with husband) also lots of bleeding nd pain was there.I guess its related with sexual activity nd contraception... dont kno what exactly????
Now im worried is it normal or having any significance ... coz we both r thinking to plan a baby now...
Mon, 27 May 2013
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General & Family Physician,  's  Response
Hi.
Thanks for asking in Healthcare Magic.

You have a very good observation indeed. Generally, menstrual cycles are painful as they are ovulatory cycles. Ovulation is the rupture of ovum and release of egg, necessary for fertilization. The oral contraceptives inhibit ovulation and makes the cycles anovulatory. This is one of the main action of OCP in preventing conception.

The pain and bleeding during menstruation are due to increased uterine contraction needed to expel the unfertilized egg products in the form of clots. You have no pain and less bleeding with OCP not only because the cycles are anovulatory but also because the bleeding is withdrawal bleeding. Also, with OCP, your periods will be on a regular cyclical pattern.

I hope this is useful to you.

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Taken Oral Contraceptive. Have Noticeably Less Bleeding. Are They Related?

Hi. Thanks for asking in Healthcare Magic. You have a very good observation indeed. Generally, menstrual cycles are painful as they are ovulatory cycles. Ovulation is the rupture of ovum and release of egg, necessary for fertilization. The oral contraceptives inhibit ovulation and makes the cycles anovulatory. This is one of the main action of OCP in preventing conception. The pain and bleeding during menstruation are due to increased uterine contraction needed to expel the unfertilized egg products in the form of clots. You have no pain and less bleeding with OCP not only because the cycles are anovulatory but also because the bleeding is withdrawal bleeding. Also, with OCP, your periods will be on a regular cyclical pattern. I hope this is useful to you.