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Birth control pills are often said to make menstrual cycles irregular. However, once you stop using birth control pills, you can be confused if you don’t have a period and the pregnancy test is negative. There are ways to make menstruation easier after stopping taking birth control pills.
According to obstetricians and gynecologists, late, irregular menstruation or menstrual disorders are normal after stopping using birth control pills, especially hormonal contraceptives. When you first stop taking birth control pills, you need time for your menstrual cycle to fully recover.
Menstruation usually returns within 4 weeks after stopping taking birth control pills. But, this depends on your normal cycle.
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Menstruation after stopping taking birth control pills
According to the NHS page, the menstrual cycle can be influenced by several things such as body weight, health, stress, exercise and conditions such as polycystic ovary syndrome (PCOS).
However, in the majority of cases, in the absence of other health conditions, normal fertility, including ovulation and regular menstrual cycles, usually returns within 3 months.
Causes of irregular menstruation
According to the Vinmec page, there are two most common causes of irregular menstruation after stopping taking birth control pills, apart from pregnancy, namely:
1. Delay in the return of ovulation
Hormonal contraceptive methods, such as the pill, aim to prevent pregnancy through a number of different mechanisms. One mechanism that functions is to reduce the possibility of ovulation.
When you no longer use hormonal contraception, ovulation usually occurs once in each menstrual cycle. If the sperm does not fertilize the egg, it will trigger changes in hormone levels, causing the endometrium lining to shed and menstruation to occur.
Women who have used hormonal contraception often do not ovulate, so it takes a while for ovulation to return to normal. Until this happens, the woman may not menstruate for a while.
2. Lack of hormones
Some hormonal birth control methods, such as the combination pill, can help regulate menstruation. This means that even without ovulation, women on the pill can still experience bleeding at regular times during the month.
When you stop taking medication, because the medication is no longer in the blood, the body’s endogenous hormones must begin to regulate its own menstrual cycle, and it may take some time for the body to adapt naturally.
Menstrual cycle with medical conditions
If you have an underlying medical condition that causes irregular cycles—such as PCOS, hypothyroidism, or endometriosis—you may notice the condition returning soon after stopping using birth control.
“Using hormonal contraceptive methods to regulate irregular menstruation does not solve the underlying hormonal imbalance problem,” said Camaryn Chrisman Robbins, MD, OB-GYN at Washington University Women & Infants Center, quoted from Parents.
According to him, when someone stops using hormonal drugs, it is very likely that the initial symptoms will reappear.
Many people believe that since using contraception the cycle is normal, but that is not the case. “This is an artificial cycle because the natural hormonal process is suppressed, creating an imbalance,” he said.
In short, if your periods are irregular after stopping using contraception, there is a reason behind it. You just need to find it.
How to make your period easier after stopping taking birth control pills
Most women’s menstruation returns to normal immediately after stopping taking birth control pills so they do not require special intervention to have normal menstruation. However, a number of women need hormonal balance support to help their menstruation resume, including:
1. Stress management
Long-term stress tolerance can sometimes give rise to problems with Amenorrhea or irregular menstruation. If a person frequently feels stressed or anxious, it is important to learn relaxation techniques and even seek help from a therapist.
2. Build a balanced diet
Sudden changes in diet or excessive abstinence can disrupt the menstrual cycle. Instead, try to choose a balanced and moderate diet, maintaining stability and nutrient-rich foods. Avoid foods high in sugar, as over time this can increase the risk of insulin resistance and the development of type 2 diabetes.
3. Maintain a moderate weight
Body weight, whether high or low, can affect reproductive hormones. A healthy diet and regular exercise can help. However, if a woman has difficulty achieving ideal body weight then she may have an underlying medical condition, such as polycystic ovary syndrome. And if a woman has difficulty controlling her thoughts about eating, exercising, or losing weight, she may need treatment for her eating disorder.
4. Hormonal status tracker
Women who are planning a pregnancy or want to track their menstrual cycle can self-test and monitor at home with an ovulation predictor, progesterone tracker, or an app that tracks symptoms throughout the cycle.
For most women, menstruation will return to normal after a few weeks or months. However, not menstruating is also a potential sign of pregnancy.
So, before you conclude that your menstruation is irregular after stopping taking birth control pills, you should do a pregnancy test if your menstruation has not returned after 4 weeks.
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