Will contraceptive pills affect menstruation?

Nov 27, 2024 Source: Cainiu Health
Disease description:

I had intercourse with my boyfriend without using any contraceptive measures and took emergency contraceptive pills afterward. Will this affect my menstrual cycle?

Doctor's answer (1)
Dr. Zhang Lu

Birth control pills may affect the menstrual cycle, but these effects are usually temporary and tend to stabilize with long-term use. The specific effects vary depending on the type of medication and method of use, mainly including the following aspects:

1. Emergency contraceptive pills: These pills contain a higher dose of progestin and are used to prevent pregnancy after sexual intercourse. Due to the sudden hormonal changes, they may cause delayed or early menstruation, or changes in menstrual flow. These effects are generally short-lived, and the menstrual cycle typically returns to normal after the drug's effects subside.

2. Short-acting contraceptives: These contain a combination of estrogen and progestin. Long-term use may suppress ovarian function and thin the endometrium, resulting in reduced menstrual flow or shorter periods. Although menstrual irregularities may occur initially, most women adapt to the effects of the medication over time, and the menstrual cycle gradually stabilizes.

3. Long-acting contraceptives: These include contraceptive injections and implants. They can suppress hypothalamic function, alter hormone levels, reduce menstrual flow, and may even lead to amenorrhea. These changes may be more noticeable at the beginning of use, but menstrual flow typically adjusts as the body adapts.

The impact of birth control pills on the menstrual cycle varies from person to person, but in most cases, it is predictable. Choose an appropriate contraceptive method and use it under the guidance of a healthcare provider.