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What contraceptive pill is the best for regulating periods?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hi,

I have been on the pill for eight months in a year. It worked fine until the last two months, when I started experiencing spotting one week before the expected period. It begins when four more active pills in the course are left. I do not know if I am on the right pill. I want it for birth control and also to keep my periods regular. Before I started, they were not. Could you please advise which pill would be best for me? I am on tablet Levonorgestrel plus Ethinylestradiol at the moment.

Answered by Dr. Uzma Arqam

Education:

MBBS

Professional Bio:

Dr Uzma Arqam is an Obstetrician and Gynecologist with clinical experience of 21 years in handling patients. She completed her Diploma in Gynecology And Obstetrics at Royal College of Physicians, Ireland, University of Dublin, and MBBS at the University of Karachi. Currently, she is practicing in Rauha Consultant Clinics, in Karachi, Sindh, Pakistan. She is more interested in treating gynaecology cases of different ages of women to guide them have health precautions and daily life tips to prevent long-term effects developed with or without ageing.

This doctor is not available for online consultations on the platform anymore.

Hi,

Welcome to icliniq.com.

Tablet Levonorgestrel plus Ethinylestradiol is a combined oral contraceptive pill. Sometimes long-term use of a similar contraceptive shows it has side effects could be short (irregular bleeding, mood variations, headache) and long-term (breast and endometrial clots). It is better to change contraceptives if you feel you have any side effects. You can have a tablet, Progesterone, or mini pills having the same way of dispensing but only having a single hormone. It can also cause irregular bleeding. It depends on how your body responds to the medicine. Mirena is an intrauterine contraceptive device that gradually causes periods to become scanty and then stops. It is a combined hormone-releasing device that can be used for three years, or if you want to remove it can be removed at any time. Injection of Medroxyprogesterone is first 12 weeks. You can have it once after 12 weeks. There is no need to remember when to take a pill or any missed pill; easy and convenient but can show irregular bleeding, and after long-term, use can reduce bone density. I hope you get my point. We have many contraceptive choices, but all of these have side effects. Some appear early and some late, but we have to choose according to our history and body response, and better not to use them for a long time, similar contraceptive for a long time to prevent side effects.

Thank you.

Answered by Dr. Uzma Arqam
Medically reviewed by iCliniq medical review team
Published At December 23, 2022
Reviewed At May 11, 2023

Education:

MBBS

Professional Bio:

Dr Uzma Arqam is an Obstetrician and Gynecologist with clinical experience of 21 years in handling patients. She completed her Diploma in Gynecology And Obstetrics at Royal College of Physicians, Ireland, University of Dublin, and MBBS at the University of Karachi. Currently, she is practicing in Rauha Consultant Clinics, in Karachi, Sindh, Pakistan. She is more interested in treating gynaecology cases of different ages of women to guide them have health precautions and daily life tips to prevent long-term effects developed with or without ageing.

This doctor is not available for online consultations on the platform anymore.

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Education:

MBBS

Professional Bio:

Dr Uzma Arqam is an Obstetrician and Gynecologist with clinical experience of 21 years in handling patients. She completed her Diploma in Gynecology And Obstetrics at Royal College of Physicians, Ireland, University of Dublin, and MBBS at the University of Karachi. Currently, she is practicing in Rauha Consultant Clinics, in Karachi, Sindh, Pakistan. She is more interested in treating gynaecology cases of different ages of women to guide them have health precautions and daily life tips to prevent long-term effects developed with or without ageing.

This doctor is not available for online consultations on the platform anymore.

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