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Can discontinuation of long-term oral contraceptives delay periods?

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

Patient's Query

Hi doctor,

I have been taking Microgynon for seven years and I stopped taking it in last month this year. I had my 'withdrawal' bleeding after I stopped taking the pill. Exactly 28 days later, I experienced my natural period and it was regular for two months. This month, my periods were suppose to start yesterday and they have not come yet. I did a PG test and it is negative. Should I be worried my periods are going to be irregular? Kindly help.

Answered by Dr. Uzma Arqam

Education:

MBBS

Professional Bio:

Dr. Uzma Arqam is a dedicated Obstetrician and Gynecologist with expertise in prenatal care, high-risk pregnancy management, infertility treatment, menstrual disorders, and minimally invasive gynecological procedures. She provides comprehensive women’s healthcare with a focus on safety, compassion, and personalized treatment. Dr. Arqam is committed to supporting women’s health at every stage of life through evidence-based practices and patient-centered care.

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

Hello,

Welcome to iclinic.com

I understand your concern.

There are many other reasons for irregular periods which include strict diet, strenuous exercise, illness, hormonal imbalance, thyroid abnormalities, medications, and hormones. Instead of taking hormonal contraceptives, you still have been experiencing normal regular cycles. Just this cycle is not on the exact time as due. Check for irregular cycles and abnormal hair growth, and if any of these symptoms persist, I would suggest getting a blood investigation and transvaginal scan. You can have combined oral contraceptive pills for three months to regulate cycles. Wait for one to two weeks, then I would suggest getting menstrual induction, tablet Norethisterone 10 mg twice daily for seven days, then wait for one to two weeks for menstrual bleeding.

I hope this helps.

Thank you.

Answered by Dr. Uzma Arqam
Medically reviewed by iCliniq medical review team
Published At April 7, 2023
Reviewed At May 2, 2023

Education:

MBBS

Professional Bio:

Dr. Uzma Arqam is a dedicated Obstetrician and Gynecologist with expertise in prenatal care, high-risk pregnancy management, infertility treatment, menstrual disorders, and minimally invasive gynecological procedures. She provides comprehensive women’s healthcare with a focus on safety, compassion, and personalized treatment. Dr. Arqam is committed to supporting women’s health at every stage of life through evidence-based practices and patient-centered care.

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

Same symptoms don't mean you have the same problem. Consult a doctor now!

Education:

MBBS

Professional Bio:

Dr. Uzma Arqam is a dedicated Obstetrician and Gynecologist with expertise in prenatal care, high-risk pregnancy management, infertility treatment, menstrual disorders, and minimally invasive gynecological procedures. She provides comprehensive women’s healthcare with a focus on safety, compassion, and personalized treatment. Dr. Arqam is committed to supporting women’s health at every stage of life through evidence-based practices and patient-centered care.

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

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