HomeAnswersObstetrics and Gynecologyintermenstrual bleedingI have intermenstrual bleeding. Can I take contraceptive pills?

Should oral contraceptive pills be started during intermenstrual bleeding or only after getting periods?

Share

The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Medically reviewed by

iCliniq medical review team

Published At June 8, 2022
Reviewed AtOctober 12, 2023

Patient's Query

Hello doctor,

I have an intermenstrual bleeding problem that started on day seventeen of my cycle. I have not gotten my period yet and still have brown and black discharge. My local gynecologist suggested I begin with oral contraceptive pills from day two of my cycle, but I am yet to get my periods. Should I wait or start with my oral contraceptive pills? The last period I got was at the beginning of the month.

Thank you.

Answered by Dr. Richa Agarwal

Hello,

Welcome to icliniq.com.

I have gone through your history and understand your concerns. As per your description, these symptoms could be due to hormonal imbalance. But as you missed your period, it could be an anovulatory cycle. Get your pelvic ultrasound to see if the endometrial thickness is appropriate. If Mirena (hormonal intrauterine device) is inserted, pelvic ultrasound with dilatation and curettage might also be required. Get your thyroid profile and hemoglobin test also. For excessive bleeding, you can use Tranexamic acid.

Feel free to ask for more information.

Thank you.

Patient's Query

Hello doctor,

I got my ultrasound done on the tenth day of my previous month's menstrual cycle. I am attaching a copy of the report. To restore hormone imbalance, should I start with oral contraceptive pills now or wait for my periods and only then start the oral contraceptive pills?

Thank you.

Answered by Dr. Richa Agarwal

Hello,

Welcome back to icliniq.com.

Kindly send a picture as I cannot open the report copy (attachments have been removed to protect the patient's privacy).

Thank you.

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

Dr. Richa Agarwal
Dr. Richa Agarwal

Obstetrics and Gynecology

Community Banner Mobile
By subscribing, I agree to iCliniq's Terms & Privacy Policy.

Ask your health query to a doctor online

Obstetrics and Gynecology

*guaranteed answer within 4 hours

Disclaimer: No content published on this website is intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek advice from your physician or other qualified healthcare providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website. Read our Editorial Process to know how we create content for health articles and queries.

This website uses cookies to ensure you get the best experience on our website. iCliniq privacy policy