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I have irregular periods. How to prevent pregnancy?

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

Patient's Query

Hello doctor,

I am a female, aged 24 years, with thyroid issues, irregular periods, mostly more than 40 days, low BP, and hair thinning. I want to know the following:

  1. Can I use IPill or unwanted 21 daily for this issue?

  2. And does it help to prevent pregnancy while having unprotected sex?

Please suggest.

Answered by Dr. Ali Osman

Hello,

Welcome to icliniq.com.

I understand your concerns.

Irregular periods are most likely due to thyroid-related hormonal imbalance. Now, some important clarification about ipill and Unwanted 21.

iPill is an emergency contraception, containing Levonorgestrel single high dose. It is not meant for daily use. It should only be taken after unprotected intercourse within seventy-two hours.

Unwanted 21 or other combined oral contraceptive pills are regular birth control pills. Those can be taken daily in a structured cycle.

So answer to your question:

No, you should not take an iPill daily. That will disturb hormones badly and worsen irregular cycles. If you want pregnancy prevention with unprotected sex, a regular combined oral contraceptive pill taken daily at the same time is effective. It also helps regulate cycles in many women.

However, because you have a thyroid disorder and irregular cycles, the first step is to ensure your thyroid levels are controlled. If the thyroid is not balanced, periods will remain irregular even with pills.

Low blood pressure and low weight also suggest your body may be hormonally sensitive. The most appropriate treatment plan for you includes:

  1. Check TSH (thyroid-stimulating hormone) levels. If controlled, you can start a regular combined oral contraceptive under a doctor's guidance.

  2. Do not use an emergency pill as routine contraception.

The most probable diagnosis of your condition is thyroid-related anovulatory cycles. If you want, I can explain which contraceptive method would suit you best based on safety and convenience.

Feel free to reach out to me for more queries.

I hope this helps.

Thank you.

Answered byDr. Ali Osman

Medically reviewed byiCliniq medical review team

Published At May 26, 2026
Reviewed AtMay 26, 2026

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

Dr. Ali Osman
Dr. Ali Osman

Obstetrics and Gynecology

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