I have irregular periods. How to prevent pregnancy?

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 i-pill (Levonorgestrel) and Unwanted 21.

iPill is an emergency contraceptive, containing a single high dose of Levonorgestrel. It is not meant for daily use. It should only be taken after unprotected intercourse within 72 hours.

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

So the answer to your question:

No, you should not take an I-pill 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 with more queries.

I hope this helps.

Thank you.