After taking two contraceptive pills, my period is irregular with minimal bleeding. Please help.

Hello,

Welcome to icliniq.com.

I understand your concern.

I would request you to get a urine pregnancy test to be sure. If you have taken the test and it is negative, the delay and minimal bleeding are due to the contraceptive pills (imbalance in progesterone and estrogen). Do not stress. This a side effect of the pill that will go away but slowly. So the first line of action would be to induce a regular period. Progesterone for five days taken on days 21 to 25 at the end of your cycle will help. Next, I suggest tablet Regestrone 10 mg (Norethisterone) twice daily for five days. Once you stop the tablet Regestrone, you will get your periods within five to six days. Once you have a regular period with normal flow, the subsequent cycles will reset, and you will be back on your normal period track. I do know if you are highly stressed, as stress will further delay periods. So stay positive. It is not a significant ailment and can be corrected. Kindly let me know when you are expecting your next cycle to prescribe the right time to take the tablets.

Regards.

Hello,

Welcome back to icliniq.com.

I understand your issues.

As it is the second day of the cycle, even if you take Progesterone right now, it may cause a breakthrough bleed. Hence, I would request you to wait for another two days. If you do not get your periods by then, I would suggest you take the tablet Regestrone (Norethisterone). Also, since you have already been diagnosed with PCOS (polycystic ovarian syndrome), the side effects of the contraceptive pill may be amplified, and PCOS may have restarted. Kindly continue the exercise and diet prescribed for your PCOS problem. My advice would be to watch for this and the next cycle; if your period is reset to routine, further investigation is not required. If not, you may have to go in for a scan and hormone tests (but this is for the next cycle). Also, I would advice using other forms of contraception like oral combined pills or barrier method (male or female condoms) as emergency contraception will worsen your PCOS. I suggest hot water bags on the abdomen for the abdominal cramps, and lying on the stomach may help. If your period does not occur in the next few days, I suggest:

1. Tablet Regestrone 10 mg twice daily for five days.

2. Tablet Meftal spas (Dicyclomine 10 mg and Mefenamic acid 250 mg) three times daily will reduce the pain.

I hope this was useful.

Regards.