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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Missed Period. On Microgynon. Can Missing Medicine Change The Cycle Pattern?

Hello, I was away in another part of the world this summer and my microgynon30 pill ran out whilst I was there. I have not taken the pill for 5 weeks now and have still not had a period (I dont believe there is anyway I could be pregnant) I want to start taking the pill again but it says I have to start on the first day of my period. I uunderstand that taking a break like that can really mess up my cycle so I might be waiting a while before my period arrives. Can I start taking the pill now anyway? How long will I have to wait before being protected?
Mon, 21 Oct 2013
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OBGYN,  's  Response
Hi,

Thanks for the query.

If a woman with similar complaints walks into my clinic, I first get a pregnancy test done as the commonest cause of no periods after stopping pills is pregnancy. If the test is negative than the period must ideally have started within the next seven days of stopping the pill. However it takes up to 3 months for some women to resume a normal menstrual pattern after stopping the pill.
With a negative pregnancy tests you have the following options:
1. Wait until the period returns by itself for maximum 3 months and use another method like condoms till then.
2. Since it is now five weeks, take a progesterone like medroxyprogesteron twice a day for 3 days and then wait for the period. If it returns, then start the pills as you did previously.
3. If you want to start the pills now:
If you start a new pack now, the cycle will be delayed for another month. From the medical point of view this is not much of an issue. Protection will begin 7-10 days after the first day of starting the pill.

I hope this will help you to clear your doubts.
Thanks and have a nice day.
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Missed Period. On Microgynon. Can Missing Medicine Change The Cycle Pattern?

Hi, Thanks for the query. If a woman with similar complaints walks into my clinic, I first get a pregnancy test done as the commonest cause of no periods after stopping pills is pregnancy. If the test is negative than the period must ideally have started within the next seven days of stopping the pill. However it takes up to 3 months for some women to resume a normal menstrual pattern after stopping the pill. With a negative pregnancy tests you have the following options: 1. Wait until the period returns by itself for maximum 3 months and use another method like condoms till then. 2. Since it is now five weeks, take a progesterone like medroxyprogesteron twice a day for 3 days and then wait for the period. If it returns, then start the pills as you did previously. 3. If you want to start the pills now: If you start a new pack now, the cycle will be delayed for another month. From the medical point of view this is not much of an issue. Protection will begin 7-10 days after the first day of starting the pill. I hope this will help you to clear your doubts. Thanks and have a nice day.