Schedule Taking Birth Control Pills When The Menstrual Cycle Is Not Smooth?

Illustration of Schedule Taking Birth Control Pills When The Menstrual Cycle Is Not Smooth?
Illustration: Schedule Taking Birth Control Pills When The Menstrual Cycle Is Not Smooth? youngwomenshealth.org

I want it. My menses cycle is not smooth. I’m mens 30/9/2019 bru mens lgi 12/28/2019. Then again mens 25/1/2020 and not yet menses until now on 2/26/2020. When can I start my birth control pill? And please recommend the KB pill that doesn’t make good fat. And how to drink it?

1 Answer:

Hello Nealy,

Menstrual cycle is the distance between the first day of menstruation and the first day of the next menstruation. The normal menstrual cycle is between 21-35 days. Menstrual cycles of 35-90 days are referred to as oligomenorrhea, in which the patient does not menstruate every month, <6-8 times per year.

There are many causes of oligomenorrhea, including:

 Policystic ovarian syndrome (PCOS) Pituitary tumors that secrete prolactin Thyroid disorders Malnutrition due to eating disorders Obesity Side effects of drugs High-intensity sports, such as athletes Psychological stress Uterine or ovarian cancer Before determining appropriate treatment, patients need to be evaluated first. Evaluation of patients with oligomenorrhea requires anamnesis, physical examination, and also investigations. History taking: when was your first period? Menstrual history during this time? Patient and family history of illness? Are there medicines or herbs that are consumed? Accompanying symptoms other than menstrual disorders?

Physical examination covers all parts of the body including the pelvic examination. Investigations such as ultrasonography, examination of hormone levels in the blood, MRI of the brain, may be needed to diagnose certain diseases if the doctor gets clinical signs from a physical examination.

Handling oligomenorrhea aims to overcome the underlying disease. A regular menstrual cycle is needed so the patient can get pregnant later in life. Birth control pills or drugs that contain estrogen and progesterone (synthetic) combination hormones can generally be used to manage regular menstrual cycles. Birth control pills can be used if the patient is proven not to be pregnant and does not have contraindications such as hypertension, vaginal bleeding that has not been diagnosed by a doctor, breast cancer, heart, liver and kidney disorders.

Consumption of combined birth control pills if according to the packaging instructions then consumed according to your first day of menstruation then follow the arrow, take one pill one day, until one blister runs out then replace the next blister. If not menstruating, test pack and make sure not to get pregnant, then can immediately take active pills that contain hormones, continue until they run out then switch to the next blister, on a placebo pill (no hormones). When taking a placebo pill, menstruation will usually occur.

In addition to the use of these birth control pills, there are also other combination hormonal pills (without placebo) which are intended for irregular menstrual cycle therapy or as hormone replacement therapy. These drugs should be started after you get an evaluation from a gynecologist, so that they can provide the appropriate effect and can be monitored for the side effects of the drug during its use.

The hormones contained in birth control pills can increase appetite, so that if the patient lacks activity and doesn't exercise regularly there can be weight gain. Birth control pills can also cause fluid retention so that when the patient weighs, a slight increase will occur. Generally these side effects will gradually disappear if the use of birth control pills is stopped.

Thus the explanation from me, hopefully useful.

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