Is the absence of withdrawal bleeding worrying?

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Is the lack of bleeding after stopping birth control pills worrying? When is the lack of bleeding a cause for concern? What could be the cause of the lack of bleeding when I stop taking the pills? The question is answered by the drug. Paweł Żmuda-Trzebiatowski.

Is the absence of a period after discontinuation of oral contraception normal?

Hello, I gave up some time ago birth control pills and unfortunately I haven’t had the correct period since then. Is the absence of withdrawal bleeding worrying? After what time should everything return to normal, and after what time should I start worrying and go to the gynecologist? I didn’t think the bleeding could stop when I stopped taking birth control pills. Or maybe the cause of no bleeding is there something else, and stopping the pills is just such a coincidence?

Soon it will be the second month, I am waiting for menstruation, but so far I have no symptoms that would signal its arrival. I am worried and afraid that it might be something dangerous. My husband and I wanted to try for a baby, so I stopped taking the pills, and now I’m just praying not to get seriously ill. I don’t want to believe that no withdrawal bleeding can be worrying for my health. I can’t believe that something bad could be happening in my body after I quit taking the pills. I am asking for help and answers to my questions. Maybe it will calm me down a bit, and most importantly, I’ll know what to do next.

Your doctor will explain whether you should be concerned about a missed period

Madam, amenorrhea after stopping the pill is completely normal and can occur in most women who use hormonal contraception. It is assumed that menstruation should occur within six months of stopping contraception. If the menstruation does not return after this period, a gynecological consultation and appropriate tests will be necessary. In such situations, hormone tests should be performed, including follicle stimulating hormone (FSH), luteinising hormone (LH), thyroid stimulating hormone (TSH), prolactin, estradiol and progesterone.

Additionally, it is worth doing an ultrasound of the abdominal cavity. Of course, the lack of menstruation does not have to be a result of the hormonal contraceptive you use, but, as you have already stated, it may be a coincidence. Amenorrhea may be caused by such conditions as secondary hyperthyroidism or primary hypothyroidism, which are associated with high TSH levels, polycystic ovary syndrome, uterine fibroids or other neoplastic tumors, corpus luteum insufficiency and hormonally active ovarian tumors. In your case, it’s only been two months since you stopped using hormonal contraception, so I would like to ask you for a little more patience.

Of course, if you are concerned that something bad may be happening, you should go to the gynecologist. You can do hormonal tests earlier, so that the doctor has an initial overview of your situation and can start any treatment sooner.

– Lek. Paweł Żmuda-Trzebiatowski

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