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Periods irregularities after contraceptive pill
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Endocrine & Hormonal Imbalances
Question #11297
46 days ago
145

Periods irregularities after contraceptive pill - #11297

Tamanna

I'm 18 and will turn 19 in September 2025. I don't know what is happening with my body..my periods have always been regular since they first started – usually 10-15 days late but consistent every month. On May 1st I was intimate and took an emergency pill (Unwanted 72) the next day. In June I got withdrawal bleeding. In July my period came but the flow was extremely light like my pad wasn't even spotted much. In August, since my date had already passed (around Aug 15th), I took progesterone tablets suggested by my relative (she had been prescribed them by a doctor). After a few days of taking them, bleeding started(28th Aug) the flow is still very less but comparatively it's a bit more than (just a more) the past month but yet my pad is not filling maybe just 25% in a whole day but when I pee most of the blood with mucus comes out( today 29 Aug- my second day)..Now I’m confused if this is my natural period or withdrawal bleeding due to the medicine. My cycle feels irregular since then, which never happened before. For context, my height is 157 cm and weight around 80 kg (I have been eating a lot of junk too) and due to this gain a lot of weight too. I took a pregnancy test and it was negative too. Please tell me what is wrong with me.

Age: 18
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Doctors’ responses

Dr. Shayeque Reza
I completed my medical degree in 2023, but honestly, my journey in healthcare started way before that. Since 2018, I’ve been actively involved in clinical practice—getting hands-on exposure across multiple departments like ENT, pediatrics, dermatology, ophthalmology, medicine, and emergency care. One of the most intense and defining phases of my training was working at a District Government Hospital for a full year during the COVID pandemic. It was chaotic, unpredictable, and exhausting—but it also grounded me in real-world medicine like no textbook ever could. Over time, I’ve worked in both OPD and IPD setups, handling everything from mild viral fevers to more stubborn, long-term conditions. These day-to-day experiences really built my base and taught me how to stay calm when things get hectic—and how to adjust fast when plans don’t go as expected. What I’ve learned most is that care isn't only about writing the right medicine. It’s about being fully there, listening properly, and making sure the person feels seen—not just treated. Alongside clinical work, I’ve also been exposed to preventive health, health education, and community outreach. These areas really matter to me because I believe real impact begins outside the hospital, with awareness and early intervention. My approach is always centered around clarity, empathy, and clinical logic—I like to make sure every patient knows exactly what’s going on and why we’re doing what we’re doing. I’ve always felt a pull towards general medicine and internal care, and honestly, I’m still learning every single day—each patient brings a new lesson. Medicine never really sits still, it keeps shifting, and I try to shift with it. Not just in terms of what I know, but also in how I listen and respond. For me, it’s always been about giving real care. Genuine, respectful, and the kind that actually helps a person heal—inside and out.
45 days ago
5

This bleeding on 28 Aug is withdrawal bleeding from progesterone, not your natural cycle. Your irregularity and scanty periods are due to hormonal disturbance + weight gain. The good news: pregnancy is ruled out. Focus should be on weight control and hormonal evaluation.

772 answered questions
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Accepted response

2 replies
Tamanna
Client
45 days ago

Thank you doctor 🙏 I’ll work on lifestyle changes. Just 2 doubts—should I do tests now (thyroid, prolactin, PCOS check) or wait a few cycles? Also, do I count 28th Aug bleeding as Day 1 of my cycle?

Dr. Shayeque Reza
I completed my medical degree in 2023, but honestly, my journey in healthcare started way before that. Since 2018, I’ve been actively involved in clinical practice—getting hands-on exposure across multiple departments like ENT, pediatrics, dermatology, ophthalmology, medicine, and emergency care. One of the most intense and defining phases of my training was working at a District Government Hospital for a full year during the COVID pandemic. It was chaotic, unpredictable, and exhausting—but it also grounded me in real-world medicine like no textbook ever could. Over time, I’ve worked in both OPD and IPD setups, handling everything from mild viral fevers to more stubborn, long-term conditions. These day-to-day experiences really built my base and taught me how to stay calm when things get hectic—and how to adjust fast when plans don’t go as expected. What I’ve learned most is that care isn't only about writing the right medicine. It’s about being fully there, listening properly, and making sure the person feels seen—not just treated. Alongside clinical work, I’ve also been exposed to preventive health, health education, and community outreach. These areas really matter to me because I believe real impact begins outside the hospital, with awareness and early intervention. My approach is always centered around clarity, empathy, and clinical logic—I like to make sure every patient knows exactly what’s going on and why we’re doing what we’re doing. I’ve always felt a pull towards general medicine and internal care, and honestly, I’m still learning every single day—each patient brings a new lesson. Medicine never really sits still, it keeps shifting, and I try to shift with it. Not just in terms of what I know, but also in how I listen and respond. For me, it’s always been about giving real care. Genuine, respectful, and the kind that actually helps a person heal—inside and out.
45 days ago
5

Blood tests: TSH, Prolactin, LH, FSH, Fasting Insulin, Blood Sugar, Lipid Profile. Pelvic ultrasound (to check for PCOS).

772 answered questions
69% best answers
Dr. Neeraj Agarwal
I’m an MBBS graduate with a deep commitment to providing meaningful, patient-first care. My clinical training has given me a solid understanding of how to assess and manage a wide variety of health conditions—both common and complex. But beyond just clinical skills, I’ve always believed that the heart of medicine lies in listening. That’s what I try to bring into every consultation: not just treatment, but genuine attention to the person in front of me. I have gained experience across general medicine, paediatrics, emergency care and preventive health. I have treated patients of different age groups and backgrounds, which has helped shaped a more flexible, to diagnosis and management. Whether someone comes with a new symptom or a routine check-up, I aim to deliver evidence-based treatment, explained clearly and tailored to the lifestyle. I’m especially focused on making care accessible and comfortable. Too often, patients feel rushed or confused when they leave a doctor’s office—I try to do the opposite. Taking time to explain options, risks, or even just what’s going on in simple terms is something I take seriously. Communication, I think, is just as important as any prescription. I actively stay updated with current medical guidelines and research, and I’ve been exploring areas of holistic care and preventive medicine too. The more we can do to catch problems early—or better yet, avoid them—the better the outcome for everyone. I’ve seen how small lifestyle changes, when supported properly, can make a big difference to long-term health. There’s still a lot to learn, of course. I think every good doctor keeps learning. But every patient I see teaches me something new, and I carry those lessons forward—with honesty, empathy, and the intent to keep improving.
45 days ago
5

Due to unwanted 72 suddenly your hormone levels were disturbed and progesterone tablet also caused the same As it takes 2-4 cycle to get your hormones in balance it will take time

I would suggest to control weight avoid junk food,do yoga and excercise and keep hydrated

For the clot it was due to progesterone pills causing thickening of blood, kindly don’t take it without consultation as it is harmful and can cause blood related issue

Instead I would suggest you to practice protection as it will help you avoiding hormonal pills intake

Take ashokarisht 2 tsp in lukewarm water at night to regulate your period

545 answered questions
74% best answers
Accepted response

2 replies
Tamanna
Client
45 days ago

Thank you doctor 🙏 I’ll work on lifestyle changes. Just 2 doubts—should I do tests now (thyroid, prolactin, PCOS check) or wait a few cycles? Also, do I count 28th Aug bleeding as Day 1 of my cycle?

Dr. Neeraj Agarwal
I’m an MBBS graduate with a deep commitment to providing meaningful, patient-first care. My clinical training has given me a solid understanding of how to assess and manage a wide variety of health conditions—both common and complex. But beyond just clinical skills, I’ve always believed that the heart of medicine lies in listening. That’s what I try to bring into every consultation: not just treatment, but genuine attention to the person in front of me. I have gained experience across general medicine, paediatrics, emergency care and preventive health. I have treated patients of different age groups and backgrounds, which has helped shaped a more flexible, to diagnosis and management. Whether someone comes with a new symptom or a routine check-up, I aim to deliver evidence-based treatment, explained clearly and tailored to the lifestyle. I’m especially focused on making care accessible and comfortable. Too often, patients feel rushed or confused when they leave a doctor’s office—I try to do the opposite. Taking time to explain options, risks, or even just what’s going on in simple terms is something I take seriously. Communication, I think, is just as important as any prescription. I actively stay updated with current medical guidelines and research, and I’ve been exploring areas of holistic care and preventive medicine too. The more we can do to catch problems early—or better yet, avoid them—the better the outcome for everyone. I’ve seen how small lifestyle changes, when supported properly, can make a big difference to long-term health. There’s still a lot to learn, of course. I think every good doctor keeps learning. But every patient I see teaches me something new, and I carry those lessons forward—with honesty, empathy, and the intent to keep improving.
45 days ago
5

You can count 28 as your first day but keep track of your cycle through app rather than manually

You can get it checked in next cycle as for now your hormones are mess rn it can give false positive

545 answered questions
74% best answers

Irregularities in your menstrual cycle can indeed occur after taking emergency contraception. The active ingredients in these pills work by delaying ovulation or preventing a fertilized egg from implanting, which can disrupt your regular cycle. The lighter or different bleeding you’re experiencing could be a combination of temporary changes due to the emergency pill, as well as the progesterone tablets you’ve taken. Progesterone can induce what’s known as withdrawal bleeding, and this can sometimes be mistaken for a natural period. This often resolves itself as the hormonal influences subside over time. However, you should be strategic moving forward.

First, consider eliminating external influences that might be contributing to this irregularity, like starting or stopping medications. Also, bear in mind that your weight and dietary habits can impact hormonal balance and menstrual regularity. Eating a high amount of junk food contributes to weight fluctuations that may affect your period. While a single negative pregnancy test is generally a reliable indicator, it might be worth repeating to be absolutely certain, especially if taken very early or not according to instructions.

To start addressing these irregularities, focus on maintaining a balanced diet and a consistent exercise routine that helps manage your weight, as gradual weight loss can often help regulate your menstrual cycle. Additionally, you should consult with a healthcare professional about your irregular periods, especially if it continues over several cycles. They may suggest a pelvic ultrasound or hormonal blood tests to further assess for any underlying issues like polycystic ovary syndrome (PCOS) or thyroid dysfunction, which can sometimes appear around your age.

Monitor your symptom pattern; if you notice heavy bleeding, intense pain, or any new issues, seek immediate medical attention. Consider avoiding self-prescribing medications like progesterone without appropriate hormonal evaluation, as this can complicate or mask other conditions. Instead, start with a healthcare consultation to understand your body’s unique situation, implementing recommended guidance and treatments from your doctor will be more effective in managing your menstrual health.

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