How to handle irregular menstruation after taking birth control pills

Patient's question:

Because I'm not married, I've been taking birth control pills for sexual activity. Recently, I've noticed that my menstrual cycle has been irregular, and I suspect it's due to the birth control pills. I'm very worried that my body might be getting worse. I want to know what to do about irregular menstruation.

Doctor's answer:

After taking long-acting oral contraceptives for a long time, a certain amount of estrogen has accumulated in adipose tissue. After stopping the medication, the estrogen in the fat continues to act, causing the division and irregular shedding of endometrial cells, leading to vaginal bleeding. Therefore, after stopping long-acting contraceptives, it is better to start taking short-acting contraceptives from the 5th day of the menstrual period, for 2 to 3 menstrual cycles, until the estrogen in the fat is fully released. This can help prevent menstrual disorders. Gynecological diseases are a gynecological condition that is prone to occur. During medication, women need to pay attention to their own care, especially in terms of care.

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