What should I do if I haven't had my period after taking birth control pills?

Patient's question:

Doctor, I'd like to ask, what should I do if I haven't had my period this month after taking birth control pills? It's been delayed by a week now, and we haven't taken a pregnancy test yet. Currently, we don't really want this child, but we're also worried about the potential impact on the baby. Could you please help clarify this for us?

Doctor's answer:

Because birth control pills are a form of artificial hormones, they may temporarily affect a woman's endocrine system, thereby impacting the menstrual cycle. Generally, it can return to normal on its own after 1 to 2 cycles. Therefore, it is important to carefully observe first. If it still does not return to normal afterward, it is necessary to have blood tests for the six major sex hormones on days 3 to 5 of the menstrual period, and adjustments should be made based on the detailed test results.

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