Patient's question:
Doctor, I took the first pill of the long-acting birth control pill on September 28th. I forgot to take the second pill 20 days later, and I didn't use a condom during intercourse during that time. I took the second pill on October 28th. Today, I've already started experiencing severe abdominal pain, and I started bleeding at 11 p.m. Could this be a symptom of a miscarriage? How should I take the birth control pill?Doctor's answer:
Taking long-acting birth control pills absolutely cannot be missed, and if repeated missed doses occur, take one pill on the third day as soon as possible.Side effects of long-acting birth control pills:
1. Nausea and vomiting-like reactions: If the symptoms are severe, the medication can be taken after lunch, or take birth control pills that suppress reactions simultaneously each cycle, one pill each time, 1-2 times a day, for 1-2 days. The nausea and vomiting-like reactions caused by long-acting birth control injections are generally lighter than those from oral medication and usually do not require medical attention.
2. Irregular vaginal bleeding during menstruation. Irregular bleeding caused by long-acting oral birth control pills can be treated by adding one ethinyl estradiol tablet. If bleeding still occurs, other breastfeeding methods can be used. For irregular bleeding caused by long-acting birth control injections, ethinyl estradiol can be used for treatment, or take 1-2 short-acting birth control pills daily for 5 days after the long-acting birth control injection is administered.
3. Extended menstrual cycles. This can be addressed by taking...