What is the reason for menstrual irregularity after taking birth control pills?

Patient's question:

After taking medication for menopause, menstruation always stops and starts intermittently and is incomplete. Could it be ectopic?

Doctor's answer:

Hello: The main manifestations of ectopic pregnancy are:
1. Missed period: The menstrual period is delayed by several days to dozens of days, often without being noticed.
2. Abdominal pain: Lower abdominal soreness and a sense of needing to defecate, sometimes severe pain accompanied by cold sweat.
3. Vaginal bleeding is usually light.
4. Other symptoms may include nausea, vomiting, and frequent urination.
5. A positive pregnancy test, along with ultrasound or laparoscopy, can help with diagnosis. If the period does not come after taking medication and it is irregular,
it is recommended to go to the hospital for examination and symptomatic treatment.

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