Hi I have been on the pill since I was 13

Patient

Q: Hi
I have been on the pill since I was 13 and I am not 32. Every time I come off pill for 7 days I bleed with in 2-3 days I have been off now for 7 days and due to start taking pill again today however I have not bleed. I have done pregnancy test which was negative however I have been on antibiotics from dentist and been sick this month.
I am wondering weather to start pill again today also I have had a ectopic pregnancy 6 years ago and was wondering will it show pregnant on a test or not if it is ectopic ? I haven't felt well for the past 3 week with sore tummy and head aches .

Doctor

A:   Hello,
Thanks for the query to ATD for an opinion,

If you have been on regular oral contraceptive pills and now have been off pills for 7 days and yet no bleeding then you should wait for your bleeding to start again and till then adopt an add on method of barrier contraception like condoms. The day you have your withdrawal bleed, from the day2 of menses you can start your fresh pack.

The fact that you have been on antibiotics for past week causes decreases in efficacy of pills and can cause delay in menses, hence it would be wise to wait for the withdrawal.

Thirdly, the urine pregnancy test would be reliable only after 7 days from missed periods. Ideally a serum beta hcg test can rule out pregnancy for sure even if its an ectopic pregnancy, still the hcg levels shall rise and would show a positive result if there is a pregnancy.

So it is suggested that you should get a serum beta hcg test done tomorrow and if negative wait for the menses to return.
I hope i have answered your query in detail,
Wishing you good health,
Regards

Related Q&A

Q: I take the Lutera birth control pill everyday at 11pm. Last night (Saturday) I took a pill at 11pm and this morning (...

Q: Hi - I'm on Alesse for birth control and since having our daughter 7 months ago, I'm quite religious with my pill but...

Q: I have had bilateral PE, DVT x2 and clot behind my eye in the past. My doctor was away and a new doctor put in the im...

Q: I have taken an i-pill on 31st October, my periods was due on 18 but I got it on 7th. But the bleeding is very low wi...

Q: I hVe taken two extra days worth of levlen ed for birth control by mistake and just wanted to no if i should wait two...

 
DOCTOR ADVISORY BOARD
218

Dr. James Obaji M.D.

  • 247 Reviews
  • Family Physician
173

Dr. Suneel Sharman M.D.

  • 190 Reviews
  • Family Physician
138

Dr. Pat Golden M.D.

  • 169 Reviews
  • Cardiologist
98

Dr. Kunaal Jindal M.D.

  • 112 Reviews
  • Plastic Surgeon
CNN
BBC
MSNBC
CBS
abcNews
FoxNews