Nuvigil / implant bc

Patient

Q: Hello i was wondering i have had the implant for about a year now before that was on the depo gor 3 years recently i was put on nuvigil 250 1x a day. The last few days i have been moody today i have cramps and my breast hurt really bad. I havent had a period in almost 3 years untill about a mth ago i had one. Should i worry about being pregnany........i have 5 kids and i always know im pregnant by my boobs hurting

Symptoms:  Nuvigil / the implant bc
Doctor

A:   Hello,
Thanks for the query.
It is indeed stressful when one is on birth control and feel symptoms associated with pregnancy especially when the cycles are not regular.
There are possibilities of a pregnancy, hence it is better to rule out the same with a beta hCG test. Since your cycles have been irregular. Consult a gynecologist for the same who could guide you further on the test timing.
If the pregnancy is ruled out, the symptoms could be due to premenstrual hormonal changes which cause cramps, breast tenderness and bloating sensation and tiredness as well. It is common to not have regular cycles when one is on birth control methods. Polycystic ovaries, thyroid disorder, anemia could also be the other causes for the occasional cycles.
Aim at a healthy life style with adequate exercise and a nutritious diet and reduce your stress levels. Avoid coffee, tea and caffeine and drink lots of water, these would help in reducing premenstrual symptoms.
Hope this helped
Regards

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