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The pill - your questions answered

by Dr Sarah Brewer
continued from page 2
Why are my cycles so long?
I am 31 years old. I came off the pill after 12 years because we want to try for a baby in eight months. I've been diagnosed with polycystic ovary syndrome but haven't developed any cysts. Since coming of the pill my initial cycles were 28 days, but for the last two months they've been much longer. I am getting increasingly worried about what is going on, and am considering bringing forward having a baby in case the PCOS is having an effect.
petals2004

A: Studies have shown that the different causes of lack of menstruation or changes in menstrual patterns are the same between women who have recently taken the pill and those who have not, and that they occur with the same frequency so it is likely to be the PCOS rather than the pill that is affecting your cycle.

One study, looking at women aged 30 to 35 years who had not previously had a child, suggested that, after stopping the pill, 50 per cent took up to a year longer to conceive compared to those of the same age who had previously used a diaphragm. Conception rates were almost identical after 72 months, indicating no permanent impairment to fertility. However, few women aged 30 to 35 would want a delay of up to six years before conceiving once they had decided to start a family.

Only you and your partner can decide whether or not to bring forward trying to conceive. If there isn't any desperate hindrance to starting now, then it may be worth going for it. If you get pregnant straight away, great! If you do have difficulty in conceiving, at least you will have brought forward the time when investigations and assisted fertility techniques can be started.

Why am I spotting before my period?
Q: I've recently changed pills from Microgynon 30 to Eugynon 30 because I was experiencing spotting and sometimes bleeding in the seven days leading up to my pill-free week. It didn't hurt - it was just annoying. Now the same thing is happening with this pill.

Is this something I should be worried about? I've recently moved so will be booking an appointment with a new doctor for my next prescription. Should I mention to him/her and see what he/she advises or is this just something that happens?
psc_loves_her_moosey

A: Although breakthrough bleeding can occur 'normally' during the first couple of months of being on the pill, it is a sign that you are not getting a high enough dose of hormones. If this continues, it may increase your chance of an unplanned pregnancy. You must mention it to your doctor as you probably need either a different blend of hormones, or a slightly higher dose of your current blend. Your doctor is in the best position to decide whether to change your prescription, or to 'wait-and-see'. If it is vital that you do not get pregnant in the meantime, you might want to either abstain or use condoms just in case to be doubly safe.



 
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