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The pill - Will I get pregnant if...

55 replies

nobaby · 27/08/2008 19:58

I have just started taking the pill (2 weeks ago). I know that rather than having my period, I can continue taking the pill rather than having a week off, but will this affect the pill working? Or will I get pregnant?

If this is Ok to do, then could I stop taking the pill now for a week and get my period now...? Basically I dont want my period when it is due! But would this affect the action of the pill or might I get pregnant?

I know that it is probably risky to mess around with the pill after only being on it for a short time. Should I let my body get into some sort of cycle with it before doing anything? Will I get pregnant or will there be any other side effects>?

OP posts:
emma1977 · 27/08/2008 21:37

I missed your last post before I last posted.

You can also do what you suggested (provided you've taken more than 21 pills consecutively and on time), just start a new pack after your break to avoid confusion in how many pills you've taken.

nobaby · 27/08/2008 21:40

Right got it!
I have got my calendar out and planned everything now! At present I take my last pill on a Monday. So this time round I will take 4 extra pills so my last one is on a Friday. I should then be period free that weekend and the next one, and every future one, as I will start a new pack (not the one missing 4 pills) on the following saturday. Hey presto!

Thank you all!

OP posts:
emma1977 · 27/08/2008 21:43

Hurrah!

nobaby · 27/08/2008 21:51

Sorry to have appeared totally incompetent! I am not really, honest! I am a dentist but this is all new to me and I just wanted to be sure! Thanks again!

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thegrowlygus · 27/08/2008 21:54

Ooooh emma1977 - a reputation as a GP with a special interest in contraception!!

emma1977 · 27/08/2008 21:57

Oi you, thegrowlygus!

This is what happens when I get let off on maternity leave- I just can't mind my own business!

What is a growlygus anyway?

thegrowlygus · 27/08/2008 22:00

Ah - well - when your little one is older you may come across a cartoon called Wow Wow Wubbsy. The Growly Gus is an imaginary beasty in it. I was very growly one day so it seemed apt. And also made me slightly more anonymous to any patients that may wander through mumsnet!!

emma1977 · 27/08/2008 22:04

I was too daft to think of that, although I don't use my GP name on my profile so I should be safe (looks over shoulder).

Only a few weeks left till I have to go back to my proper job.....booo.

thegrowlygus · 27/08/2008 22:12

Mind if they wander through facebook they will find out all about me!! Eeek.

thegrowlygus · 27/08/2008 22:13

sorry to hijack the thread! Will allow Emma1977 to continue her surgery now

navyeyelasH · 27/08/2008 22:27

Random question but if you do have 3 packets back to back (liking the sound of only 4 periods!) what will I do about the bloating? Will that still happen?

emma1977 · 27/08/2008 22:33

You shouldn't get any bloating

nobaby · 27/08/2008 22:53

Now I have seen you are clearly an expert emma1977, I will ask you about my situation (as the one we have been talking about is actually my friend - who is here with me- she isnt a mumsnet member!)

SO, I have been on the pill for the last 8 years in order to control my periods which were extremely painful and very heavy. I have never used them as contraception (hence didnt know the answers to my friends questions!).

The last pill I was on was microgynon (for a while, maybe 2 years). Anyway I have always suffered infrequent migraines which have been monitored, but as they were infrequent my GP decided it was OK for me to stay on the pill. But then 3 weeks ago I had a spell of 3 VERY severe migraines in a week. I immediately stopped taking the pill as I know the risk of stroke is high. So that GP prescribed the POP instead. I have not yet started taking these. Since coming off microgynon I have felt better in myself, I was having dull headaches most days (I didnt really realise until I stopped it how bad it had got). I was also feeling a bit down and getting the occasional mood swing.

I know that the POP is totally different to the combined pill but I am slightly concerned for a couple of reasons.

  1. The chance that it will not control my periods and they will be unpredictable at least for the first few months
  2. I might get some side effects as with the combined pill- in particular headaches but also gain weight, I have lost a little weight since coming off the other pill (maybe coincidental).

After speaking to my GP she has agreed maybe I would feel better staying off pills of any sort if I can control the pain (and perhaps bleeding). But we both said I will probably change my mind after I have had a natural period. She has prescribed me Mefanamic Acid to take during my period.

I am confused what I should do. I intend to have my next 'natural' period to see what happens and if this medication helps. But I am keen to get your thoughts. Also worry about long term -when at some point I will want contraception and cannot ever go back on the combined pill according to the doctor.

I worry also about the effects of taking Mefanamic acid (sp) and whether this in turn will screw up my body!

Sorry about excessive rambling!! Dont feel you have to reply (although I know you want to! you are clearly missing work!!!)

OP posts:
nobaby · 27/08/2008 22:56

lol do you say POP?! It looks ridiculous, maybe I made up that abbreviation - I mean Progesterone Only Pill if you hadnt got it!

OP posts:
nobaby · 27/08/2008 23:08

The one I have been prescribed is Cerazette (sp) if thats of any importance.

OP posts:
emma1977 · 27/08/2008 23:12

Sounds like a sensible idea to have stopped the combined pill. I'm not so sure about you never being allowed to use it again- you can take it with a history of migraines, it is only focal migraines (where you get neurological symptoms such as weakness, numbness of tingling) which are a complete no-no. However, it would be a brave doctor to suggest that you restart it and prescribe it again!

The POP seems a sensible choice. Which one have you been prescribed? You are right about the unpredictability of periods. Some women will be lucky and get nothing or the occasional day of spotting, some will have regular cycles, some will get lots of infrequent bleeding. It doesn't tend to make your bleeding any heavier than usual. You won't know which you will be until you have tried it I'm afraid.

The POP is a relatively low dose of progestogen, but it can increase your appetite slightly and a few women put on weight. In my experience, this isn't a common problem with any method except for depo injections.

Headaches can get worse with the POP, but from what you say I wouldn't expect them to. It sounds as though it was the oestrogen in the COCP causing your migraines to worsen.

The mefenamic acid won't mess up your cycle or screw anything up as its just an anti-inflammatory painkiller. There are no hormones in it. It can make bleeding lighter, but it is usually prescribed for the analgesic effect. Don't take ibuprofen with it too.

In the long-term, if you try the POP and get on OK with it then you could continue with that (even up to the menopause if you want). The other option would be a long-term reversible method that is progestogen-based such as the injection (I personally don't like this but it is good a stopping periods), an implant (fab) or a hormone coil (Mirena, which is licence specifically for controlling heavy bleeding as well as contraception).

I'll stop being dull now!

emma1977 · 27/08/2008 23:14

POP is a legitimate abbreviation- I use it all the time!

I like cerazette- its one of the better ones for controlling bleeding and much easier to swap to if you've previously taken the COCP due to the 12 hour window thing.

emma1977 · 27/08/2008 23:17

Now for my non-professional, personal opinions....

I was also on the COCP for about 8 years and had to stop for the exact same reason (escalating focal migraines).

I went onto depo instead which was great at stopping my periods and didn't cause me any headaches, however knackered my fertility for 18 months after stopping it.

I now take Cerazette and haven't had a period or a migraine in 8 months. Love it.

nobaby · 27/08/2008 23:20

You are not being dull! I appreciate you taking the time to explain. My GP is great but I havnt been with her that long, and I dont feel she ever has the time to go into detail when I visit (as the waiting room is full at open surgery).

After researching the other forms of contraception, I had thought the injection may be a good idea. But I dont like the idea that if I do react badly and have side effects, there is no getting rid of it from my system for 3 months or whatever!

Maybe I should look into the implant..

OP posts:
emma1977 · 27/08/2008 23:22

Totally agree with you about the injection. I think implants are great and if you do get problems then it can be whipped out easily enough and the hormones are out of your system within 48hrs. And no pesky tablets to remember either...bonus!

nobaby · 27/08/2008 23:23

I should clarify that the day to day headaches were only minor (not migraines). The migraines I was referring to were very very bad. Extreme pain, nausea, dizziness and a small amount of tingling in my hands ( but no lights in front of my eyes which I do get usually when I get migraine). I had to wake up my housemate in the middle of the night as I was so worried that something might happen to me - I dont know what lol but I was scared!

OP posts:
nobaby · 27/08/2008 23:26

Specifically the one migraine that came on at about 8 in the evening and lasted until the morning (has never happened before, usually goes once I go to sleep). I was prescribed Maxalt melts (again sp) at 8.30 in the morning to get rid of the pain - which worked like magic (although I had fairly severe nausea all day.)

OP posts:
emma1977 · 27/08/2008 23:26

The migraines sound focal to me from that description, so COCP wouldn't be a good idea in the future and good on your GP for swapping you to a safer alternative.

nobaby · 27/08/2008 23:27

Now whos being dull! Am I keeping u up?

OP posts:
emma1977 · 27/08/2008 23:28

I should really be doing the ironing, but can't be arsed and am trying to find any reason not to do it!

Can you imagine how boring I am at work!!!!