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Dr. Kala
Dr. Kala, OB/GYN (Doctor)
Category: OB GYN
Satisfied Customers: 4448
Experience:  Caring US educated & trained physician, 26 years of experience in OBGYN & women's health care.
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I came off the progesterone pill 5 weeks and 2 days ago as I

Customer Question

I came off the progesterone pill 5 weeks and 2 days ago as I want to switch to the combined pill. I haven't had a period since I came off the POP and know that im not pregnant as I have done a test and it was negative. do I have to wait for my period before taking my combined pill? (instructions state that I have to wait until day one of my period before taking the pill) Also, should I be worried with not having a period?
Submitted: 19 days ago.
Category: OB GYN
Expert:  Shantal-Mod replied 14 days ago.
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Expert:  Dr. Kala replied 12 days ago.

Hi, I am privileged to help you get more understanding about your current concern. I can also provide you with additional services, such as live telephone or Skype consultation, at a small additional cost. Let me know if you are interested.

Many of my patients have a delay in the return of their normal menstrual cycle when starting a progesterone only pill (POP). So what your experiencing is within the normal range. However, you do not have to wait for your next period to start the combined birth control pill (CBCP) as long as we know you are not pregnant. The simplest way to do this is to have a pregnancy test (PT). A Urine PT is accurate (i.e no false negative) if done at least 10 after your last sexual encounter. A blood PT is accurate if done at least 3 days after your last sex. Once you have negative results of the PT you can start the CBCP. However it is important to realize the CBCP will need a back up method (like condoms) for at least the first 10-14 days. Its also a great idea to use condoms all the time as the BCPs do not protect against sexually transmitted infections (STI)

Let me know if you have any further questions regarding this question as my goal is to make sure you are completely satisfied with your answer.

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