FAQ Gynecology
What should I do if I miss a birth control pill?
If you miss one pill, you should take it as soon as you remember and take the next one as usual.
If 2 pills are missed during the first 2 weeks of your cycle, then you should take 2 pills a day for the next 2 days and use a back-up method such as a condom for the next 7 days.
If 2 pills or more are missed in the 3rd week of the cycle then you should take 2 pills a day for the next 2 days and then complete the pack of pills. You should then begin your new pack on a Sunday. A back-up form of birth control should be used for the next 7 days such as a condom.
Is irregular bleeding common when starting a new birth control pill?
Yes. It can take up to 3 months after switching to new a birth control pill before your menstrual period becomes regular. You should not discontinue your new pills for at least 3 months to see if they are going to begin working. Spotting between your cycle, nausea and occasional vomiting and headaches are all common when starting a new birth control method.
If I am no longer having my monthly period because of menopause, when should I be worried about new onset vaginal bleeding?
If you have not had a menstrual cycle in over 6 months you are probably in the menopause. The loss of your monthly period along with occasional hot flashes or night sweats usually indicate menopause. This begins for most women between the ages of 45 and 52. Any bleeding after the menopause is considered abnormal and requires evaluation by a doctor immediately.
Should I continue to have a pelvic exam each year if I have had a Hysterectomy?
Women should have a yearly physical exam by a physician which includes a pelvic exam and breast exam beginning in their late teens and early twenties. All women should have their cholesterol checked every 3 to 5 years. A yearly mammogram is essential after age 40. Women over 50 need a screening colonoscopy every 5 years. There are different opinions concerning whether women should have a pap smear every year after hysterectomy. You should discuss your individual medical history with your doctor before deciding whether you should continue to get a pap smear after hysterectomy
Is some bleeding normal when starting Hormone Replacement Therapy?
Yes, it is not uncommon to notice some light spotting during the first 3 months after beginning Hormone Replacement Therapy. Heavy bleeding like your menstrual cycle is not normal and should be reported to the doctor immediately.
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