[19F] With missed period, nausea, fatigue, and other symptoms post-birth control cessation

Patient Description

A 19-year-old female reports experiencing nausea, fatigue, lower abdominal prickly sensations, and itchiness, including breast itchiness. Her menstrual period has been absent for almost a month. She stopped taking birth control around late May to early June and had unprotected sex with ejaculation inside multiple times, most recently on July 14th. She experienced a dark brown, light bleeding episode from June 11th-14th, which she is unsure was a period or withdrawal bleeding from stopping birth control. Since stopping birth control, she feels she has been gaining weight and generally feels unwell, with symptoms of constant sickness and laziness.

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Arora's Assessment

What might be happening

Based on the information you have provided, here are some possible explanations for your symptoms:

  • Pregnancy: Given that you stopped birth control around May 30th or June 1st and have had unprotected sex multiple times, pregnancy is a strong possibility. Symptoms like nausea, fatigue, missed periods, and breast changes are common early signs of pregnancy.

    • Testing: A home pregnancy test can provide a quick answer. These tests are most accurate when taken after a missed period. If the test is positive, you should schedule an appointment with a healthcare provider for confirmation and to begin prenatal care.
  • Withdrawal Bleeding: When you stop taking birth control, your body may experience withdrawal bleeding, which can be different from your regular period. This bleeding is usually lighter and shorter than a normal period and can be darker in color.

    • Monitoring: If this is the case, your menstrual cycle may take a few months to regulate. Keep track of your cycle and any symptoms you experience.
  • Hormonal Imbalance: Stopping birth control can lead to temporary hormonal imbalances, which might cause symptoms like irregular periods, nausea, and fatigue.

    • Monitoring: It may take a few months for your hormones to stabilize. Keeping a symptom journal can help you and your healthcare provider understand what’s happening.

What you can do

  1. Take a Pregnancy Test: This is the most immediate step you can take to determine if you are pregnant. Home pregnancy tests are widely available and easy to use.
  2. Consult a Healthcare Provider: Whether the test is positive or negative, it’s a good idea to consult a healthcare provider. They can provide a formal assessment and guide you on the next steps.
  3. Track Your Symptoms: Use MDandMe to journal your symptoms, track your menstrual cycle, and note any changes. This information can be very helpful for your healthcare provider.
  4. Self-Care: Ensure you are eating a balanced diet, staying hydrated, and getting enough rest. These steps can help manage symptoms like fatigue and nausea.
  5. Avoid Alcohol and Tobacco: If you suspect you might be pregnant, it’s best to avoid alcohol and tobacco, as these can harm a developing fetus.

What you should look out for

  • Positive Pregnancy Test: If your test is positive, schedule an appointment with a healthcare provider as soon as possible to begin prenatal care.
  • Severe Symptoms: If you experience severe abdominal pain, heavy bleeding, or any other concerning symptoms, seek medical attention immediately.
  • Persistent Symptoms: If your symptoms persist or worsen, it’s important to consult a healthcare provider to rule out other potential issues.

Remember, while I can provide information and suggestions, it’s crucial to seek care from real health professionals to receive a formal diagnosis and appropriate treatment. If you have any more questions or need further assistance, feel free to reach out.

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5 mo ago


People Also Ask


What are the early signs of pregnancy?

Early signs of pregnancy can include missed periods, nausea, fatigue, breast tenderness, and increased urination. These symptoms can vary from person to person.


How can stopping birth control affect my menstrual cycle?

Stopping birth control can lead to temporary hormonal imbalances, which may cause irregular periods, changes in menstrual flow, and symptoms like nausea and fatigue. It may take a few months for your cycle to regulate.


What is withdrawal bleeding and how is it different from a regular period?

Withdrawal bleeding occurs when you stop taking hormonal birth control. It is usually lighter and shorter than a regular period and can be darker in color. It is not the same as a menstrual period, which is the shedding of the uterine lining.


How long does it take for hormones to stabilize after stopping birth control?

It can take a few months for hormones to stabilize after stopping birth control. During this time, you may experience irregular periods and other symptoms as your body adjusts.


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