[22F] Concerned about missed period while on birth control

What might be happening

Based on the information you've provided, possible explanations for your missed period include:

• Hormonal Imbalance: Birth control pills like Kurvelo work by regulating your hormones to prevent ovulation. Sometimes, they can cause changes in your menstrual cycle, including lighter periods or missed periods. This is especially possible if you've been on the pill for a long time.

• Polycystic Ovary Syndrome (PCOS): This is a condition characterized by hormonal imbalance, irregular periods, and cysts in the ovaries. Symptoms can include acne and pelvic pain, which you've mentioned experiencing. However, you've not reported other common symptoms like excessive hair growth and weight gain.

• Autoimmune Conditions: Some autoimmune conditions can affect menstrual cycles. However, it's less likely in your case as you've been managing your autoimmune conditions (arthritis and psoriasis) since 2016.

What you can do

1. Continue taking your birth control as prescribed. Missing doses can cause irregular periods.
2. Monitor your symptoms. Keep a record of your menstrual cycle, noting any changes in flow, color, or accompanying symptoms.
3. Schedule an appointment with your healthcare provider. They can provide a formal assessment, possibly including a physical exam or blood tests, to determine the cause of your missed period.

What you should look out for

Seek immediate medical attention if you experience:

• Severe pelvic pain
• Heavy bleeding or spotting between periods
• Symptoms of pregnancy (such as morning sickness, tender breasts, frequent urination), even if you've had a negative pregnancy test

Remember, while I strive to provide accurate information, I'm an AI and not a substitute for professional medical advice. Always consult with a healthcare provider for a formal diagnosis and treatment.