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Question:
I had a problem with too frequent periods, so my doctor prescribed me birth control pills to correct the problem. But that didn't work, so he prescribed me another form of birth control. I had to take three pills a day for seven days. That was supposed to fix the problem. When I was done taking those pills, I was supposed to go back to the former means of birth control, which I did. And I have taken them at around the same time every day as I am supposed to. The problem is that whatever the complication is isn't fixed. I have been taking my pills and I got my period too early yet again. I am taking Ortho-Tricyclen, and I just took the last white pill today and started my period. I'm not supposed to start until I get to the green pills, and I still have a bunch of blue pills to go through to get that far.
I'm only 15, and this is the second time in my life that I have had to use birth control to correct my too frequent periods. When I was in eighth grade, my period came three times in one month and I was put on birth control. My period was corrected and came regularly around the same time every month. Not until recently did I have a problem, and now I can't seem to fix it. What should I do? Do you have any ideas of what the problem might be?
Answer:
From what you have shared I would suspect that your underlying condition is lack of consistent ovulation. There are many causes of this: low thyroid, polycystic ovarian syndrome, pituitary problems, or even a blood clotting disorder (this occurs in about 20% of teens with heavy bleeding). It may just be age. Some women take longer to get into a reliable ovulation pattern. On average, it may take two years after menses start to have really regular ovulation.
That regimen of three oral contraceptives (OC) per day for 5-7 days is traditionally used in women with prolonged menstrual bleeding (e.g. more than 10 days without signs of stopping). I surmise your gynecologist wanted to try to use those high doses to try and get the uterine lining restabilized.
As for what to do now: You should let your gynecologist know what has occurred. My best guess is that he or she will tell you to wait it out for three pill packs and see what happens. If you were my patient, I would probably change you to a non-triphasic oral contraceptive (e.g. Lo-Ovral, OrthoNovum 1/35) to eliminate even the possibility of the changing hormone dose triggering more breakthrough bleeding.
I am assuming that you have not been sexually active. This would eliminate an infection (STD) as the cause of the problem.
I can only begin to imagine your frustration with too frequent periods. I hope they can find something to regulate you better. The good news is that oral contraceptives fixed it once -- so one would hope that could happen again
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