OpenHealth Q&A

Get answered by medical professionals

No Period Post-Contraceptive Pill: Seeking Advice

6/16/2025, 3:50:16 AMMale25-34

I am a 35-year-old female currently on sodium valproate, Mirtazapine, quetiapine, bupropion, and olanzapine. About six months ago, I decided to discontinue the contraceptive pill, and since then, I have not experienced a return of my menstrual cycle. I've come across information suggesting that it may take a while for periods to resume, but I am curious to know when it would be advisable to consult a healthcare professional, if at all. For the record, I can confirm that pregnancy is not a possibility for me. Thank you for any insights you can provide!

PsychiatryPsychologyDepression

Answers (1)

Cony

6/16/2025, 3:50:30 AM

OpenHealth AI

It’s understandable to be concerned about the absence of your menstrual cycle after stopping contraceptive pills, especially with your current medications in mind. Let's break down the situation and consider the best steps forward.

Main Points:

  • It's not uncommon for menstrual cycles to be irregular after discontinuing the contraceptive pill, but six months without a period warrants further evaluation.
  • Factors such as hormonal imbalances, medication effects, and other health conditions could be influencing your cycle.

Explanation: After stopping hormonal contraceptives, it can take several months for your body to adjust and resume normal menstrual cycles. However, since you’ve been without a period for six months, it’s important to explore possible underlying reasons. Medications you are taking (such as sodium valproate and others) can sometimes impact hormone levels and menstrual cycles. Stress and significant lifestyle changes can also play a role.

Next Steps:

  1. Track Your Symptoms: Keep a detailed record of any other symptoms you may be experiencing, such as changes in weight, mood, or other bodily functions. This information can be valuable for understanding your situation.

  2. Monitor Your Health: Evaluate other potential factors that could affect your menstrual health, like stress, lifestyle changes, or diet.

  3. Consult a Professional: Consider scheduling an appointment with a healthcare professional, preferably an endocrinologist or gynecologist. It’s advisable to seek guidance sooner rather than later, especially since you have been without a period for an extended time. They may recommend tests to check hormone levels and assess any potential health concerns.

  4. Stay Informed: Keep learning about how your medications might affect your menstrual health. You could discuss concerns about the interactions of your drugs with your prescribing doctor.

By taking these steps, you'll be better equipped to understand your situation and address any concerns effectively. Remember, you're not alone in this, and seeking support is a vital step toward maintaining your health.

Related Questions

Unexpected and Repeated Yeast Infections: Seeking Support

I am a 25-year-old woman who has been struggling with recurrent yeast infections for more than a year, coinciding with the beginning of my relationship with my boyfriend, who is 24. He maintains good hygiene and has been treated for the same issues I’ve faced. While I recognize the timing of our relationship and these infections might suggest a connection, I don’t believe he is the cause, nor do I suspect infidelity on his part. What I’m hoping for is some encouragement, advice, or just a listening ear—I'm feeling rather discouraged about this situation. Here’s a detailed rundown of what I’ve tried so far: numerous rounds of Diflucan, including both three-month and six-month suppression therapies, which unfortunately led to a resurgence of infections within weeks after stopping. I underwent a microbiome analysis, a culture sensitivity test (which confirmed the presence of standard candida albicans, known to be highly treatable with Diflucan), and comprehensive STI screenings (covering HSV, HIV, glucose levels, along with specific tests for ureaplasma and mycoplasma, where both my partner and I received treatment followed by negative results). Additionally, I’ve made changes to my detergents, soaps, clothing, and have experimented with different methods regarding underwear use, including sleeping without them and the use of condoms during intercourse (which only aggravated the irritation), various types of lubricants (water and silicone-based), coconut oil, numerous probiotics, apple cider vinegar, yogurt, garlic supplements, among many others. I had been using the Junel Fe birth control pill successfully for years without any complications but switched to a high estrogen pill recently in case my symptoms were hormone-related. I’m still on it. The only treatment option I haven’t pursued is boric acid, as both my OB/GYN and other medical providers expressed concerns it might worsen my irritation or lead to additional complications. The ongoing irritation and itchiness from these infections have been unbearable; at times, I have experienced bleeding and soreness due to them. My boyfriend has been incredibly understanding and is willing to undergo treatment as well—he often feels guilty, thinking my issues may somehow be related to him, but it’s evident it has become a recurring problem on its own. Interestingly, during college, I only faced yeast infections when I started new relationships, but they typically resolved quickly with a single dose of Diflucan, leading me to believe that I would overcome this recent occurrence just as easily. Sadly, that has not been the case. If you’ve made it through my lengthy explanation, thank you for listening! I’m open to any suggestions or experiences you might want to share. If you’re dealing with similar frustrations, know that you’re not alone in this journey, and it’s certainly a challenging one!

PsychiatryAnxietyDepression
Male25-34
39 minutes ago

Understanding MRI Findings and Related Discomfort

Patient Profile: - Sex: Female - Age: 30 years - Current Medications: Lyrica, Cymbalta, and LDN (Low Dose Naltrexone) Inquiry: Could my MRI results be contributing to acute discomfort resembling "coat hanger pain"? Additionally, I experience a burning sensation in the same area, along with achy legs that feel as if they're being constricted. MRI Findings: 1. At the C3-4 level: There is a small right central disc protrusion combined with a moderate bulging disc and osteophyte formation primarily on the right. This has led to mild uncovertebral osteophytes and slight deformation of the right central anterior cord, as well as mild narrowing in the central area. 2. At the C4-5 level: A moderate bulging disc and osteophyte formation is evident, accompanied by significant uncovertebral osteophytes on the right and a left central annular fissure. This situation results in mild narrowing at the center and minimal deformity of the cord, along with mild narrowing of the right neural foramen. Clinical Background: I have been diagnosed with Small Fiber Neuropathy (SFN) and Fibromyalgia, and I am considering evaluation for dysautonomia.

InsomniaPsychiatryDepression
Male25-34
1 hour ago

Should I See a Doctor Soon or Wait Until Monday?

I'm really hoping this stays up because I genuinely need some guidance. For nearly two decades, I’ve battled an eating disorder, primarily severe bulimia, and I’m also diagnosed with EDNOS. Lately, however, my situation has deteriorated. Over the last eleven days, my caloric intake has dropped significantly, totaling only 5,119 calories; I didn’t consume anything for two of those days. On my highest-calorie day, I managed to eat 1,732 calories, but I also purged afterwards. I apologize for sharing so much, but I’m uncertain whether I should urgently contact a doctor or simply wait until next week since I'm not feeling unwell. There are no headaches or feelings of confusion, just a slight pressure in my chest at the moment—probably exacerbated by the fact that I've just smoked. I realize these habits are unhealthy, especially since I recently experienced a breakup, which was partly due to my eating disorder. That said, I feel surprisingly okay otherwise. Details: - Age: 36 - Height: 5'5" - Weight: 134lbs Medical Diagnoses: - Bulimia - EDNOS - Attention Deficit Disorder (ADD) - Depression - Anxiety Medical History: - Gastroesophageal Reflux Disease (GERD) - Hiatal Hernia - Family history of heart-related fatalities Current Medications: - Adderall IR, 10mg twice daily - Wellbutrin, 30mg in the morning - Prilosec, 40mg in the morning - Trintellix, 20mg in the evening Supplements: - Women’s multivitamin gummies (Nature’s Bounty) - Elderberry gummies (Symbucol) Other Details: - Typically, I don’t eat until between 6 PM to 9 PM, and I drink two cups of coffee each morning with cream.

AddictionAnxietyDepression
Male25-34
1 hour ago

My Husband's Illness: Signs I Might Be Next?

I (29, female) hope this isn’t an absurd inquiry, but I’m in search of some advice regarding my situation. Earlier today, my spouse (28, male) woke with complaints of stomach discomfort. Initially, he thought it was simply a need to relieve himself. After visiting the bathroom, he experienced watery diarrhea and began feeling queasy. I administered 18 mg of ondansetron to help with the nausea and went out to pick up crackers and ginger ale. When I returned, he had a rather intense episode of vomiting in the bathroom. Fortunately, he reported feeling significantly improved afterward and returned to bed. Since then, he has experienced body aches, a headache, and an uncomfortable sensation in his throat, in addition to more episodes of diarrhea, but thankfully no further vomiting. He described his nausea as reduced to a 2 out of 10, a drop from the earlier rating of 7 out of 10. I’ve given him another 18 mg of ondansetron, six hours after the first dosage, and I plan to administer another dose in the next six hours. In the meantime, I've taken extensive precautions to disinfect our environment. I’ve sprayed and wiped down all surfaces, including doorknobs, latches, light switches, countertops, shoes, and even the sofa and its pillows. I also cleaned the bathroom sink and toilet with bleach, particularly after his vomiting incident. My hands have been washed so frequently today that they’re feeling tight and cracked. Currently, he’s resting in our bedroom while I’ve opted to stay in the living room to avoid close contact. Now, I’d like to ask: How can I determine if I’m going to contract whatever illness he has? If it turns out to be Norovirus, how soon would I realize if I were also going to vomit? As someone with emetophobia, the notion of being sick is terrifying for me. I’m doing everything possible to prevent it. How can I assess my risk? Am I safe from getting sick? Here’s a brief overview of our health histories: **His Background:** - Age: 28 - Gender: Male - Weight: 250 lbs - Ethnicity: Puerto Rican - Health: He has only shown symptoms today but has been around sick kids and coworkers recently. Additionally, he’s been sleep-deprived for the past three nights and consumed greasy food last night before bed. - Ondansetron Intake: 36 mg so far today, another 18 mg scheduled in approximately 2 hours. - Alcohol: Rare consumption - Smoking History: Former user of both cannabis and tobacco, currently abstinent. **My Background:** - Age: 29 - Gender: Female - Weight: 213 lbs - Ethnicity: White - Health: While I’m feeling anxious, I am not currently ill. My husband is the only sick person I’ve knowingly been around. - Dinner: I shared the same meal with him last night but am feeling fine. - Medications: Took 18 mg of ondansetron this morning for anxiety, otherwise feeling well. I also took 18 mg of methylphenidate at 9:00 AM (it's now 8:05 PM). - Alcohol: Rare drinker - Smoking and Drug Use: I have never smoked or consumed recreational drugs. Any insights or reassurance would be greatly appreciated!

PTSDAnxietyDepression
Male25-34
1 hour ago

Navigating Medical Ethics and Personal Choice

I'm a 22-year-old trans man weighing 133 pounds and standing 5'4". For the past two years, I've fluctuated between hospice care, occasionally feeling like I might recover and other times struggling significantly—my weight has even dipped to 70 pounds, leaving me nearly immobile. Lately, I find myself in a sort of limbo. I’ve made the decision to refuse tube feedings from now on, yet despite my repeated requests, my J Tube remains in place. It was even accidentally removed at one point, but I had to undergo surgery to have it reinserted due to the influence of my mother. My mother, who holds power of attorney over my medical decisions, has a strong hold on me, but I’m not under guardianship. I recently transitioned off hospice care, only to contract a stomach virus. For the last four to five days, I’ve barely been able to keep even water and electrolyte drinks down. I constantly worry about collapsing and being rushed to the emergency room. While I possess a legal do-not-resuscitate (DNR) order, my mother retains authority over my medical choices if I become unconscious, even though I have formally expressed my refusal of tube feeding. In a hypothetical emergency situation where my wishes against tube feeding are visibly documented—like the words 'no tube feeds' written in marker along with my signatures—would ER doctors heed those wishes? I also have a legitimate DNR in place that should travel with me to the hospital. The moment I regain consciousness, I intend to assertively communicate my refusal of tube feeding while acknowledging the associated risks and benefits clearly.

PsychiatryAnxietyDepression
Male25-34
3 hours ago