Question 1

22 yr old daughter started taking birth control pills 2 weeks ago and has been having greatly increased anxiety should she just stop now and what symptoms should she expect? she takes advair and zyrtec but no other drugs. has a tendency to be anxious (3 w

Accepted Answer

Call prescriber: BCP's can cause emotional symptoms, in those circumstances a change is indicated, get in touch her her prescriber so they can work wiht her to optimize her birth control -maybe a different BCP or she may do better on another form , such as an implant, there are a number of options -stick with one prescriber if you can so her care is well organized

Question 2

can birth control pills help with pmdd? i kept track for a year and i am fine days 1-15 then days 16-30 i have anxiety, tender breasts, irritable.

Accepted Answer

Oral contraceptives: May be helpful for treatment of pmdd. Ssri's (selective serontonin reuptake inhibiters) are another option. Take care.

Question 3

hello, can doctors manage and prescribe birth control pills and medications for anxiety and depression on the premium paid service?

Accepted Answer

With periodic exams: Virtual health care is not "online shopping for prescription medications" and needs each patient to have an in-person doctor to do in-person exams periodically. For example, after an in-person exam has cleared a healthy woman for starting birth control pills, she may be able to get follow-up care online for the rest of that year. Psychiatric meds and certain other drugs are not given on HealthTap.

Question 4

if combination birth control pills may raise cortisol levels, does that mean it can potentially worsen existing anxiety? i asking because i have gad and ocd?

Accepted Answer

: Today's "low dose" oral bcps are unlikely at age 44 to contribute to anxiety symptoms, as without oral bcp's, ovarian hormone production with much wider fluctuations would at times of estrogen deficit, accentuate emotional effects.  Approaching pre-menopause , if no contraindications, oral bcp's can be taken for multiple packs w/o placebos, lessening estrogen variations.

Question 5

im on birth control pills (3 months now) orthocyclen, (ethinyl estradiol and norgestimate) im
having anxiety attacks, would lowering my estrogen to
30mcg instead of 35 help?

Accepted Answer

Not likely: The lowering of dose you describe is not significant. It is possible that the pills aggravate preexisting anxiety. It is unlikely to create anxiety from scratch. However, there are much lower doses than what you described. Ultra low-dose pills have 10 µg, while the NuvaRing (vaginal) is 35% lower than typical low dose 20 µg pills.  It is worth a try.

Question 6

is it normal to be extremely tired when going off birth control pills?

Accepted Answer

No: Have you resumed a normal orderly menstrual pattern after going off contraceptive pills? If not, some cases of menstrual abnormalities are associated with tiredness (such as low-thyroid states, for example). If menses are still coming normally and you are tired you must look for other causes.

Question 7

first period after going on birth control pills again is longer than it has been. is this normal for just starting the pill again after being off it a few months? going on day 8 of period and 4 days into new pill pack?

Accepted Answer

: First obtain a serum HCG test to confirm that pregnancy not the cause, and if negative, stop the current pack of oral bcp's and begin seven days later with a new pack, as withdrawal bleeding with current low dosage oral bcps can be the cause. Take the "active" pills within the hour of the prior day's active pill.

Question 8

i had a bad reaction going off birth control pills (weight gain, acne, mood swings). is there a way to ease off them to make the transition easier?

Accepted Answer

Maybe. : Mood swings, pms, can be controlled with an ssri such as zoloft (sertraline).  Acne can be treated with several different options. Weight gain can be treated with exercise and nutrition.  I hope this helps.

Question 9

how do i reduce bad pms symptoms without going on birth control pills?

Accepted Answer

PMS: Lifestyle changes, diet, hormones & ssris.  Examples of the above include aerobic exercises, cut down sugars & caffeine & salt intake, increase fiber, adequate rest & sleep, supplements such as calcium & vitamin e, prozac, oral contraceptive pills, progesterone, diuretics, clonidine, nsaids, chasteberry, st. Johns wort, essential fatty acids, & evening primrose oil.

Question 10

is it true, after taking the depo-provera shot and going on birth control pills that you can stop the pills and get pregnant sooner? i took 3 shot of depo-provera and have been off since april last shot being january i am trying to concieve and have a bab

Accepted Answer

Many : Many women do not start ovulating for up to 10 months after stopping Depo-Provera injections. This means you may not have your period for about 10 months as well.  It is not likely that taking an alternative form of hormones in the interim will promote ovulation sooner. This will not necessarily expel the other existing hormones in your body. In fact, the hormonal imbalance may cause much discomfort, nausea, mood changes, break through bleeding, etc.
Talk to your doctor if you wish to become pregnant. It is crucial you recieve prenatal care and supplements to prepare your body for pregnancy.

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Doctor answers about:

Anxiety after going off birth control pills

A member asked:

22 yr old daughter started taking birth control pills 2 weeks ago and has been having greatly increased anxiety should she just stop now and what symptoms should she expect? she takes advair and zyrtec but no other drugs. has a tendency to be anxious (3 w

A member asked:

Can birth control pills help with pmdd? i kept track for a year and i am fine days 1-15 then days 16-30 i have anxiety, tender breasts, irritable.

A member asked:

Hello, can doctors manage and prescribe birth control pills and medications for anxiety and depression on the premium paid service?

A member asked:

If combination birth control pills may raise cortisol levels, does that mean it can potentially worsen existing anxiety? i asking because i have gad and ocd?

A member asked:

Im on birth control pills (3 months now) orthocyclen, (ethinyl estradiol and norgestimate) im having anxiety attacks, would lowering my estrogen to 30mcg instead of 35 help?

A member asked:

Is it normal to be extremely tired when going off birth control pills?

A member asked:

First period after going on birth control pills again is longer than it has been. is this normal for just starting the pill again after being off it a few months? going on day 8 of period and 4 days into new pill pack?

A member asked:

I had a bad reaction going off birth control pills (weight gain, acne, mood swings). is there a way to ease off them to make the transition easier?

A member asked:

How do i reduce bad pms symptoms without going on birth control pills?

A member asked:

Is it true, after taking the depo-provera shot and going on birth control pills that you can stop the pills and get pregnant sooner? i took 3 shot of depo-provera and have been off since april last shot being january i am trying to concieve and have a bab

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