When will i get my period after stopping birth control

1) Dear Alice, My period is irregular and I was told by a doctor to take a pill for 3 months to regulate my menstruation. I am done taking the pill and waiting for my period to get back. Is there a chance that my period may delay after I quit taking the pill? When will it get back? 2) Dear Alice, You are wonderful! I feel really good having you out there for me and the rest of the Columbia community. My question is short and sweet: having recently broken up with my boyfriend, I decided I wanted to try life without the pill and so I stopped. Now it has been one month and I should have gotten my period on Friday or Saturday (it is Tuesday), but I still don't feel it coming. Is everything okay? How long until my period will be regular again? Thanks. — M.

Dear Reader and M., 

Thank you for reaching out regarding a popular, albeit somewhat confusing, topic for many! After stopping birth control pills, menstruation may return quickly, though some people many experience a delay. Generally, your period will return within three months. If it doesn't, you may be experiencing post-pill amenorrhea, which is the absence of menstruation after stopping the pill (more on this in a bit). However, when your period does return, it’ll likely return to the type of period you experienced before taking the pill, whether it was regular or not. However, regardless of the type of pill you're taking, it likely won't affect the amount of time it takes for your period to return. In the meantime, be patient — your body is doing a lot to re-regulate itself!

First, it might help to talk a bit about how birth control pills work to regulate menstruation. The combination of estrogen and progestin in hormonal birth control helps regulate periods, helping those who had irregular periods become more regular. It may also be helpful to know that there are pills containing progestin alone, but these are often used to trigger periods in those who don't get them otherwise. Those prescribed progestin-only pills may also experience sporadic bleeding, menstruation during the fourth week, or no period at all. Reader, you mentioned that you used birth control to regulate irregular period. These are defined by changes or variability in each of three factors over time: timing between periods, amount of blood lost during each period, and length of each period. They may be caused by a variety of factors, including a change in hormones.

Most people experience menstruation within three months after stopping birth control pills. However if your period fails to arrive within four to six weeks after your last pill, it may be due to post-pill amenorrhea. This condition causes the body to fail to make hormones that are necessary for ovulation and menstruation. Those who don't experience menstruation after a few months and think they might have post-pill amenorrhea may want to contact their health care provider who prescribed their birth control. Reader 1, you didn't specify whether the prescription caused you to menstruate or to simply regulated pre-existing menstruation. Either way, going off the pill, or any hormonal contraceptive, might be a big switch for your body, and it may not come back immediately. In addition, if your periods were irregular before taking the pill, they may continue to be irregular after stopping the pill. Similarly, M, sometimes after stopping birth control pills, the body immediately jumps into it's usual menstrual cycle, but this isn't always the case. Many times, people's bodies take a little while return to its usual cycle after birth control, leading to a delay before it returns to its typical production of reproductive hormones.

Keep in mind that ovulation can occur before you get your next period. Although it’s uncommon, it’s possible to become pregnant before you next menstruate. If you plan on having sex, it's wise to use another form of contraceptives if you wish to avoid pregnancy and sexually transmitted infections (STIs). If you’ve had unprotected sex since you stopped taking the pill or are worried you may be pregnant, you may want to take a pregnancy test to ensure this isn't the cause for your lack of menstruation.

Kudos to both of you for seeking a better understanding of your reproductive system. If you still have questions, you may want to contact your health care provider, who can talk through your individual situation with you. In the meantime, feel free to brush up on other questions regarding birth control in the Birth Control Pills category in the Go Ask Alice! Sexual and Reproductive Health archives.

Oral birth control prescriptions are handed out to teenagers and young adults for a variety of reasons, from hormonal acne and painful periods to preventing pregnancy. Years pass and these same individuals start thinking about having kids, or maybe just want to know how their bodies will feel without the constant influx of synthetic hormones. so, they stop taking the pill and are surprised to find that their period doesn’t come back right away, sometimes for months.

This isn’t everyone’s story, of course. Some bounce right back and begin ovulating again immediately, or within a few months. But as more and more individuals who have been on the pill for upwards of 10 years start to come off of it, they’re caught off guard by what is technically called secondary amenorrhea, or not getting a period for three months or more after having had one previously.

Because secondary amenorrhea is such a common problem, there’s quite a bit of advice floating around social media on “getting your period back,” particularly among wellness influencers. Supplements seem to work for some, while others end up seeking the help of doctors to trigger a period for them. 

If this is something you’re struggling with, a conversation with your doctor is always a good first step. We asked the experts how to navigate getting your period back on schedule.

Meet the Expert

• Stephanie McClellan, MD, is. a board-certified OBGYN and the chief medical officer and director of well-being at the Tia Clinic.
• Alyssa Dweck, MD, FACOG, is a practicing gynecologist and is the co-host of the business of the V podcast.

Keep scrolling to learn how to deal with late periods after going off birth control.

How Does Going Off the Pill Affect Your Period?

When you’ve been on the pill for years and years, your body understandably needs time to adjust to a new normal. So if you don’t get your period back immediately after quitting hormonal birth control, try not to worry. But if pregnancy isn’t your goal, make sure you’re still taking steps to prevent it.

"In many cases, menstrual habits revert to what they were before starting the pill. In addition, many of the symptoms being treated by the pill i.e. cramps, PMS, acne, heavy or irregular bleeding may also return," says Dweck.

“If your period does not return immediately, you have no way of knowing when you are ovulating,” explains McClellan. “Some women get pregnant after stopping the pill without experiencing a menstrual period because of unrecognized ovulation and inadequate or no contraception. Make sure to take a pregnancy test if you have any symptoms or think you might be pregnant.”

Is Having a Late Period After Stopping the Pill Normal?

While a late period going off the pill isn't unusual, Dweck says to always consider pregnancy if there is a delay in the return of menses. "Typically, it is reasonable to wait three months for the return of menses prior to intervening," she says.

Dweck also notes that the absence of menses can be accompanied by other symptoms such as acne, appetite change, breast leakage, headache or visual change, or other symptoms suggestive of pregnancy, thyroid disorder, PCOS, or other hormone imbalance.

When Will Regular Periods Resume?

According to Dweck, regular periods should return within two to three months tops but usually occur sooner. If you have an irregular cycle, this time window may not be suitable. There are instances where progesterone may be needed to induce a period, but always check for pregnancy first, says Dweck.

How to Get Your Period Back After Stopping the Pill

If your period doesn’t come back after three months, it’s important to let your doctor know. They can run a few tests to see if you have any underlying medical conditions that birth control may have been masking. “Chronic stress, thyroid disorders, profound and chronic Vitamin D deficiency, PCOS, rapid weight loss, length of time of pill use, menstrual history prior to starting the pill and female athlete triad are just a few things that need to be considered when secondary amenorrhea occurs after stopping oral contraceptive use,” McClellan says. If an underlying health issue is discovered, your doctor can walk you through steps for treating it, which could be as minor as taking a supplement or working on a higher daily caloric intake.

If everything comes back negative, though, McClellan recommends taking an integrative approach to getting your period back. While everyone is different, trying a combination of lifestyle adjustments can do the trick: “This involves strong gut health, adequate sleep, acupuncture, some form of mindfulness, and—particularly important—regular and high-quality social interactions.”

According to McClellan, these interventions in combination reduce the inflammatory and metabolic burdens that our minds and bodies experience from the demands of our daily lives. “The result is balanced communication throughout our entire brain and body, including the pathways that can lead to ovulation and regular periods.”

When to See a Doctor

If menses are absent for three months or any other symptoms mentioned above occur, worsen or persist, it is best to check in with your gynecologist. Again, check for pregnancy if indicated.

The Final Takeaway

If you’re struggling to get your period back, it’s important to remember that you are not alone, but do watch out for some lifestyle factors that can make ovulation and menstruation more difficult for the body to achieve: “Chronic stress, inadequate caloric intake, excessive exercise, and social isolation are just a few,” McClellan says.  And with a little help from your doctor, you can come up with a plan to get the ovulation process started again sooner rather than later.