I'm on the mini pill and I'm not getting my period. Is this normal?
Answer:
First off let's take a look at what birth control pills (BCP's) are. Most BCP's contain two types of synthetic female hormones (estrogen and progestin). These pills are called combo pills. Some examples combo pills are Ortho Tri-Cyclen, Yasmin, Yaz. There is another type of pill, which you are taking, that is made with only one hormone (progestin). This is called the progestin only pill or the mini pill.
Why take the mini pill?
The mini pill is prescribed when women dislike some of the side effects associated with estrogen. They can also take progestin only pills when they are nursing a child unlike the combo pills. Progestin only pills aren't as popular because there are other progestin only birth control methods such as Depo Prvera shots and IUD's (Intrauterine devices).
How do BCPs work?
BCP's work by stopping the development and release of eggs in the ovary (ovulation). It also helps prevent the sperm from reaching the egg (fertilization) by changing the lining of the uterus and thickening the cervical mucus. Think of it like trying to run in sand... it's a lot harder than running on land.
So why am I not bleeding?
The pill causes more regular and lighter periods and sometimes hardly any bleeding at all. This can present as spotting and you may not even have to wear a pad or a tampon. As long as you are taking your pill regularly then this can be a normal side effect...enjoy!
Side note: If you want to try a different method of birth control or you find yourself missing pills please talk to your gynecologist about your options. There are pills, patches, rings, and IUD's. Talk to your doctor and find out what works best for you. Just because you have always taken the pill doesn't mean that it is what is best for you.
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