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Monika Hearne, M.D., Board Certified OB/GYN
Category: OB GYN
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Experience: With experience and compassion, I treat my patients like family.
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I just started taking Lutera birth control. The week of my

Resolved Question:

I just started taking Lutera birth control. The week of my placebo pills I did not get a period. I have never missed a period ever before in my life. I have taken both a blood and numerous urine tests and they all came out negative. Since my missed period I have had a lot of cramping. Could the missed period be an affect of the birth control? Or is it possible I could be pregnant?

Submitted: 11 months ago.
Category: OB GYN
Expert:  Monika Hearne, M.D. replied 11 months ago.


Monika Hearne, M.D. :

Hello, I would be happy to assist you.

Monika Hearne, M.D. :

When was your last period?

Monika Hearne, M.D. :

When did you start the pills?

Customer :

I started the pills about a month ago. I went through the first three weeks of active pills, then during my placebo week I did not get a period.

Customer :

I switched from a different birth control, so I got my last period before that on time

Monika Hearne, M.D. :

Oh, you switched from a different pill...not NuvaRing, injection, or anything else?

Monika Hearne, M.D. :

You didn't miss any pills this past month and have to double up?

Customer :

no, i took every pill on time

Monika Hearne, M.D. :

And you were taking a pill before this right?

Monika Hearne, M.D. :

Not another form of birth control?

Customer :

yes, I was taking lo-ogestrel

Customer :

so i switched directly from one pill to another

Monika Hearne, M.D. :

Where are you in the next pack and when was your blood tested?

Customer :

I'm at the end of the first week of the next pack

Customer :

my blood was tested about a week ago, at the end of the placebo week after I didn't get my period on time

Customer :

i've taken a urine test as recently as this morning and it still says negative

Monika Hearne, M.D. :

Ok. Since your blood test was negative AND since you haven't missed any pills, you're definitely not pregnant. Lutera is a low dose hormonal type of pill that commonly reduces bleeding. It is very common for a woman to not have periods when on this combination of hormones. Usually, the lack of bleeding occurs over time, but since you switched from another pill, it's likely your lining was already thin. When you do not develop a significant lining, it is common to have cramping like you will start your period, but because there is no lining to shed you see little to no blood.

Monika Hearne, M.D. :

As long as you haven't had a stressor mentally or physically over the past month (illness, change in exercise/diet/weight, travel, or other stress), you can expect your periods to remain very light to non-existent. As long as you are taking your pill daily, you will not have to be concerned with pregnancy if this occurs in the future.

Customer :

ok, so the cramping i have been experiencing (as well as some fatigue) is probably just a result of getting used to a new pill and not symptomatic of pregnancy?

Monika Hearne, M.D. :

Actually, those symptoms were because your body was physically on your period. You just didn't have any lining to shed so nothing came out despite the cramping.

Monika Hearne, M.D. :

There are two things that will cause this...having to double up on your pills to the point where your hormones were too high to allow you to have a period (which you didn't have to do since you didn't miss any pills) or this is a normal side effect of being on a low dose pill. You do not have to be concerned about pregnancy at all.

Monika Hearne, M.D. :

Can I address any additional concerns for you?

Monika Hearne, M.D. :

Are you there?

Customer :

sorry, i'm here thank you for your help :)

Monika Hearne, M.D., Board Certified OB/GYN
Category: OB GYN
Positive Feedback: 98 %
Satisfied Customers: 5754
Experience: With experience and compassion, I treat my patients like family.
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