Nishmat's Women’s Health and HalachaIn memory of Chaya Mirel bat R' Avraham

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Switching pills before wedding?

16 June, 2017


I am currently engaged and getting married in nine weeks. We got engaged four months ago, and I started taking birth control right around then because we do not want to have kids right away (I am 22 and he is still a student). I originally started on Yaz Plus, but I felt like it was causing me to gain weight. No other intense side effects, just a general feeling of weight gain. A few weeks ago I went back to the doctor and she prescribed Minesse. I have been feeling better in terms of my weight, but 3 days ago I started what I thought was spotting, but it seems to be just as much blood as my period.

My question is what should I do:
1. Should I stay on Minesse and see if my body gets more used to the pill and stops spotting?
2. Should I go back to Yaz Plus because it did not cause me to spot? Perhaps the feeling of weight gain was just from a lack of exercise and healthy eating, but I don’t know for sure.
3. Should I go to my doctor and try a third kind of medicine? The reason I am hesitant about this options is because the wedding is in 2 months and I do not want to worry about a chuppat niddah or getting pregnant soon after the wedding.


Mazal tov on your engagement!

Some irregular bleeding is fairly common when adjusting to a new contraceptive pill. Since Minesse is a very low-dose contraceptive, and thus more likely to cause spotting, you may do best going back on Yaz Plus until after the wedding.

Alternatively, you could try to stick out another month on Minesse on the hopes that your body will adjust to it within the next few weeks, only switching if the spotting does not improve.

You could also check in with your physician at this stage, explaining your concerns. You may find it useful to refer your physician to the section of our website designed for healthcare professionals, Jewish Women’s Health, written facilitate communication with physicians on these issues.

Please write back with any further questions.

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