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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Brown Discharge After Stopping Birth Control Pill. Have Polycystic Ovary. Negative Pregnancy Test. Symptom Of Stopping Pill?

I came off the pill 6 weeks ago and had my normal withdrawal bleed. I have been on the pill for 10 years from when I was 17. Before being on the pill my periods were extremely irregular (about once every 3 months) and I was diagnosed with a polycystic ovary but not full syndrome.

4 weeks after taking the pill I had some brown discharge which I assumed was the start of my period however this only lasted about 5 days then stopped. 2 weeks prior to this I had egg white discharge so I assumed I had ovulated. I home pregnancy tested one week after the brown discharge in case it was implantation bleeding and it was negative.

I am 27, weight 9 stone and am 5 foot 2.

My question is whether it is sensible to test again or if this is just a sympton of coming off the pill. Also if my periods remain as irregular as they were when I was a teenager what are the chances of me conceiving naturally and what medications are there to regulate periods?
Fri, 16 Aug 2013
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OBGYN 's  Response
Hi,
In the present clinical picture, you may opt for the serum beta-hCG measurement to give you better confirmation of the presence or absence of pregnancy; also, home pregnancy tests may not be of much use when the last normal menstrual period is vague. It remains to see if the PCOD has returned and if it happens, if you wish to conceive now, the ideal method would be to go for induction of ovulation after proper investigation and necessary corrections. Natural conception can still happen with the occasional ovulation and combined pills, metformin along with weight maintenance and exercise help to regulate the periods. Hope you find this answer useful. Good luck.
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Brown Discharge After Stopping Birth Control Pill. Have Polycystic Ovary. Negative Pregnancy Test. Symptom Of Stopping Pill?

Hi, In the present clinical picture, you may opt for the serum beta-hCG measurement to give you better confirmation of the presence or absence of pregnancy; also, home pregnancy tests may not be of much use when the last normal menstrual period is vague. It remains to see if the PCOD has returned and if it happens, if you wish to conceive now, the ideal method would be to go for induction of ovulation after proper investigation and necessary corrections. Natural conception can still happen with the occasional ovulation and combined pills, metformin along with weight maintenance and exercise help to regulate the periods. Hope you find this answer useful. Good luck.