Expert: Bob Kambic - 7/7/2007

Question
I just started taking Loestrin 2 weeks ago. I missed 1 active pill and didn't realize it until time for my next dose, so I took the 2 together. As soon as I took the 2, I started my period. My question is: I realize taking 2 together did not make me start my period, but did missing that dose do it? If so, how did I have time to ovulate already? It should take 2 weeks from time of ovulation before you begin menstruating so did I, in theory, begin ovulation before I even started taking Loestrin? Or do you think it could be something more serious like a miscarriage? My fiance and I are sexually active and only use "the pull out method" besides the new birth control pills.

Answer
I think there are several possibilities. Since you just started taking the pill it could be that your body is getting used to it. You say you got your period. Do you think it is/was a real period or some spotting? It is really difficult to say when you ovulate on the pill because the pill is introducing artificial hormones that will interfere with the regular signs of ovulation. If you don't already know these signs you would have a difficult time recognizing them while on the pill.

If you were having sex before you began the pill, it is possible that you were/are pregnant. Did you begin taking the pill around the time of your previous period? Do you feel pregnant? Have you taken a home pregnany test.