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Author Topic: BCP: How do I know?
endplusone
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I've become sexually active with my significant other. I have been taking the pill for two months now, consistently at the same time every day, with no problems. A couple of times we didn't use a condom, but we usually do. I've now had two withdrawal periods.

I understand that they aren't really periods, but if they aren't...what do I use as an indicator that I may be pregnant (even if the chances are very low)? Does this mean I have to or should take an HPT?

[ 01-21-2014, 08:21 AM: Message edited by: endplusone ]

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Robin Lee
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Hi Endplusone,

If a person becomes pregnant while on the pill, they will not get withdrawal bleeds. So, it's the same as looking out for a missed period. If you miss either a period or withdrawal bleed, and you've been engaging in sexual activity that can lead to pregnancy, it's then sound to take a pregnancy test.

Does this help?

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Robin

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endplusone
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Thank you for your response. My healthcare provider never discussed this with me when I started the pill (she was rather rushed for time). Plus, my questions were more oriented toward preventing pregnancy, not what to look for if I were to become pregnant. Searching the Internet for this issue garners mixed opinions/responses.

If you have time, could you (or anyone else) explain the biology behind why a withdrawal bleed means there is no pregnancy? If the pill "tricks" your body into believing it is pregnant, why does an endometrial lining still develop so that you bleed during the placebo week of the pill pack, as compared to when one is actually pregnant?

[ 01-21-2014, 09:48 AM: Message edited by: endplusone ]

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Heather
Executive Director & Founder
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Well, when someone is actually pregnant, they continue to develop that lining to nourish a fetus. So, pregnant or not, pill or not, that lining is usually going to develop in anyone with a functioning uterus and reproductive system.

The pill does not trick your body, exactly, into thinking it is pregnant, but if that is the shorthand for what it does that works best for you to understand it, then think of it not as a constant "pregnancy," but as one that results in the end of that pregnancy each time the placebo pills start. Make sense?

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Heather Corinna, Executive Director & Founder, Scarleteen
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Never doubt that a small group of thoughtful, committed citizens can change the world. Indeed, it is the only thing that ever has. - Margaret Mead

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endplusone
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So when I have a withdrawal bleed, it means there was no egg released or no fertilized egg. Otherwise the lining would have stayed intact. Correct?
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Heather
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You got it. [Smile]

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Heather Corinna, Executive Director & Founder, Scarleteen
About Me • Get our book!
Never doubt that a small group of thoughtful, committed citizens can change the world. Indeed, it is the only thing that ever has. - Margaret Mead

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endplusone
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Okay, good. Thank you for your help.
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