Withdrawal bleeding (Fake period)
When you use a hormonal method of birth control, like the Pill, you
no longer have an uterine cycle/a menstrual period. This is normal; it's
the way the Pill works and it lasts the entire time you use the Pill.
If you use the Pill for 7 years, you don't have uterine cycles/menstrual
periods for 7 years. How is that possible?
Briefly, while you take the Pill, your body hormone levels stay low
and, most importantly, they don't fluctuate. The levels of Pill hormones
are also pretty steady. So, since there are no longer any hormone
fluctuations, the lining of the uterus stays thin.
This is very important: the uterine lining stays thin ALL THE TIME,
for the entire time you use the Pill (not only throughout the month, but
throughout the 7 years in our example above).
No build-up of the lining means no periodic shedding. No shedding
means no menstrual period. This is how the Pill suppresses the menstrual
period (menstrual suppression). [Keep this term, menstrual suppression,
in mind; it's an essential term and we'll come back to it in a moment.]
What you do have when you use the Pill is a monthly withdrawal
bleeding episode, or a fake period. This withdrawal bleeding and the
menstrual period are not one and the same thing. Briefly, by
manipulating the dose of hormones in the Pill, you can destabilize the
thin uterine lining enough to cause some bleeding.
可能不至于是内膜脱落,但是内膜会出现一些异样导致bleeding。