On birth control getting "period pain" day before placebo week?

[juventus]

Hello, my girlfriend takes birth control where the last 7 days contain placebo pills. She usually gets her withdrawl bleed on that Tuesday or Wednesday. Also a day before that she gets ovarian and back pain as a sign.

This month she got ovarian and back pain on the last day of active pills. She is now in the placebo week and should get her withdrawal bleed soon

What is going on as she hasn't started her placebo pills yet, but still got that ovarian pains/cramps? Is something wrong with the active pills?

[juventus]

Well she did get her withdrawal bleed during the placebo week. But why would she get those ovarian pains before th placebo week (few days before). I would think those pains would come during the placebo week because she is no longer getting the active ingredient and therefore her withdrawal bleed and those pains.

But why would those pain come during the active week?

In the past she always got the ovarian pains during the placebo week?

[juventus]

Well she did get her withdrawal bleed during the placebo week. But why would she get those ovarian pains before th placebo week (few days before). I would think those pains would come during the placebo week because she is no longer getting the active ingredient and therefore her withdrawal bleed and those pains.

But why would those pain come during the active week?

In the past she always got the ovarian pains during the placebo week?

[Arti Sharma, M.D.]

Hi there,
Ovarian pains and cramps before menses could be a symptom of premenstrual syndrome. If your girlfriend has been taking her pills regularly and on the same time everyday these symptoms may not be due to pregnancy. She may wait for her periods. If she misses her periods or in case her pain increases it is suggested to visit a gynecologist for queries and concerns. Keep me posted.
Best luck and regards!