The doctor may recommend a different type of pill or investigate other possible causes of the bleeding. Spotting often occurs in the first 6 months of taking a new birth control pill.
It may take time for the pills to regulate the menstrual cycle as the body needs to adjust to the new hormone levels. As a result, a person may still experience some irregular bleeding between periods initially. Doctors do not fully understand why spotting occurs at this time. One possible reason is that an increase in progestin leads to changes in the lining of the uterus, called the endometrium.
Progestin may thin the endometrial lining, which can cause some bleeding initially. A thinner lining helps prevent pregnancy as a fertilized egg cannot implant as effectively. If a person has taken birth control pills for more than 6 months and still experiences spotting, it may indicate another underlying condition.
However, most of the time, spotting occurs because the levels of hormones in birth control pills are not high enough to prevent occasional bleeding. The body may require more estrogen , which thickens the uterine lining and may reduce the likelihood of bleeding and spotting. Alternatively, the body may not respond as effectively to the synthetic progestin in the pills, allowing spotting to occur. Neither of these issues is cause for concern, but both could indicate that the individual should try another pill type.
These include:. If it has been longer than 6 months and spotting still occurs, switching to a different type of pill may help. Spotting may be light enough that a person does not have to wear a pad or tampon. However, some people may wish to wear a thin panty liner to avoid staining clothing. A light or regular tampon can also help. While some people take birth control pills for decades without any problems, others experience troublesome side effects.
A person should call the doctor if any of the following occur:. If a person is still spotting after taking the pill for 6 months, the doctor may wish to change the prescription.
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Back to search results. Also in this issue: Contraception October Focus The management of irregular bleeding in women using contraception. There's also some evidence that smoking can make breakthrough bleeding more likely, Cameron points out.
Additionally, it can sometimes occur with STIs such as chlamydia. And while unexpected bleeding on the pill is usually completely benign, it's important to be aware that occasionally it can be a sign of ectopic pregnancy, or very rarely due to womb and cervical cancer. So if it's not normal for you, you should get it checked out. But as long as there's nothing harmful going on, there are some women who are prepared to put up with it in order to have an effective method of contraception.
Many women experience mood swings around their period. So could breakthrough bleeding also be associated with PMS , even if you've been taking the same dose of hormones every day?
Anecdotal reports suggest feeling anxious or agitated when breakthrough bleeding occurs is common. But Cameron says the evidence for this is currently unclear. If you're taking a contraceptive method that's switching your natural cycle off and giving you a continuous dose, it's hard to see why it would affect your mood. But some researchers believe these mood swings have more to do with a certain part of the brain than the ovaries, Cameron reveals.
And there are a lot of combinations of pills, or other methods of contraception, to try. Some women also prefer not to run packs of pill together for fear of the monster bleed and cramps that will await when they do eventually take a break. But Cameron believes this shouldn't be a big concern. And for some women, they may be able to go a long period of time without getting any bleeding on it. Because for them, that combination of hormones on the lining of their womb results in a very minimal thickening.
If this four-day break doesn't improve the bleeding, seek advice from your GP or local sexual health clinic. I had been on Gederal for about a year before requesting to change to Yazmin. I've been given Yacella which I' Disclaimer: This article is for information only and should not be used for the diagnosis or treatment of medical conditions.
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