A member asked:

Why when you miss4 consecutive pills do u start breakthrough bleeding 1week and next week cramping and the next cramping and spottin 4days b4 period?

A doctor has provided 1 answer

Hormone withdrawal: When you are on hormones and suddenly stop them, you will get bleeding. This is exactly what happens at the end of a cycle when Progesterone levels fall as well. Look at the graph in the attached image for the change in hormones throughout the cycle.

Answered 6/30/2014

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