Vag bleeding and severe cramps x 3 days on lo 1.0 bc. taking >18 mos. pelvic us shows ovulation and menstruation. need lo bc for lupus.what now?

Unclear: If you are bleeding at the wrong time this is called breakthrough bleeding and is common on low dose pills. If your bleeding at the right time but it is a painful consider other birth control options. Mirena (levonorgestrel) IUD is a safer choice for someone with lupus as it does not contain any Estrogen. The side effect is light or no periods