A member asked:

Started second bc pack yesterday. spotting started again today. i had spotting & btb 20 out of 28 days on the first pack. im really upset what's wrong?

A doctor has provided 1 answer
Dr. Norma Jo Waxman answered

Specializes in Family Medicine

Take everyday? : If you forget to take your pill every day you will have breakthrough bleeding. If you are actually taking your birth control consistently, you may need a different dose. Also if you're taking St. John's wort over the counter, or other over-the-counter medications, they may cause interaction and spotting. Lastly I hope you don't smoke cigarettes. This is dangerous to do on the pill and can cause and can cause breakthrough bleeding

Answered 8/12/2015

2.4k views

Thank

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