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A 20-year-old female asked:

I missed 2 of my birth control pills, i took 2 pills when i remembered and i have been spotting for the last 24 hours. when will this stop and do i just keep taking the active pills as normal? period is due in 2 weeks, will it still come on time?

2 doctor answers2 doctors weighed in
Dr. John Berryman
Obstetrics and Gynecology 54 years experience
"missed bcp" ?'s: Missing even two active pills in the middle of a cycle or oral BCP's will result in withdrawal bleeding, as estrogen fluctuations will cause this as levels suddenly decrease intermittently. With each bcp cycle, there are seven days of "missed active pills" with each pack, and pregnancy will not occur, so missing two pills may cause mild bleeding but odds of pregnancy are minimal.
Dr. Christine Hom
Pediatrics 30 years experience
Keep taking your pills as directed, and be sure to use a backup contraceptive method for the rest of the month, until after your withdrawal bleed during the placeholder pills. If you keep on schedule, the expected period may be a bit light, but that will be the correct timing.

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Last updated Aug 25, 2021

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