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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 55 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.
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Dr. Christine Hom
Pediatrics 31 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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Related questions

A female asked:
Missed 2 birth control pills, had unprotected sex, started my period right after, immediately took a pill. Period in 2 days, but spotting now; normal?
Dr. Harold Fields
Family Medicine 62 years experience
Sex: Any time you have unprotected sex there is à possibility of pregnancy. Do a home pregnancy test
Created for people with ongoing healthcare needs but benefits everyone.
A female asked:
On birth control never missed a whole day only a few hours one day last month. Started spotting a week before my period. Brown during my period. Help!
Dr. David Howard
42 years experience
See details: Missing a pill by a few hours does not usually cause abnormal bleeding but it can happen. This might affect the appearance of your usual menses. If ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A female asked:
I am on birth control, I did miss two but took them asap, and i have been spotting for the past 2 weeks after my period ended. What could this be?
Dr. Rujin Ju
Dr. Rujin Juanswered
15 years experience
Pregnant or nothing: do a home pregnancy test. if it's negative, then the spotting will likely resolve spontaneously.
Created for people with ongoing healthcare needs but benefits everyone.
A 22-year-old male asked:
My gf missed 2 birth control pills. has been spotting for almost 2 weeks. shes due for her period tuesday. on pill for about 4yrs. high chance preg?
Dr. Axel Martinez-Irizarry
Family Medicine 18 years experience
Not necessarily.: Missing 2 pills is like taking two placebo pills where the body thinks it's time to start your period. Doctors sometimes recommend to take the pills ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 24-year-old female asked:
Im on birth control missed my last period 2 weeks later had spotting 1day for maybe an hr then week later have spotting again.What could cause this?
Dr. Chevies Newman
Obstetrics and Gynecology 23 years experience
If taking the pill: Correctly it's not uncommon to miss a period. It's also not uncommon to have some spotting. There are other things that can cause both like pregnanc... Read More
Created for people with ongoing healthcare needs but benefits everyone.
Last updated Aug 25, 2021

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