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A 48-year-old female asked:
I started birth control pills a year ago to regulate my hormones for my peri menopause. i am using continues method. also taking 75mg trazodone and 3mg melatonin at bedtime. i am always get spotting often. it's been a year?
1 doctor answer • 2 doctors weighed in
Dr. John Berrymananswered
Obstetrics and Gynecology 56 years experience
Low dose oral bcp's combination pills require punctuality to suppress perimenopausal spotting: take the active pills within the same hour as the prior day's active pill, and take four packs consecutively (without taking the placebo pills) while maintaining a punctual schedule, which will diminish perimenpause symptoms and reduce/eliminate frequent spotting.
Created for people with ongoing healthcare needs but benefits everyone.
Reviewed May 19, 2021
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