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Doctor insights on: Breakthrough Bleeding No Period Pill

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Forgot to take 5 days worth of pills & then doubled up to catch up. Had breakthrough bleeding & then finished pills. Period not here? Start New pack?

Forgot to take 5 days worth of pills & then doubled up to catch up. Had breakthrough bleeding & then finished pills. Period not here? Start New pack?

Do a pregnancy test: If you miss more than 24 hours of pills, then you are not "safe" from pregnancy. So you should do an OTC test first before you start the next pack. If you have been sexually active during that week, than you need to wait at least 10 days after sex to know that you are not pregnant. If that is the case, then start the next pack. You should use a backup method for that cycle. ...Read more

Breakthrough Bleeding (Definition)

Breakthrough bleeding = vaginal bleeding ...Read more


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If you have breakthrough bleeding from missed pills will you still have a period?

If you have breakthrough bleeding from missed pills will you still have a period?

Usually: Most of the time if a woman misses a pill or is late and has break through bleeding she will still get a period at the usual time. I have had patients though who have had break through bleeding and then skipped a period altogether. If the break through bleeding is from missed pills and there's no period check a pregnancy test. With missed pills use back up method of for the rest of the pack. ...Read more

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Period last dec. 14-17. Had breakthrough bleeding dec. 25-31 then stopped pills. Around when should my next period be? when to test if pregnant?

Period last dec. 14-17. Had breakthrough bleeding dec. 25-31 then stopped pills. Around when should my next period be? when to test if pregnant?

Hard to guess: After stopping pills in the middle of a birth control pill pack, there may be some withdrawal bleeding. It is hard to guess when the next normal period will be, as that might depend on a woman ovulating within 2-3 weeks (but not every woman ovulates within 2-3 weeks after stopping the pills). So, if no real menstrual period occurs about 5 weeks after this withdrawal bleeding, can do a preg. test. ...Read more

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I normally skip a period occasionally but have skipped 2 now using the pill and I've been breakthrough bleeding for over a week. When will it stop?

I normally skip a period occasionally but have skipped 2 now using the pill and I've been breakthrough bleeding for over a week. When will it stop?

Breakthrough bleed: Breakthrough bleeding (bleeding at the wrong time) is very normal on birth control. It happens in about 1/3 of users. Its no big deal and usually self corrects over time. If you are not satisfied or it continues to happen then consider using a different birth control method. It is a common side effect and does not mean something is wrong or that the pill is not working. ...Read more

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Sex 6 days before my period and I've had a regular period since I stopped taking the pills and the day after got breakthrough bleeding nexy day preg?

Sex 6 days before my period and I've had a regular period since I stopped taking the pills and the day after got breakthrough bleeding nexy day preg?

Unclear question: It is too soon to know if you are pregnant. If you miss your period by 4-5 days, do a home pregnancy test. If the result is negative repeat the test 4-5 days later unless you get a period by then. Use first morning urine and follow the instructions for the test carefully. ...Read more

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Why when you miss4 consecutive pills do u start breakthrough bleeding 1week and next week cramping and the next cramping and spottin 4days b4 period?

Why when you miss4 consecutive pills do u start breakthrough bleeding 1week and next week cramping and the next cramping and spottin 4days b4 period?

Hormone withdrawal: When you are on hormones and suddenly stop them, you will get bleeding. This is exactly what happens at the end of a cycle when Progesterone levels fall as well. Look at the graph in the attached image for the change in hormones throughout the cycle. ...Read more

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I had breakthrough bleeding after a missed pill about a week ago. Now my period has only been about 2 swipes of brown blood. Is this okay?

I had breakthrough bleeding after a missed pill about a week ago. Now my period has only been about 2 swipes of brown blood. Is this okay?

Sexually active? : If you haven't been sexually active, this is not unexpected when the hormone cycle is interrupted. As the next cycle or two of pills goes on, your periods should regulate again. Be sure to abstain from sex or use alternative means of contraception if you miss a pill in the future. ...Read more

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Missed 4 pills my first month on Losterin1/20 had a breakthrough bleeding 2nd week heavy now no period on sugar pills been off it for 1wk 5days why?

Missing Pills: Missing that many BC pills is absolutely likely to result in irregular bleeding. First do a pregnancy test to make sure you are not pregnant. if negative, don't worry about the irregular cycle. However, if you cannot reliably take BCPs, you need to find an alternative source of contraception like IUD or Implanon if you don't want to get pregnant. ...Read more

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On bc 4 months. Had unprotected sex 6 days after period, & brown breakthrough bleeding for the 1st time on this pill 5 days after. Should i be worried?

On bc 4 months. Had unprotected sex 6 days after period, & brown breakthrough bleeding for the 1st time on this pill 5 days after. Should i be worried?

Not likely: If you haven't missed any pills then the likelihood of you being pregnant is very low. It can be normal to have some breakthrough bleeding, even on the birth control pill. Chance of pregnancy using birth control perfectly over course of year is around 4-6%, so pretty low. But not zero. Good luck! ...Read more

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I started bc a month ago to regulate my period now on day 4 of placebo pills and still no breakthrough bleeding???? Why is this?

I started bc a month ago to regulate my period now on day 4 of placebo pills and still no breakthrough bleeding???? Why is this?

It happens: Sometimes the Bc affects the lining of the uterus in this way.So insteAd of bleeding you have none because the lining is thin. ...Read more

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I've had breakthrough bleeding before my period 3 months in a row.Then my period doesn't come after.Is this normal after a yr on the pill?

I've had breakthrough bleeding before my period 3 months in a row.Then my period doesn't come after.Is this normal after a yr on the pill?

Yes: It is very common to have severe reduction in bleeding volume when on the OCP. That is a major indication. Regarding the timing, try not taking any of the sugar pills for the next 3 months and see what happens. ...Read more

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Miss 3 bc pills had breakthrough bleeding had period for maybe 1-2 days is this a sign of pregnancy?

Miss 3 bc pills had breakthrough bleeding had period for maybe 1-2 days is this a sign of pregnancy?

Maybe not, but...: It can be hard to tell if a woman is pregnant because some of the symptoms seen in early pregnancy can also happen in non-pregnant women. A urine pregnancy test gives a reliable result if done correctly. One can test about 3 weeks after sex (3 weeks after when conception might have occurred). ...Read more

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I had breakthrough bleeding and then no period. I am on the pill and I am sexually active. What could this mean?

I had breakthrough bleeding and then no period.  I am on the pill and I am sexually active.  What could this mean?

Pill effect: If you miss any pills you can see this so i would check a pregnancy test if that is the case. A very low dose pill can cause breakthrough and even no periods. ...Read more

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Is breakthrough bleeding from the pill usually red or brown? My period just ended then seemed to "restart" with light spotting. I'm new to the pill.

Is breakthrough bleeding from the pill usually red or brown? My period just ended then seemed to "restart" with light spotting. I'm new to the pill.

Old "period" blood: The bleeding from a pill period is hormone withdrawal 'bleeding" and can accumulate in the vagina after the individual thinks the period is over. Subsequently, a day or two later the blood comes out of the vagina. ...Read more

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1St month on Losterin1-20fe had a breakthrough bleeding on 2nd week now on my5th day of my sugar pill no period i have irregular periods normally ?

1St month on Losterin1-20fe  had a breakthrough bleeding on 2nd week now on my5th day of my sugar pill no period i have irregular periods normally ?

Common: It is common to have break thru bleeding on the first pack of any birth control pill. These are low dose pills so they stimulate very little growth of the uterine lining so there is very little to bleed off each month. Your cycle should be more normal on the second package as long as you take them right. The bleeding does not decrease the protection against pregnancy. ...Read more

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What's going on?! if i used birth control for 6 months, without any breakthrough bleeding but i skipped my period this past month by just taking my active pills and not taking the inactive pills (for a special occasion) and am having breakthrough bleeding

What's going on?! if i used birth control for 6 months, without any breakthrough bleeding but i skipped my period this past month by just taking my active pills and not taking the inactive pills (for a special occasion) and am having breakthrough bleeding

Side effects: Most women who take birth control pills have no side effects, but the most common side effect in the first 1-3 months is irregular bleeding that gets better over time. Missed pills can also cause breakthrough bleeding. Extending the cycle increases risk of btb. Otc meds such as Ibuprofen or Naproxen can help breakthrough bleeding. ...Read more

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Wha's going on? If i used birth control for 6 months, without any breakthrough bleeding but i skipped my period this past month by just taking my active pills and not taking the inactive pills (for a special occasion) and am having breakthrough bleeding n

Wha's going on? If i used birth control for 6 months, without any breakthrough bleeding but i skipped my period this past month by just taking my active pills and not taking the inactive pills (for a special occasion) and am having breakthrough bleeding n

Since : Since you have been using your pills correctly, you have a less than 1% chance of being pregnant. More likely, the breakthrough bleeding is a side effect from taking the active pills to skip your last period. Technically, the active pills should cause high enough hormone levels to keep the uterine lining that builds up during the month from sloughing off. However, in some women, when a period is skipped the lining builds up so much that it just starts to come off despite the active pills leading to breakthrough bleeding. This should normalize for you with your next cycle. If you continue to have abnormal or breakthrough bleeding, give your doctor a call. Good luck! ...Read more

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Heavy breakthrough bleeding & bad cramps. My period comes in 3wks and my pill cycle is 12wks. I took acyclovir could this be why it's happening?

Possible: antibiotics and antivirals can affect the way birth control pills are absorbed. anyone taking an extended pill pack also has a higher chance of breakthrough bleeding and spotting. ...Read more

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Can you have a period right after breakthrough bleeding ? And is it bad to stop taking your birth control pills all together on your second activ week

Can you have a period right after breakthrough bleeding ? And is it bad to stop taking your birth control pills all together on your second activ week

Yes/yes: it would be common to have a period after breakthrough bleeding and if this happens often a change in birth control pills might be indicated to get something stronger. If you don't take them during your second active week you are likely to get pregnant. however, it you are trying to get pregnant it is best to stop them during your period. ...Read more

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Hi! i'm skipping my period using triphiasic pill. Is heavy cramping normal? On day 6 of 2nd pack, when period'd normal start. No breakthrough bleeding

Hi! i'm skipping my period using triphiasic pill. Is heavy cramping normal? On day 6 of 2nd pack, when period'd normal start. No breakthrough bleeding

It is difficult: For you to do continuous birth control using a triphasil (ethinyl estradiol and levonorgestrel) pill since the estrogen levels change every week. If you want to do continuous birth control than i would recommend switching to a monophysite pill. The cramping, etc is coming from your body wanting to have your period and now hit with large doses of estrogen again. ...Read more

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On continuous birth control and had breakthrough bleeding for 3 weeks, stopped the pill for 2 days to have period. When am i safe again without condom?

Depends: If you are in the third month of the continuous pill and have not skipped any other pills, you will probably be safe after your bleeding is under control in one month. Break through bleeding may mean that is not the right pill for you, so talk to your provider. ...Read more

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Can breakthrough bleeding be as heavy as a period? I missed a birth control pill and woke up with somewhat heavy bleeding.

Can breakthrough bleeding be as heavy as a period? I missed a birth control pill and woke up with somewhat heavy bleeding.

Breakthrough bleed: Breakthrough bleeding (bleeding at the wrong time) is very common on birth control. It happens in about 1/3 of users. Its no big deal and usually self corrects over time. If you are not satisfied or it continues to happen then consider using a different birth control method. It is a common side effect and does not mean something is wrong or that the pill is not working. ...Read more

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If I am on the pill & had breakthrough bleeding, is it likely that i may be pregnant if i don't get my period during the sugar pills?

If I am on the pill & had breakthrough bleeding, is it likely that i may be pregnant if i don't get my period during the sugar pills?

Not very likely: When a woman is on bcp and has break through bleeding, sometimes she won't bleed when she's on the sugar pills. Often break through bleeding can be caused by taking the pills late or missing one or two. The first time this happens - not bleeding on the sugar pills - i recommend a woman check a pregnancy test just to make sure. ...Read more

Dr. Alan Patterson
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Bleeding (Definition)

Bleeding = ...Read more