Doctor insights on:
Breakthrough Bleeding On Hrt
Usually done to provide the hormones that would be deficient upon surgical removal or inactivity or malfunction of a hormone producing gland or organ. The endocrinologist is the medical specialist that specializes amongst other things, in doing just that. Insulin/glucagon-pancreas, thyroid hormone-thyroid, ovaries, testicles, hypothalamus, ...Read more
During HRT in a postmenopausal woman, does the endometrial cycle continue under the effect of the hormones? Does she have breakthrough bleeding?
Depends...: ...on the cause. If you're not on any hormones (like birth control pills), then this is not normal, and you should be examined right away. If you're taking birth control pills, you probably need a higher dose. ...Read more
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
Not necessary: This is more of a personal choice. Medically it is not unhealthy to have intercourse on your menses or with breakthrough bleeding. Many couples will only have intercourse on their menses because then they know they can't get pregnant. But if this is not acceptable to you or your partner just avoid those days. ...Read more
Please call your GYN: That is a common problem with proges only pills. ...Read more
Yes!: Absolutely. There are also other possible causes, but this is not to worry about unless it becomes a pattern. ...Read more
What is timing?:
Implantation is when the conceptus (from union of egg & sperm) attach to the wall of the uterus.
Bleeding most often dose not occur with implantation. If there is bleeding the amount is small. It may be small rust or brown colored drops or light pink swirled in white d/C. It usually occurs about ten days after ovulation. There is more blood w period. Take a HPT if you miss your period. ...Read more
Yes: Assuming you are taking birth control pills and that;s what you're referring to. Keep taking pills. ...Read more
Briefly: Breakthrough bleeding is often an indicator of a hormonal issue. Taking "extra" birth control pills" increases both Progesterone and estrogen, which is not the optimal way to treat this. The better option is th change to a more appropriate pill, usually meaning not a "lo dose" pill or a "triphasic" pill. ...Read more
Breakthrough bleed: Breakthrough bleeding (bleeding at the wrong time) is very common on birth control. It happens in about 1/3 of users. It 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 & does not mean something is wrong or that the pill is not working. Doubling up sometimes works. ...Read more
Vaginal bleeding: Bleeding in pregnancy is different than breakthrough bleeding as it has different causes. Spotting after sex, office exam and transvaginal ultrasound is common and come from the cervix usually, which bleeds easily in pregnancy. Bleeding more like a period can be from placenta previa, preterm labor, threatened or missed miscarriage (subchorionic bleeds). Only way to know for sure is call your OB ...Read more
Mostly just words: Irregular bleeding (on-or-off) pill is just what you think: any unplanned bleeding of any reason. Breakthrough bleeding is technically bleeding due to "slightly-low" hormone levels, usually estrogen but sometimes progesterone. Most spot tin ton pills is break thru, but if you had, say a polyp, it could cause irregular bleeding that's not breakthrough. ...Read more
Been spotting on and off for the past month. Been on pill for 1+ year, have never had breakthrough bleeding this long?
Options: Have you tried taking your pill twice daily for 5 to 10 days to stop the breakthrough bleed (btb)? If it's a persistent problem, it may be time to switch to a pill with a higher estrogen content (not sure which one you are on) to stabilize the lining of your uterus. Speak with your doctor and devise a plan together. He or she may also want to see you in the office for this problem. Good luck! ...Read more
I'm having breakthrough bleeding. Me and my partner, really want to get pregnant. Is it possible to still get pregnant?
Yes still possible:
Yes it is still possible
What generation of pill is Diane-35 ed? What pill would I be switched to if I have breakthrough bleeding due to diane-35?
OCP: Diane 35 in many countries is only indicated to treat severe acne and should not be prescribed as a birth control pill because of issues related to increased blood clot formation due the Progesterone in the pill (cyproterone). If it is being prescribed for contraception, please see your healthcare provider to discuss an alternative ...Read more