Bleeding While on Birth Control: What You Need to Know

Bleeding during the use of contraceptive pills?

Hello Doctor: I would like to ask, during the period I was taking the oral contraceptive pill, I forgot to take it one day.
Although I took it the next day, I started bleeding on the day I missed the dose.
Should I stop taking the pill?

Sophia, 20~29 year old female. Ask Date: 2016/05/03

Dr. Zhang Kunmin reply Obstetrics and Gynecology

Hello, if you miss taking an effective contraceptive pill for more than 12 hours, in addition to taking the missed pill, it is advisable to use an additional barrier method for seven days.
If the missed pill is more than 24 hours late, you should stop taking the current contraceptive pill for seven days (including the days you missed) and then continue with the next cycle.
If you miss a pill and do not experience expected withdrawal bleeding during the subsequent pill-free interval, you should suspect the possibility of pregnancy.
If you take the missed pill within 24 hours, there is no need to stop taking the medication; you can continue as scheduled.
Once your body adjusts to the contraceptive pill, abnormal bleeding should cease.
However, if irregular bleeding persists for more than three months or if there is heavy bleeding, you should consult a physician for advice.
Thank you! Wishing you peace and health.
Dr.
Zhang

Reply Date: 2016/05/03

More Info

When it comes to bleeding while on birth control pills, it's important to understand that this can be a common occurrence and may not necessarily indicate a serious problem. Birth control pills, particularly combined oral contraceptives, work by regulating hormones in the body to prevent ovulation and manage the menstrual cycle. However, missing a pill can disrupt this hormonal balance, leading to unexpected bleeding or spotting.

In your case, since you missed a pill and then experienced bleeding on the same day, this could be a result of the hormonal fluctuation caused by the missed dose. It's generally recommended to take the missed pill as soon as you remember, even if it means taking two pills in one day. After catching up, continue taking the remaining pills as scheduled. Most importantly, do not stop taking your birth control pills unless advised by your healthcare provider.

Bleeding while on birth control can be categorized into several types:
1. Breakthrough Bleeding: This is light bleeding or spotting that can occur between periods while on the pill. It is often more common during the first few months of starting a new birth control method and may decrease over time as your body adjusts.

2. Missed Pill Bleeding: As you experienced, missing a pill can lead to withdrawal bleeding, similar to what you would experience during your period. This is usually not a cause for concern, especially if you resume taking your pills correctly.

3. Menstrual Cycle Changes: Birth control pills can alter your menstrual cycle, leading to lighter periods or even skipped periods. Some women may experience irregular bleeding during the initial months of use.

4. Other Factors: Stress, illness, changes in weight, or other medications can also affect your menstrual cycle and lead to unexpected bleeding.

If the bleeding is heavy, lasts longer than a few days, or is accompanied by severe pain, it would be wise to consult your healthcare provider. They can evaluate your situation and determine if any adjustments to your birth control method are necessary.
In summary, if you miss a pill and experience bleeding, continue taking your pills as directed after making up for the missed dose. Monitor your bleeding, and if it persists or worsens, seek medical advice. Birth control pills are generally safe and effective, but it's essential to communicate with your healthcare provider about any concerns or unusual symptoms you may experience.

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