Breakthrough Bleeding and Mood Changes on Birth Control Pills

Bleeding while taking contraceptive pills and issues related to depression?

Hello, I would like to ask the doctor about issues related to taking birth control pills.
My girlfriend started taking Yaz on the first day of her period on September 23 (Friday), and she has experienced bleeding during the first and second weeks after her period ended.
There was blood on the condom after intercourse, and the amount was enough to leave a red spot the size of a 50-cent coin on the sheets.
She also frequently experiences symptoms such as dizziness, nausea, and depression.
I would like to ask: 1.
If she wants to improve the bleeding situation, should she switch to a higher-dose birth control pill (like Yasmin)? 2.
Is it possible that switching to another medication could alleviate the dizziness, nausea, and depression side effects? 3.
Or is it that since this is her first month on the pill, her body is still adjusting, and the bleeding and other side effects may improve in the second month? I would greatly appreciate the doctor's answers to these questions.
Thank you very much!

kim, 20~29 year old female. Ask Date: 2016/10/12

Dr. Cao Guotao reply Obstetrics and Gynecology

Hello, starting the birth control pill on the fifth day of your menstrual cycle and experiencing light bleeding may indicate that the dosage is insufficient.
Additionally, frequent symptoms such as dizziness, nausea, and depression have been noted.
It is advisable to consider switching to a different type of birth control pill next time.
Wishing you good health.

Reply Date: 2016/10/12

More Info

When it comes to understanding breakthrough bleeding and mood changes while on birth control pills, it's essential to recognize that these experiences can vary significantly among individuals. Your girlfriend's situation, where she has been experiencing bleeding and symptoms such as dizziness, nausea, and mood swings after starting the birth control pill, is not uncommon, especially during the initial months of use.

1. Breakthrough Bleeding: Breakthrough bleeding is a common side effect when starting hormonal contraceptives. It can occur as the body adjusts to the new hormone levels. In your girlfriend's case, since she started taking the pill on the first day of her menstrual cycle, her body might still be adapting to the hormonal changes. This bleeding can happen during the first few months of taking the pill and often resolves as the body adjusts. If the bleeding persists beyond three months, it may be worth consulting a healthcare provider to discuss potential adjustments to her birth control method.

2. Adjusting Dosage: If the breakthrough bleeding continues and is bothersome, switching to a different formulation or a pill with a higher estrogen dose might help. However, this should be done under the guidance of a healthcare professional. Different formulations can have varying effects on individuals, and what works for one person may not work for another. A healthcare provider can help determine the best course of action based on her specific symptoms and health history.

3. Side Effects: The symptoms of dizziness, nausea, and mood changes can also be side effects of hormonal contraceptives. These symptoms may improve as her body adjusts to the hormones in the pill. However, if these side effects are severe or do not improve after a few months, it may be advisable to consider alternative contraceptive methods or formulations. Some individuals may respond better to different types of birth control, such as progestin-only pills, patches, or intrauterine devices (IUDs).

4. Adaptation Period: It is common for individuals to experience side effects during the first month of taking birth control pills as their bodies adapt to the new hormones. Many women find that these side effects diminish after the first few cycles. However, if the symptoms are significantly impacting her quality of life, it is crucial to seek medical advice sooner rather than later.

In summary, while breakthrough bleeding and mood changes can be concerning, they are often part of the adjustment period when starting birth control pills. It is essential to monitor these symptoms and consult with a healthcare provider if they persist or worsen. They can provide personalized advice and may suggest alternative contraceptive methods that could better suit her needs. Always prioritize open communication with healthcare professionals to ensure the best outcomes for reproductive health.

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