Heavy Bleeding While Taking Birth Control: Should You Continue?

Q: Heavy Bleeding While Taking Birth Control: Should You Continue?

Hello Miss 000： 1. It is more likely to experience an early onset of menstruation before finishing the first or second pack of birth control pills. 2. If the bleeding is already significant, it is advisable to stop taking the pills. 3. It is also recommended t

If you experience heavy bleeding before finishing your birth control pills, it is advisable to consult your healthcare provider. They can assess your situation and determine whether you should continue taking the pills or if any adjustments are necessary?

1.
I started my menstrual period on January 20 and took the emergency contraceptive pill, Meisi Nong (21 tablets), for the first time on the night of January 23.
I have been taking it at the same time every day without missing any doses.
However, on February 7, which was the 16th day after starting the pill, I began to experience light bleeding.
After researching online, I found that it is common to have bleeding when taking emergency contraception for the first time.
However, as of today, February 10, the bleeding has increased to what seems like a normal menstrual flow.

First, I would like to ask if this is abnormal bleeding or my menstrual period? Second, since I initially thought this was a normal occurrence, I have continued taking the emergency contraceptive pill.
Can I continue to finish the pack? Third, if this bleeding is indeed my menstrual period, should I start taking the next pack of emergency contraceptive pills on the fifth day of my period, which would be July 11?
Thank you for your clarification, doctor.

zero zero, 10~19 year old female. Ask Date: 2017/02/10

Dr. Huang Yiwen reply Obstetrics and Gynecology

Hello Miss 000: 1.
It is more likely to experience an early onset of menstruation before finishing the first or second pack of birth control pills.
2.
If the bleeding is already significant, it is advisable to stop taking the pills.
3.
It is also recommended that you try taking the second pack on February 11.
If the same situation occurs again, consider switching to a different brand of birth control pills.

Reply Date: 2017/02/10

More Info

When it comes to heavy bleeding while taking birth control pills, it’s essential to understand the potential causes and implications of such symptoms. Birth control pills, particularly combination pills, can sometimes cause irregular bleeding, especially during the first few months of use. This phenomenon is often referred to as "breakthrough bleeding."
1. Understanding the Bleeding: In your case, since you started taking the birth control pill on January 23 and began experiencing bleeding on February 7, it is possible that this bleeding is a result of your body adjusting to the hormones in the pill. Breakthrough bleeding is relatively common in the initial months of starting a new contraceptive method. However, if the bleeding has increased to the point where it resembles a normal menstrual flow, it may warrant further investigation.
2. Should You Continue Taking the Pills?: If you have been taking the pills consistently and correctly, it is generally advisable to continue taking them as prescribed. Stopping the pills abruptly can lead to hormonal fluctuations and may cause further irregularities in your menstrual cycle. However, if the bleeding is excessively heavy, or if you experience severe pain or other concerning symptoms, it is crucial to consult with a healthcare provider. They may recommend a different formulation of birth control or investigate other potential causes of the bleeding.

3. Next Steps Regarding Your Cycle: If the bleeding you are experiencing is indeed your period, you would typically start your next pack of pills on the fifth day of your menstrual cycle, which would be around February 11 in your case. However, if you are unsure whether the bleeding is a result of the pill or your actual period, it is best to consult with a healthcare professional. They can provide guidance based on your specific situation and may suggest monitoring your symptoms over the next few cycles.

4. When to Seek Medical Attention: If you experience any of the following, you should seek medical attention:
- Heavy bleeding that requires changing a pad or tampon every hour for several consecutive hours.

- Severe abdominal or pelvic pain.

- Symptoms of anemia, such as extreme fatigue, weakness, or dizziness.

- Any other unusual symptoms that concern you.

5. Potential Causes of Heavy Bleeding: There are various reasons for heavy bleeding while on birth control, including:
- Hormonal imbalances.

- The type of birth control pill being used.

- Other underlying medical conditions such as fibroids or polyps.

- Infections or other gynecological issues.

6. Conclusion: In summary, while some bleeding can be a normal side effect of starting birth control pills, it is essential to monitor the situation closely. Continuing to take the pills as prescribed is generally recommended unless otherwise advised by a healthcare professional. If the bleeding persists or worsens, or if you have any concerns, do not hesitate to reach out to your doctor for personalized advice and potential adjustments to your contraceptive method. Regular follow-ups and open communication with your healthcare provider can help ensure that you find the most suitable birth control method for your needs while minimizing any adverse effects.

Similar Q&A

Heavy Bleeding While on Birth Control: Causes and Solutions

I inquired about methods to stop menstruation earlier today, reference number 195573. I've been experiencing continuous bleeding while on birth control pills, and I wanted to ask about alternative methods to stop menstruation. Typically, the bleeding isn't excessive, la...

Dr. Zhang Kunmin reply Obstetrics and Gynecology
Hello, based on your description, it is recommended that you consult a physician to arrange for relevant examinations in order to achieve an accurate diagnosis and treatment. Thank you! Wishing you safety and health. Dr. Chang

Understanding Breakthrough Bleeding: Should You Continue Birth Control?

I have been taking birth control pills, but I experienced bleeding and stopped taking them. Now I am bleeding again. I have already purchased a new pack of pills because I stopped taking them on the day I started bleeding. This time, the bleeding is very light, just a few drops. ...

Dr. Zhong Wenzhen reply Obstetrics and Gynecology
Hello: 1. Spotting or light bleeding during the use of oral contraceptives is a common concern. 2. This may be due to low hormone levels in the formulation or a higher metabolic rate in the user (commonly referred to as a mismatch in body chemistry). Proper management includes: 1...

Managing Breakthrough Bleeding While on Birth Control Pills

On September 9th, I started taking the contraceptive pill after my period began. My period ended on the 14th, but a couple of days later, I noticed some brown discharge. On the 17th, I experienced heavier bleeding accompanied by cramps. I went to a gynecologist for a check-up, an...

Dr. Wu Xianghui reply Obstetrics and Gynecology
1. It is recommended to observe for 1 to 2 months, and if the same condition persists, consider changing the medication. 2. You may also discuss with the prescribing physician to make a decision.

Heavy Bleeding After Starting Winstop 30: What Should You Do?

After taking the prescribed birth control pills for nine days, you experienced heavy bleeding at night, along with light bleeding and blood clots in the first two to three days. Should you continue taking the pills, and does this count as your period? You previously had a diagnos...

Dr. Wu Xianghui reply Obstetrics and Gynecology
Abnormal bleeding and irregular menstrual cycles can have many underlying causes. If bleeding persists for more than a week or if there are other concerning symptoms, it is recommended to consult a gynecologist for evaluation.