Brown Discharge After Stopping Birth Control Pills: Is It Normal? - Obstetrics and Gynecology

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I would like to ask if it is normal to have brownish blood starting from the second to third day after stopping the first pack of the contraceptive pill, given that I have been taking it consistently every day.
On the third day, I noticed a bit of bright red blood when wiping with toilet paper, but it is not heavy like a menstrual flow.
Is this considered a period, or something else?

thumbs up, 20~29 year old female. Ask Date: 2017/09/15

Dr. Huang Jianzhong reply Obstetrics and Gynecology


I have finished the first pack of the contraceptive pill and have been taking it on time every day.
During the 7 days of stopping the medication, I started noticing brownish blood on the 2nd to 3rd day after stopping.
Is this normal? Answer: It is normal.
On the 3rd day, when I wiped with toilet paper, there was a bit of bright red blood, but it wasn't heavy like a menstrual flow.
Is this also considered a period? Answer: Yes, it is considered a period.

Reply Date: 2017/09/15

More Info


Brown discharge after stopping birth control pills can be a common occurrence and is often not a cause for concern. When you stop taking hormonal contraceptives, your body may take some time to adjust to the changes in hormone levels. This adjustment period can lead to various symptoms, including spotting or brown discharge, which is typically old blood that has taken longer to exit the uterus.

When you take birth control pills, they work by regulating your menstrual cycle and suppressing ovulation. After stopping the pills, your body may not immediately return to its natural cycle, which can result in irregular bleeding or spotting. The brown discharge you are experiencing, especially if it occurs a few days after stopping the pills, can be attributed to the shedding of the uterine lining that may not have been fully expelled during your last menstrual cycle while on the pill.

The presence of a small amount of bright red blood after a few days of brown discharge is also not unusual. This can indicate that your body is beginning to resume its natural menstrual cycle. However, it is important to note that this bleeding is likely lighter than a typical menstrual period, which is common when transitioning off hormonal contraceptives.

In terms of timing, the first few months after stopping birth control can be unpredictable. Some women may experience a return to their regular menstrual cycle within a few weeks, while others may take several months to stabilize. If you notice that the bleeding becomes heavier, lasts longer than a week, or is accompanied by severe pain, it would be advisable to consult with a healthcare provider to rule out any underlying issues.

Additionally, if you are concerned about the possibility of pregnancy, it is important to consider that while birth control pills are effective at preventing pregnancy, they do not provide immediate protection once you stop taking them. If you have had unprotected intercourse after stopping the pills, it may be wise to take a pregnancy test if your period does not arrive as expected.

In summary, brown discharge after stopping birth control pills can be a normal response as your body adjusts to the hormonal changes. It is typically not a cause for concern unless accompanied by other troubling symptoms. If you have any doubts or if your symptoms persist, it is always best to consult with your healthcare provider for personalized advice and reassurance.

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