Brown Discharge After Missed Birth Control Pills - Obstetrics and Gynecology

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Emergency contraceptive pill


This month, I missed taking the emergency contraceptive pill for two days on the sixth day, then took two pills for the next two consecutive days, and afterwards took one pill each day.
However, the day after taking the two pills, I noticed some brown discharge, which continued for a few days.
During my normal ovulation period, I also experienced slight brown discharge.
Is this considered normal? (I did not have any sexual intercourse after missing the pills.)

Niming, 10~19 year old female. Ask Date: 2021/04/10

Dr. Cao Guotao reply Obstetrics and Gynecology


Hello, it may be due to missing a dose of medication; just monitor the situation.
Wishing you good health.

Reply Date: 2021/04/10

More Info


Brown discharge after missing birth control pills can be a common occurrence and is often not a cause for concern. When you miss a couple of pills and then take two in one day, your body may respond with some irregular bleeding or spotting. This is due to the hormonal fluctuations that occur when the levels of hormones in your body are disrupted by missed doses of the pill.

Birth control pills work by maintaining consistent hormone levels to prevent ovulation and regulate your menstrual cycle. When you miss pills, especially during the first week of the cycle, it can lead to a drop in hormone levels, which may cause breakthrough bleeding or spotting. The brown color of the discharge typically indicates older blood, which is common during the menstrual cycle and is often seen at the beginning or end of a period.

In your case, since you mentioned that you did not engage in sexual intercourse after missing the pills, the brown discharge is likely not related to pregnancy. However, it is essential to monitor your symptoms. If the discharge continues for an extended period, becomes heavier, or is accompanied by other symptoms such as pain or discomfort, it would be wise to consult with a healthcare provider.

Additionally, it’s important to remember that missing birth control pills can reduce their effectiveness, increasing the risk of unintended pregnancy. If you find yourself missing pills frequently, you might want to discuss alternative contraceptive methods with your healthcare provider that may be more suitable for your lifestyle.

In summary, brown discharge after missing birth control pills can be a normal response to hormonal changes. However, if you have concerns or if the symptoms persist, it’s always best to seek medical advice for personalized guidance and reassurance.

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