Light Bleeding After 20 Days on Yaz: Should I See a Doctor? - Obstetrics and Gynecology

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Bleeding after taking Yuezhi for 20 days?


Hello doctor, I started taking Yaz on the first day of my last menstrual period and had sexual intercourse about 10 days later, with 2 to 4 instances of ejaculation inside.
Recently, I have noticed slight bleeding from my genital area, as well as symptoms like drowsiness, increased hunger, and bloating.
Should I see a doctor, or are these symptoms considered normal? Thank you, doctor.

Jun, 20~29 year old female. Ask Date: 2021/06/01

Dr. Huang Yiwen reply Obstetrics and Gynecology


This question has been answered before.

Reply Date: 2021/06/01

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When experiencing light bleeding after starting a new contraceptive pill like Yaz, it is essential to understand the potential causes and whether it warrants a visit to a healthcare provider. Yaz is a combination oral contraceptive that contains estrogen and progestin, and it is commonly used for birth control, as well as to regulate menstrual cycles and alleviate symptoms of premenstrual dysphoric disorder (PMDD).

Light bleeding or spotting can occur during the first few months of starting a new birth control pill. This phenomenon is often referred to as "breakthrough bleeding." It is not uncommon for individuals to experience irregular bleeding patterns as their bodies adjust to the hormonal changes induced by the contraceptive. This adjustment period can last for a few months, and many women find that their cycles stabilize after this initial phase.

In your case, since you mentioned that the light bleeding started about 20 days after beginning Yaz, it could very well be a normal side effect as your body adapts to the medication. Other symptoms you described, such as fatigue, increased hunger, and bloating, can also be attributed to hormonal changes caused by the pill. These side effects are generally mild and tend to resolve as your body becomes accustomed to the medication.

However, there are several factors to consider when deciding whether to see a doctor:
1. Duration and Severity of Bleeding: If the light bleeding persists for an extended period or becomes heavier, it is advisable to consult a healthcare provider. Prolonged or heavy bleeding could indicate a need for a reassessment of your contraceptive method.

2. Other Symptoms: If you experience additional concerning symptoms, such as severe abdominal pain, unusual discharge, or signs of infection (e.g., fever, chills), it is crucial to seek medical attention promptly. These symptoms could indicate a more serious condition, such as an ectopic pregnancy or pelvic inflammatory disease (PID).

3. Pregnancy Concerns: If there is any possibility of pregnancy (especially with unprotected intercourse), it is essential to take a pregnancy test. While Yaz is effective when taken correctly, no contraceptive method is 100% effective. If you suspect you might be pregnant, seeing a doctor is necessary for appropriate evaluation and guidance.

4. Personal Health History: If you have a history of irregular cycles, hormonal imbalances, or any other gynecological issues, it may be prudent to discuss your symptoms with a healthcare provider. They can help determine if the current bleeding is a normal response to Yaz or if further investigation is needed.

In summary, while light bleeding after starting Yaz can be a normal occurrence, it is essential to monitor the situation closely. If the bleeding continues, worsens, or is accompanied by other concerning symptoms, it is advisable to schedule an appointment with your healthcare provider. They can provide personalized advice and determine if any adjustments to your contraceptive method or further evaluation are necessary. Always prioritize your health and well-being, and do not hesitate to seek medical advice when in doubt.

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Hello, doctor. I started taking Yaz about 10 days after the first day of my last menstrual period and had sexual intercourse 2 to 4 times with ejaculation inside. Recently, I noticed some slight bleeding from my genital area, along with symptoms like drowsiness, increased hunger,...


Dr. Huang Yiwen reply Obstetrics and Gynecology
This question has already been answered.

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