Brownish Discharge While Taking Yaz: Causes and Solutions - Obstetrics and Gynecology

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The use of the contraceptive pill Yezzi may result in the presence of blood-tinged discharge?


Hello, doctor.
I have been taking Yaz for five months, and I suddenly started experiencing blood-tinged discharge (both red and brown) that has lasted for almost two weeks.
Is this spotting? Can side effects occur several months after starting the medication? Could the cause be that the Yaz dosage is too low? Is it possible to temporarily increase the dosage (for example, to 1.5 pills) to alleviate this symptom? Should I wait until I finish this pack before consulting a gynecologist to switch to a new brand of medication? Thank you for your response.

Nìmíng, 30~39 year old female. Ask Date: 2022/08/26

Dr. Zhang Kunmin reply Obstetrics and Gynecology


Hello, the user: During the use of the medication, if menstruation occurs or bleeding happens, there is no need to stop taking the medication; continue to take it as scheduled.
Once the body adapts to the contraceptive, abnormal bleeding will cease.
However, if irregular bleeding persists for more than three months or if there is heavy bleeding, it is advisable to consult a physician.
Thank you! Wishing you peace and health, Dr.
Chang.

Reply Date: 2022/08/26

More Info


When experiencing brownish discharge while taking Yaz (a combination oral contraceptive), it is important to understand the potential causes and implications of this symptom. Brownish discharge can often be attributed to several factors, including hormonal fluctuations, breakthrough bleeding, or even the body adjusting to the medication.

Yaz contains a combination of ethinyl estradiol and drospirenone, which work together to prevent ovulation and regulate menstrual cycles. It is not uncommon for women to experience some irregular bleeding or spotting, especially during the first few months of starting a new contraceptive. This is often referred to as "breakthrough bleeding" and can manifest as light spotting or brownish discharge. It may occur due to the body adjusting to the hormonal changes induced by the pill.

Regarding your question about whether this could be a side effect that appears after several months of use, the answer is yes. Side effects from hormonal contraceptives can sometimes develop after a period of stable use. Factors such as stress, changes in weight, or even interactions with other medications can influence how your body responds to the hormones in Yaz.

As for the concern about the dosage being too low, it is essential to note that Yaz is designed to be effective at the prescribed dosage. Increasing the dosage to 1.5 pills per day without medical supervision is not advisable. Doing so could lead to increased side effects and does not guarantee that the brownish discharge will resolve. It is crucial to follow the prescribed dosage and consult with your healthcare provider before making any changes to your medication regimen.

If the brownish discharge persists or is accompanied by other symptoms such as severe pain, heavy bleeding, or any signs of infection (such as fever or unusual odor), it is essential to seek medical advice promptly. Your healthcare provider may recommend a pelvic examination or other diagnostic tests to rule out any underlying conditions.

In summary, while brownish discharge while taking Yaz can be concerning, it is often a common side effect related to hormonal adjustments. It is advisable to complete your current pack and consult with your gynecologist about your symptoms and any potential need for a different contraceptive method. Open communication with your healthcare provider is key to managing any side effects and ensuring that you find a contraceptive method that works best for you.

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