Breakout bleeding on the pill

[Mummy898]

Iv been on the pill for 7 months after having a baby and still breakout bleed a few pills before finishing my cycle? I was on this pill a few years ago and never have this problem

[Hidden]

Dear Mummy,

Could you give us more information?

1. How old are you, and can you tell us the name of the pill you're currently taking?

2. Are you on any other medication/s?

3. Have you gained or lost a significant (>3kg) amount of weight compared to your pre-pregnant weight?

4. When was your last smear? What was the result?

5. Finally, when was the last time you had tests for STDs (gonorrhoea/chlamydia)?

Thanks,

Adhari

[Mummy898 in reply to Hidden]

I’m 30

I’m on Microgynon 30

No huge weight gain or loss

I’m up to date on smears

And no STIs

[Hidden in reply to Mummy898]

Hi Mummy,

Thank you for the update. Assuming your adherence is very good, I think it's time for you to either try another method or another oral contraceptive because you're experiencing poor cycle control.

If you'd prefer to stick to oral contraception, you can either increase the oestrogen component or switch to a pill with a different progestogen. There's no standard approach, I'm afraid, and it's usually down to your FP doctor's or nurse's preferred tack.

An example of a higher strength oestrogen would be Ovysmen or Brevinor; others would suggest switching to a different progestogen such as Cilest, or Gedarel 30/150 (branded generic of Marvelon), or Millinette 30/75 (branded generic of Femodene).

Rgds,

Adhari