Breakthrough bleeding on combine pill: I've been on a... - BASHH

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Breakthrough bleeding on combine pill

Loffik profile image
3 Replies

I've been on a combined pill for a couple of months and experiencing 2 weeks breakthrough bleeding although I haven't missed any pill. Is it normal?

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Loffik
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Galen70 profile image
Galen70

Yes it can be depending on the pill. As usual , are sexual health and smear tests up to date ? If the bleeding fails to settle you may require a different CHC .

Loffik profile image
Loffik in reply toGalen70

The doctor advised to have a week break in pills every 2 sets.

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Galen70 in reply toLoffik

Yes that can be one way of taking the pill . I'm sorry I dont really understand what you mean . If you were advised to "cycle " the pill meaning take two packs one after each other, then you can have a 4 days pill free week to have a bleed. This is however usually done with three packs , rather than two.

One pill a day for 21 days then no pills for the next 4 or 7 days (21/4 or 21/7). This has been the standard way to take the pill. You’ll usually have a withdrawal bleed during the pill-free break. Start taking the pill again on the fifth or eighth day even if you’re still bleeding.

One pill a day for nine weeks (three packs of pills) then no pills for the next 4 or 7 days (63/4 or 63/7). This is called extended use or tricycling. You’ll usually have a withdrawal bleed during the pill-free break. Start taking the pill again on the fifth or eighth day even if you’re still bleeding.

More info here : sexwise.org.uk/contraceptio...

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