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HomeAnswersObstetrics and Gynecologyabnormal uterine bleedingWhy do I have spotting after starting Tri-Sprintec birth control?

I have been bleeding for three months after starting Tri-Sprintec birth control. Why?

The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Answered by

Dr. Uzma Arqam

Medically reviewed by

iCliniq medical review team

Published At June 9, 2018
Reviewed AtJuly 26, 2023

Patient's Query

Hello doctor,

I am a 21 year old female. I was put on Tri-Sprintec (birth control pill) three months ago. I have been bleeding for almost three months. I am wondering if the pill is not strong enough or that I have a serious medical condition. I am going to the doctor next week but I am really nervous.

Answered by Dr. Uzma Arqam


Welcome to icliniq.com.

Birth control pills contain hormones and those hormones have side effects as well. Few people get more and few less. Tri-sprintec contains Ethinyl estradiol and Norgestimate hormones. Heart attack, stroke, breast cancer, blood clot formation, headache, liver disease, high blood pressure, endometrial cancer and per vaginal bleeding are side effects of this drug which appears more intensely in smokers and those aged above 35 years. Regarding the usage of birth control pills, I suggest changing after some time even if you are asymptomatic as some of these have long-term side effects. There are other more convenient methods of contraceptives like Mirena (Progesterone releasing contraceptive device) which can be placed for three years, implants, injection Medroxyprogesterone for 12 weeks, etc.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Uzma Arqam
Dr. Uzma Arqam

Obstetrics and Gynecology

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