Common "Break Through Bleeding" queries answered by top doctors | iCliniq

Break Through Bleeding

Breakthrough bleeding is a common condition among women taking hormonal birth control. It appears as small blood spots while not being on periods. Any type of hormonal birth control, such as birth control pills, IUDs, birth control implants, and hormonal skin patches, can cause this condition. This condition is common in women who are smokers and those who do not take the pills consistently.

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All the answers published in this website are written by verified medical doctors, therapists and health experts. The Content has been moderated by iCliniq medical review team before publication. Post your medical clarifications on iCliniq by choosing the right specialty and get them answered. Your medical queries will be answered 24/7 by top doctors from iCliniq.

I have spotting between periods after taking Primoult-N. Why?

Query: Hi doctor,I had taken Primolut-N three months back for ten days. I get my periods within twenty days every month after taking the tablet. But I have spotting ten days after the periods, which lasts till my next period. I have been having this for the last three consecutive months. Please help.Thank ...  Read Full »


Dr. Vandana Andrews

Answer: Hi, I appreciate you signing up on icliniq.com. You now have exclusive access to expert medical opinion. The tablet Primolut N (Norethisterone 5 mg) is a synthetic progestogen medication used to treat various menstrual disorders, including irregular periods and heavy bleeding. It works by thickenin...  Read Full »

Why is there light bleeding 4 to 5 days after unprotected sex?

Query: Hello doctor, I was not supposed to start my period for about two more weeks but, for the past three or four days I have been having a very light bleeding (sometimes dark red and sometimes light red) that seems to be a period. I had unprotected sex on the 19th but, I am on birth control. It is not ...  Read Full »


Dr. Sameer Kumar

Answer: Hi, Welcome to icliniq.com. This is what is typically called breakthrough bleeding (BTB). This is seen in cases of usage of birth control pills with high estrogen content of 30 micrograms of estradiol. The event is not related to unprotected sex as you had intercourse in your safe period, as you ...  Read Full »

I have a heavy flow after changing the contraceptive pill. Why?

Query: Hello doctor,I have been on birth control for more than two years. I was on the combined hormone pill for the first two years and had my period every three months. Around the halfway mark, I began to experience breakthrough bleeding. I always had light clotting during my periods and never had breakt...  Read Full »


Dr. Sameer Kumar

Answer: Hello, Welcome to icliniq.com. I have read the query, and I can understand your concern. You have switched from a high-dose oral contraceptive continuous pill regimen, Jolessa (Ethinyl Estradiol and Levonorgestrel) to a low-dose pill, Lessina (Ethinyl Estradiol and Levonorgestrel). Hence, there i...  Read Full »

How does taking excess Plan-B pills and progesterone-only pills affect reproductive health?

Query: Hello doctor, I am concerned about my reproductive health. Due to poor planning, I ended up taking the next choice (generic Plan B) pill three times within two weeks period. After the third time, I have had mild cramping and spotting every day for two weeks straight now. I am very concerned that ...  Read Full »


Dr. Mavani Jimesh Himatbhai

Answer: Hi, Welcome to icliniq.com. Plan B is an emergency pill and there are only study about once in a month. There is no study about its effectiveness more than that. And three times in a week is high number. So you cannot say whether it is working or not. And you are taking progesterone-only pills aft...  Read Full »

How to stop spotting due to a missed pill?

Query: Hi doctor, I went abroad a few days after my period ended. I start birth control on the last day or the day after the last usually. On the second day of my vacation, I started spotting and that has lasted till now. It has been about 10 days. I have been taking my birth control throughout. I only jus...  Read Full »


Dr. Sameer Kumar

Answer: Hello, Welcome to icliniq.com. You are experiencing a breakthrough bleeding occurring due to missing your pills and also probably due to not taking them on time. If it is a combined oral contraceptive pill, then it should be started from day 2 or 3 of your cycle ideally. So, the best is to stop th...  Read Full »

I have continuous bleeding after sex. Should I be concerned?

Query: Hello doctor, I have a breakthrough bleeding. I have been on a birth control pill for four years. I had sex about a week ago. I just moved to London, so I had to change the time I took the pill. Also, I have been stressed lately due to the relocation. After having sex, I bled (which is a normal occu...  Read Full »


Dr. Manisha Raghunath Auradkar

Answer: Hello, Welcome to icliniq.com. I can understand your concern. Bleeding after sex is not usually considered normal except in those who experience rupture of the hymen. Although stress and time zone change can cause these symptoms, you should see a gynecologist if this keeps repeating, especiall...  Read Full »

Should I stop Jaimiess birth control pill if I have breakthrough bleeding?

Query: Hi doctor, I am using the Jaimiess birth control pill for a year to skip my periods. Previously I used Sprintec. I have skipped my periods for almost five months with this method. From yesterday I have been spotting which is more red than brown. It seems like I am going to bleed. Next week is the a...  Read Full »


Dr. Reetika

Answer: Hi, Welcome to icliniq.com. I understand your concern. From your statement, I understand you are taking 84 + 7 birth control pills. Ideally, the bleeding while you are on active pills should last for five to seven days. It is recommended to stop the pills if the patient experiences breakthrough b...  Read Full »

Can late implantation cause miscarriage?

Query: Hi doctor, I am a 37-year-old female and have two kids. I have two questions. The first one is about taking herbal supplements in early pregnancy. I take several herbal supplements, some of which several times a day. I just found out I am about five and a half weeks pregnant. However, I have been t...  Read Full »


Dr. Reetika

Answer: Hello, Welcome to icliniq.com. I fully understand your concern and will surely help you. I appreciate your in-depth knowledge of the subject. For the first part of the question, you are correct up to a certain extent, cinnamon and dong Quai affect the flow of blood to the uterus, and that may cau...  Read Full »

Does Dronis 20 cause irregular menstruation?

Query: Hi doctor,I am a mother of a 21-month-old baby, and post his birth, my doctor advised me to take Dronis 20 as a contraceptive. I was taking it regularly. However, last month, I did not have my period properly. Last month it was just spotting for five to six days, and then I started retaking Dronis. ...  Read Full »


Dr. Poonguzhali Liston

Answer: Hi, Welcome to icliniq.com. I understand your concern. May I know from when you are on Dronis 20 (Ethinyl estradiol and Drospirenone)? Also, have you taken a pregnancy test (there are possibilities of pregnancy even when on the pill)? This is to rule out any possibility of pregnancy (as you have a...  Read Full »

I am a 34-year-old woman and I have been experiencing daily bleeding since starting monthly contraceptive pills. Kindly help.

Query: Hello doctor, I am a 34-year-old woman and I started taking monthly birth control pills for the first time. I started taking the pill on the first day of my period. After six days of taking the pills, I had sex for the first time. Throughout the entire month, I have experienced brown patchy bleeding...  Read Full »


Dr. Joshi Shalaka Kishor

Answer: Hello, Welcome to icliniq.com. I read your query and understood your concern. I would like to inform you that this irregular bleeding may be due to hormonal imbalance. I suggest you take a tablet of Tranexamic acid 500 mg three times a day for three days. If the bleeding continues for more than fiv...  Read Full »

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