HomeAnswersObstetrics and Gynecologybreak through bleedingShould I stop Jaimiess birth control pill if I have breakthrough bleeding?

What should I do with the course of Jaimiess birth control pill to avoid bleeding?

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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. Reetika

Medically reviewed by

iCliniq medical review team

Published At September 27, 2021
Reviewed AtSeptember 22, 2023

Patient's 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 actual time for the yellow pills, which I usually skip to avoid bleeding. I am always good with taking my medications; I never miss a dose or take that at different times. Breakthrough bleeding is just something that typically happens. Kindly suggest a good way to avoid bleeding, especially for this weekend. What should I do with the course of the pill? Should I continue or stop taking it?

Thanks.

Answered by Dr. Reetika

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 bleeding to allow the menstrual period to reset. But in your case, your active pill cycle is till this week. Also, you desire not to experience bleeding this weekend. If you are sexually active and expect to have intercourse soon, please continue to take the active pill as per the dosage to prevent unplanned pregnancy. After this, 84 active pills, start with inactive pills if you wish to have withdrawal bleeding; else continue with active pills. Breakthrough bleeding is nothing to worry about. It is a common side effect of long-suppressed periods owing to the use of birth control pills. I suggest you continue the pills as per the prescribed dosage if the bleeding is minimal.

Regards.

Patient's Query

Hi doctor,

Thanks for the reply.

I consulted a doctor who said to stop with the pills as it is five months already and my lining needs to be shed. She advised me to stop the active pill for three to four days and start with a new pack. So I am not sure what to do. If I stop taking the active pills, will I bleed more? She also said that I would continue spotting until I finally take a break. Is this true? I do not want to bleed this weekend. But she told me that I would start to bleed more tomorrow if I stop taking the pill today. What do you think is best to avoid bleeding? Also, would Ibuprofen help?

Kindly help.

Answered by Dr. Reetika

Hi,

Welcome back to icliniq.com.

In our previous conversation, I also recommended stopping the pill and let the menstrual cycle reset. The menstrual period is nothing but the shedding of the uterus lining. Since your active pill is remaining for a week, and more importantly, you prefer not to bleed this weekend, I suggested not to stop your pill. If you stop the pill, there is a strong possibility of a full period instead of breakthrough bleeding, which you are experiencing now and may cease by this weekend. Also, stopping the pill will result in less protection against pregnancy. Unless there is no other problem than minor spotting, there is nothing to get tensed, and you can make your choice based upon your preference, especially for the weekend restriction you have.

Regards.

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

Dr. Reetika
Dr. Reetika

Obstetrics and Gynecology

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