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Can there be a pregnancy while on contraceptive patches?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hello doctor,

I have had some symptoms for the past one and a half weeks that mimic the symptoms when I found I was pregnant with my daughter. I was supposed to have my period tomorrow. Last week, I started with light spotting, and it happened on and off for a day, maybe less. Then, within two days, I started bleeding. I thought it just started early, but I have been having occasional bleeding (lighter to heavier) for two days. I have had cramping, back pain, headache and today I had a lot of blood clots, and tissue coming out with it, along with right groin pain for a couple of days. I have never experienced these symptoms, and they are intense. I am scared this is the start of a miscarriage. But any test I have taken has been negative. I have been on the patch for almost a year and have not experienced anything like this, and I have a weird feeling now.

Kindly help.

Thank you.

Hello,

Welcome to icliniq.com.

First, to confirm a pregnancy, you should perform a pregnancy test two weeks after having sexual intercourse. So, perform a urinary pregnancy test or b-HCG (human chorionic gonadotropin) test to exclude or confirm a pregnancy, and then get an ultrasound to evaluate the uterine cavity. On the other hand, maybe your menses and clots have come earlier and have a different pattern compared with other menstrual bleeding. As you use the patch for one year, there is a low chance of pregnancy, as long as you have used it correctly.

I hope this helps.

Please follow up if you have more concerns.

Thank you

Answered byDr. Lorena Zijaj

Medically reviewed byDr. Vinodhini J.

Published At May 2, 2020
Reviewed AtApril 25, 2026

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

Dr. Lorena Zijaj
Dr. Lorena Zijaj

Obstetrics and Gynecology

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