I have normal to heavy bleeding on my placebo week of combined birth control pills. What does that indicate?

Q. Does normal to heavy bleeding on a placebo week of birth control pills mean no chances of pregnancy?

Answered by
Dr. Priyadarshini Tripathy
and medically reviewed by iCliniq medical review team.
This is a premium question & answer published on Jan 09, 2023 and last reviewed on: Sep 16, 2023

Hello doctor,

I have had slight nausea and increased salivation over a month. I thought it was pregnancy, so I did a pregnancy test, and it was negative. I then got my period on the placebo week. Now I have random pain in my breasts. Why? I have normal to heavy bleeding on my placebo week of combined birth control pills. Does that mean I am not pregnant?

Kindly help.

Thank you.



Welcome to icliniq.com.

I read your query and understand your concern.

If you are having normal to heavy bleeding on the placebo week of combined birth control pills, you have withdrawal bleeding and are not pregnant, provided you did not skip any pill. Nausea and dry mouth are quite common side effects of hormonal pills. Slight breast pain could be due to a side effect of hormonal imbalances. Do not worry about pregnancy; as you mentioned, the urine pregnancy test was negative.

Hope this answers your questions.

Thank you.

Hello doctor,

I read somewhere that some people bleed for months during their pregnancy, so I am worried. I have also been on these pills for over six years, so would I randomly have these symptoms? I am probably just stressing myself out.

Thank you.



Welcome back to icliniq.com.

I can understand that you are stressed out. But bleeding during pregnancy is a different thing. However, bleeding, in your case, is due to hormonal withdrawal. Withdrawal bleeding happens when someone is on placebo pills. These are not random symptoms but might occur in certain cycles because of hormonal imbalances. Do not worry, and please do not skip the pills.

Thank you.

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