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Why is there a brown discharge and cramping after skipping placebo pills?

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 been on Sprintec birth control pills for almost three months now, and I skipped the placebo pills to present periods. Today is my last day of active pills before the placebos, and I have noticed cramping and a slight brown discharge this morning. I have never experienced this symptom before. Is this normal? What does this possibly mean?

Answered by Dr. Uzma Arqam

Education:

MBBS

Professional Bio:

Dr. Uzma Arqam is a dedicated Obstetrician and Gynecologist with expertise in prenatal care, high-risk pregnancy management, infertility treatment, menstrual disorders, and minimally invasive gynecological procedures. She provides comprehensive women’s healthcare with a focus on safety, compassion, and personalized treatment. Dr. Arqam is committed to supporting women’s health at every stage of life through evidence-based practices and patient-centered care.

This doctor is not available for online consultations on the platform anymore.

Hi,

Welcome to icliniq.com.

I thoroughly read your query and understand your concern.

Sprintec (ethinyl estradiol and norgestimate) is a hormonal contraceptive pill, and these hormones have side effects as well. Since you have skipped your placebo pills, these cramps are side effects of skipped placebo, it seems. Did you skip the placebo pills and start the next cycle with an outbreak? If it is like that, then cramps could be due to stopped menstrual bleeding. Now is your last day of active pills, so you better have placebo pills or have a break for a week to have a withdrawal bleed and then start the next cycle as usual to quit the side effects of continuous hormones. It might be possible that you experience mood variations, engorged breasts, etc., which are all side effects of hormones. Long-term side effects are unscheduled bleeding and endometrial hyperplasia that can lead to endometrial cancer. Combined contraceptives have long-term side effects of breast cancer as well. So it is better to avoid the same hormones for years to prevent their side effects.

I hope this has answered your query.

Kind regards.

Answered by Dr. Uzma Arqam
Medically reviewed by iCliniq medical review team
Published At February 11, 2023
Reviewed At October 12, 2023

Education:

MBBS

Professional Bio:

Dr. Uzma Arqam is a dedicated Obstetrician and Gynecologist with expertise in prenatal care, high-risk pregnancy management, infertility treatment, menstrual disorders, and minimally invasive gynecological procedures. She provides comprehensive women’s healthcare with a focus on safety, compassion, and personalized treatment. Dr. Arqam is committed to supporting women’s health at every stage of life through evidence-based practices and patient-centered care.

This doctor is not available for online consultations on the platform anymore.

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Education:

MBBS

Professional Bio:

Dr. Uzma Arqam is a dedicated Obstetrician and Gynecologist with expertise in prenatal care, high-risk pregnancy management, infertility treatment, menstrual disorders, and minimally invasive gynecological procedures. She provides comprehensive women’s healthcare with a focus on safety, compassion, and personalized treatment. Dr. Arqam is committed to supporting women’s health at every stage of life through evidence-based practices and patient-centered care.

This doctor is not available for online consultations on the platform anymore.

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