Spotting On Birth Control

Spotting is common during the first six months of taking birth control pills, as the body tries to adjust to the new levels of hormones. The other reasons for spotting on birth control are missing a pill, vomiting immediately after taking a pill, pregnancy, and sexually transmitted infections.

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I was bleeding heavily after having sex for two to three days. What can be the reason?

Query: Hi doctor, I was bleeding heavily after having sex for two to three days. There was also spotting previously in the same week during certain sexual activities. Four months back, I had birth control tablets for treating PCOD, and I stopped taking the medications two months back. Is this normal, or am...  Read Full »

Dr. Varunbabu Aucha

Answer: Hi, Welcome to Generally, bleeding is seen during the first sexual activity. And if you had been involved in sexual intercourse continuously for three to four times without lubrication, there will be bleeding. If you took an emergency contraceptive pill following sexual activity, there ...  Read Full »

What can I do to stop the bleeding and spotting that I have been having after I underwent a contraceptive implant procedure?

Query: Hello doctor, I am a 24-year-old female who had a contraceptive implant three months ago. I am not taking any medications. I did not get my period for the first two months, but I have been spotting for the past 35 days. What can I do to stop the bleeding and spotting?  Read Full »

Dr. Purushottam Sah

Answer: Hello, Welcome to I can see that you have breakthrough spotting from the attached images (attachment removed to protect the patient's identity). It means the level of hormone released from the implant is insufficient to prevent spotting. I suggest you take a low-dose oral contraceptiv...  Read Full »

After taking I-pill following unprotected sex, I am experiencing spotting and red discharge. What could be the reason behind it?

Query: Hello doctor, I had unprotected sex during my period. Within 72 hours, I have taken Unwanted-72. After period again, I had unprotected sex, and I took an I-pill within 72 hours. After two days, I was spotting, continuing for 7 to 9 days. I am spotting brown discharge sometimes and sometimes red. Ple...  Read Full »

Dr. Sunita Kothari

Answer: Hello, Welcome to You have nothing to worry about. All these disturbances are due to tablet Unwanted-72 (Levonorgestrel). Take tablet Trenaxa 500 mg (Tranexamic acid) thrice daily for five days to stop the bleeding and spotting. One should not take emergency contraceptives again and a...  Read Full »

I have been bleeding and seeing dark red spots after taking the morning-after pill. Is it a sign of pregnancy?

Query: Hello doctor, I took a morning-after pill a week ago because the condom tore. I have taken the pill before without any side effects, but this time I noticed light spotting and bleeding. I was not ovulating when I took the pill and was just done with my period. It has been bleeding for a day, and I s...  Read Full »

Dr. Richa Agarwal

Answer: Hello, Welcome to I can understand your concern. In your case, menstrual irregularities might be due to hormonal imbalance caused by an I-pill (Levonorgestrel). There is almost no chance of pregnancy because you took I-pill on time. So, I suggest you get a urine pregnancy test done af...  Read Full »

I have been taking birth control pills for about a year and a half, and I have been very concerned about the spotting for the past three months. Please help.

Query: Hi doctor, I have been on birth control pills for about a year and a half, but I have been spotting straight for the past three months. I am concerned. Please help me, doctor. Thank you.  Read Full »

Dr. Monica Mathur

Answer: Hi, Welcome to I can understand your concern. As you have been on birth control pills for more than a year, the cause of your spotting seems to be due to either a cervical inflammation or a pelvic inflammatory disease. You have not mentioned whether you have any other problems like p...  Read Full »

Can unprotected sex on the first day of periods make me pregnant?

Query: Hello doctor, I had unprotected sex on the first day of my period, and it was my first sex, so it was not proper and did not last more than a minute. The insertion was not correct either, and no ejaculation was there. My period was alright the next day, but still, I took i-Pill, and the next day, m...  Read Full »

Dr. Reetika Joshi

Answer: Hi, Welcome to I fully understand your concern and will surely help you. Sperms are to be released inside the vagina to get a female pregnant. The sperm then fertilize the egg, which may or may not be available depending on the ovulation pattern of the female. The fertilized egg is t...  Read Full »

I am on birth control pills, and I experienced a breakthrough bleeding for several days after sex. Should I be concerned?

Query: Hello doctor, I have a breakthrough bleeding. I have been on a birth control pill (Loryna) 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 n...  Read Full »

Dr. Manisha Raghunath Auradkar

Answer: Hello, Welcome to 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 »

Is there any possibility of pregnancy after taking I-pill?

Query: Hello doctor, My wife started her last menstrual cycle on the 22nd of the previous month. We had protected sex on the 27th of the previous month. Unfortunately, the condom ruptured but, I was able to pull it out a few seconds before ejaculating. Just to be safe, she took an I-pill seven hours after ...  Read Full »

Dr. Deepti Verma

Answer: Hello, Welcome to I have gone through your query and understand the concerns. I-pill has the usual side effect of delaying the next expected periods by two to three weeks. So, most likely her periods are delayed due to the pill. I will suggest her to get a urine pregnancy test don...  Read Full »

Can I be pregnant while on birth control pills?

Query: Hello doctor, I have been on birth control for quite a while now. From yesterday, I started spotting and had the worst cramps I have ever had. Today, I continued with the spotting and cramps, and I started throwing up everything I ate. Is it possible that I could be pregnant?  Read Full »

Dr. Sabita Laskar

Answer: Hi, Welcome to I presume the birth control that you mentioned is about oral contraceptives pills. Sometimes, it is not uncommon to have spotting while you are on pills, especially if you miss a few of your pills and start taking the rest again. At times, it is possible to have some ...  Read Full »

How to maintain the schedule of my birth control pills while traveling?

Query: Hi doctor, I am currently taking my regular birth control pill every night at 8 PM. I am going to be traveling abroad where it is 7 hours ahead so that would be 3 AM there. Can I move up my regular time to 6.30 PM to take my pills at 1 AM there?  Read Full »

Dr. Sanjay Kumar Bhattacharyya

Answer: Hello, Welcome to There are two types of birth control pills. Common combined pills and progesterone only pills. Probably you are on common pills, and there will be no issue if you switch over the time regarding the point of contraception. But keep in mind, there is a rare possib...  Read Full »

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