What should be done if breakthrough bleeding occurs whilst I am taking the combined oral contraceptive pill?
The first course of action is to check that there is no cause for the bleeding other than the combined oral contraceptive pill preparation. A missed pill, antibiotics or gastro-intestinal upset may have occurred. There may be a local cause such as vaginitis (inflammation of the vagina), a cervical polyp (cervical polyps) or other cervical disease. These can be assessed by medical examination. A bleed early in pregnancy can be mistaken for break-through bleeding.
Light breakthrough bleeding may be acceptable for perhaps three months and is likely to settle. Otherwise a change of pill preparation is appropriate. If the oestrogen content is very low increasing this may be the first line of approach. Increasing the progestogen content (Table 16.1) or changing from a monophasic to a bi-phasic or tri-phasic pill (Table 16. 2) are other possible remedies.
Please click on the required question.
- 1 What are the different types of combined oral contraceptive pills?
- 1a What is the new Evra Patch?
- 2 What are the benefits and problems of the phasic pills?
- 3 How will my doctor help me to decide which is likely to be the best pill for me?
- 4 Whilst I am taking the combined oral contraceptive pill, what monitoring should I receive?
- 5 A member of my family has a history of a deep venous thrombosis (DVT) or pulmonary embolism (thromboembolism). Should I have a screening blood test?
- 6 Does an aeroplane journey increase the risks of taking the combined oral contraceptive pill?
- 7 Are there times when the combined oral contraceptive pill should be prescribed only with special caution?
- 8 Are there any contraindications to taking the combined oral contraceptive pill?
- 9 On which day of my menstrual cycle should I start my first course of the combined oral contraceptive pill?
- 10 Can I start the combined oral contraceptive pill whilst I am breast-feeding?
- 11 Can I take the combined oral contraceptive pill if I have had episodes when I did not see my periods (amenorrhoea)
- 12 Can I start the combined oral contraceptive pill if I am not currently seeing my periods?
- 13 Does it matter if I do not see a period whilst taking the combined oral contraceptive pill?
- 14 What is the advice when my changing pill preparation?
- 15 What should be done if breakthrough bleeding occurs whilst I am taking the combined oral contraceptive pill?
- 16 Can my pill withdrawal bleed be planned to avoid weekends?
- 17 Can I take the combined oral contraceptive pill without a seven-day pill-free gap?
- 18 What should be done if a pill is missed?
- 19 Could I conceive whilst I am taking the combined oral contraceptive pill?
- 20 Can combined oral contraceptive pills interact with other medication?
- 21 I am taking the combined oral contraceptive pill. Will this reduce my future fertility?
- 22 I have been on the combined oral contraceptive pill for sometime. Is there any need to take a break from it?
- 23 I am due to have an operation. Should I stop taking my pill?
- 24 What is the advice with regard to third generation combined oral contraceptive pills?
- 25 Until what age can I take the combined oral contraceptive pill?
- 26 I have taken the combined oral contraceptive pill. Will this change the time when I will go through the menopause?
- 27 I am taking the combined oral contraceptive pill. How will I know if I have reached my menopause?
- 28 In what circumstances should the combined oral contraceptive pill be stopped immediately?
- 29 What symptoms are commonly associated with taking the oral contraceptive pill?
- 30 Should the combined oral contraceptive pill be discontinued if I develop headaches?
- 31 If I have varicose veins can I take the combined oral contraceptive pill?
- 32 I have developed vomiting and diarrhoea. How does this affect my pill taking?
- 33 How long before starting a pregnancy should I stop taking the combined oral contraceptive pill?
- 34 Family Planning Support Groups.
- 35 Support Groups.
Thank you for choosing to visit us.
This is the personal website of David A Viniker MD FRCOG, Consultant Obstetrician and Gynaecologist at Whipps Cross University Hospital, London - Specialist Interests - Reproductive Medicine including Infertility, PCOS, PMS, Menopause and HRT.
I do hope that you find the answers to your women's health questions in the patient information and medical advice provided.
