Withdrawal bleeding is ok. Bloody, brown and spotting discharge when taking birth control pills

Smirnova Olga (gynecologist, GSMU, 2010)

Oral contraceptives contain hormones that are involved in the regulation of a woman's menstrual cycle. Discharge on admission birth control pills may be normal, signal the need to change the drug, or indicate a health problem.

When discharge should not cause concern

With the intake of contraceptive tablets according to the instructions, menstrual flow does not stop. They still make themselves felt every month, but their frequency becomes clear (28 days exactly), and the intensity is moderate.

A daub may be observed on any day of the cycle at the very beginning of taking contraceptives, indicating a restructuring of the body.

Natural acyclic bleeding should have the following characteristics:

• duration of episodic discharge up to 3 months;
• a small amount (2-3 daily pads per day);
• brown or red color (see photo).

This phenomenon does not require the abolition of the course or the replacement of the contraceptive. It is enough to wait for the stabilization of the reproductive system and getting used to the new conditions.

The protective (contraceptive) function of the drug does not decrease if a woman periodically bleeds. It is important to stick to the pill regimen without missing a day, and then such secretion will not be considered a side effect.

Read in one of our articles what else could be the reasons.

How long can bleeding last?

When taking hormonal pills, obvious bloody issues go the first three months in 40% of women. This secretion is a consequence of the contraceptive effect. This is how long it takes the reproductive system to adapt to changes in hormonal balance. And only 10% of the interviewed patients noted meager blood marks on daily routines for six months.

Material violations in the form of spotting after OK were diagnosed only in 5% of women. The secretion with the blood continued to persist even after multiple changes of drugs, so the pills had to be abandoned, and also undergo an examination in the hospital.

The duration of the adaptation period to oral contraceptives increases due to the following factors:

• age;
• instability hormonal background;
• too low a dose of hormones;
• the presence of bad habits (smoking, alcohol);
• skipping pills;
• violation of instructions;
• various diseases of the reproductive system;
• Wrong type OK.

Why does this symptom occur?

In each period of the monthly cycle, the body produces a certain amount of different sex hormones, the doses of which are responsible for various processes (ovulation, menstruation, etc.). Against the background of taking OK, synthetic hormonal components may simply not be enough to block the natural content of estrogens and progestogens. Therefore, the body needs several months to get used to such doses. While the adaptation period lasts, the endometrium is partially rejected, causing the appearance of spotting discharge when taken. hormonal contraceptives.

There are other reasons for the presence of blood in the vaginal fluid, which should be considered depending on:

• cycle phases;
• type of oral contraceptive;
• serial number of the tablet (end, beginning of the package).

Influence of cycle time

When more than three months have passed since the start of the course, and when taking contraceptives, a specific period of the monthly cycle is noted, there is no need to immediately suspect a pathology. Minor bleeding may begin due to the peculiarities of the hormonal background or the tablets themselves.

After menstruation

If a woman took a break after the blister (21 tablets) or ended taking the placebo pills (28 tablets per plate), then the uterus can be cleansed for two to three days. The blood clots remaining inside after menstruation come out and appear.

They also occur due to too low a dose of estrogen, which, unlike progesterone, stops the rejection of the uterine lining. It is necessary to choose another drug, but before that you should consult a doctor, you cannot drink other oral contraceptives of your own choice and desire.

At ovulation

The following factors can provoke when taking contraceptives:

• lack of synthetic estrogens;
• lack of gestagen;
• natural processes.

When taking OCs ("mini-pills"), the egg develops and exits the follicular sac, causing a small amount of blood in the cervical fluid.

After ovulation

The most common cause of discharge with blood before menstruation after taking modern methods contraception is a lack of progestogen. It is still impossible to exclude pregnancy when the order of the pills was violated or a day was missed (bloody secretion on the 6-12th day after ovulation).

And there are also situations when a woman, instead of menstruation, notes brown discharge when taking OK. Natural progesterone rises after ovulation, preparing the body for expected menstrual bleeding. When the hormone is not enough, the endometrium is not rejected in time, causing a delay. But if you take Jess or other microdosed contraceptives, then instead of menstruation, pseudo-menses may appear. In the most neglected cases, the woman's cycle goes astray, so there is no monthly bleeding. Read about in the article at the link.

Bloody discharge when taking birth control pills can sometimes be observed by girls using contraceptives to prevent unwanted menstruation. A break before a new pack of pills, in this case, is not done, but the next plate starts immediately. In most cases, menstruation does not begin, however, spotting may occur. They are slightly larger in volume, but do not have signs of bleeding. You can understand this by feeling and laying. It can bleed so much that the hygienic product becomes unusable in an hour, weakness, dizziness are felt. This is a direct indication of a pathology or hormonal disorder.

Adaptation never ends

The cause of a prolonged daub against the background of taking OK may be a violation of the rules for using a contraceptive or the fact of an incorrectly selected remedy. This justifies the side effects. Oral contraceptives are considered safe for a woman's health, and a negative reaction in the form of blood secretions is caused by a lack of a dose of one or another hormone.

This situation is well seen on the example of a specific stage of the course:

1. First tablets. At the beginning or half of the package, bleeding may be due to a lack of estrogen in the preparation. If you need to stop using OK, but it is advisable to consult a doctor and drink the plate to the end.
2. Remaining packaging. From the middle of the total number of tablets to the end of the package, spotting may begin due to the too low content of the progestogen component. And also the gestagen itself may not be suitable, therefore, the selection of another oral contraceptive is required, but it is impossible to abruptly stop using the old remedy, otherwise there is a risk of bleeding and other side effects.

Course termination

The appearance of discharge after the abolition of contraceptives is allowed for several months. Everything will depend on the ability of the female body to restore its own hormonal levels. But bleeding should not be systematic, otherwise you can not do without a medical examination.

Read what should be in the article by clicking on the link.

After the end of the course, secretion with blood may appear in one or two days. It resembles a daub and does not cause a woman much discomfort. Sometimes a woman's body reacts more strongly to stopping the use of OK, so more abundant discharge due to a sharp drop in hormone levels is not ruled out.

After how many months after OK, the reproductive system will cease to allocate pseudo-monthly?

In almost half of the women who decide to cancel a course of contraception, the smearing vaginal secret with blood disappears after 10-14 days. The following factors influence the duration of adaptation:

1. Age. The older the woman, the slower the state of the reproductive system stabilizes.
2. Total admission time. The shorter the course, the faster the chance of getting pregnant appears. When contraceptives have been used for many years, there is a risk that the body will be destabilized within six months or even 12 months.

Effect on menstruation

If a woman decides to stop drinking oral contraceptives, then it is necessary to prepare for the fact that there will be no heavy periods in the first few months. Monthly bleeding will become more and more over time, until the situation finally normalizes. The presence of meager pregnancy is considered normal.

After canceling OK, spotting is normal and a slight delay is acceptable. It can be caused by the following processes in the body:

1. Gradual normalization of the menstrual cycle.
2. Stabilization of temporary atrophic changes in the uterine mucosa.
3. Restoring the ability of the endometrium to implant.
4. Changes in the microflora of the vagina.
5. Decrease in the density of cervical mucus (after a mini-pill).

While all these processes continue, the menstrual cycle will not be able to become the same.

It is necessary to sound the alarm if menstruation is absent for several months, and against this background the general condition has worsened.

Danger of abrupt interruption

You can not abruptly stop taking birth control, otherwise serious health consequences cannot be avoided. Most often, there is a longer recovery period with spotting instead of menstruation. But the most dangerous consequence abrupt cessation of the course is uterine bleeding, which requires rapid hospitalization. Therefore, doctors advise taking all the pills from the package. The exception is the diagnosis of the following diseases:

• hypertension;
• diabetes;
• imbalance of lipid metabolism;
• sharp drop vision;
• liver problems.

Therefore, if you want to quit oral contraceptives, you should consult with your doctor so that he can choose the optimal dose reduction scheme based on a specific drug (Silhouette and others). This is the only way to avoid withdrawal syndrome with unpleasant side effects.

Causes of heavy bleeding when taking OK

The cause of breakthrough bleeding while taking OCs may be the following:

• taking the dose incorrectly (missing a day);
• two pills in one day;
• digestive problems (reduced absorption of the active substance);
• antibiotic treatment;
• the use of drugs that affect the central nervous system;
• taking phytopreparations with St. John's wort;
• a course of 63 days followed by a week break.

Special preparations (and others) will help stop the bleeding, but it is undesirable to resort to such means without consulting a doctor, the same applies to brewing herbs and others. folk recipes.

What color is the secretion?

Most women complain about the appearance of brown discharge when taking birth control pills. Such secretion normally has a smearing character and a darker shade than that of ordinary menstruation. Pink or light red discharge is also allowed when there is more natural mucus than blood due to the influence of the oral contraceptive.

White discharge with a homogeneous consistency, odorless and unpleasant sensations should also not cause concern. Their appearance is especially important after the cancellation of OK, when the body shows that the recovery period is over. Yellow and allowed, but without itching and burning.

Briefly about the main

If you started taking contraceptives, then you should not immediately suspect pathological processes and serious hormonal disruptions. This is a natural reaction of the body in the first three months. The reason for going to the hospital is a protracted adaptation period, severe bleeding and a sharp deterioration in general well-being.

Delayed periods while taking birth control pills are common. This is due to hormonal changes caused by taking the medication. It is not excluded with this method of contraception and individual intolerance to the drug. In this case, the doctor recommends a different method of protection or replacement of the remedy with a similar one in properties.

As a result of the use of birth control pills, which contain hormones, certain changes occur in the body. The principle of action of contraceptives is as follows:

• the pituitary gland begins to block the active substances responsible for the functioning of the reproductive system;
• the process of maturation of the follicle slows down, and as a result, the absence of ovulation;
• the ability of the fallopian tubes to contract is suppressed, and for this reason spermatozoa cannot move freely;
• the cervical fluid acquires a viscous and dense consistency, which is why spermatozoa cannot penetrate the uterus;
• the structure of the endometrium changes and it becomes impossible to fix the fertilized egg.

With the development of processes that occur in the body and are caused by taking the drug, menstruation becomes different. Changes are especially noticeable during the first menstruation while taking birth control pills. The discharge becomes copious or excessively scarce.

Due to hormonal changes, menstruation may occur a little ahead of time or late. Its duration also changes. This largely depends on the state of health of the woman and the individual characteristics of the body. You should be wary if you are taking contraceptives.

When should I get my period while taking oral contraceptives?

Menstruation will start upon taking contraceptives not immediately and may differ significantly from the norm. Menstruation is delayed and comes three weeks after the start of using OK. The cycle is not set immediately. For several months, discharge may appear ahead of time.

Sometimes menstruation does not start after the end of the package (21 tablets). For the first three cycles, this phenomenon is considered normal.

Often observed complete absence monthly when taking OK for a long period. Such a failure of the cycle does not cause any fears. The body needs time to get used to the action of contraceptives. As soon as the concentration of estrogen returns to normal, menstruation will return on its own.

Reasons for delayed menstruation when taking OK

If there is no menstruation on time, many women begin to suspect pregnancy. In fact, the absence of menstruation when taking birth control can be due to such reasons as:

• non-compliance with the rules for taking contraceptives;
• poisoning, as a result of which vomiting was caused, and the drug was excreted from the body;
• the use of alcoholic beverages that reduce the effect of the drug;
• taking antibiotics, which also reduce the effectiveness of the drug;
• the purchase of a low-quality drug.

The reason why there is no menstruation is not always due to birth control pills. These may be symptoms of diseases or the result of exposure. external factors. Absence of menstruation is often caused by:

• stress, nervous strain;
• strict diet;
• changing climatic conditions;
• pathologies of the genitourinary system;
• inflammation of the uterus or ovaries;
• sexual infection;
• taking other medications in parallel with contraceptives.

You should not independently understand why there is no menstruation. The right decision is to seek help from a gynecologist.

Selection rules OK

The selection of the drug should be carried out exclusively by a gynecologist. The same oral contraceptive may not work for all women.

When choosing, age, the regularity of intimate life, the experience of childbearing and the characteristics of the body that determine the hormonal background are taken into account. Only in this case it will be possible to choose a drug that will not harm health.

To make a decision, the doctor takes into account the constitutional type:

1. Estrogen. Women are short, with well developed mammary glands. Their menses are profuse and prolonged. In this case, it is recommended to drink contraceptive pills Rinevidon, Trikvilar, Logest.
2. Progesterone. Distinctive feature representatives of this type is tall and masculine appearance. They are characterized by oily skin, small mammary glands and scanty, short periods. The best option the use of drugs Yarin, Diane-35, Jess is considered.
3. Mixed. Women of this type combine the characteristics of the other two. Most often they are prescribed Mercilon, Novinet, Regulon.

For each type, a certain group of medicines is intended. With the wrong selection, the drug may not have the desired effect or cause unwanted complications. In addition, the choice is influenced by the results of blood tests, ultrasound of the gallbladder and liver.

Drug withdrawal rules

Women are often afraid to cancel birth control pills and after a seven-day break they continue taking them. In fact, when you refuse contraceptives, the process of adaptation of the body occurs quickly. The main condition that must be observed is the cessation of the use of the drug after the end of the package. If everything is done correctly, bleeding will soon appear. If, you should contact a specialist.

In order for the body to more easily accept the withdrawal of the drug, you must adhere to the following rules:

• consult with a gynecologist. In some situations, stopping OCs is strictly prohibited;
• using laboratory tests to determine the level of sex hormones;
• finish the started packaging. Withdrawal from the drug in the middle of the cycle is a serious stress for the body. In this case, severe bleeding is not excluded.

It is worth noting that after the end of the first pack, you do not need to immediately start a new one. Doctors strongly recommend taking a break of one week.

Delay in receiving OK is a fairly common occurrence. It is caused in most cases by hormonal changes in the body. After a short time, the cycle is established, and even come just in time. If there are violations long time You should definitely consult a gynecologist.

For women who take hormonal contraceptives, withdrawal bleeding is quite normal. The doctor should warn every woman about this before prescribing such drugs to her.

Hormones and the menstrual cycle

Nowadays, planning a family has become very simple. Exists huge selection drugs and methods to avoid unnecessary pregnancy. One of the most popular contraceptives are birth control pills. These are hormonal contraceptives that are quite effective and almost never fail if used correctly.

Doctors often recommend the use of contraceptives not only for those who are not yet ready to replenish the family, but also for women who have hormonal imbalances. In this case, the tablets play a dual role.

Tablets are suitable for almost all ladies. But it must be borne in mind that for each type of organism, their preparations are suitable. Therefore, you should not use birth control pills on your own without first consulting a doctor. Incorrectly selected oral contraceptives can lead to side effects. Some pills have them strong enough, so you don't need to take risks. This is especially true for those women who have poor health and unstable hormonal levels.

Both at the beginning and at the end of use oral contraceptives there are always strong failures in the female natural cycle. The doctor must warn the woman about this before prescribing the medicine. Moreover, the fair sex should take into account that complications are not excluded during the use of birth control pills. The most obvious of these will be bleeding.

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When using pills to prevent unwanted pregnancy, blood can go at the beginning of their intake, and in the middle, and at the end. In this case, the latter case occurs in almost everyone, since withdrawal bleeding is common when using oral contraception. Every woman who decides to use pills should be ready for this.

In general, serious menstrual irregularities occur in every second woman who uses birth control pills. But most of all, the arrival of menstruation is confused at the beginning and at the end of the reception. medicines. This is considered the norm, since the use of hormonal drugs completely rebuilds the female system. But it is worth noting that bleeding when taking OK is not always significant. Much depends on the type of drug and the health of the fair sex.

Bleeding when using these medicines

Experts believe that hormonal pills are one of the better ways to protect against unwanted pregnancy. However, during their reception, the fair sex often complains that they have bleeding.

In this case, it all depends on the duration of taking contraceptives, on the state of health of the woman and the amount of blood released. Given that oral contraceptives are hormonal-type drugs, they can cause serious changes in the female body. This often results in bleeding. But it doesn't have to be strong. Only spotting is allowed in the first 3-4 months after the start of taking birth control pills and for 2 weeks after stopping the pills.

If there is a lot of blood coming out, and it does not stop for more than 2 weeks after the withdrawal has occurred, this indicates a big problem. The thing is that minor bleeding is the norm, as this is the body's reaction to the lack of replenishment of hormones, which will cease to occur after the end of the pills. But in such a situation, there should not be a lot of blood. Excessive bleeding, especially if it appeared later than a week after the abolition of contraceptives, is a signal that you need to urgently see a doctor.

Breakthrough bleeding can occur both during and after you stop taking birth control medications. In this case, you need to consult a doctor to establish a natural female cycle. Often, breakthrough bleeding when taking OK occurs with a lack of estrogen, so the specialist may prescribe additional pills to normalize the hormonal background. But the treatment must be right. It is impossible to use hormonal drugs on your own or increase the dose of existing drugs. If breakthrough bleeding occurs after you stop taking oral contraceptives, you should definitely consult a doctor. Such a phenomenon can speak not only about hormonal failure, which the body is unable to cope with on its own, but also about gynecological pathologies, such as polyps and injuries of the uterine pharynx.

In addition, heavy bleeding during the abolition of hormonal contraceptives can be triggered by improper completion of the medication. Before giving up pills, a woman is obliged to visit a doctor who will tell the patient how to safely refuse OK.

But even without any pathologies, blood will still occur when the birth control pills are cancelled. But such bleeding will normally be spotting and will last no more than 1 week. After 10-14 days, the menstrual cycle should be fully restored. But this may be hindered by additional factors that are unacceptable for the first time after the abolition of hormonal drugs. These are drugs that affect the central nervous system, contain St. John's wort and belong to the class of antibiotics. All this can significantly increase the withdrawal syndrome and lead to the development of severe bleeding and other unpleasant and dangerous symptoms after the end of the use of oral contraceptives.

How to stop taking birth control pills?

In order not to face dangerous bleeding after the end of the use of OK, it is necessary to act according to the rules. The attending physician must tell the patient about them, whom the woman must visit after she decides to part with the pills. Consultation with a specialist is especially important for those women who have been prescribed hormonal contraceptives to normalize hormonal levels. In this case, you can cancel the medicine only after passing the tests and determining all the risks.

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Birth control pills are taken according to a certain scheme. This is important, otherwise they won't work as they should. At the same time, a break is provided in each cycle, which is 7 days. Experts do not recommend giving up pills if a woman has just started taking drugs. So, for the body it will be too big a hormonal blow. Another thing is when the cancellation occurs immediately after the woman takes the last pill from the package. If no negative factor affects the female body at this moment, then the menstrual cycle should be restored in a week. Normal critical days will come, and next month a woman will be able to get pregnant.

It is worth noting that bleeding while taking contraceptives, that is, when they are canceled, is not an indicator that pregnancy is not possible at this moment. Therefore, experts recommend additional protection for the first 3 months after the end of oral contraceptives. This time will be enough for the female body to fully prepare for the complex process of bearing a child.

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Bleeding while taking birth control pills can normally occur in the first months after starting to use these drugs. If the woman is chosen correctly, then after a while the bloody daub will stop, and only regular menstrual-like discharge will occur. In cases where the latter persist for more than three months, the doctor will determine the cause and select another contraceptive.

If heavy bleeding appears in the middle of the cycle, then you need to contact the doctor in the near future. Allocations while taking contraceptives are different. They occur both normally and indicate that the selected drug is not suitable for a woman.

Adaptation bleeding

The maturation of eggs, ovulation and rejection of the endometrium during menstruation are regulated by the hormones of the female reproductive system. In the first phase of the cycle, the action of estrogens predominates, which stimulate the maturation of the follicle. A mature egg comes out of the follicle in the middle of the cycle, i.e. ovulation occurs. In the second phase, the level of estrogen and progesterone is increased, which prepares the walls of the uterus for possible implantation of the embryo.

The concentration of sex hormones in birth control pills is always less than the content of these active substances in a woman's body. Therefore, it takes a certain time to adapt to the action of the drug used.

Normally, for 2-3 months there may be spotting when taking contraceptives. They stop on their own after getting used to low doses of hormones. If spotting is insignificant, and the use of several daily pads is sufficient for hygiene, then no additional action is necessary. Brown discharge has this color due to the fact that a small amount of blood is mixed with vaginal mucus.

Cancellation of the drug or its replacement with another during this period is not required. The contraceptive effect is not reduced if the drug is taken on time.

When bleeding does not stop, becomes profuse and is accompanied by pain in the lower abdomen, it is urgent to consult a doctor.

In every fourth woman, adaptation bleeding persists for 3-6 months. If after this period of time they do not disappear, and attempts to pick up another OK do not succeed, then this method of contraception should be abandoned.

menstrual flow

It should be understood that with this method of preventing pregnancy, it is not true menstruation that occurs, but withdrawal bleeding when taking OK. They are also called menstrual-like. It is these discharges that are normal when taking birth control pills.

Most contraceptives are taken within 21 days, and then necessary seven day break . For example, such a mode of reception of Regulon. A woman should wait for the appearance of menstruation 2-3 days after the last pill from the pack has been drunk.

Sometimes, during a break between packs, a girl worries that her period has not gone. If a woman regularly took OK in the previous month and did not delay taking the pill compared to the prescribed time for more than 12 hours, then on the 8th day you should start drinking the next pack of the contraceptive. It is not necessary to wait for the onset of menstrual discharge.

When a girl drinks contraceptives irregularly and is sexually active, and menstruation has not begun, then it is necessary to exclude the presence of pregnancy. Until then, it is not worth resuming the use of OK.

Some OK drink for 28 days, after which they immediately begin to drink tablets from a new package, without taking breaks. The release of blood will occur when taking those pills that do not contain hormones, that is, they are a placebo.

If menstruation before taking OK was regular, then after the abolition of contraceptives they remain stable. Sometimes periods are restored within 2-3 cycles. In cases where this does not happen, you should consult a doctor.

What do blood discharges indicate at the beginning and end of the reception

If the time of the adaptation period has passed, but the brown discharge in the form of a daub persists, then this may mean that the selected contraceptive is not suitable for the woman. In such a situation, it is necessary to replace the drug used with another one.

When a girl takes pills from the beginning or middle of the package, and spotting brown discharge occurs, this indicates an insufficient concentration of estrogen in the drug. In such a situation, it is necessary to select OK with a higher content of this hormone. For example, if similar discharges are found when taking a microdose contraceptive Jess, a drug from the low-dose group (Yarina) is prescribed.

If bleeding occurs in the middle of the cycle or when taking the last pills from the package, this may mean that the woman does not have enough progestogen content. In such a case, a drug with some other progestogen is prescribed.

Profuse bleeding

If, while taking contraceptive pills, profuse bleeding appeared, which are similar to menstrual-like, it indicates the occurrence of breakthrough bleeding. This is typical for the case when, after the influence of progesterone, the endometrium begins to be rejected, and the estrogen content in the taken OK is not enough to stop the uterine bleeding that has arisen.

In this case, you need to contact a specialist. But there may be situations when it is not possible to immediately go to an appointment with a gynecologist. Then doctors recommend taking a double daily dose of a contraceptive (1 tablet in the morning and evening). It is necessary to drink the drug in this mode daily until the bleeding stops.

Later, it is important to visit a gynecologist so that he finds out why this situation arose. Then he will recommend another drug. For example, if bleeding occurs while taking the microdose contraceptive Jess, the doctor will prescribe a low-dose OK (Yarin tablets or any other drug from this group).

Breakthrough bleeding can also occur when:

• the scheme of using an oral contraceptive is violated, i.e. the woman forgot to take another pill;
• diarrhea or vomiting occurred, which worsened the absorption of the contraceptive;
• a woman takes antibiotics or drugs that affect the functioning of the central nervous system;
• agents containing St. John's wort are used;
• the contraceptive regimen is prolonged (in this case, OK are taken for 63 days, followed by a break for 7 days, and then the pills are resumed).

Bleeding after emergency contraception

Such contraception is aimed at preventing pregnancy after unprotected sexual intercourse or with the ineffective use of other means. The drugs in this group include:

• gestagenic preparations (Postinor, Escapel);
• antihistamines (Ginepriston).

These funds must be used within 2 or 3 days after unprotected sexual contact. The drugs cause significant hormonal imbalances, which prevents the possible onset of pregnancy.

most frequent side effect emergency contraception- bleeding, which may begin a few days after taking the drug. In some girls, the use of such measures leads to violations of the cycle.

Allocations when taking OCs of a bloody nature occur both in normal conditions and in various disorders. Therefore, if the adaptation period has passed, and the discharge persists, a doctor's consultation is necessary. Also, urgent help is needed in cases where bleeding is profuse, regardless of the duration of the drug. During the examination, the doctor will find out what caused the bleeding, stop it, and then decide which contraceptives the woman can take next.

Oral contraceptives (OCs) are currently the best option to prevent unwanted pregnancy. As a rule, when taking such funds, a week-long break is always assumed, during which menstruation occurs. After this time, the woman resumes taking OK. But it happens that breakthrough bleeding occurs when taking OK, that is,.

Perhaps bleeding when using one or another oral contraceptive can be called very common and unpleasant side effect this kind of funds. Insignificant, slight bleeding when taking OK is very likely at the stage of getting used to these pills.

According to statistics, in 40% of the fair sex, bloody daub disappears in the first two to three months of using oral contraception.

In 10% of women, the adaptation period can last six months. But there are still approximately 5% of girls in whom bleeding is observed even after addiction is completed. Moreover, repeated replacement of funds also does not eliminate the negative side effect.

But why do such phenomena occur? Menstrual cycle women are a chain of successive changes associated with significant changes in the concentrations of hormones in the blood. In the first stages of the cycle, estrogen is produced in larger volumes.

The maximum concentration of this hormone in the body of a girl is observed on the days of ovulation, and then, if conception does not occur, it gradually decreases. Simultaneously with the fall in estrogen levels, an increase in the concentration of progesterone is noted - it is he who is responsible for the rejection of the endometrial layer in the uterus. The last process is manifested by menstruation.

In other words, nature has made sure that the female body produces different concentrations of hormones during different phases of the cycle. It should be noted that all OCs today include small doses of active substances, and such a volume may simply not be enough at first to cover the natural level of these compounds. That's why a certain period (adaptation) is needed so that the woman's body gets used to low dosages of hormones and does not reject the endometrial layer earlier than the expected time (that is, until the completion of the capsules in the contraceptive package).

When, while taking a new OK, blood is released in an insignificant amount, and only a few daily pads per day are required for intimate hygiene, there is no point in taking any measures, since the body often copes with such a side effect of the drug itself. Such secretions do not pose a threat to a woman's health, and their presence during the first three months reception does not need to be canceled or replaced by OK.

In addition, it must be emphasized that the presence of such bleeding does not reduce the contraceptive effect of OK. The only thing that should not be forgotten is the timely intake of pills. Moreover, the release of blood does not become an obstacle to intimacy if both partners do not neglect the rules of personal hygiene. It is extremely important to understand that there are no “good” or “bad” contraceptives, but there are those that are suitable or not suitable for a certain representative of the fair sex. But what to do if minor bleeding is observed even after the end of the adaptation period?

So, when addiction is over, and a small blood loss is observed in the initial phase or in the middle of the cycle, this indicates a low dosage of the estrogen component in the OK, so it is likely that the problem will be solved by selecting a remedy with a high content of this hormone.

If the adaptation is completed, or continues to be observed towards its end, it makes sense to think about the deficiency of the gestagen component. This means that you need to start taking the drug with a more powerful dose of progestogen. However, if the discharge does not disappear and, on the contrary, intensifies, and they are also accompanied by pain in the lower abdomen, you should not delay a visit to the gynecologist.

Causes of heavy bleeding

When a woman, when taking OK, has abundant discharge, rather resembling menstruation, such a picture, as a rule, indicates breakthrough uterine bleeding. It occurs because during the uterus getting used to the changed hormonal status, atrophy of the endometrial layer increases due to the effect of progestogens, and the dosage of the estrogen component in the OK is now simply scanty, and does not allow it to successfully perform a hemostatic (hemostatic) function.

As noted, during the natural cycle, by the end of menstruation, the concentration of estrogen in the blood of a lady increases, as a result of which the exfoliation of the endometrial layer stops, and menstruation ends. However, while taking synthetic hormones, such processes do not always go smoothly.

In addition, breakthrough bleeding can occur due to such reasons:

• gynecological diseases (ovarian dysfunction, endometriosis, fibroids or polyps, disorders of the cervix);
• smoking also has an antiestrogenic effect, which means that bleeding is likely;
• violations of the scheme for the use of OK (missing the pill, abrupt withdrawal of the drug);
• the use of antibiotics and drugs that affect the state of the nervous system;
• due to vomiting and diarrhea (problems with the absorption of the drug);
• taking phytopreparations containing St. John's wort;
• sexually transmitted infections;
• individual intolerance OK.

Procedure for breakthrough bleeding

If we are not talking about the natural causes of blood loss (withdrawal bleeding, adaptation period), then it is most reasonable to immediately rush to the gynecologist. The first step is to check for pregnancy. The fact is that an “interesting situation” is not excluded even while taking OK, especially if a woman took antibiotics in parallel with them, one day she forgot about using the remedy, or she had bouts of vomiting or diarrhea. It must be recalled that the uterus reacts with bleeding to the implantation process, so the doctor needs to check the patient's urine and blood for the presence of hCG.

In the case when pregnancy is not confirmed, the doctor, as a rule, advises to double the dose of the drug taken (1 capsule in the morning and 1 more in the evening). In this mode, OK is drunk until the bleeding stops, and then they return to the usual intake of the drug: 1 tablet every 24 hours. Since the course of OK should not exceed 21-24 days, most likely, the woman will need to purchase an additional package of the drug.

It should be noted that in monophasic oral contraceptives, the composition of all tablets is absolutely the same, so you can use capsules from any cell. But for combined drugs, for example, for Jess, pills are taken from a numbered active cell corresponding to the day of taking OK. However, it must be remembered that with breakthrough bleeding, it is strongly not recommended to stop taking the contraceptive, as this can only increase bleeding. In addition, do not neglect a visit to a specialist: you should definitely contact a gynecologist to control the situation.