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Hi, I'm Dr.Nitika-a board certified physician. Welcome to JustAnswer. I'm reviewing your question now, and will post back with your reply ASAP.
As per your description,she is experiencing Breakthrough bleeding-bleeding while taking the active pills of combined oral contraceptives, or other hormonal contraceptives.
Breakthrough bleeding or spotting can happen at any time while on pills.In most cases it stop by itself after one or two cycles. It usually occurs at the time of using the first few packs since the woman's body is still trying to adjust to the pill. If it does not resolve on its own then there is a need to switch to different pill formulations, or to switch to a non-hormonal method of birth control.
You should see her gynecologist if she feels fatigue,excessive bleeding and persistent.
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