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Im on seasonique. This is my second 3 month pack. During my

 
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  • Answered by:Dr. Owen
  • OB/GYN (Doctor)
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Customer Question

I'm on seasonique. This is my second 3 month pack. During my first pack I started spotting around day 74 which turned into a heavier bleeding by day 77. I finished all of the active pills and then let myself bleed for 7 days (without taking the estrogen oly pills). Then I started my second (current) pack on the Sunday following.
So now on the second pack I started to spot around day 67 which became heavier and like a regular period at day 70. So, I stopped the pill again for 7 days to "reset". My "period" started to subside on the 7th day and I figured the bleeding was over, but since I restarted the actives again yesterday, I'm experiencing bleeding and cramping again. My question is should I just continue on with the active blue pills since I just took a 7 day break??

Submitted: 256 days and 7 hours ago.
Category: OB GYN
Value: $69
Status: CLOSED

Accepted Answer

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Expert:  Dr. Owen replied 256 days and 7 hours ago.


Dr. Owen :

Hello, and I am pleased to help, use of my answers are for educational purposes only.

Dr. Owen :

Actually what you Might want to do is use a birth control pill such that you are using active pills for 21 days and then no pills (or placebo pills) for 7 days

Dr. Owen :

Also, you should get evaluated for a possible Thyroid condition - as this could be a hypothyroid condition - (low thyroid)

Dr. Owen :

And a simple blood TSH would help to diagnose this

Customer :

So are you saying that I should give up on the extended cycle pill?

Dr. Owen :

Sometimes your body might need a break from the extended cycle for a few months, THEN you can go back

Customer :

This is only my second pack of the extended cycle...

Dr. Owen :

Well try to see if you have a thyroid condition first - this is very common too see.

Customer :

Wouldn't hypothyroidism cause a variety of symptoms such as weight gain, hair loss, etc?

Dr. Owen :

Sometimes your body might not like the seasonique, but might like another brand of birth control you use USE just like the seasonique, but skip the placebo pills and just use the active pills - so using 4 packages every 3 months of say Loestrin will do the same as seasonique but possibly without the breakthrough bleeding

Dr. Owen :

Do you have any more questions?

Customer :

So should I go ahead and discontinue this pill immediately? I have not had my dose for today yet.

Dr. Owen :

You can actually stop the pills today and then possibly restart in 7 days, Or I would consider changing your pills to a different brand as I have discussed

Customer :

So that would be ok given that I just stopped for seven days already last week.......yesterday was my first day restarting. Will my period now go on for another 7 days or more?

Dr. Owen :

But, I would suggest getting a TSH thyroid blood test because if you have Hypothyroidism, then using a medication such as levothyroxine should help with the bleeding issue

Customer :

Ok.

Dr. Owen :

Well you can stop for another 7 days/ week

Dr. Owen :

and then start a New pill such as LoEstrin or Alesse

Dr. Owen :

your body might like these pills better

Dr. Owen :

Sometimes it is a matter of finding the appropriate birth control pill that your body can adjust to

Customer :

I was on Ortho Novum 777 for 19 years prior to this.......I changed because my periods started to become very painful and heavier about a year ago.

Dr. Owen :

I would not recommend the 777, you sound like you need a Monophasic birth control such as Loestrin or Alesse.

Dr. Owen :

Also, you might benefit from the Mirena IUD too to stop your period if that is what you want.

Dr. Owen :

I hope this helps

Dr. Owen :

I wish you the best

Customer :

Ok.

Customer :

Thanks!

Dr. Owen :

you are welcome

Dr. Owen :

Please click on EXCELLENT Service (smile face)

Dr. Owen :

We work for Positive ratings, thank you

Dr. Owen :

:)

Expert TypeOB/GYN (Doctor)
Category: OB GYN
Pos. Feedback: 98.4 %
Accepts: 34010
Answered: 7/23/2012

Experience: Board Certified: Ob/Gyn & Preventive medicine, US Medical Graduate

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