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I have been on Sprintec 28 for several years. Last month in…

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I have been on Sprintec...
I have been on Sprintec 28 for several years. Last month in the third week of my blue pills on Thursday I took my pill at 11pm instead of 7pm. I had sexual intercourse two days later. My next pill after the sex was my white pills. I had my period during the white pills. I then started a new birth control called Gildess FE 1/20. I have taken all these pills on time and have not had sexual intercourse at all. I am on my last week of pills and I am taking the third brown pill tonight. The week before I had spotting and discharge on Thursday/Friday! Now, I have been lightly spotting and then today I bleed with brown discharge. The bleeding has now stopped and it is brown discharge. What should I do?
Submitted: 2 years ago.Category: OB GYN
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Answered in 20 minutes by:
2/23/2016
OB GYN Doctor: Dr. Norm S., Board Certified OB/GYN replied 2 years ago
Dr. Norm S.
Dr. Norm S., Board Certified OB/GYN
Category: OB GYN
Satisfied Customers: 11,301
Experience: Over 30 years of experience in OB/GYN practice, including teaching students. Fellow of American Board of Obstetrics and Gynecology.
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Bleeding while taking the pill is called breakthrough bleeding. It's very common, especially on the low dose pills, such as Gildess 1/20.

As long as you got your period after missing the pill, that shows that you did not get pregnant.

I think that the spotting and brown discharge are just due to changing your pill.

I would keep taking your pills as usual.

If you have further breakthrough bleeding during your next pack, then I would talk to your doctor about trying a different pill. Best wishes.

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Customer reply replied 2 years ago
Well, I took the pill fours late and it was two days before I started my white pills in that pack. I didn't know if I could get pregnant during that time?
OB GYN Doctor: Dr. Norm S., Board Certified OB/GYN replied 2 years ago

Usually just taking a pill 4 hours late hardly ever would result in pregnancy. However, if you'd gotten pregnant, your period would not have come when expected.

So you know that you're not pregnant.

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Customer reply replied 2 years ago
I couldn't have ovulated during my last period? I know sperm lasts for five days. Just wanted to make sure that I was ovulating during last month's menstruation and that's why I am having brown discharge.
OB GYN Doctor: Dr. Norm S., Board Certified OB/GYN replied 2 years ago

Women don't ovulate during menstruation.

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Customer reply replied 2 years ago
Could the brown discharge with scanty red blood be the start of my period?
OB GYN Doctor: Dr. Norm S., Board Certified OB/GYN replied 2 years ago

That doesn't sound like a period to me.

Brown discharge with scanty blood while taking the active pills is breakthrough bleeding.

If it comes when a period is expected, perhaps it's a period.

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Customer reply replied 2 years ago
I am on my third pill of the last week. I did have to wear a tampon today, but the bleeding has come to cease. I'm not sure what to do?
Customer reply replied 2 years ago
I'm not sure why the flow stopped?
OB GYN Doctor: Dr. Norm S., Board Certified OB/GYN replied 2 years ago

Breakthrough bleeding comes and goes.

I would just continue your pills as scheduled.

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Customer reply replied 2 years ago
If I don't have a regular period would I be pregnant?
OB GYN Doctor: Dr. Norm S., Board Certified OB/GYN replied 2 years ago

If your period doesn't come when expected during the placebo pills, you might be pregnant.

However, breakthrough bleeding is sometimes associated with missed periods. Both are due to very thin uterine lining.

If your period doesn't come when expected, I would do a pregnancy test. If it's negative, you're probably not pregnant.

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Customer reply replied 2 years ago
There is blood up there it's just not coming as a flow since this afternoon. Should my period start soon? I haven't been involved with any sexual activity since the three days before my last month's placebo pills
OB GYN Doctor: Dr. Norm S., Board Certified OB/GYN replied 2 years ago

Usually your period would be starting soon, since you're on the third day of the placebo pills.

They are low dose pills, so you might have a very light period.

When there has been breakthrough bleeding, sometimes the period will be light and scanty. They are both related to the thin uterine lining from the pill. I wouldn't worry if it's a very light period.

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Customer reply replied 2 years ago
I bleed today and then it was light and scanty. So, these birth control pills cause a different kind of period than Sprintec 28?
OB GYN Doctor: Dr. Norm S., Board Certified OB/GYN replied 2 years ago

They can cause a different period, and sometimes women get changes in their periods just due to being on the pill for some time.

Some women stop having periods after several years on the pill.

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Customer reply replied 2 years ago
since I have been seeing blood the likelihood of me being pregnant is slim correct? Especially since the incident was during my last month's pills
OB GYN Doctor: Dr. Norm S., Board Certified OB/GYN replied 2 years ago

That's correct.

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Customer reply replied 2 years ago
Would scanty blood & brown discharge and one day of bleeding be enough or should I take a pregnancy test?
OB GYN Doctor: Dr. Norm S., Board Certified OB/GYN replied 2 years ago

You might as well do a pregnancy test so that you can be certain that you're not pregnant.

Please click the rating stars. Thank you.

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Customer reply replied 2 years ago
I actually bleed again all day today and then it stops in the evening.
Customer reply replied 2 years ago
Is that due to the low dose pill?
Customer reply replied 2 years ago
My last question and I will close/tip: I am bleeding from 7am until about 5-6pm needing tampon and then I usually have a little brown discharge. Is this due to the new low dose birth control? Or should I still take a test?
OB GYN Doctor: Dr. Norm S., Board Certified OB/GYN replied 2 years ago

If I understand correctly, your period is due and you're having bleeding. The bleeding is probably light and may be off and on due to the low dose pill.

As I said, you might as well take a test to be sure, but I don't think you can be pregnant.

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Customer reply replied 2 years ago
I am having bleeding throughout the day just not at night. I only Had that one sexual encounter in my third week of active pills after I took the one pill four hours late by I had a period last month. I did switch birth control pills this month to the low dose because of the brown discharge, but not I'm having brown discharge? Should it be normal soon?
Customer reply replied 2 years ago
I am having bleeding throughout the day just not at night. I only Had that one sexual encounter in my third week of active pills after I took the one pill four hours late by I had a period last month. I did switch birth control pills this month to the low dose because of the brown discharge, but not I'm having brown discharge? Should it be normal soon? The bleeding has actually stop today! So, I only had two days of a regular flow.
OB GYN Doctor: Dr. Norm S., Board Certified OB/GYN replied 2 years ago

Hopefully the bleeding will stop once you begin your active pills.

If you're still having breakthrough bleeding after 2-3 months of the new pill, you might wish to switch to a different pill, perhaps one with a little more estrogen.

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Customer reply replied 2 years ago
The bleeding stopped. So, should I just finish the active pills and I'm safe not pregnant?
OB GYN Doctor: Dr. Norm S., Board Certified OB/GYN replied 2 years ago

Aren't you on the placebo pills now?

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Customer reply replied 2 years ago
I have three morning placebo including tonight.
Customer reply replied 2 years ago
I have three more placebo including tonight.
OB GYN Doctor: Dr. Norm S., Board Certified OB/GYN replied 2 years ago

So I'm not sure what you mean by finishing the active pills, since you're not on active pills.

I would just continue taking the pills as directed.

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Customer reply replied 2 years ago
No, I just meant I only bleed two days on the placebo pills. Is that considered a period for Glidess FE 20?
OB GYN Doctor: Dr. Norm S., Board Certified OB/GYN replied 2 years ago

Yes, it's considered a period.

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Customer reply replied 2 years ago
With brown discharge before and after?
OB GYN Doctor: Dr. Norm S., Board Certified OB/GYN replied 2 years ago

Yes.

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