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I am having irregular bleeding while on birth control pills.

I am having irregular...

I am having irregular bleeding while on birth control pills. I haven't been consistent the past few months, should I be concerned?

Doctor's Assistant: What medications do you take daily? Are you allergic to any medications?

I take oath-tricycline lo, vitamins and some herbal supplements. But i've been taking all these same items for years

Doctor's Assistant: Anything else in your medical history you think the doctor should know?

I am 48 years old and been on birth control for 30 years, with the exception of having my two children. I skipped a month and just started again on 10/8

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Customer reply replied 7 months ago
Skipped birth control pills entirely the month of September
Period started on Sunday 10/1, but I did not start taking my pill until the following Sunday 10/8
Today, I forgot to take my pill until 9pm. When I went to the bathroom, I noticed I had blood that had soaked through a panty liner. When I wiped, it was bright red and a little think/clotty
Answered in 6 minutes by:
10/18/2017
Dr. J
Dr. J, Board Certified OB/GYN
Category: OB GYN
Satisfied Customers: 586
Experience: Gynecologist
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Hi there. Board-certified obgyn here. Are you up to date on your pap smear?

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Customer reply replied 7 months ago
I will be do in another 30 days
Customer reply replied 7 months ago
Is it possible that my hormones are just out of whack and I'm re-adjusting to the pill?

Ok gotcha. I would definitely make an appointment for your annual exam then.

The irregular bleeding could be because of intermittently starting and stopping the pills. I tell patients that once you restart the pills it could take a few weeks for your cycles to regulate. It's also very common at your age for bleeding to become irregular, as the hormones start to change as menopause begins to approach.

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Customer reply replied 7 months ago
Ok. Then I will watch cautiously and go ahead and schedule my annual exam. They usually like to wait until 10-14 days after the end of the last menstrual cycle--so, should I just keep taking my bcp and see if I get another cycle on schedule?

You've already been on the pills for 9 days so I'd just stick with them for now. I would go even if you're still bleeding; in our office we're still able to collect paps and do whatever testing we need even if you're bleeding, so I imagine most offices are similar.

Dr. J
Dr. J, Board Certified OB/GYN
Category: OB GYN
Satisfied Customers: 586
Experience: Gynecologist
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Customer reply replied 7 months ago
ok. Thank you for your advice. I will call tomorrow.
Best, L
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