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Irregular bleeding after using Alesse.

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I have been on Alesse since march 10, the Sunday right after my period. My Dr told me that if I wanted to skip my period, I will have to continue taking the pill. On April 25 I got my period and I continued taking the pill without stopping. Since then I have been bleeding non stop, even until today (may 2) it's very pink light blood. On the 6th day at night, I thought I stopped bleeding and I had unprotected sex. I am worried. I don't know why my body is reacting this way. Should I stop taking the pill? Should I continue? Am I protected or not?

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Category: Family Physician-GP
 21 Doctors Online


I think you were misinformed. Alesse and other oral contraceptives do not cause stoppage of menstrual bleeding instead they help in regularization of the menstrual bleeding and preventing pregnancy. The bleeding you have experienced is called withdrawal bleeding and is a part of OC medications. If you have started OC less than 3 months back, it is advised that you use a backup contraceptive like a condom.

This breakthrough bleeding generally is greatest in the first 3 to 4 months after starting OCs and it steadily declines and stabilizes by the end of the fourth cycle.

I would recommend the following things-

1) If the bleeding persists for 3 months, consider changing to a formulation with:

a) Either a higher or lower dose of the same progestogen.

b) A different second-generation progestogen and starting with the lowest available dose.

2) Get regular pap smears done as to prevent the chances of cervical cancer. Studies have shown that having unprotected sexual intercourse increases chances of cervical cancer.

3) Consult a gynecologist for a pelvic exam to check for other causes of bleeding like cervical erosions.

4) Take a Tab, ferrous sulphate 150 mg and Tab Tylenol 500 mg for temporary relief in pain.

5) Eat a good balanced diet with good portion of proteins carbohydrates and vitamins. Consume diet rich in green leafy vegetables and milk.

Thank you.

Dr. John Monheit
Category: Family Physician-GP
Residecny: North Colorado Family Medicine
Medical School: The Chicago Medical Center
Dr. John Monheit and 4 other Medical Specialists are ready to help you

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