Bleeding on the pill can happen even when the pill is taken correctly. This “breakthrough bleeding” is usually light and temporary, especially in the first months after starting or changing a pill, or when using continuous or extended regimens. It generally does not mean the pill stopped working. Learn more about what spotting is and when it’s normal.
Common triggers for bleeding on the pill include forgetting pills, taking them at very different times each day, stomach bugs that affect absorption, or switching to a lower-dose pill. Many people also notice brief mid-cycle spotting as the body adapts. Taking the pill at the same time daily helps reduce irregular bleeding.
If pills were missed, follow the instructions for your pack and use condoms for 7 days when advised. Keep taking the pack as directed rather than stopping abruptly. Reach more about what to do when you miss your birth control pill and what to expect.
You are advised to consult a gynecologist if bleeding is heavy, lasts longer than usual, emerges with pelvic pain, dizziness, fainting, or if pregnancy is possible. Do not self-medicate or change pills without medical advice. As a preventive habit, take the pill at the same time every day and use condoms to protect against STIs when needed.