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The spotting you're noticing might be implantation bleeding (a.k.a. when the fertilized egg attaches to the uterine lining) or even just the early stages of pregnancy itself.
Heavy menstrual bleeding is defined as total menstrual flow >80ml per cycle, soaking a pad/tampon at least every 2 hours, changing a pad/tampon in the middle of the night, or bleeding lasting for >7 days. [3] [1] [9] Deviations in terms of frequency of menses, duration of menses, or volume of menses qualifies as abnormal uterine bleeding ...
The bleeding is usually light, often referred to as "spotting," though a few people may experience heavier bleeding. [citation needed] It is estimated that breakthrough bleeding affects around 25% of combined oral contraceptive pill (COCP) users during the initial 3 to 4 months of use, it then usually resolves on its own. [8] [9]
In a 12-month study of a continuous COCP regimen, 59% of women experienced no bleeding in months six through twelve and 79% of women experienced no bleeding in month twelve. [19] Extended or continuous use of COCPs or other combined hormonal contraceptives carries the same risk of side effects and medical risks as traditional COCP use.
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[1] [4] [3] Treatment may involve acetaminophen or ibuprofen. [1] Birth control pills may be used for prevention. [1] It is not serious, though may reoccur. [3] Mittelschmerz affects about 20 to 40% of women. [2] [4] The term is from the German for "middle pain". [3] Its presence has been used to manage fertility. [4]
Meant to be taken at the same time every day (some pills can be taken within 2–24 hours and still be effective) [19] Combined contraceptive patch [7] 120-150 μg of norelgestromin and 20-35 μg ethinyl estradiol daily [20] [21] [22] New patch used once a week, after 3 weeks patch is not worn to allow for withdrawal bleeding [19]
Irregular menstrual bleeding and spotting in individuals taking progestogen-only pills, especially in the first months after starting. [47] [48] This side effect may be bothersome but is not dangerous, and most users report improved bleeding patterns with longer usage. May cause mastalgia (breast tenderness, pain)