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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.
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.
In those with more significant symptoms birth control pills may be useful. [3] Hormonal contraception is commonly used; common forms include the combined oral contraceptive pill and the contraceptive patch. [17] This class of medication may cause PMS-related symptoms in some and may reduce physical symptoms in others. [3]
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Side effects of CICs, besides menstrual bleeding changes, are minimal. [26] The most prominent side effects of CICs are menstrual irregularities during the first 3 to 6 months of use. [1] Dysmenorrhea has been reported in 30 to 65% of women. [26] Other side effects include breast tenderness/pain, headache, and libido changes. [26]
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)
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