Spotting After Switching Pills

Patient

Q: I have been on the low dose combination birth control pill Gildess fe 1/20 for a year. Recently my gynecologist switched to Gildess fe 1.5/30 which is a higher dose of the same hormones to reduce breakthrough bleeding. Last month, I began my first pack of the new dosage when I would have began my next pack of the old pill. Besides some random midcycle cramping last month, I had no adverse symptoms on the new pill. Last week was my first withdrawal bleed after using the new dosage. I got my bleed as usual, but I've continued to spot for the first three days of active pills this pill pack. Could this spotting just be a normal side effect of recently switching pill dosages?

Symptoms:  Spotting after withdrawal bleed
Doctor

A:   Hello,
Thanks for the query.
The hormonal pills generally have side effects of irregular bleeding pattern for few days which settle down after the hormone levels stabilize.In your case, due to a change in the dose of the pill, there has been spotting most probably.This could be a side effect of the pill most probably.There is nothing much you need to do about this, but do observe the spotting.In case it gets heavier and you pass clots, you will have to consult your doctor again for a dose adjustment.It would generally settle down in a few days.
Hope this helped.
Regards.

Related Q&A

Q: I take the Lutera birth control pill everyday at 11pm. Last night (Saturday) I took a pill at 11pm and this morning (...

Q: Hi - I'm on Alesse for birth control and since having our daughter 7 months ago, I'm quite religious with my pill but...

Q: I have had bilateral PE, DVT x2 and clot behind my eye in the past. My doctor was away and a new doctor put in the im...

Q: I have taken an i-pill on 31st October, my periods was due on 18 but I got it on 7th. But the bleeding is very low wi...

Q: I hVe taken two extra days worth of levlen ed for birth control by mistake and just wanted to no if i should wait two...

 
DOCTOR ADVISORY BOARD
218

Dr. James Obaji M.D.

  • 247 Reviews
  • Family Physician
173

Dr. Suneel Sharman M.D.

  • 190 Reviews
  • Family Physician
138

Dr. Pat Golden M.D.

  • 169 Reviews
  • Cardiologist
98

Dr. Kunaal Jindal M.D.

  • 112 Reviews
  • Plastic Surgeon
CNN
BBC
MSNBC
CBS
abcNews
FoxNews