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What Causes Spotting Post Birth Control Pill Withdrawal?

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Posted on Sat, 1 Oct 2016
Question: I am a 53 year old female who went off of the birth control pill finally. I went off of it at the end of XXXXXXX this year and now for the last two weeks have been spotting off and on every day. Is this normal?
doctor
Answered by Dr. Aarti Abraham (52 minutes later)
Brief Answer:
As below

Detailed Answer:
Hello
Thanks for trusting us with your health concern.
Would you mind telling me a few details.
Why were you on the pill at 53 ?
Was it purely for birth control, or any other indication ?
Did you have regular periods earlier and while on birth control ?
Have you ever had such spotting on and off earlier ?
Any other symptom of peri menopause / menopause ?
Spotting as such is not normal, but it could be mild hormonal imbalance arising from peri menopause, or something else ( polyp, cervical lesion etc ).
Once you give me more details, I will then get back to you with more inputs.
Looking forward to hearing from you.
Take care.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Aarti Abraham (21 hours later)
i was on the pill for birth control only. I had regular periods up until I went off of the pill at the end of XXXXXXX After that I did not have any periods for about 2 months , and then I started spotting off and on about 2 weeks ago. I haven't really ever had any spotting in between my periods. I have been having night sweats off and on for a few years and have had a couple of hot flashes in the past few years as well as some anxiety and weight gain.
doctor
Answered by Dr. Aarti Abraham (15 hours later)
Brief Answer:
As below

Detailed Answer:
It sounds like you are in perimenopause or actual menopause.
This hormonal imbalance is most likely due to peri menopause.
Please consult an OB - GYN, and go for an internal exam, Pap smear and a pelvic ultrasound.
Also, hormonal levels - FSH, LH, Serum estradiol.
These investigations will tell you where you stand with respect to perimenopause.
Take care.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Aarti Abraham

OBGYN

Practicing since :1998

Answered : 6004 Questions

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What Causes Spotting Post Birth Control Pill Withdrawal?

Brief Answer: As below Detailed Answer: Hello Thanks for trusting us with your health concern. Would you mind telling me a few details. Why were you on the pill at 53 ? Was it purely for birth control, or any other indication ? Did you have regular periods earlier and while on birth control ? Have you ever had such spotting on and off earlier ? Any other symptom of peri menopause / menopause ? Spotting as such is not normal, but it could be mild hormonal imbalance arising from peri menopause, or something else ( polyp, cervical lesion etc ). Once you give me more details, I will then get back to you with more inputs. Looking forward to hearing from you. Take care.