Hi and thanks for the query,
It might be necessary to recall that pills are hormones, and when taken, physiologic events like menstruation
might certainly be altered,. This however occurs in varying degrees and changes in intensity from woman to woman.
My suggestion is having clinical evaluation by a physician. It s compelling for an organic cause of the bleeding (cervix
problem, ovarian, uterine like fibroids) to be formerly excluded. Vaginal infections and common urinary and genital infections must be carefully considered on the evaluation table.
It s only after exclusions of these possibilities that hormonal
therapy modified schemes could be proposed. An ultrasound
(USG) shall certainly be useful at some point in time.
Thanks and hope this helps. Kind regards.
Bain LE, MD.