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Had surgical abortion. Started on birth control pills. Having heavy bleeding at night. What is this? Stop birth control pills?

Mar 2013
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Practicing since : 1998
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i had a surgical abortion at 15 weeks on March 30th. 4 weeks later i started birth control pills XXXXXXX 35 and i am on the last week before finishing up the pills and i am bleeding heavily only at night. i take the pill in the morning and about 12 hours later the bleeding starts. what is this? how can the bleeding stop? should i quit taking the birth control?
Posted Sun, 2 Jun 2013 in Birth Control
Answered by Dr. Aarti Abraham 14 minutes later
Thanks for your query
3 months after a surgical abortion, it is normal to have slightly altered menstrual bleeding.
Moreover, during the first month of birth control, it is common to have abnormal bleeding or spotting also.
This is most probably your normal period.
It is common to have an altered period after an abortion / on birth control.
Do not quit birth control.
Continue taking the pills as normal, and do not skip a pill.
Your cycles would regularize within a couple of months, particularly more effectively on birth control.
Please have a follow up visit at 6 weeks after your surgical abortion to rule out any other residual complication.

Take care,
Feel free to discuss further.
Above answer was peer-reviewed by
Follow-up: Had surgical abortion. Started on birth control pills. Having heavy bleeding at night. What is this? Stop birth control pills? 9 minutes later
can i have a period while i am on birth control?
Answered by Dr. Aarti Abraham 15 minutes later
Of course you can,
you will and you should !
You would have regular periods while on birth control.
Above answer was peer-reviewed by
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