Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties

139 Doctors Online
Doctor Image
Dr. Andrew Rynne

Family Physician

Exp 50 years

I will be looking into your question and guiding you through the process. Please write your question below.

History of PCOS. Having irregular periods, feeling bloated and sudden weight loss. Worrisome

Answered by
Dr. Rakhi Tayal


Practicing since :2001

Answered : 13337 Questions

Posted on Mon, 7 Jan 2013 in Women's Health
Question: I am a 48-year-old woman with a history of polycystic ovarian syndrome and irregular periods. I also am treated for hypothyroidism. Back in 2006, my GYN put me on Lo Ovral (generic Cryselle 28) for breakthrough bleeding. Everything was fine (I even had months at a time when I didn't have a period) until July of this year when it became impossible to get Cryselle anymore and I was switched to Lo Ogestrel 28. I started having heavier periods that were longer. Then last month, I was under a lot of stress and I skipped my period all together. I am now in week three of my active pills and last night I started bleeding (lightly) and having cramps. I also am bloated. I called my GYN this morning and the nurse said to finish the pill pack (take the last two pills) and then start the new one next Sunday after my period and everything should be fine. She said it was all stress-related breakthrough bleeding, plus the switch to the Lo Ogestrel.
I should mention that I have lost 60 pounds since XXXXXXX due to being on a low carb diet and exercise. Does this have anything to do with the breakthrough bleeding?
I am worried about this bleeding and would like another opinion.
Answered by Dr. Rakhi Tayal 48 minutes later
Thanks for posting your query.
The small breakthrough bleeding that you had is likely to be due to stress related. Sudden weight loss can also alter the bleeding patterns. This is not worrisome. Such mild spotting usually stops on its own without any specific treatment. You can continue taking the pills as usual. The change in the pills can also result in such a change in the bleeding pattern.
In case the bleeding becomes heavier, then it is best to consult your gynecologist for any additional hormonal therapy.
Hope this answers your query. I will be glad to answer the follow up queries that you have.
Please accept my answer in case you do not have further queries.
Wishing you good health.
Dr. Rakhi Tayal.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
Follow up: Dr. Rakhi Tayal 8 minutes later
I thought I would only experience breakthrough bleeding for three months after the change in pills, and it's been five months since I switched generics for the Lo Ovral. Plus, I thought that since the Lo Ogestrel had the same active ingredients as the Cryselle that I would have no problem with it. So even a switch between generics of the same brand name drug could cause this sort of bleeding? And bleeding that occurs five months after switching generics is normal?
Answered by Dr. Rakhi Tayal 9 minutes later
Thanks for writing again.
If you are taking Lo Ogestrel for last five months then the breakthrough bleeding you had might be due to a hormonal imbalance due to the weight loss or stress.
Sometimes, a change in the brand even if the active ingredients are same can result in mildly irregular responses. Bot since you are taking it for last five months, it is not expected in your case.
Hope my answer is helpful.
Do accept my answer in case there are no further queries.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

The User accepted the expert's answer

Share on
Question is related to
Diseases and Conditions

Recent questions on  Breakthrough bleeding

doctor1 MD

I am 29 yrs married girl. I had my baby last year. After that my period came in October. From October, my period came in 28th April.but after clear my period m having dark brown discharge. Thought test I came to know I have infection. My doc gave me meprate tablet....but I still have breakthrough bleeding... Should I take meprate tablet during breakthrough bleeding or should I wait for stop bleeding? Doc gave me this tab for getting my period properly.....

doctor1 MD

I'm supposed to take Yasmin contraceptive pill on my first day of menstruation but my question is, when should I start taking it now that I've used Nordette as emergency contraceptive pill? I know that I will be experiencing withdrawal bleeding from the Nordette pills. Should I take my Yasmin on the first day of withdrawal bleeding from Nordette? Please advise.

doctor1 MD

Good day, Doctor! My girlfriend and I had unprotected sex on the 6th day of her menstrual cycle. Due to anxiety and just to make sure, I made her take 4 pills of Nordette 54 hours after the encounter and another four pills 12 hours after the first dose. It has already been 10 days since she took the ECP and she bled for 1 and a half days. I am wondering if this was withdrawal bleeding, a side effect of the drug she took, or implantation bleeding. The blood discharge was bright red according to her and she has not felt any cramping sensation. What are the chances that she's pregnant? Are we in the clear?

doctor1 MD

I have been taking the Nuva Ring contraceptive for 4 months. I leave it in for 3 weeks and then immediately insert a new one in hopes of not having a menstral cycle. I did have breakthrough bleeding and it finally stopped. Now the breakthrough bleeding is back again. Is this normal?

doctor1 MD

Hello, my 18 year old daughter has been having HORRIBLE female problems. Within the last year she has been on Deproprevara, exploratory endometriosis surgery and then switched to Mirena IUD. Last week she switched to a new OBGYN and he put her on...

doctor1 MD

I recently had unprotected sex and he came inside me last Tuesday. I’m on birth control and have been now for sometime. It’s a high dose of progesterone and estrogen . I woke up this morning to find some dark brown blood. Should i be worried? I’m...

doctor1 MD

HI, I'm a 40 yr old who underwent an embolization for fibroids 2 years ago. Since then I've experienced cases of bacterial vaginosis and now breakthrough bleeding before my period. I've been on birth control to help regulate my period. My partner...