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What causes vaginal bleeding after taking Loestrin Fe?

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Dr. Madhuri N Bagde

OBGYN

Practicing since :2001

Answered : 1390 Questions

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Posted on Tue, 2 Sep 2014 in Birth Control
Question: I have taken loestrin fe for 4 months now. I have been late taken the pill only once about 7 weeks ago and did not have unprotected sex for a 3 day window on either side of that occurrence. I bled in the middle of that pack of pills but have not bled since. That was about 6 weeks ago. I just finished another complete pack of pills with no period. I have taken 4 pregnancy tests in the past 4 weeks...all negative. Is skipping periods a common occurrence with this medication or should I schedule an appointment with my doctor?
doctor
Answered by Dr. Madhuri N Bagde 34 minutes later
Brief Answer:
wait for another cycle

Detailed Answer:
Hello and welcome to HCM,

I am not sure about how you have been taking the pills. You have taken them for 4 months. Once you have taken 1 pill late and did not have sex 3 days before and after that and have experienced bleeding at that time. Now you have completed a pack and do not have bleeding.

Please correct me if this is I have not understood things clearly. Also please mention the complete name of the pack you are taking. Is it loestrin 24Fe, lo loestrin Fe, or loestrin 1/20 as all of them have different drugs and combinations.

I assume that you are taking loestrin 24 Fe. It is not unusual to have irregular bleeding for first 3 months of taking the drug. But it usually settles after that. If the problem persists beyond 3-4 months, it is better to see your doctor.

If the pregnancy tests are negative then do not worry about pregnancy. Also check if you are using the sugar pills for 4 days as given in tbe pack.

As of now, I suggest if you are using Loestrin 24fe and have missed periods but getting negative pregnancy tests then wait for 1 more month. Do not get stressed, as stress also delays periods. Exercise daily and practice mental relaxation daily and see if you get a period at the end of this pack.

If you do, there is no need to worry. If there are no periods then you may see your doctor and get another pill may be junelle or a similar one with 21 days dosage and 7 days off which has a more predictable bleeding pattern.
Hope this satisfies your query.
Thanks for using HCM.     
Feel free to ask any more questions that you may have.
Dr Madhuri Bagde
Consultant Obstetrician and Gynecologist

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Follow up: Dr. Madhuri N Bagde 10 hours later
I only have 2 sugar pills, So my prescription is the loestrin fe that are only 10 mg each. Does this alter your answer?
doctor
Answered by Dr. Madhuri N Bagde 2 hours later
Brief Answer:
no it doesn't.

Detailed Answer:
Hello and welcome back,

You seem to be taking lo loestrin fe.

It has 24 blue, 2 white and 2 brown tablets. Please correct me if I am wrong.

If you are using these then absent or scanty periods has been reported in many women taking them as well as loestrin [ more with lo loestrin] and it may be due to only a 2 days pill free period. Nevertheless it is important to see your doctor if the periods are missed for more than 2 months to rule out pregnancy. Since your pregnancy tests are negative then you may wait for another month, try the exercise and mental relaxation measures and see if they help.

If they do not help then see your doctor and maybe you will need a change of prescription.

Hope this helps with the query. Please feel free for any further queries.

Take care and do not worry.
Dr Madhuri
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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