Thanks for the query.
Yes. Sometimes after starting the oral hormonal
pills, side effects like breakthrough bleeding
, breast tenderness etc can be seen.
This occurs due to hormonal fluctuation usually.
And it will subside soon with out the need of medication.
So you wait for few days, possibly by that time the symptoms will settle down.
If not consult your doctor once and take additional dose of hormones to control the bleeding.
Once the spotting decreases she can continue with her regular pills only.
Meanwhile she can take symptomatic treatment for chest pain