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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Early Menstruation Along With Vaginal Spotting Post Intercourse?

So, I had sex about 8 weeks ago. Last month (3 weeks after last having sex) I got my period at the usual time but it was lighter than usual. This month exactly 1 week before i am supposed to get my period I have started spotting. It s been happening for about 4-5 days now and goes in and out. Sometimes it is only when I wipe and other times I need to change my underwear. I m on the pill and we used a condom. I also had a pap smear 2 days before getting my period last month. However, I m afraid with having an unusually light period last month and now bleeding a week early this month that it could mean pregnancy. Would a pap smear have found that I was pregnant or do I need a blood test for that?
Thu, 13 Aug 2015
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OBGYN,  's  Response
Dear Madam,

You seem to have break-through bleeding because of the contraceptive pills.

There are different types of birth control pills: Progesterone only pills, Progesterone dominant pills, Oestrogen dominant pills, balanced pills, mini pills, post coital emergency pills, etc. Probably you are on the Progesterone dominant or Progesterone only pills which are known to cause low bleeding and also cause break-through bleeding.

One has to choose the type of the pills as per the hormonal balance in the body.

You may discontinue these pills. You will get the menstruation. Then switch over to the balanced or Oestrogen dominant pills with the advice of a Gynaecologist. Please start the next pack of different combination on the second day of menses.

By discontinuing these pills, you may loose the protection against pregnancy in this cycle. So please continue to use condom as an additional precaution as you are already practising.

I hope this advice helps you.
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What Causes Early Menstruation Along With Vaginal Spotting Post Intercourse?

Dear Madam, You seem to have break-through bleeding because of the contraceptive pills. There are different types of birth control pills: Progesterone only pills, Progesterone dominant pills, Oestrogen dominant pills, balanced pills, mini pills, post coital emergency pills, etc. Probably you are on the Progesterone dominant or Progesterone only pills which are known to cause low bleeding and also cause break-through bleeding. One has to choose the type of the pills as per the hormonal balance in the body. You may discontinue these pills. You will get the menstruation. Then switch over to the balanced or Oestrogen dominant pills with the advice of a Gynaecologist. Please start the next pack of different combination on the second day of menses. By discontinuing these pills, you may loose the protection against pregnancy in this cycle. So please continue to use condom as an additional precaution as you are already practising. I hope this advice helps you.