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The bleeding is usually light, often referred to as "spotting," though a few people may experience heavier bleeding. [citation needed] It is estimated that breakthrough bleeding affects around 25% of combined oral contraceptive pill (COCP) users during the initial 3 to 4 months of use, it then usually resolves on its own. [8] [9]
With all extended-cycle COCPs, breakthrough bleeding is the most common side effect, although it tends to decrease over time. [18] In a 12-month study of a continuous COCP regimen, 59% of women experienced no bleeding in months six through twelve and 79% of women experienced no bleeding in month twelve. [19]
The most common side-effects of combined hormonal contraceptives include headache, nausea, breast tenderness, and breakthrough bleeding. Vaginal ring use can include additional side-effects including vaginal irritation and vaginal discharge. Contraceptive skin patch use can also include a side-effect of skin irritation around the patch site. [39]
Nice stressed that the symptoms women experience are real and treatments are available.
While unpredictable breakthrough bleeding is a possible side effect for all hormonal contraceptives, it is more common with progestogen-only formulations. [16] Most regimens of COCPs, NuvaRing, and the contraceptive patch incorporate a placebo or break week that causes regular withdrawal bleeding.
Hormone replacement therapy (HRT), also known as menopausal hormone therapy or postmenopausal hormone therapy, is a form of hormone therapy used to treat symptoms associated with female menopause. [ 1 ] [ 2 ] Effects of menopause can include symptoms such as hot flashes , accelerated skin aging, vaginal dryness , decreased muscle mass , and ...
Hormone replacement therapy: You can receive a combination of estrogen and progesterone via a skin patch or pill, Tang says. There are also creams and gels that can be applied directly to the ...
For continuous method, people can take combined oral contraceptives for a year continuously without any placebo pills. [81] In the first few months of extended or continuous use of combined oral contraceptives, unscheduled bleeding or spotting may occur. [82] However, the bleeding or spotting is expected to resolve after a few months of use. [82]