Spotting, or breakthrough bleeding, is a common side effect of specific hormonal birth control medications. While the bleeding will typically reduce in severity within three to four months, there are some of whom spotting can persist.
Past the drugs spotting is connected with dosing. In fact, research has shown that around 33 percent of those who miss one or more pills per cycle may experience breakthrough bleeding.
Smoking, unsurprisingly, only adds to the result.
Spotting can be aggravating for those taking the pill, particularly if the bleeding doesn’t appear to be improving. Sometimes, there may be benefits to switching treatment if simply to locate the drug with the right hormonal equilibrium for you.
Differences in Birth Control Pills
Deciding upon the particular brand of birth control pill could be a process of trial and error. The medication might often vary by formulation as well as the quantity of active ingredient used. Combination pills, the kind most commonly prescribed, are those that pair estrogen with one of eight distinct types of progestins.
Depending on the brand, a few pills might as little as 35 micrograms of estrogen while some have up to 50 micrograms. These variations can often make a large difference from the negative effects a individual could experience.
These exact same applies to progestin. These synthetic forms of progesterone are broadly classified as estranges (first generation), gonanes (second generation), and spironolactone (the newest type of progestin).
Depending on the kind and amount of progestin used–and the dosage of estrogen–the side effects might be minimal or seriously impact a woman’s quality of life.
Birth control pills are mainly defined by their own drug action. This action can vary but involves three, inter-related consequences:
- Progestational impacts which decrease menstrual bleeding and prevent ovulation
- Androgenic effects Brought on by the excess production of male hormones That Might trigger baldness, acne, and excessive facial hair (hirsutism)
- Estrogenic effects that aim to help counter the androgenic effects while stabilizing the uterus
By and large, spotting is more likely to occur when the birth control method you use has little or no estrogen. But estrogen dosages don’t predict whether bleeding will happen.
Just as impactful is the type of progestin used. Of the three sorts of progestin, gonanes tend to possess the best progestational effect, which makes them suitable if spotting is especially problematic. Butagain, this is not always the case.
What’s more important is the balance between estrogen and progestin. In the long run, the aim of therapy is to maintain an equilibrium between the estrogenic and progestational effects of a pill while tempering any negative androgen-related side effects. If one or the other is thrown away, problems can happen.
So, even if a medication is made out of ethynodiol diacetate, a progestin related to improved hyperactivity, higher doses of estrogen can effectively counteract this effect.
Best Treatment Options
As a guideline, a combination birth control pill that includes a high estrogen level, greater progestin potency, and lower androgen impact is less prone to cause spotting. One of the brands most consistent on this profile are:
- Demulen 1/50
- Ovcon 50
- Zovia 1/50E
- Loestrin 1/20
Estrostep FE is just another brand that may decrease or stop the breakthrough bleeding. This pill Doesn’t follow exactly the same profile as others as it will have a top androgenic/low estrogenic effect. Instead, as a triphasic pill, treatment is delivered in three distinct phases more in accord with the female’s cycle.
Every week of Estrostep FE tablets contains a different number of hormones, together with the final week containing no hormone. By the next treatment in the sequence prescribed, the danger of spotting may be greatly reduced.
If breakthrough bleeding has become a serious problem, speak to your doctor about these options.
A Word From Verywell
While darkening might be painful, it’ll often solve on its own since the body begins to adjust to effects of the medication. Because of this, physicians will typically advise that you keep in your current medication for at least three weeks to see if the side effects will enhance.
During this time period, attempt to remain fully adherent to your treatment, taking your pill every day without fail. If any side effects become intolerable, talk to your doctor but try not to discontinue treatment until your doctor tells you it’s alright.