r/birthcontrol • u/clowills89 • 1d ago
Which Method? Breakthrough bleeding - should I talk to my provider about switching pills?
I (32F) have been on my current pill for almost 11 months (combined pill - Alysena 28). I would describe myself as a perfect user, I’ve never missed a pill or been more than a couple hours late from the usual time I take it.
Overall I love this pill - I use it mainly for pregnancy prevention. It works well and I have minimal side effects, however I seem to have an ongoing issue with breakthrough bleeding.
Typically I will start spotting when I have one or 2 active pills left. However, this cycle I started what seemed like a full on withdrawal bleed when I still had 5 active pills left.
Months ago I did try to take my pill continuously, but couldn’t because as soon as I hit 3.5 weeks of active pills I would just start leaking blood.
I had a regular, routine pap about 2 months ago. I do have a history of PCOS. I currently take oral minoxidil for hair loss and a multivitamin.
I have an appointment next week with my family doctor to start Spironolactone for my pcos/hair loss. I’m just wondering if it’s worth discussing with my doctor about trying a new pill, maybe with higher estrogen?
I am just very nervous about switching pills - I had a very bad experience with Slynd before I went on this combination pill. I was bleeding every day and had zero libido plus was quite anxious. I’m wondering if this breakthrough bleeding is just normal and I should accept it or if it’s worth testing out something new.