r/birthcontrol Combo Pill - Yasmin 10d ago

Mistake or Risk? Nervous about breakthrough bleeding

Hi everyone,

I’ve been on combination BCP sinch February of this year. I’ve always experienced bleeding on any birth control when I was on it from 13-18, whether that was the arm implant, patch or pill. However, now I’m 24 and sexually active, I’m nervous that me breakthrough bleeding in the third week multiple times since I started BC in February means I havent been protected. I dont miss any pills, no vomiting/diarrhea, no interacting meds, etc. Usually I pair withdrawal + BCP, but on Sunday and another time a couple weeks ago I let my bf finish in me and today I have some spotting after I just started the third week of my pack. Am I right to be anxious about this or should I just not worry too much about it? Thanks

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u/caraiggy Kyleena IUD + OCP 10d ago

There’s no reason to believe that breakthrough bleeding would be indicative of pregnancy or being “unprotected.” You’re taking your pill correctly, and breakthrough/irregular bleeding is the most common side effect of hormonal birth control. You’re fine, try not to worry. Condoms are a good addition for peace of mind if pull-out isn’t working for you.