Can women with ovulatory bleeding take birth control pills?

Patient's question:

Two days after your period, you took one birth control pill, and now you've been experiencing spotting for 10 days. Your menstrual cycle is normally 28 days, and you have some cramping and a feeling of fullness in your lower abdomen. Can you take birth control pills during ovulation bleeding?

Doctor's answer:

Women of childbearing age occasionally have very small amounts of bleeding during ovulation, which is relatively common. You don't need to worry too much about it. Recently, please stop taking emergency contraception pills. Emergency contraception pills contain a large amount of hormones, so it is normal for ovulation bleeding to stop after taking them. Emergency contraception pills must be taken within 72 hours after having sex to be effective in breastfeeding. The more you take them, the higher the success rate of breastfeeding. If you take them within 72 hours, you will usually not get pregnant. Postmenopausal bleeding generally does not require treatment, as most women can heal on their own without affecting health and fertility. Postmenopausal bleeding can generally be treated with emergency contraception measures.

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