Is it normal to have a little blood five days after taking birth control pills?

Patient's question:

After taking birth control pills for five days, I had a very small amount of bleeding and then stopped. Is this normal?

Doctor's answer:

After taking birth control pills for five days, I had a very small amount of bleeding and then stopped. This is normal. Birth control pills usually cause withdrawal bleeding about five days after stopping. Generally, the recurrence of withdrawal bleeding indicates successful breastfeeding. However, birth control pills should not be taken multiple times in a month; at most, one dose should be taken per month. Typically, taking emergency contraception once a week may lead to spotting! This is called withdrawal bleeding. Withdrawal bleeding usually lasts no more than a day, and the amount of bleeding is less than that of a menstrual period.

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