Does taking birth control pills cause bleeding?

Patient's question:

After having sex with my partner, I always take birth control pills. After taking the pills, there will be bleeding from below. Do all birth control pills cause the skin to break?

Doctor's answer:

If you are referring to taking emergency contraception orally every time you have sexual intercourse with your partner, most women will experience a minimal amount of vaginal bleeding again within 3-7 days after taking the pill. This is a normal phenomenon and also indicates successful contraception. However, a very small number of women may not experience withdrawal bleeding after taking emergency contraception, but it still provides some contraceptive effect.

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