Does taking birth control pills cause vaginal bleeding?

Patient's question:

I've been feeling a bit painful recently, because there's always some blood coming out from below. I just took birth control pills a few days ago, and I want to know if taking birth control pills can cause vaginal bleeding? The answer to this question is really important to me. Thank you.

Doctor's answer:

If you are taking emergency contraception, this situation may cause vaginal peeling again. This is because taking emergency contraception can lead to withdrawal bleeding again about a week later. This peeling is a normal physiological response after taking emergency contraception. So, if you are experiencing this situation about a week after taking emergency contraception, it is perfectly normal.

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