Spotting and Birth Control

“I started spotting 2 days ago and I have been having cramping with it. This is my second time ever having spotting.My period isnt due for another 2 weeks. I am using birth control but we dont use a condom. Do you think I could be pregnant? Would it be safe to just take a test?”

A: “Spotting can happen when someone is taking birth control pills. If you have not missed any pills or taken any late, and have not missed a period, then there is probably no need to take a pregnancy test. If you want to put your mind at ease, you may take a home pregnancy test, just be sure to follow the directions on the package. If the spotting continues, you may want to see your physician to discuss other birth control options.”


“I am on seasonique so i am not supposed to have a period except every 3months and i have been on it a week short of that but about a month ago a medium sized chunck came out and it has been bleeding really bad ever seince there has also been brownish gooe. Also i have been having horrible cramps and back pain. what could this be and should i get it checked out??”

A: There are risks of side effects when taking birth control pills. One side effect for girls on Seasonique is spoting the first couple months while on it. However if you are continuoulsy bleeding, we recommend making an appointment with your doctor as soon as possible.

Bleeding on the pill?

“I started on the pill (melodine) on the 15 may, and i have had vaginal bleeding since the 4th june, it started off very light and it is now thick and getting heavier although not as heavy as a normal period. is this normal for some people? i have also been experiencing abdominal cramps and occasional pains in that area.
your help on this matter would be most appreciated…”

A: To the best of my knowledge, the pill you describe is not available in the United States and therefore I am not familiar with its side effects. I strongly encourage you to contact your doctor who prescribed these pills to you. They can best assess this situation and give you the help you need.

Birth control pills are making 16 year old daughter sick?

“My 16 year old daughter just starting taking birth control pills but it makes her sick to her stomach to the point sometimes she will throw up. Should she try a different type of pill?”

A: We recommend calling and scheduling an appointment with your health care provider as soon as possible. They may prescribe her a different brand of birth control pills.

Antibiotics and the pill

“I was on antibiotics for 7 days for a urinary tract infection. Ten days after I took the last of my antibiotics I had sex. I am on Levlen 28 birth control. When I visited the clinic yesterday to get more pills I asked the nurse if I still had protection and she said they don’t worry about antibiotics and birth control anymore. Is this true and was I protected still? I’m really worried I may get pregnant”

A: There is only a very limited class of antibiotics that interact with birth control pills, so if the nurse advised you were protected you can be confident in her answer.

Pain in my thigh?

I started taking birth control about a week ago and the day after i started taking the pill, i felt pain in my left thigh. my thigh kept hurting for about 5 days and it got a little swollen and puffy. then on the 6th day it didn’t hurt as much. Now i have been on the pill for about a week and 2 days and my thigh doesn’t really hurt anymore. Should i still go in to the Family planning center and get it checked out just in case??”

A: If you are still having pain and are concerned we recommend calling and making an appointment at the Family Planning clinic or with your health care provider.

Insurance coverage?

“i just recently moved from nyc to akron. i don’t have a job at the moment. the insurence i have over there is not covered here. is it possible to get usp birth control pills from your office, and what are your locations?”

A: As educators and not nurses, we are unfamiliar with usp birth control pills. Family Planning does offer services to those who are uninsured or have limited insurance coverage. Our prices are based on a sliding fee scale, so you might be eligible to get birth control pills for a cheaper rate. We have clinics in Painesville and Ashtabula, Ohio.

Painesville address is 54 South State St. (440) 352-0608

Ashtabula address is 510 W. 44th St. (440) 992-5953

How long does the entire exam for birth control pills last?

“How long does the entire exam for birth control pills last? Do i have to get the pills or can i get the shot? I’m under 18, what do i bring to my first appointment?”

A: “If you are 15 or younger, you need to make an appointment for a separate orientation and education session first, which lasts about 30 minutes. After you attend the orientation, you can schedule an exam. If you are 16 or 17, you can schedule an exam for the same day as your orientation and education. An exam lasts approximately 1-1 1/2 hours. Whether or not you get birth control pills or the shot is your decision. If you have Medicaid, bring your card with you.”

Will birth control prevent pregnancy on the first day?

 “i have been off the birth control pill for several months and had unprotected sex today. It really scared me so I started taking the bill again right away. If it is the same day will it prevent pregnancy? Hiw do I know if I should even be concerned about ovulation?”

A: “It takes one week for birth control pills to become active. Anytime you have unprotected sex there is a chance for pregnancy. If you had unprotected sex near the time you were ovulating the risk is greater. Ovulation takes place about 14 days before the start of your period. A sperm cell can live up to 7 days inside your vagina. ALways remember to use protection correctly and everytime you have sex.”

Pregnancy on the pill?

“My boyfriend and I had unprotected sex the day after my period ended. I am on birth control and take my pills regularly. This month, I started my period a few days before I was supposed to and I am still on the white pill, which means it is still active. He came inside of me and I was wondering if I should get plan b? What are my chances of getting pregnant?”

A: If you are taking your birth control pills regularly and at the same time every day, your chances of getting pregnant are small. If you missed a pill or did not take it around the same time every day and had unprotected sex, plan B can be used as an emergency contraceptive. Plan B is most effective if taken up to 72 hours (3 days) after unprotected sex, but works better when taken as soon as possible. If you are still concerned that you might be pregnant, you can make an appointment at Family Planning at 440-352-0608 for a pregnancy test.