HealthCareMagic is now Ask A Doctor - 24x7 | https://www.askadoctor24x7.com

question-icon

What Causes Breakthrough Bleeding While On Balziva?

default
Posted on Fri, 8 Sep 2017
Question: Hi! I have a question about birth control. I've been on Balziva 28 for 8 years to regulate my cycles related to PCOS. Last month i had breakthrough bleeding a week before my period, and i got nervous and stopped taking my pill to induce a full period and start over with a new pack. This month im also having breakthrough bleeding a week before my period. What could this be related to? I have an appt with my gyn on tuesday, should I continue to take the pill until then? I havent missed any pills and take it with an alarm every day.
doctor
Answered by Dr. Aarti Abraham (27 minutes later)
Brief Answer:
As below

Detailed Answer:
Hello
Thanks for trusting us with your health concern.
After 8 years your body might be getting used to the hormones and you may need a short break or a different formulation or a higher dosage.
Please continue the pill until Tuesday.
Your doctor may perform an ultrasound scan, pap smear etc and then take a call on which of the above options may work.
Have you lost or gained weight recently, had a new diet or altered sleep, travelling, other meds, exercise?
Any of these factors may affect birth control.
All the best.
Please feel free to discuss further
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
default
Follow up: Dr. Aarti Abraham (9 minutes later)
I've been trying to follow a lower carb diet recently that seems to have coincided with the breakthrough bleedin, might that effect my menstrual cycle? I also take metformin 500 mg twice daily for PCOS but ive been on the same dose of that for many years. I was also recently seen at the gyn for a case of bacterial vaginosis that hasnt seem to have totally gone away, could that effect it?
doctor
Answered by Dr. Aarti Abraham (3 minutes later)
Brief Answer:
Yes it's likely

Detailed Answer:
Yes, dieting and the medications for the infection could both have led to the bleeding.Do not worry much about it.
Meet your doctor though for the scan and the smear.
Take care
Above answer was peer-reviewed by : Dr. Raju A.T
doctor
Answered by
Dr.
Dr. Aarti Abraham

OBGYN

Practicing since :1998

Answered : 6004 Questions

premium_optimized

The User accepted the expert's answer

Share on

Get personalised answers from verified doctor in minutes across 80+ specialties

159 Doctors Online

By proceeding, I accept the Terms and Conditions

HCM Blog Instant Access to Doctors
HCM Blog Questions Answered
HCM Blog Satisfaction
What Causes Breakthrough Bleeding While On Balziva?

Brief Answer: As below Detailed Answer: Hello Thanks for trusting us with your health concern. After 8 years your body might be getting used to the hormones and you may need a short break or a different formulation or a higher dosage. Please continue the pill until Tuesday. Your doctor may perform an ultrasound scan, pap smear etc and then take a call on which of the above options may work. Have you lost or gained weight recently, had a new diet or altered sleep, travelling, other meds, exercise? Any of these factors may affect birth control. All the best. Please feel free to discuss further