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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Using Jolessa. Spotting, Unusual Discharge. Have Protected Sex. Cause?

I have been on birth control for a long time and have been on Jolessa for 8 months now. I never normally get spotting, but I started spotting today and have been having unusual discharge . I had sex during the last 3 weeks of January every time with a condom, but I read that my discharge could be a miscarriage . I recently found out I have Grave s disease though, and just recently started taking tapazole for that. Could you tell me the cause for this discharge and spotting?
Mon, 14 Oct 2013
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General & Family Physician 's  Response
Jolessa is a combined pill for contraception. Spotting is a side effect of Jolessa.
Your concerns are on Spotting, fear of pregnancy and vaginal discharge.
If you have been regular with your medications then the chances of pregnancy are practically nil. The vaginal discharge and spotting could be a side effect of Jolessa. However, it could also be due to a low grade infection in the vagina and the cervix, mouth of the uterus.
So, you need to get an examination done and a vaginal smear examination, and then plan the treatment.
Graves disease drug topazole, is known to produce agranulocytosis, (low white cells) which can predispose you to infections. So please get a Blood count done.
Depending on the above, if there is no infection then the PILL needs to be changed to a higher dosage.

Lastly please tell the doctor that you are on Pills as the blood levels of the thyroid harmones can be affected by the harmones.

let me know if this was helpful

Thank you
J Nanda
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Using Jolessa. Spotting, Unusual Discharge. Have Protected Sex. Cause?

Jolessa is a combined pill for contraception. Spotting is a side effect of Jolessa. Your concerns are on Spotting, fear of pregnancy and vaginal discharge. If you have been regular with your medications then the chances of pregnancy are practically nil. The vaginal discharge and spotting could be a side effect of Jolessa. However, it could also be due to a low grade infection in the vagina and the cervix, mouth of the uterus. So, you need to get an examination done and a vaginal smear examination, and then plan the treatment. Graves disease drug topazole, is known to produce agranulocytosis, (low white cells) which can predispose you to infections. So please get a Blood count done. Depending on the above, if there is no infection then the PILL needs to be changed to a higher dosage. Lastly please tell the doctor that you are on Pills as the blood levels of the thyroid harmones can be affected by the harmones. let me know if this was helpful Thank you J Nanda