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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Brown Vaginal Spotting And Cramps While On Birth Control Pills?

I have been on the birth control pill for over 3 years now and have not missed one pill. I have three active pills left for this month and i am supposed to start my period next Tuesday. Will today I had some slight dark brown spotting and mild cramps. I have had this before but only like 1 to 2 days before my period not 6. I am kind of worried that it is implantation but when me and my partner had sex he did not ejaculate in me and like i said i have not missed a pill. Could this be my period coming or what?
Wed, 20 Apr 2016
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General & Family Physician,  's  Response
Hello dear
Understand your concern
I think it is hormonal imbalance due to contraceptive pills.
But you should confirm the pregnancy again after 10 days.
or you do Blood HCG levels and USG to confirm it that is very sensitive.

So if it is due to OCP, it will goes its own.
If not goes, changes to other contraceptive method.

Other cause may be:
Endometrial dysplasia
Endometriosis
Vaginal/ cervical atrophy
Cervical polyp/Cancer
Dysfunctional uterine bleeding

If not responds:
consult the gynecologist and do following tests:
Hormonal analysis: LH, FSH, E2, P, HCG, THyroid profile
Endometrial biopsy
PAP smear

After diagnosis you can take proper treatment.

Hope this may help you
BEST REGARDS
DR. SAGAR
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What Causes Brown Vaginal Spotting And Cramps While On Birth Control Pills?

Hello dear Understand your concern I think it is hormonal imbalance due to contraceptive pills. But you should confirm the pregnancy again after 10 days. or you do Blood HCG levels and USG to confirm it that is very sensitive. So if it is due to OCP, it will goes its own. If not goes, changes to other contraceptive method. Other cause may be: Endometrial dysplasia Endometriosis Vaginal/ cervical atrophy Cervical polyp/Cancer Dysfunctional uterine bleeding If not responds: consult the gynecologist and do following tests: Hormonal analysis: LH, FSH, E2, P, HCG, THyroid profile Endometrial biopsy PAP smear After diagnosis you can take proper treatment. Hope this may help you BEST REGARDS DR. SAGAR