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Question
I am on the last week (the reminder pills) for my first pack of pills. I have not had any spotting or bleeding at all this whole month, does that mean something is wrong or is this common?

Should I be having a period this week or is it common not to as well?

Answer
Dear Parker,

Thanks for your message. You say you are on the last week of the remainder pills for your first pill pack and haven't had any bleeding. You are wondering if this is normal.

Generally women will have a period during the week of the reminder pills. But some women only bleed for one or two days towards the end. As this is your first month it's hard to know what your body will do.

Also, as this is only the first month you have been taking them it may be that your body is confused and is still getting used to being on the pills and the next month will be different. Also, did you confirm that you were not pregnant before you started on the pills? Did you use a backup method of birthcontrol (like condoms) for the first 7 days when you started them for the first time?

Chances are it's your body adjusting, but it's best to talk to your doctor about it to be sure.

Take care,
Allison

Birth Control

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Allison Macbeth

Expertise

I can answer questions about how to choose which method of contraception is right for you, how to deal with mistakes, effectiveness, and emergency contraception. I also have training in HIV, STIs, and sexual health education. I cannot tell you what is the right choice, but I can tell you the pros and cons of each method to help you make an informed decision for your circumstances. If you have had a condom break or had unprotected sex and need emergency contraception please call you local Planned Parenthood or check out not-2-late.com.

Experience

I have been working in the field of sexual health for a decade with specific training in contraception, STIs, HIV, and sexual problems. I have worked in several Planned Parenthood-affiliated charities, telephone helplines, research, education, and currently work for a local health authority evaluating HIV programs in the city.

Publications
Macbeth, A., Weerakoon, P., Sitharthan, G. (2009). Australian Parentsí Opinions about School-based Sexual Health Education. Sexual Health. 6, 328-333. I write a weekly advice column for Morning Quickie website which can be found here: http://morningquickie.com/category/madame-x/

Education/Credentials
I have a Masters in Applied Science (Sexual Health) where I did research on sex education in schools and at home with parents and young people, as well as many counselling skills courses.

Past/Present Clients
I have worked extensively with young people under 25, people living with or affected by HIV, and parents.

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