Laserd off and on pill continuous.
Are you taking the pill continuously ever single day without a break? If so and you do have a break when the breakthrough bleed comes, how long are you off it before you start taking it again? Usually breakthrough bleed is 3-4 months, break for a couple of days when there is break through bleeding then come off the meds for about 3 days and then start over again. You should get your period around 4 times a year doing it this way.
Did you have excision done? (Disease cut out) or lasered off?