Birth control, lutera

[binkybaby]

I have been taking lutera for three almost four months now, and and have been experiencing constant breakthrough bleeding.  My doctor said this is normal however the last week in march i had a problem getting my birthcontrol for four days and finally when i got it that friday after bleeding terribly for the four days i took my usual dose.  The nurse sais i should take  a pill every twelve hours until i was caught up on my doses to help slow up the bleeding since i am extremely anemic, so i did as instructed and the bleeding stopped for a week and then started back up again and i have been bleeding ever since.  My question is when will the bleeding get under control and stop the break through bleeding and do i have to wait for another three months for it to get back on track since i had that break in taking them even though i got caught back up on my doses.

[binkybaby]

Thank you for your advice.

[Arti Sharma, M.D.]

Hi there,
If a woman experiences spotting or breakthrough bleeding it is advised to continue on the same regimen. This bleeding may be transient but if it is persistent or prolonged bleeding, it is advised to consult the physician. Heavy bleeding can lead to weakness, anemia and low blood pressure. It is best to discuss your concerns with your gynecologist. You may need to get a thorough evaluation done before deciding whether this pill has to be taken or an alternative pill should be advised. Do write to me again.
Best wishes and regards!