Spotting on Birth Control: Discovering Causes and Potential Concerns

Nishi Kashyap
Medically reviewed by
Dr. Kaushal

Review medical content on WOW Rx Pharmacy, so that accurate drug use information is easily accessible to everybody.
Dr. Akansha is a licensed Clinical Pharmacologist. She possesses remarkable knowledge in Pharmacovigilance, prescription analysis, drug information, and drug safety services. Additionally, she is a keen learner and an educator.

Last Updated:

spotting on birth control

Birth control, also known as contraception, refers to methods and devices used to prevent pregnancy. 

Spotting or irregular bleeding can be a common side effect of some hormonal birth control methods.

It can be due to various reasons like hormone fluctuations or missed pills.

The body takes time to adjust to the synthetic hormones in contraceptives, leading to breakthrough bleeding or spotting.

This article will discuss reasons for spotting on birth control in detail.

Reasons for spotting on birth control

There are a few reasons that can lead to spotting on birth control.

It includes the following:

Adjustment period

Woman holding birth control pillsSource: towfiqu_ahamed_barbhuiya
Woman holding birth control pills

When starting a new hormonal birth control, the body may need some time to adjust to the hormonal changes. 

Spotting or irregular bleeding can occur during this adjustment period.

Missed pills

Consistent and timely use of birth control pills is crucial for their effectiveness. 

Missing pills or taking them at irregular time intervals can disrupt the carefully balanced hormonal regimen.

This may increase the risk of breakthrough bleeding, especially during the first week of a new pill pack.

Overdosing on these pills can have severe consequences. Strictly follow the prescribed dosage and seek immediate medical attention if an overdose is suspected.

Hormone levels

Some birth control pills contain lower doses of hormones. In some cases, this may not be sufficient to suppress menstrual bleeding completely. 

Hormonal imbalance, whether it’s due to excessively high or low hormone levels, can lead to irregular bleeding.

Consulting with a doctor can help in selecting the most appropriate birth control option based on individual health and preferences.

Switching or stopping methods

Initiating or discontinuing birth control pills can cause hormonal changes in the body, leading to spotting. 

It may take some time for the body to adjust to the new hormonal levels.

Emergency contraception

Emergency contraception contains high doses of hormones.

The use of this can cause changes in the menstrual cycle, including spotting.

In some cases, spotting may resolve on its own within 2 months as the body adjusts to hormonal changes or a new contraceptive method.

It’s important for individuals to follow the prescribed instructions and contact their doctor if they experience unusual side effects.

Are you looking for an effective contraceptive pill?

Select the best one easily from WowRxPharmacy!

Yasmin 3 mg

Potential concerns

Birth control is generally safe and effective when used correctly.

However, there are some potential concerns and considerations that individuals should be aware of.

Ectopic pregnancy

UTIs in women are considered complicated if they are pregnantSource: tatyana_tomsickova from Getty Images
Pregnant woman

While rare, spotting can be a sign of an ectopic pregnancy.

Ectopic pregnancy is a condition where a fertilized egg implants outside the uterus.

Irregular bleeding and pelvic or abdominal pain are common symptoms experienced by women with an ectopic pregnancy.

Seek medical attention if spotting is severe, accompanied by abdominal pain, or if there’s a chance of pregnancy.

Infection or STIs

Sometimes, spotting may be a sign of an underlying infection or Sexually Transmitted Infection (STI).

If accompanied by unusual discharge, pain, or other symptoms, it is important to consult a healthcare provider.


For individuals on birth control, unexpected spotting can be a cause for concern and confusion. 

The reasons behind spotting can be adjustment periods, missed pills, or hormonal imbalances.

Seeking consultation with a healthcare professional is essential for selecting the most appropriate birth control option.

While birth control methods are generally safe, potential concerns like ectopic pregnancy or sexually transmitted infections.

Open communication with healthcare professionals ensures optimal management of spotting concerns.

Frequently Asked Questions

What are the reasons for spotting on birth control?

Spotting can result from various factors like the body’s adjustment to hormonal changes, missed pills, and hormonal imbalances. Switching or stopping methods and emergency contraception can also lead to breakthrough bleeding.

Can hormonal levels in birth control pills lead to spotting?

Yes, hormonal levels in some birth control pills, especially those with lower doses, may not sufficiently suppress menstrual bleeding, leading to irregular bleeding or spotting. This can occur as the body adjusts to synthetic hormones.

What are the concerns related to spotting on birth control?

Concerns related to spotting on birth control include the potential signs of an ectopic pregnancy. It is a serious condition where a fertilized egg implants outside the uterus. Spotting may also indicate an underlying infection or STI.

Can missed pills lead to spotting?

Yes, missed birth control pills or inconsistent intake can disrupt the carefully balanced hormonal regimen. This increases the risk of breakthrough bleeding or spotting. It is particularly common during the first week of a new pill pack.

WowRxPharmacy uses only high-quality sources while writing our articles. Please read our content information policy to know more about how we keep our content reliable and trustworthy.

More Articles Like This

Leave a Comment

Receive the latest articles in your inbox!