Should I be concerned for spotting while being on birth control?
Patient: Hi i am in the middle of my birth control pack and have had spotting not a full period but heavy spotting i have been on the same birth control for 4 years now.....should i be concerned nothing like this has ever happend....i am having problems at my job could stree be a factor?? Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice.  It is not a matter of concern and it might be due to some hormonal effect caused by contraceptive pills. No treatment is required and in case repeated spots better to go for an ultrasound scan and get evaluated.  Hope I have answered your query. Let me know if I can assist you further.