Had unsafe sex. Been bleeding. Was on microgynon, taking cerazette. What is going on?
Patient: I was on microgynon for many years and then after my last period finished last Friday I started taking cerazette on Saturday (the day I would have started my microgynon again).  Two problems, I had sex with my boyfriend Saturday night and the condom split so I had to take the morning after pill on Sunday as I know you aren't protected for the first 7 days of taking this pill so already my body feels a bit mucked up.However, I really want to go back onto microgynon (having only been taking cerazette for 4 days) as I've heard so many bad stories about bleeding for long periods of time and I've got the opportunity to go to Dubai for a week at the end of April and now I'm worried that cerazette will muck up my cycle and I could be bleeding when I go away.  Can you please advise what it is the best thing to do?  I'm 40 years old. Doctor: Hi,As you had intercourse soon after your period, you were still in the safe period and there is no cause to worry; moreover, you have no risk at all as you took the emergency pill. Please remember that the emergency pill contains excess hormone and could cause some amount of breakthrough bleeding and it is likely to disturb your next cycle. In the current situation, it would be advisable not to switch the birth control pill you have already started taking as changing the pill in the middle of a cycle is not going to give you any protection for that cycle and is likely to cause menstrual disturbances. You may take the advice of your consultant for further assistance. Hope this helps. Take care.