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Womens Health > Birth Control Forum > Bleeding related to hormonal fluctuations
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Q: Bleeding related to hormonal fluctuations
asked by: DoctorQuestion on September 21st, 2009
Im on the pill but forgot to take it one day the other week. I had unprotected sex the other day but he pulled out when he came and says nothing went inside me. Ive now started to bleed and im scared whats happening, am i pregnant?, have i had some sort of miscarriage? Please help me and tell me whats happening!!!


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Dr. Goce Aleksovski , MD
replied on September 29th, 2009
Birth Control Answer A7395
Given the data you provided (skipped one birth control pill one week ago, had unprotected sexual intercourse the next day, pulling out method used, now started bleeding), it cannot be determined for sure what is happening.


If no sperm has entered the vagina, it is unlikely that you are pregnant. Of course, there is really a small possibility that you became pregnant with pre-ejaculatory fluid. In this case, the bleeding might be implantation bleeding (which is usually light) or it might be a miscarriage because you kept taking the birth control pills as recommended (and birth control pills are not supposed to be used in pregnancy).


It is more likely that the bleeding is related to hormonal fluctuations caused by skipping one birth control pill. The suppression it provides ceased for one day and the hormonal production was probably messed up. This might lead to bleeding.


You might want to visit a gynecologist for a physical examination. Hormonal laboratory tests might confirm the hormonal imbalance. An ultrasound scan is good enough to confirm or to rule out even the smallest chances for pregnancy.




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