I am hoping somebody can advise me as to what route I should take regarding contraception. I am 21 years old and have been on 5 or 6 different contraceptive pills throughout the past 4 years. I have experienced breakthrough bleeding on all of them. I am growing increasingly frustrated and upset as currently, I am on my worst breakthrough bleed to date and It’s all really starting to affect me, especially during the quarantine. I take all my pills religiously at the same time EVERY day and have had a negative STI check recently (My boyfriend of 4 years has been my only sexual partner)
At first, I was first put on Microlite, on which I never made it to the 7-day break without bleeding. Since then, I have been put on increasing dosages of the combination pill, including Ovranette and Cilest. Cilest being the last and most recent combination pill I was on (for about a year), and there would be some months where I wouldn’t breakthrough bleed but it was very inconsistent and my hair had gotten very thin so my doctor suggested a completely new route and prescribed me Cerazette, a Mini Pill.
I was very confident in my doctor and was warned that it would take three months for my breakthrough bleeding to settle down. I am now onto my fourth month of Cerazette and my current period has lasted 17 days, in the past 3 days it has gotten heavier and definitely made me feel hopeless as to it’s effectiveness, especially after reading other women’s experiences with it online! I have been keeping track of the bleeding and in the past three months, I have bled for a total of 38 days!! It was rarely heavy, mostly brownish blotches (sorry for the graphic description) but would always last for over 7 days, whenever I got it.
My regular doctor is on maternity leave but I spoke to a different doctor yesterday who said she wouldn’t have put me on Cerazette, as it is ‘notorious’ for breakthrough bleeding. She advised me to stop taking it and come in for a smear test next Thursday. Honestly, I am sceptical of whatever contraception I will be put on, considering my experiences with different doctors over the past 4 years. I don’t think I could go through another 3 month tester period of a contraceptive without some degree of certainty that it will be effective in stopping my breakthrough bleeding. I went to a gynaecologist at 17 and had a general check and ultrasound of my uterus. My previous doctor who prescribed me the Cerazette (3 months ago) also did a general exam and said everything was good. I am definitely growing more concerned recently and I would love @Dr_Paula’s expertise on my situation. I am also not sure if I should stop taking the pill now or will it mess up my cycle even more?