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Do I need to change my tablets if there is no withdrawal bleeding after the second pack of Zoely?
Hello, I take the second pack of Zoely contraceptive pills, I am on the 3rd placebo tablet and I still did not get withdrawal bleeding, I did the test and it is negative, is this normal? In the previous cycle I got bleeding after taking 2 placebo tablets, today – on the 3rd tablet there was only a slight spotting
I read that with these tablets it happens quite often, do you need to change tablets?
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Anna Lewandowska Pharmacist, Editor
8 months ago
I understand your concerns about the lack of withdrawal bleeding. Each body may react slightly differently to contraceptive pills. Lack of withdrawal bleeding while taking placebo pills can happen and is not always a cause for concern. However, it is always worth consulting your doctor. If you take the pills regularly, the likelihood of pregnancy is low, especially if the pregnancy test was negative.
If it is not possible to visit a stationary visit, I encourage you to use teleadvice via, for example, the Gdziepolek.pl portal:
https://www.gdziepolek.pl/telekonsultacja/z-ginekolgiem
Here are some potential reasons for not having withdrawal bleeding:
Zoely contains a combination of two hormones: estradiol and nomegestrol. Some women may react to this combination of hormones differently than to other birth control pills. This may affect the pattern of withdrawal bleeding.
Other factors, such as stress, dietary changes, illness, or other medications, can affect the bleeding pattern when using birth control pills.
I enclose materials that may be of interest: https://www.gdziepolek.pl/artykuly/jak-prawidlowo-stosowac-antykoncepcje
https://www.gdziepolek.pl/artykuly/jakie-leki-oslabiaja-skutecznosc-antykoncepcji
https://www.gdziepolek.pl/artykuly/czy-jedzenie-i-picie-obnizaja-skutecznosc-antykoncepcji