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Guide

Hello Anonymous,

Thank you for reaching out to us with your health concern.

Normally, you should have breakthrough bleeding or your period when you are taking the inactive pills.

Birth control pills work by preventing ovulation. The synthetic hormones in the active pills stabilize a woman's natural hormone levels, and prevent estrogen from peaking mid-cycle. Without the estrogen bump, the pituitary gland does not release other hormones that normally cause the ovaries to release mature eggs.

The 7 extra pills in the 28-pill pack are placebo pills which are there to remind you to continue taking one pill everyday and to remind you when to begin the next pack. Whether you take placebo pills or simply wait 7 days to start the next pack, the 7-day break from hormones triggers monthly bleeding that mimics a woman's menstrual period.

Anonymous, tell your doctor that your period starts when you are taking the active pills. Something is not right about that. You were wise not to take Plan B. Continue taking your birth control pills, but do call your doctor.

Regards,
Maryann

August 27, 2014 - 9:01am

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