Unexplained bleeding when using
estrogen plus cyclic
progestin includes:
- Bleeding that occurs other
than at the expected time for
withdrawal bleeding. Withdrawal bleeding is
expected during the 5 days after progestin is
stopped.
- Bleeding that
occurs on and off for longer than 1 year of hormone
therapy.
Unexplained bleeding when using estrogen plus continuous progestin
includes bleeding that:
- Is heavier than a normal menstrual
period.
- Continues for longer than 10 days at a
time.
- Continues to be a periodic problem for longer than 10 months
after beginning hormone replacement therapy.
If you have unexplained bleeding while taking estrogen, see your
health professional.
If you do not take your pills on a regular schedule, or if you miss a
pill, you may experience menstrual bleeding or spotting.