Hello Doctor!
I started taking Lo Loestrin Fe two weeks ago and have noticed concerning symptoms. Yesterday, I experienced strong breakthrough bleeding, along with intense cramps and heightened emotions. The bleeding is heavier than usual, and I'm worried. Is this normal, or should I be concerned? What should I do?
Hello,
Thank you for reaching out to Dr. Galen. Please find the below response to your query.
The symptoms you're experiencing after starting Lo Loestrin Fe are concerning and require attention. Breakthrough bleeding after just two weeks can be common, but with severe cramps and intense symptoms, it’s important to consider a few factors.
The bleeding and cramps may be linked to the pill, as your body could be adjusting to the new hormonal contraceptive. However, the intensity of your symptoms suggests that further evaluation is necessary. It’s crucial to rule out any complications related to pregnancy, especially since this is your first cycle on the pill. Conditions like an incomplete miscarriage or ectopic pregnancy can present with similar symptoms, including heavy bleeding and cramping.
If you’re taking other medications, they may interact with Lo Loestrin Fe, potentially causing unusual side effects. I recommend seeking medical attention as soon as possible for a thorough check-up, which may include a pregnancy test, scan, and blood tests. Continuous bleeding can lead to anemia, so prompt care is essential.
Once pregnancy and serious complications are ruled out, we can discuss alternative contraceptive options that may work better for you. Please don’t hesitate to reach out for immediate assistance—it's always best to be cautious when it comes to your health.
Thanks.
