This is a checklist in cases of possible breakthrough bleeding (BTB) occurring in COC takers. BTB bleeding may occur during the first few months after prescribing a new COC. If it persists then a cause must be sought.
History:
Examination:
If all possible causes have been excluded then the COC may be changed. Options include:
For more detailed guidance then see linked item - unscheduled bleeding whilst women using hormonal contraception
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