If the patient has sufficient serum estradiol ( greater than 50 pg / mL ), withdrawal bleeding should occur 2-7 days after the progestin is withdrawn, indicating that the patient's amenorrhea is due to anovulation.
12.
"' Extended or continuous cycle combined oral contraceptive "'pills are a packaging of combined oral contraceptive pills ( COCPs ) that reduce or eliminate the withdrawal bleeding that would occur once every 28 days in traditionally packaged COCPs.
13.
The term breakthrough bleeding or breakthrough spotting is usually used for women using hormonal contraceptives, such as IUDs or oral contraceptives, in which it refers to bleeding or spotting between any expected withdrawal bleedings, or bleeding or spotting at any time if none is expected.
