Vaginal Bleeding

[skeweddoc]

OK i have a question. Can changing from a triphasic to a monophasic OCP lead to intermenstrual bleeding (spotting)? What all would we include in this differential? Need some feedback. Thanks..

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[Diane L. Evans]

Usually it is the other way around

Come on now the DDX on VB depends on age

teenager- anovulation pregnancy STD CT/GC

reproductive- pregnancy , polyp, cervical cancer

perimenopause- endometrial cancer polyp