Conversation: The conversation between human and AI assistant.
[|Human|] I have been taking Junel 1/20 non-stop (with the approval of my OBGYN) since May 20, within 5 minutes of 11 a.m. each day - no pills missed. I m aware that there is about a 3-month window to let your body adjust and that breakthrough bleeding and spotting can go on during that time. I m wondering if the spotting will actually stop sooner rather than later...so far it has not. There have been one or two days in the past 2 months that I haven t been spotting, but for the most part it s a daily occurrence, though light. (During the first month I had some heavier breakthrough bleeding that lasted about a week, almost as if it were a period.)
[|AI|]  Hello, I have gone through the query and understood your concern. It is true that during the first few months of hormone contraception, as the body adjusts itself to the new hormone milieu, there are menstrual irregularities, prolonged/heavy periods, intermittent spotting/bleeding, frequent/absent/delayed periods etc. However, if there is persistent spotting like you are experiencing, for so long, you should definitely report the matter to your doctor. Coagulation profile, liver profile and blood counts are to be done periodically in addition to general examination. In the current scenario, you may need additional hormones or may have to change the combination. Hope you find this information useful. Take care.