text_1: 33-year-old woman on birth control pills.  She bleeds appropriately at the time of her periods but also bleeds at other times.  If she was on a lower estrogen pill, like if I switched her from TriLevlen to Allesse, would that help?  The whole issue of how to deal with abnormal vaginal bleeding pre- and post-menopausal is a question.
text_2: What is the approach to intermenstrual bleeding while on oral contraceptives?