If you experience breakthrough bleeding while using semaglutide and hormonal birth control, it’s important to consult with your healthcare provider. Breakthrough bleeding can be a sign of decreased contraceptive efficacy but can also occur due to other factors unrelated to medication interactions. Your healthcare provider can assess your situation to determine if your birth control method needs adjustment or if additional diagnostic evaluations are necessary to identify the cause of the breakthrough bleeding. They may also provide guidance on whether additional or alternative contraceptive measures should be considered.