Hello, I have been taking the same contraceptive pill for almost two years. It is Linessa 21 days (she looks a lot like Alesse). I never had a spotting with this pill to the day before yesterday. What could be the cause of this sudden spotting and what should I do? THANKS

Are you taking the pill continuously or are you taking break weeks? What week of your pack are you on? Spotting is a possible side effect of contraceptives. It is more common during the first 3 months of taking the pill, but can occur at any time. Other factors can also be the cause, such as smoking, changes in physical activity and certain medical conditions. If the spotting is not too bothersome, you can continue to take Linessa as you are currently doing. If the spotting returns each month or becomes heavy, you should consult your pharmacist who can contact your doctor and suggest a change of pill. In addition, you should make an appointment with your doctor to evaluate if there is another cause than the contraceptive to this spotting.