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I have spotting every 3 to 4 months even though I take Alesse?

Spotting every 3 to 4 months while taking Alesse is not necessarily a cause for concern. It is a temporary issue that usually resolves on its own. As long as you have been taking your contraceptive consistently without any missed doses, it should still be effective in preventing pregnancy. If you have any further questions or concerns, it is always a good idea to consult with a healthcare provider.