Our expert says:
Your pharmacist is correct in that your chance of conceiving on day 21 is extremely unlikely. You are also correct in that the bleed is related to having missed the OCP. However it might be advisable to start a new pack of Marvelon with this bleed and continue throughout the month until your next period. This will shift your cycle somewhat but will protect against dysfunctional bleeding i.e. intermittent bleeding in this particular cycle. The alternative is to continue with the pill as you are and await your natural menstrual cycle to overlap. However in many cases intermittent spotting or dysfunctional bleeding may persist in to the next cycle. My recommendation is therefore to start a new pack with this bleed that you are experiencing currently.
Answered by: Dr M.I. Cassim
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