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Hence, the efficacy of the minipill might be increased by judicious selection of women exhibiting, during the pretreatment period, a high follicular to luteal phase (FL) ratio (measured, for instance, by basal body temperature, or some other simple method).

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Options include medication to reduce bleeding, a type of coil placed in the womb (uterus), or an operation.

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For progestins used for cycle control or as part of ovarian hormone therapy: Breakthrough uterine bleeding is not as prevalent as it is with progestin-only contraceptives; therefore, any unexpected uterine bleeding that persists for 3 to 6 months should be investigated.

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Do you know why you didn't ovulate after you stopped BCP first time though.

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