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Breakthrough Bleeding Log

A free worksheet for spotting or bleeding while using the pill or another hormonal birth control method.

Breakthrough bleeding means spotting or bleeding when you did not expect it.

It can happen with hormonal birth control. A log cannot tell you the cause. It can help you show the pattern.

Use this page for the pill, patch, ring, shot, implant, or hormonal IUD. Skip any row that does not fit.

This page is for education. It is not medical advice. Do not change pills, dose, timing, or method based on this log.

If bleeding happens after sex while you use birth control, use the bleeding after sex on birth control notes or the bleeding after sex tracker. Keep the note factual. Ask a clinician what it means.

Quick method notes

Fill this in once.

Question Your answer Birth control method Brand or type, if known Start date or switch date Usual bleed or period pattern before this Date the spotting or bleeding began New medicines or supplements Recent illness, vomiting, or diarrhea, if relevant Pregnancy test date and result, if you choose Main question for care

Daily bleeding log

Use one row per day. Short notes are fine.

Date Bleeding Flow Color Pain 0 to 10 Birth control note Medicine note Sex or pregnancy test note, if you choose Other notes : none, spotting, bleeding light, medium, heavy, very heavy pink, red, brown, other missed, late, on time, not a pill new, changed, none

If you use pills, note missed or late pills here. Keep it factual. Ask your clinician or pharmacist what to do next.

Flow words

Word Plain meaning Spotting Marks when wiping or on underwear. Light A liner or light pad is enough. Medium You need period products, but not often. Heavy You change products often or leak. Very heavy You soak through fast or feel worried.

If bleeding feels heavy or unsafe, do not wait to fill out more rows. Contact a clinician.

What changed?

Check any item that fits.

I started a new birth control method. I switched brands or methods. I missed or took pills late. I started a new medicine. I started a new supplement. I was sick with vomiting or diarrhea. I had bleeding after sex. I had new pelvic pain. I had a pregnancy concern. I had bleeding that changed work, school, sleep, or sex.

This list does not diagnose the cause. It gives your clinician more context.

Weekly pattern check

At the end of each week, count the days.

Week dates Spotting days Bleeding days Heavy days Pain days Days it bothered me : : : : :

Add one sentence about the week.

"This week, the bleeding was ."

Questions to ask

Pick the questions that match your log.

Is this pattern common with my method? Could a missed or late pill matter here? Could a new medicine or supplement matter here? Should I take a pregnancy test? Should I be checked for infection or another cause? What symptoms mean I should call right away? What should I track before we talk again? What options can we discuss if this keeps bothering me?

Do not ask the internet what dose to take. Ask a clinician or pharmacist.

One page visit summary

Fill this out before a visit or message.

Summary item Your note Method and start date Bleeding started Longest spotting or bleeding stretch Heaviest day Pain at worst Missed or late pill notes, if any New medicines or supplements Pregnancy test note, if any Main worry What I want help with

Privacy note

Bleeding notes can include sex, pregnancy tests, medicine use, and birth control.

Keep only what you need. Delete extra detail if you do not need it.

Floriva can keep these notes on your device. You can also use paper if that feels safer.

For more context, read birth control period changes, spotting vs period, and period tracking without cloud storage.