Gynaecology & Obstetrics 28 year old female presents with irregular slight bleeding after taking combined OCPs 3 months for heavy menstrual bleeding. What is your advice A Endometrial sampling to rule out neoplasia. B Change over to progestin only preparations. C Reassure the patient as it is break through bleeding. D Discontinue OCPs. 💡 Explanation 28 year old female presents with irregular slight bleeding after taking combined OCPs 3 months for heavy menstrual bleeding. What is your advice ✓ Correct Answer: C. Reassure the patient as it is break through bleeding.