Some women have regular bleeding on the progestin-only pill, and some do not. Women on the mini-pill or progestin-only pill take an active pill every day; there is no pill-free interval. The medication's chief side effect and main reason for discontinuation is irregular spotting or lack of withdrawal bleeding (i.e. bleeding like a period). Neither the spotting nor the lack of withdrawal bleeding are a sign of pregnancy, unless you've missed or been late with pills, or unless you've had regular bleeding for a few months followed by a missing period.
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