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Seasonale and Spotting: What Users Say

Spotting: mentioned by 16 users (29.1%)

Based on user experiences from 55 Seasonale reviews, the following table shows the most commonly mentioned side effects.

All user comments are moderated by Drugs.com. Each review is verified for relevance and screened for inappropriate content. Side effects are user-reported and not clinically verified.

bleeding 41.8%
cramps 30.9%
spotting 29.1%
weight gain 16.4%
sexual dysfunction 12.7%
acne 10.9%
headaches 10.9%
nausea 9.1%
anxiety 7.3%
depression 7.3%

Reviews for Seasonale

Commonly mentioned side effects
  • New...
  • Taken for 1 to 6 months
  • November 21, 2017

For Abnormal Uterine Bleeding "This birth control is the worst! If you were OK with having consistent bleeding for over a month, then this is for you. If not, try something else because this is not worth it. I am now on week eight and still bleeding/spotting. I wish I would’ve read the reviews before starting this prescription. I hate it. If I could rate it a zero, I would."

1 / 10
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18 Report
  • Use...
  • December 2, 2013

For Birth Control "This is the first birth control I have tried, and so far I love it. I'm heading into my third week being on this pill, and so far I have experienced very minimal side effects, something I did not expect after reading such horror stories about this pill and others similar to it. I have had no spotting yet (fingers crossed this continues). The most noticeable side effect thus far has been breast tenderness. It's not unbearable-and usually an Advil helps-but they're definitely more sore than usual. This tends to vary by day as well. I haven't noticed any severe change in my mood, maybe a little more sensitive than normal, and definitely no change in my sex drive. I am loving this pill so far! Hopefully, these side effects continue to be minimal."

10 / 10
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19 Report
  • Anonymous
  • Taken for 1 to 6 months
  • June 8, 2018

For Birth Control "I just switched to a Seasonale generic about 2 months ago after being on Junel Fe for about 10 years. I switched because I noticed my hormones started to change, periods were getting heavier, and I had been getting cystic acne breakouts at least 2x a month. Ever since I switched, I haven’t had any breakouts. I’m on the extended version, so I have not gotten my period yet (it comes once every 3 months), but so far no spotting or cramps for the 2 months that I’ve been on it. Overall, I’m happy with the switch."

8 / 10
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12 Report
  • Hea...
  • Taken for 1 to 6 months
  • October 11, 2016

For Birth Control "I have been taking Seasonale for two months now. I noticed I have been extremely tired and have a low sex drive. I gained weight while on it, which is not like me because I am very careful with my body. I feel very blah and low now that I am on it. I had breakthrough bleeding right away and have spotting every time I shower or go to the bathroom. I do not like how this pill has made me feel. I am going off of it today."

3 / 10
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12 Report
  • Alm...
  • October 20, 2009

For Birth Control "I used Seasonale for about a year and a half. It worked very well. No spotting, and it was nice to not have a period for three months at a time. Unfortunately, it has to be taken at the same time every day, which is a pain for someone as absent-minded as me. I handled this by setting the alarm on my cellphone to go off at the same time every day. It was kind of bulky in my purse since it has three months' worth of pills. My periods were about the same as before."

8 / 10
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15 Report

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  • Bro...
  • Taken for 1 to 6 months
  • July 4, 2015

For Birth Control "Seasonale is awesome, especially if you have very heavy periods and very bad cramps during the menstrual cycle. The only side effects I have had are a few headaches here and there and spotting once in a while (hardly ever)."

9 / 10
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9 Report
  • Bri...
  • Taken for 1 to 2 years
  • February 26, 2017

For Abnormal Uterine Bleeding "I have been on Seasonale for over a year now, and it is the only birth control that has actually worked for me, after going through 6 other brands. I went from having very heavy periods and cramping for 7 days to having a very light (hardly there) period every 3 months. It also managed to clear up the cystic acne that came along with it. My only issue with it was that for the first month or two on the pill, I did have some spotting and bleeding, but it quickly went away, and I haven't had any bleeding since then. Other than that, I haven't experienced any other symptoms, and I highly recommend Seasonale!"

10 / 10
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7 Report
  • Koc...
  • Taken for 1 to 6 months
  • September 9, 2019

For Abnormal Uterine Bleeding "I have been taking Seasonale for 2 months, and I had to stop in month 3. The side effects were awful! I had night sweats, waking up at 4 a.m. every morning for no reason, lots of spotting, a huge appetite with weight gain, and severe depression and anxiety. The depression and anxiety were the worst! I do suffer from depression and anxiety, but it's not as bad as this medication made it! I stopped taking it, and about 4 days later, I felt so much better. Now I'm having a cycle, and it's been over a week now, hoping it will end sometime soon."

5 / 10
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5 Report
  • Anonymous
  • April 24, 2012

For Birth Control "To help some girls out - this was an excellent option - for my body. I am a girl who usually had a period from 56-66 days, so around every 3 months anyways. I was nervous to go to the doctor to get birth control every month because I already hated having it so far apart. My doctor recommended Seasonale, and it has been great! I get occasional migraines, but it's nothing that I have had to complain to my doctor about. I've only had a little bit of spotting before my period is supposed to happen, but it's nothing that I can't handle. I definitely recommend Seasonale for girls who don't like their periods every month and for girls who are consistent with the medication. Don't take this if you're going to skip days, it defeats the purpose."

9 / 10
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9 Report
  • Mad...
  • June 27, 2014

For Birth Control "The pills didn't cause any side effects for me, other than a constant spotting, which is unimaginably irritating, and made me feel too embarrassed to get intimate, making my annoyance for nothing. I'm hoping that the spotting stops soon. Although the pills were convenient, with the purple package and made my period considerably lighter!"

7 / 10
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7 Report
  • Fel...
  • Taken for 6 months to 1 year
  • January 6, 2019

For Abnormal Uterine Bleeding "My doctor put me on Seasonale to control my horrendous periods. Unfortunately, I suffered with them because of fibroids and perimenopause. Everything else was ruled out. I gave it 4 stars because it did help with my bad periods, but I did bleed for 6 months straight (mostly spotting). I gave it a chance, it just wasn't for me. My doctor put me on Apri, and I'm doing good on it."

4 / 10
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4 Report
  • Anonymous
  • Taken for 1 to 6 months
  • July 23, 2021

For Abnormal Uterine Bleeding "I have been on this birth control for 2 months. It started out with some spotting, which I expected. However, it never stopped. I am now on my third month, and I am full on bleeding, and it shows no signs of stopping. The only thing it has sort of done is manage cramps, but it makes me nervous what will happen at the end of three months when I am actually supposed to have my period."

3 / 10
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1 Report
  • Sar...
  • Taken for 10 years or more
  • February 22, 2023

For Birth Control "I’ve been using Seasonale for 10 years. I have had a very positive experience with this birth control. Not having periods for 3 months is absolutely amazing, no more mood swings. I did gain some weight, but I’m happy about it since I was very skinny to begin with. I had low libido for a year and a half, but my libido went back to normal after that. I have been taking it back to back and skipping the placebo pills in order to suppress my period entirely for about 5 years. Besides the occasional spotting (light bleeding), it’s been good. I am very happy with this product. Thank you, Seasonale. If you don’t want to experience spotting and prefer having your period every 3 months, just take the pill as directed, and you will be fine."

10 / 10
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0 Report
  • Age...
  • June 10, 2017

For Birth Control "I have been on Seasonale for almost a year, and I am switching to Sprintec. I am switching because the breakthrough bleeding and cramping became ridiculous. I would have my withdrawal bleed, have about 1-2 months of peace, then the spotting began and would not stop. I'd double up for 3-4 days or however long it took to stop it, then go back on 1 pill when the spotting stopped. 2 weeks later, the spotting would return, rinse and repeat. The cramps during the breakthrough bleeding were worse than the cramps during the withdrawal bleed! I've had enough of this pill and am switching to Sprintec and hoping for the best."

2 / 10
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2 Report
  • Opt...
  • November 29, 2009

For Birth Control "For me, it didn't work. I was always spotting and bleeding and having to wear protection for that every day."

1 / 10
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12 Report
  • Kaa...
  • Taken for 1 to 6 months
  • April 27, 2017

For Birth Control "Been on Seasonale for 5 weeks. Results are varied, have had slightly nauseous the first two weeks. Now have been spotting the last two weeks."

5 / 10
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2 Report

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Reviews may be edited to correct grammar/spelling or remove inappropriate content. Reviews appearing to come from parties with a vested interest are not published. This information is not intended to endorse any medication and should not replace the expertise and judgment of healthcare professionals.