Tag Archives: “Sweetening The Pill”

How To Stop Premenstrual Spotting With Dr. Lara Briden By Holly Grigg-Spall

In honor of May 28 Menstrual Hygiene Awareness Day, SuzyKnew! shares an article by Holly Grigg-Spall with Dr. Lara Briden, known as the “Menstruation Mechanic”

Dear Menstruation Mechanic, Lara Briden,

“I’ve had 7-9 days of premenstrual spotting since some stress a few months ago. My cycle also shortened to 23 days. I tried magnesium, which reduced the spotting and brought my cycle back out to 26 days, but now on my third cycle with magnesium the spotting is back. What’s causing this? Should I be more patient with the magnesium or try something else like vitex or bio-identical progesterone? … Cathrine”


Dear Cathrine,

Great question about premenstrual spotting.

First I’ll discuss spotting in general, or as your gynecologist likes to call it: Dysfunctional Uterine Bleeding (DUB).

Bleeding between periods can occur for a number of different reasons. Light bleeding with ovulation is the result of a slight drop in estrogen, and is normal. Bleeding throughout the month and after sex can be due to an infection or a condition called endometriosis. It’s something to see your doctor about, especially if you also notice pain with sex. Bleeding throughout the month can occur with a hormonal condition called polycystic hormone syndrome (PCOS), and is also something to get checked out. Finally, spotting can be an early sign of a pregnancy or miscarriage.

Spotting between pill bleeds is called “breakthrough bleeding” and is something completely different. It’s nothing to do with your own hormones (remember, hormonal birth control switches off your body’s own hormones). Instead, breakthrough bleeding is the result of an incorrect dosage of whichever synthetic steroid combination your doctor gave you, and may need to be adjusted. Bleeding is also common during the few months after the insertion of an intrauterine device (IUD).

But Cathrine, your question is about premenstrual spotting, which is none of those things.

From the perspective of conventional medicine, a few days of premenstrual spotting is normal, and is viewed simply as a gradual start to a menstrual bleed. From a functional medicine (optimal health) perspective, premenstrual spotting is not ideal. It means your uterine lining is shedding early because there  has not been enough progesterone to hold it all the way to the end of your luteal phase (post-ovulation phase).

You also noticed a shortened cycle. It would be interesting to know if it was your luteal phase that had shortened, and furthermore, if your basal body temperatures dipped in your luteal phase. Those things, and the fact that you spot for so long (7-9 days), are all further evidence of a progesterone deficiency.

Progesterone deficiency can be the result of stress, as you found. It happens because 1) stress impairs the quality of ovulation (remember, ovulation is how you make progesterone), and 2) stress causes your body to “steal” progesterone to make more stress hormone cortisol.

The solution is to reduce stress as much as possible and to take magnesium to regulate your stress regulatory system (also called the hypothalamus-pituitary-adrenal or HPA axis). You had some results from that, which is great.

The fact that your spotting improved, but then returned suggests that something else might be going on. One of the most common reasons for progesterone deficiency and protracted premenstrual spotting is underactive thyroid. I discuss underactive thyroid as a cause of premenstrual spotting in Rachel’s patient story in Chapter 5 of my book. It would be worth asking your doctor for a thyroid test, especially if you’ve noticed any other symptoms of underactive thyroid such as hair loss and dry skin.

If your thyroid is normal, then Yes, you could consider the herbal medicine Vitex to boost progesterone, or even a few months on a natural progesterone cream. Please speak to your doctor or naturopathic doctor before using progesterone. (More about progesterone cream in a future installment!)


Holly Grigg-Spall

Marketing Consultant and Blog Editor

When she came off the birth control pill after 10 years in 2009, Holly decided to write a blog about the experience. That blog became a series of articles, and then book, “Sweetening the Pill,” which then inspired a feature documentary, currently in production and executive produced by Ricki Lake. She is a fertility awareness and body literacy advocate and educator, a Daysy enthusiast, and excited to help more women come off the birth control pill and find a natural, effective alternative.


Photo Credit: 360nobs.com, Tracthetrailher.com

The Problem With Period Trackers – Holly Grigg-Spall

Period-tracker apps are becoming ever more popular. While they have many benefits, worryingly more women are attempting to use these, usually free, apps to make decisions about contraception or to plan a pregnancy. Period-tracker apps will tell you when to expect your period, but they also often tell you which days they assume you are fertile, which day you could be ovulating, and even when they assume you are not fertile. Unfortunately this information is all generated within the app solely from the only information provided – your period start and end date.

This means period-tracker apps are essentially a digitized rhythm method or calendar method.

The rhythm method or calendar method assumes all women have the same cycle – that their cycle is usually the same length every month (approximately 28 days) and that they always ovulate at the mid-point of that cycle (around day 14). Period-tracker apps make the same assumptions for every woman who enters their period data. Within the first cycle the app will tell you when to expect your period and when to expect ovulation with no previous data recorded. As you enter more period data for your following cycles, the app will continue to assume you have a steady, unchanging cycle. The app may sometimes be right in its calculations, but it’s far more likely to be wrong the longer you use it. Although some women have very regular, consistent cycles and ovulation dates, many more do not. Period-tracker apps treat women like we are all the same and as though we are robot-like in our cycle experience.

African American woman sending a text message on a mobile phone – Black people

As such, period-tracker apps can be very misleading – they can make you think your period is “late,” they can make you think you can have sex without a condom and not get pregnant, they can make you miss the days you need to be having sex if you do want to get pregnant. Unfortunately, many women don’t know this and trust these apps to handle everything for them, even believing these apps to be an effective birth control replacement. Period-tracker apps are just that, a way to track your period and provide approximate predictions for your next period.

How Daysy is different 

In contrast, Daysy is an intelligent computer that actually learns your unique cycle. She has a stored database of over a million clinically-studied cycles that are used for statistical analysis. Daysy has an integrated sensor that allows you to take your temperature every morning and she uses this data to understand your cycle. Using this data and your period data too, Daysy calculates and displays your fertility status for the day with a red, green or yellow light (red: fertile, green: non-fertile, yellow: learning phase/caution). Daysy takes your personal data and measures it against the data she has stored in her “brain” – allowing her to make smart analytical decisions about your cycle.

Daysy works by measuring, recording and analyzing your basal body temperature. This is the temperature of your body at rest – or your temperature when you wake up for the day. There are two predominate hormones involved in the fertility cycle, estrogen and progesterone. Estrogen is dominant during the pre-ovulatory phase (follicular phase) of your cycle, the time from the start of your menstruation until just before ovulation. Immediately after ovulation, during the luteal phase, production of the hormone progesterone increases and remains at an elevated level until just before the next menstruation. Progesterone causes the basal body temperature to shift by approximately 0.2 degrees Celsius. Daysy uses a complex algorithm to determine the change in average temperature values between pre-ovulation and post-ovulation. When the change is recognized, your Daysy knows that your ovulation has occurred and that you are no longer fertile.

Initially, when you first start using Daysy she determines your fertile window based on the statistical data she has in her computer database. Statistically speaking, women can ovulate as early as day 11 of their cycle, so Daysy begins her “red” (fertile) days around day 6 or 7 depending on the length of your menstruation. The red days will continue until Daysy has been able to confirm you have ovulated. In the beginning, Daysy is very cautious and it could take up to 5 or 6 days for Daysy to be certain that the temperature shift was in fact due to ovulation and not some other factor (i.e. the time you took your temperature, a fever, alcohol consumption the night prior…).

Over the course of the first few cycles, as Daysy learns your unique fertility cycle, she will slowly and cautiously reduce the number of red days she gives you. Daysy will begin to pinpoint your ovulation and start your fertile window (the red days) to 5 days before your earliest ovulation. The fertile phase will then continue until ovulation has been confirmed. So if you are a woman who generally ovulates around day 15-17 of your cycle, you will see that Daysy slowly moves the start of your red days back to day 10. Daysy always starts your fertile window 5 days before your earliest ovulation in the past 20 cycles. This accounts for the length of time that sperm can survive inside the female body (up to 120 hours) and protects those with irregular cycles. Daysy will monitor your temperature data and use her proprietary algorithm to compare the average temperature prior to ovulation compared to the average temperature after ovulation to determine when ovulation actually occurred.

This is why Daysy goes through a learning phase and gives most users a high number of red days for the first several cycles. The fact that Daysy can actually look back at your previous cycles and use her complex algorithms to fully learn your unique fertility patterns is what sets her apart.

Generally, we say that the Daysy has a learning phase of three to four cycles. This does not mean, however, that you will not get any “green” lights during that time. Daysy will start out very conservatively and base your fertile window primarily on statistical data. Over the course of your next several cycles, Daysy will begin to weigh your data more heavily against the statistical data and slowly narrow down and give less red days as it is able to pinpoint your individual fertile window. Most women will end up with 9 or fewer red days per cycle.

This is why Daysy has a medically-certified accuracy rating of 99.3% for planning or preventing pregnancy. Daysy is a stand-alone device, but if you want to use an app because that’s what you are used to, you can download DaysyView. Then simply attach Daysy to your phone with the supplied cord and your data will come up on the app. There you can visually see your charts over each tracked cycle and monitor the timing of your coming period, your fertile window, and your ovulation day and know that it is information you can trust and rely upon.

By Holly Grigg-Spall

Marketing Consultant and Blog Editor

When she came off the birth control pill after 10 years in 2009, Holly decided to write a blog about the experience. That blog became a series of articles, and then book, “Sweetening the Pill,” which then inspired a feature documentary, currently in production and executive produced by Ricki Lake. She is a fertility awareness and body literacy advocate and educator, a Daysy enthusiast, and excited to help more women come off the birth control pill and find a natural, effective alternative.