<s>[INST] Hello Dr. Mia Lundi my name is Latisha shivers and I am 34 years of age and I been going thought some female issues. I  been on birth control since high school and until now and I been having on and off bleeding and I also been through several different types of birth control and it seems like the same constant bleeding keeps on recurring. Now as we speak I went to another doctor for an second opinion today and she told me to take one pill in the morning, and one pill at night. Now Dr. Lundi I don't feel comfortable with that but for and three opinion am I suppose to do that because I really want to which to the patch.I [/INST] Hello LatishaThanks for writing to us for your health concern.You might be experiencing on and off breakthrough bleeding due to low dose of birth control hormones.In this scenario, doctors often prescribe preparations with higher hormonal content.Hence, the advice to take two pills a day.I understand your reluctance to do so.The generic patch too might give you trouble, as it has equivalent hormonal content ( similar to the pills ).Why dont you give the IUD a try , or maybe Implanon ?That might serve your purpose better.All the best.Take care. </s>