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It could just mean that it is time for her to switch birth control brands. Each type of Birth Control contains different amounts of the hormones estrogen and progesterone. Sometimes a girl develops what could almost be called an immunity to a type of pill. That is to say, her body is changing as she grows, and she may need a different brand with different amounts of hormones in order to keep the bleeding and cramps minimal.

She should talk to her doctor about switching pill brands.

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Q: What does it mean if your girlfriend is bleeding heavier then normal shooting pains in her pelvis and she is on the pill?
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