Instruct: Given a question, retrieve relevant passages that answer the question.
Query: Is spotting on the mini pill normal?
With no break in the dosage, menstrual flow does not initially occur at a predictable time. Most women tend to establish, over a few months, light spotting at approximately regular intervals. May cause mastalgia (breast tenderness) and mood swings. Some women may experience abdominal cramps and heavy bleeding. Mood changes in personality is to be expected when taking any steroids. No Other Side effects apart from the ones mentioned above.
Etynodiol diacetate 500µg (e.g., Femulen) Levonorgestrel 30µg (e.g., 28 mini, Microval, Norgeston) Lynestrenol 500µg (e.g., Exluton, Mini-kare) Norgestrel 75µg (or levonorgestrel 37.5µg) (e.g., Minicon, Neogest, Ovrette)
The game presents a maze filled with dots and five symmetrically-placed power capsules, and the player-controlled Scarfman tries to eat the dots without being eaten by one of the monsters that randomly roams the maze. Unlike "Pac-Man", there are five monsters instead of four. Eating a power pill causes monsters to lower their eyes, indicating that they're vulnerable. The eyes shift to the normal position when the pill's effect wears off. In "Color Scarfman", eating a power pill causes the ghosts to remain vulnerable—indicated by turning blue—until eaten or the level ends. 
Techniques used by the textile industry to avoid pilling include singeing the loose fibers protruding on the surface of textile, and spinning the yarn with a high number of twists per inch. Some fabrics are chemically treated during the manufacturing process in order to reduce their propensity to pill. Polymeric coatings are sometimes applied, to bind fibers into the fabric surface and prevent initial fuzz from forming. Polyester and cotton fibers are sometimes modified to be of lower-than-normal strength, which results in pills detaching easily from fabrics, once they are formed. Cellulase enzymes are sometimes used on cotton fabrics during wet processing, which removes loose fibers.
When a woman takes COCP, the hormones in the pills prevent both ovulation and shedding of the endometrium (menstruation). Traditionally, COCPs are packaged with 21 active (hormone-containing) pills and 7 placebo pills. During the week of placebo pills, withdrawal bleeding occurs and simulates an average 28-day menstrual cycle. The placebo pills are not required for pregnancy protection, and with any monophasic COCP the placebo pills may be discarded, and the next pack of active pills may be started to prevent the withdrawal bleeding. With bi- and tri-phasic pills, skipping the placebo week results in a sudden change in hormone levels, which may cause irregular spotting or flow.
In some women, menstrual spotting between periods occurs as a normal and harmless part of ovulation. Some women experience acute mid-cycle abdominal pain around the time of ovulation (sometimes referred to by the German term for this phenomenon, "mittelschmerz"). This may also occur at the same time as menstrual spotting. The term breakthrough bleeding or breakthrough spotting is usually used for women using hormonal contraceptives, such as IUDs or oral contraceptives, in which it refers to bleeding or spotting between any expected withdrawal bleedings, or bleeding or spotting at any time if none is expected. If spotting continues beyond the first three cycles of oral contraceptive use, a woman should have her prescription changed to a pill containing either more estrogen or more progesterone.
Progestogen-only pills or progestin-only pills (POP) are contraceptive pills that contain only synthetic progestogens (progestins) and do not contain estrogen. They are colloquially known as mini pills.
The combined oral contraceptive pill, or birth-control pill, or simply "the Pill", is a combination of an estrogen and a progestin taken orally to inhibit normal female fertility. On May 9, 1960, the FDA announced it would approve Enovid 10 mg for contraceptive use. By the time Enovid 10 mg had been in general use for three years, at least a half a million women had used it. Beginning his research and studies in the feasibility of women's fertility in 1950, Dr. Gregory Pincus invented the combined oral contraceptive pill in 1960.
In New Zealand, Mini sponsored "Mad Men", broadcast on Prime. Special spots were created; for the first season, these took the form of a satirical, sexist 60s-style television commercial. For the second season, the spot was a pastiche of "Mad Men"'s opening credits, with a silhouette figure tumbling out of an office building, landing in the driver's seat of a Mini. 
Use of combined estrogen and progesterone eliminates the normal endogenous hormonal cycling and gradually produces atrophy of the endometrial glands. This is because the dosage of estrogen in the OCs pills is much lower than the quantity produced naturally by the ovaries. Higher quantities produced by the ovaries induce proliferation, but low levels supplied by the pills produce atrophy but are sufficient to inhibit the endogenous secretion of the gonadotropins.
The exact chain of events that lead from an atrophic endometrium to the spotting between menses is not explained by the text. This condition may be corrected by using a pill with a higher estrogen (which will stimulate further proliferation of the endometrium) or lower progestin content (which will reduce its stability).
If women are taking a contraceptive pill the changes in mate scent preferences over the menstrual cycle are not expressed. If odor plays a role in human mate choice then the contraceptive pill could disrupt disassortative mate preferences. Those taking a contraceptive pill show no significant preference for the scent of either symmetrical or asymmetrical men, whereas normally cycling women prefer the scent of shirts worn by symmetrical men. Males' preferences for women's scent may also change if the woman is taking oral contraceptives. When women take a contraceptive pill, this has been found to demolish the cycle attractiveness of odors that men find attractive in normally ovulating women. Therefore, a contraceptive pill affects both women's preferences for scent and also affects their own scents, making their scents less attractive to males than the scent of normally cycling women.
Desogestrel is used in hormonal contraception in women, specifically in birth control pills. It is used alone in progestogen-only pills ("mini pills") and in combination with the estrogen ethinylestradiol in combined oral contraceptive pills. Along with norethisterone, it is one of the only progestins that is widely used as a progestogen-only "mini pill". It is also the only newer-generation progestin with reduced androgenic activity that is used in such formulations. In addition to hormonal contraception, desogestrel has been used in combination with estrogens such as estradiol as a component of menopausal hormone therapy. The medication has also been used in the treatment of endometriosis.
The placebo, or hormone-free, week in the 28-day pill package simulates an average menstrual cycle, though the hormonal events during a pill cycle are significantly different from those of a normal ovulatory menstrual cycle. Because the pill suppresses ovulation (to be discussed more in the Mechanism of Action section), birth control users do not have true menstrual periods. Instead, it is the lack of hormones for a week that causes a withdrawal bleed.[17] The withdrawal bleeding that occurs during the break from active pills has been thought to be reassuring, a physical confirmation of not being pregnant.[26] The withdrawal bleeding is also predictable. Unexpected breakthrough bleeding can be a possible side effect of longer term active regimens.[27]
Lacking the estrogen of combined pills, they are not associated with increased risks of deep vein thrombosis or heart disease. With the decreased clotting risk, they are not contraindicated in the setting of sickle-cell disease. The progestin-only pill is recommended over regular birth control pills for women who are breastfeeding because the mini-pill does not affect milk production (estrogen reduces the amount of breast milk). Like combined pills, the minipill decreases the likelihood of pelvic inflammatory disease.
The combined oral contraceptive pill is a common method of contraception in New Zealand alongside the progestogen-only pill (mini pill). In 2009 approximately 202,000 women in New Zealand were taking the pill.
The pill is not available over the counter in New Zealand. It is available by prescription by a health professional such as a general practitioner or a nurse. Nevertheless, the New Zealand Family Planning website states that 'the pill is easily accessible to all women in New Zealand'.
In 1973, Ortho and Syntex introduced the first progestogen only pills (mini-pills) available in the United States, "Mirconor" and "Nor-QD".
Pills do not interfere with the functionality of the textile, unless a spot with a lot of pills turns into a hole in the fabric. This is because both pills and holes are caused by the fabric wearing—a pill is fibre that was in the cloth. After the pill forms the fabric is thinner there, increasing the likelihood that a hole will form.
In the United States, "Red Pill Blues" debuted at number two on the "Billboard" 200, with 122,000 album-equivalent units, of which 94,000 were pure album sales, becoming the band's sixth top ten album in the country. The album was kept off the top spot only by Sam Smith's "The Thrill of It All". By the end of the year, "Red Pill Blues" had accumulated 596,000 album-equivalent units in the country, with 185,000 being pure sales. On May 17, 2018, "Red Pill Blues" was certified Platinum by the Recording Industry Association of America for combined sales and album-equivalent units of over 1,000,000 units in the United States. 
Although the pill is sometimes prescribed to induce menstruation on a regular schedule for women bothered by irregular menstrual cycles, it actually suppresses the normal menstrual cycle and then mimics a regular 28-day monthly cycle.
Pilling normally happens on the parts of clothing that receive the most abrasion in day-to-day wear, such as the collar, cuffs, and around the thighs and rear on trousers.
As with other "Dr. Mario" games, players must manipulate pills to destroy colored viruses in the game area. "Dr. Mario Online Rx" also features versions of the Nintendo DS title mini-games called "Virus Buster" and "Germ Buster", which uses the pointer function of the Wii Remote to move pills, and now allows up to four players to participate cooperatively.
Progestins are used in a variety of different forms of hormonal birth control for women, including combined estrogen and progestogen forms like combined oral contraceptive pills, combined contraceptive patches, combined contraceptive vaginal rings, and combined injectable contraceptives; and progestogen-only forms like progestogen-only contraceptive pills ("mini-pills"), progestogen-only emergency contraceptive pills ("day-after pills"), progestogen-only contraceptive implants, progestogen-only intrauterine devices, progestogen-only contraceptive vaginal rings, and progestogen-only injectable contraceptives.
Progestogen-only contraceptive pills (sometimes called the 'mini pill') are taken continuously without a 7-day span of using placebo pills, and therefore menstrual periods are less likely to occur than with the combined pill with placebo pills. However, disturbance of the menstrual cycle is common with the mini-pill; 1/3-1/2 of women taking it will experience prolonged periods, and up to 70% experience break-through bleeding (metrorrhagia). Irregular and prolonged bleeding is the most common reason that women discontinue using the mini pill.[34]
Pill millipedes can be distinguished from woodlice on the basis of having two pairs of legs per body segment instead of one pair like all isopods. Pill millipedes have twelve to thirteen body segments and about eighteen pairs of legs, whereas woodlice have eleven segments and only seven pairs of legs. In addition, pill millipedes are smoother, and resemble normal millipedes in overall colouring and the shape of the segments. 
Australian Musicologist, Ian McFarlane writes that "The Proton Energy Pills comprised Dave Curley (vocals), Lenny Curley (guitar), Jay Curley (bass), Stewy Leadfinger Cunningham (guitar) and Richie Lewis (drums). Proton Energy Pills derived their name from American cartoon series Roger Ramjet (the proton energy pills gave Ramjet his extraordinary strength). The band played a form of heavy retro-grunge that drew on US bands like Blue Oyster Cult, MC5 and Mudhoney for inspiration. Local bands that the Pills aspired to included Radio Birdman, The Celibate Rifles and The New Christs. Sydney independent label Waterfront issued two Proton Energy Pills singles, `Survival'/`Symmetry' (September 1989) and `(Less than I) Spend'/`Strawberry Patch' (March 1990), and the mini-album Proton Energy Pills(September 1990)."