What does it mean when your period is three days late and then you start spotting have always been regular on the pill?

If you take the birth control pill correctly and consistently, you should not have the typical hormonal swings that cause the symptoms of premenstrual syndrome (PMS) and menstruation during your placebo pill week (the week you don't take any active hormone pills). Some people may experience slight spotting or very light bleeding during this week, especially in the first few months of taking the pill, but this is not a true menstrual period.

There is no one-size-fits-all answer to this question, as the meaning of a late period and subsequent spotting can vary depending on individual circumstances. However, some possible reasons for a three-day late period followed by spotting include:

- Pregnancy: If you are sexually active and have not been using contraception, a late period and spotting could be signs of early pregnancy. It's important to take a pregnancy test to confirm if you are pregnant.

- Hormonal imbalances: Changes in hormone levels can affect the regularity of your menstrual cycle. This can be caused by a variety of factors, such as stress, thyroid issues, or polycystic ovary syndrome (PCOS).

- Medication: Certain medications, including some birth control pills, antidepressants, and blood thinners, can cause changes in menstrual bleeding patterns.

- Medical conditions: Some medical conditions, such as uterine fibroids, endometriosis, and pelvic inflammatory disease (PID), can cause irregular periods and spotting.

Overall, if you're taking the pill correctly and consistently and experience a late period with spotting, it's generally still considered normal and not cause for concern. Spotting can sometimes happen as a result of the contraceptive pill, and can also occur due to other factors such as stress or hormonal changes.

However, if you're concerned about your irregular bleeding, it's important to talk to your doctor to determine the cause and rule out any potential medical issues. They can provide you with personalized advice and treatment if needed.