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I am 20 years old and have been on the pill - Desogenยฎ for over a year. Recently I began bleeding between periods, sometimes light, sometimes heavy. I have been seeing my gynecologist annually and have had no other problems. Is this something to worry about, or something minor?

Probably minor. Breakthrough bleeding is not uncommon on pills. It can be from missing a pill or two or taking them at different times in the day, but it also occurs for no reason at all. My rule-of-thumb is to change the brand of the pill if it happens 3 cycles in a row.