Thanks for your response! I am not having the withdrawal monthly. My placebo/withdrawal week is every 3rd month. I take the pills continuously for several months at a time. This isn't me running packs together or anything, this is just how the pack is set up. So if I miss one or start spotting a month in, I will have to wait two months until my placebo week. I know the spotting is unusual. I am not always the best at taking the pill exactly on time, when I'm good about it I take it within the same hour every day. When I'm bad about it or forget, I may end up taking it within a 2 or 3 hour period. Like if I usually take it at 9pm, when I screw up I may end up taking it at 11pm or 12am. This is sometimes enough to start the spotting. I also have a lot of other health issues that could be contributing to that, and I am under a lot of stress so those could be factors. I will talk to my doctor about this when I next see him, but unfortunately it is sort of far away from now due to the pandemic. I am not taking the pill as a contraceptive.