Hi I’m on combined pill now for about 2 years. Today I woke up and had bleeding when I peed, which stop pretty much straight after. The day before I had sex. I’ve never had breakthrough bleeding before. Could this be just because of sex the day before which may have caused a tear, or could it be a sign of something serious

To clarify, was the blood in your pee or coming from your vagina?

I my vagina as my pee was normal colour

Irregular bleeding is a common side effect of the pill, even if you’ve never experienced before.