With BCPs I think you have to be prepared for anything. I've been on many different pills and most I did not have a problem with, but some I did spot at first. Everyone is different so you may have problems or you may be just fine.
One option you could try is what they call a "Sunday Start". When you start your period, wait until the Sunday after and take your first pill on Sunday. I have always done this b/c then I always know to start a new pack of pills on Sunday, and every new row gets started on Sunday. It is easier for me to keep track of. Then I always know exactly when my period will be (on Tuesdays) and it is usually done by the weekend (which is great). Read through the info that came with your pack of pills and it will explain what to do.
That way you'd be starting the pill after your period was already happening and maybe the effects wouldn't be quite as bad, if you have any at all.
I know it can make you nervous taking the pill for the first time but chances are things will be fine and you will probably LOVE it, less heavy periods, less cramping, and since you are on Ortho your skin might clear (If that is a problem).
Good luck!
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