Delaying your period with birth control pills
With birth control pills, regular monthly bleeding doesn't provide any health benefits. Find out how you can use the pill to have more control over your cycle.By Mayo Clinic Staff
Are you interested in having fewer periods? It's possible with birth control pills. Find out how and get answers to common questions about using birth control pills to delay or prevent periods.
How does it work?
Traditional birth control pills are designed to mimic a natural menstrual cycle. A traditional pill pack contains 28 pills, but only 21 are active — containing hormones to suppress your fertility. The other seven pills are inactive. The bleeding that occurs during the week you take the inactive pills is called withdrawal bleeding. This is your body's response to stopping the hormones. If you skip the inactive pills and start a new pack of active pills right away, you won't have this withdrawal bleeding.
The bleeding that occurs while you take the inactive pills isn't the same as a regular period. Nor is the bleeding necessary for health. This is good news if you take birth control pills and want more control over your menstrual cycle, either for personal or medical reasons.
What are the benefits of delaying your period?
Delaying your period can help you manage various menstrual symptoms. It might be worth considering if you have:
- A physical or mental disability that makes it difficult to use sanitary napkins or tampons
- A condition worsened by menstruation, such as endometriosis or anemia
- Breast tenderness, bloating or mood swings in the seven to 10 days before your period
- Headaches or other menstrual symptoms during the week you take inactive birth control pills
- Heavy, prolonged, frequent or painful periods
In addition, menstrual bleeding is sometimes simply inconvenient. You may want to postpone your period until after an important exam, athletic event, vacation or special occasion, such as your wedding or honeymoon.
Is it safe for all women to delay menstruation?
If your doctor says it's OK for you to take birth control pills, it's probably safe to use them to delay your period. Not all doctors think it's a good idea to delay menstruation, however. Even those who support the option may not mention it unless you bring up the topic. If you want to try delaying your period, ask your doctor which option might work for you.
What are the drawbacks to delaying your period?
Breakthrough bleeding — bleeding or spotting between periods — is common when you use birth control pills to delay or prevent periods, especially during the first few months. Breakthrough bleeding typically decreases over time, however, as your body adjusts to the new regimen.
Another drawback of routinely delaying your period is that it may be more difficult to tell if you're pregnant. If you have morning sickness, breast tenderness or unusual fatigue, take a home pregnancy test or consult your doctor.
March 17, 2018
See more In-depth
- Kaunitz AM. Hormonal contraception for suppression of menstruation. https://www.uptodate.com/contents/search. Accessed Feb. 1, 2018.
- Hatcher RA, et al. Combined oral contraceptives (COCs). In: Contraceptive Technology. 20th ed. New York, N.Y.: Ardent Media Ltd.; 2011.
- Edelman A, et al. Management of unscheduled bleeding in women using contraception. https://www.uptodate.com/contents/search. Accessed Feb. 1, 2018.
- AskMayoExpert. Contraception. Rochester, Minn.: Mayo Foundation for Medical Education and Research; 2017.
- Jolessa (prescribing information). North Wales, Pa.: Teva Women's Health, Inc.; 2017. https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=f1076019-6f2c-4c90-9f3c-ab0c7cdd9315. Accessed Feb. 1, 2018.
- Camrese (prescribing information). North Wales, Pa.: Teva Women's Health, Inc.; 2017. https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=0e198d28-4986-4b93-833f-17c7ed4ce13e. Accessed Feb. 1, 2018.
- Rivelsa (prescribing information). North Wales, Pa.: Teva Women's Health, Inc.; 2017. https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=822e56c6-562f-4299-bf4f-eaee0c0f2b7a. Accessed Feb. 20, 2018.
- Amethyst (prescribing information). Parsippany, N.J.: Actavis Pharma, Inc.; 2017. https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=a7e19182-57b5-4783-9c7f-bb83961f1803. Accessed Feb. 1, 2018.
- Nappi RE, et al. Extended regimen combined oral contraception: A review of evolving concepts and acceptance by women and clinicians. The European Journal of Contraception and Reproductive Health Care. 2016;21:106.
- Quasense (prescribing information). Parsippany, N.J.: Actavis Pharma, Inc.; 2017. https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=a4cf4b57-c468-4782-8d41-2f74f89fa4e8. Accessed Feb. 20, 2018.
- Amethia (prescribing information). Greenville, N.C.: Mayne Pharma; 2017. https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=d6a33ea7-ecd1-4f81-a984-f210a3989618. Accessed Feb. 20, 2018.
- Ashlyna (prescribing information). Mahwah, N.J.: Glenmark Pharmaceuticals Inc., U.S.A.; 2017. https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=407a9f63-9abf-4886-864a-d3dd0e429762. Accessed Feb. 20, 2018.
- Butler Tobah YS (expert opinion). Mayo Clinic, Rochester, Minn. March 6, 2018.