Can You Skip Placebo Pills in Birth Control to Avoid Your Period? - Obstetrics and Gynecology

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Oral contraceptives


I apologize, but I have been continuously taking the 28-day birth control pills.
I would like to ask if I can skip the 7 iron pills this month and directly start the next pack to avoid my period?

Niming, 30~39 year old female. Ask Date: 2016/12/19

Dr. Cao Guotao reply Obstetrics and Gynecology


Hello, you should be able to.
Wishing you good health.

Reply Date: 2016/12/19

More Info


Yes, you can skip the placebo pills in a 28-day birth control pill regimen to avoid your period. This method is commonly used by many individuals who wish to delay their menstrual cycle for various reasons, such as travel, special events, or personal preference.
When you take a 28-day birth control pill pack, it typically consists of 21 active pills (which contain hormones) and 7 placebo pills (which do not contain hormones). The purpose of the placebo pills is to allow for a withdrawal bleed, which mimics a menstrual period. However, if you choose to skip these placebo pills and start a new pack of active pills immediately, you can effectively prevent your period from occurring during that time.

It is important to note that skipping the placebo pills and continuing with the active pills does not affect the contraceptive effectiveness of the birth control. As long as you take the active pills consistently and correctly, you will remain protected against pregnancy. However, some individuals may experience breakthrough bleeding or spotting when they skip their period, which is generally not harmful but can be inconvenient.

If you are considering this option, here are a few additional points to keep in mind:
1. Consult Your Healthcare Provider: Before making any changes to your birth control regimen, it’s always a good idea to consult with your healthcare provider. They can provide personalized advice based on your health history and specific circumstances.

2. Potential Side Effects: While skipping the placebo pills is generally safe, some individuals may experience side effects such as nausea, breast tenderness, or mood changes. These side effects can vary from person to person.

3. Long-Term Use: If you plan to skip your period regularly, discuss this with your healthcare provider. They can help you determine if this is a suitable option for you and if there are any long-term implications to consider.

4. Return to Regular Cycle: If you decide to skip your period for one month, you can return to your regular regimen the following month by taking the placebo pills as directed. This will allow your body to have a withdrawal bleed, which some individuals prefer for menstrual cycle regulation.

5. Emergency Contraception: If you have unprotected intercourse while skipping the placebo pills and are concerned about pregnancy, be aware of your options for emergency contraception. Consult your healthcare provider for guidance.

In summary, skipping the placebo pills in your 28-day birth control regimen is a viable option to avoid your period. Just ensure that you are taking the active pills consistently and consult with your healthcare provider for tailored advice. This approach can provide you with flexibility and control over your menstrual cycle, allowing you to plan around important events or travel without the inconvenience of menstruation.

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Dr. Cao Guotao reply Obstetrics and Gynecology
Hello, you can continue eating until you return from your trip abroad. Wishing you good health.

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Dr. Cao Guotao reply Obstetrics and Gynecology
Hello, you can continue taking the next pack of birth control pills without affecting their contraceptive effectiveness. Wishing you good health.

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Hello, continue taking the birth control pills for another pack without stopping in between. You can stop the medication two days before you want your period to start. Wishing you good health!

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