Continuous Use of Birth Control Pills: Safety and Effectiveness Explained

Regarding the continuous use of two packs of oral contraceptives?

Hello Doctor: I am currently taking "Alesse," an oral contraceptive pill, following a regimen of taking one pack for 21 days, then stopping for 7 days before starting the second pack on the 8th day.
I would like to consult you regarding my situation.
My boyfriend and I have a long-distance relationship and only meet every 2-3 months.
Based on today's date, we will meet at the end of May, which coincides with the end of my next pack (21 pills).
Therefore, I would like to ask you the following two questions: (1) Can I finish the contraceptive pills for May and then continue directly to the next pack without a break? (This means taking approximately 30 pills in a row.) Will this cause any side effects? (2) If I finish the first pack and immediately start the second pack, will I still be within the contraceptive period? Can I avoid using additional protection? I appreciate your assistance with these questions.
Thank you!

Zero, 20~29 year old female. Ask Date: 2017/04/13

Dr. Cao Guotao reply Obstetrics and Gynecology

Hello, you can continue to take it as it has contraceptive effects.
Wishing you good health.

Reply Date: 2017/04/13

More Info

When it comes to the continuous use of birth control pills, such as the one you mentioned, "Alesse," there are several important considerations regarding safety and effectiveness.
1. Continuous Use of Birth Control Pills: Yes, you can skip the placebo week (the 7 days when you do not take any pills) and start the next pack of pills immediately after finishing the first pack. This method is often referred to as "extended-cycle" or "continuous" birth control pill use. Many healthcare providers support this approach as it can help reduce the frequency of menstrual periods, which some women find beneficial. However, it is essential to consult with your healthcare provider before making this change to ensure it is appropriate for your specific health situation.

2. Potential Side Effects: While many women tolerate continuous use well, some may experience side effects. Common side effects can include breakthrough bleeding (spotting between periods), breast tenderness, nausea, and mood changes. These side effects may be more pronounced when you first start taking the pills continuously. However, many women find that these side effects diminish after a few months of continuous use. If you experience severe side effects or any unusual symptoms, it is crucial to consult your healthcare provider.

3. Effectiveness During Continuous Use: If you take the pills correctly—meaning you take them at the same time every day and do not miss any doses—your contraceptive effectiveness remains high, even when you switch directly from one pack to the next without a break. Birth control pills are designed to maintain hormone levels in your body, which prevents ovulation and reduces the risk of pregnancy. Therefore, you do not need to use additional contraceptive methods if you are taking your pills as directed.

4. Considerations for Extended Use: While extended use can be safe for many women, it is not suitable for everyone. Certain medical conditions, such as a history of blood clots, uncontrolled hypertension, or specific types of migraines, may require a different approach to contraception. Always discuss your medical history with your healthcare provider to determine the best contraceptive method for you.

5. Consultation with Healthcare Provider: It is always advisable to have an open discussion with your healthcare provider regarding any changes to your birth control regimen. They can provide personalized advice based on your health history and lifestyle, ensuring that you make informed decisions about your reproductive health.

In summary, continuous use of birth control pills can be a safe and effective method for many women, allowing for greater flexibility in managing menstrual cycles. However, it is essential to consult with a healthcare provider to ensure that this method is appropriate for you and to discuss any potential side effects or concerns.

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