Can You Extend Your Birth Control Pill Cycle for Travel? - Obstetrics and Gynecology

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Oral contraceptives


Hello doctor, I started taking the Diane oral contraceptive pill (21-day regimen) this month, and I am on day 17 as of September 9 (with four days left).
However, I will be traveling abroad on September 18.
Can I buy another pack and continue taking it for about a week? Additionally, will this affect its effectiveness? Thank you for your response.

Wenwen, 20~29 year old female. Ask Date: 2017/09/09

Dr. Huang Jianzhong reply Obstetrics and Gynecology


I started taking the Diane oral contraceptive pill (21-day regimen) this month, and I am on day 17 as of September 9 (with four days left).
However, I will be traveling abroad on September 18.
Can I buy another pack and continue taking it for about another week? Answer: Yes, you can buy another pack and continue taking it without a break.
Additionally, will this affect its effectiveness? Answer: No, it will not affect its effectiveness.

Reply Date: 2017/09/09

More Info


When it comes to extending your birth control pill cycle for travel, it is generally possible, but there are important considerations to keep in mind. Birth control pills, like the one you mentioned (Diane), are designed to be taken in a specific regimen to ensure their effectiveness in preventing pregnancy. Typically, these pills are taken for 21 days followed by a 7-day break during which you have a withdrawal bleed, similar to a menstrual period.

If you are considering extending your cycle by taking an additional week of pills, this is often referred to as "skipping your period." Many healthcare providers support this practice, especially for women who wish to avoid menstruation during travel or other significant events. However, there are a few key points to consider:
1. Consult Your Healthcare Provider: Before making any changes to your birth control regimen, it is crucial to consult with your healthcare provider. They can provide personalized advice based on your medical history and the specific formulation of your birth control pill.

2. Effectiveness: Extending your pill cycle by taking an extra week of pills should not significantly affect the contraceptive effectiveness, as long as you have been taking your pills correctly and consistently. However, it is essential to follow the instructions provided by your healthcare provider or the pill's packaging.

3. Potential Side Effects: Some women may experience side effects when they skip their period, such as breakthrough bleeding or spotting. These side effects are generally not harmful but can be inconvenient. If you experience significant discomfort or unusual symptoms, it is advisable to contact your healthcare provider.

4. Timing and Dosage: If you decide to extend your pill cycle, ensure that you start the new pack immediately after finishing the current one. Do not take a break between packs if you intend to skip your period. This means you would continue taking the pills without interruption.

5. Travel Considerations: Traveling can sometimes disrupt your routine, including your medication schedule. Make sure to pack enough pills for your trip, and consider the time zone changes that may affect when you take your pills. It’s also a good idea to keep your pills in their original packaging to avoid any issues at customs or security checks.

6. Alternative Options: If you are concerned about the side effects of extending your pill cycle or if you have specific health conditions, discuss alternative options with your healthcare provider. There are other forms of birth control, such as hormonal IUDs or the contraceptive implant, that may offer more flexibility for travel.

In summary, it is generally acceptable to extend your birth control pill cycle for travel, but it is essential to do so under the guidance of your healthcare provider. They can help ensure that you maintain contraceptive effectiveness while also addressing any potential side effects or concerns you may have. Always prioritize your health and well-being, especially when making changes to your medication regimen.

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