Can You Adjust Birth Control Pills to Delay Your Period? - Obstetrics and Gynecology

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Emergency contraceptive pill


Hello, I would like to ask a question.
I have been taking Diane since April, consistently at the same time and following the medication schedule.
I started a new pack on May 29, but since I will be traveling abroad on June 24, I would normally finish the 21-day course and my period would coincide with my trip.
Can I stop taking the pills for about a week during this time? (Will this affect the contraceptive effectiveness?) Or can I take an additional week of birth control pills to delay my period? Thank you!

Niming, 20~29 year old female. Ask Date: 2019/05/29

Dr. Huang Jianzhong reply Obstetrics and Gynecology


I started taking Diane 35 in April and have been taking it at the regular time and stopping as scheduled.
On May 29, I started a new pack, but since I will be traveling abroad on June 24, I would normally finish the 21 days of pills just in time for my period to start while I am away.
My question is, can I stop taking the pills for about a week during these days? Will this affect the contraceptive effectiveness?
Answer: Yes, stopping the pills will affect the contraceptive effectiveness, but you could take an additional week of birth control pills to achieve the effect of delaying your period.

Answer: You should take an extra week of progestin to effectively delay your period.

Reply Date: 2019/05/29

More Info


When it comes to adjusting birth control pills to delay your period, there are indeed methods to do so, but it is essential to approach this carefully and with proper guidance. Birth control pills, particularly combination pills that contain both estrogen and progestin, can be manipulated to postpone menstruation. This is often done by skipping the placebo pills (the inactive pills) and starting a new pack immediately after finishing the active pills.

In your case, since you are currently taking a pill like Diane (which is a combination pill), you can indeed choose to skip the placebo week and start a new pack right away. This method is commonly used by many women who want to avoid having their period during significant events, such as vacations or special occasions. However, it is crucial to note that this should be done with caution and ideally under the supervision of a healthcare provider.

Here are some important points to consider:
1. Effectiveness: Skipping the placebo pills and starting a new pack can effectively delay your period. However, it is essential to ensure that you have been taking your pills consistently and correctly before making this adjustment. If you have missed any pills or have not taken them as directed, it may affect the effectiveness of the pills in preventing pregnancy.

2. Potential Side Effects: Some women may experience breakthrough bleeding or spotting when they skip their period. This is generally not harmful but can be inconvenient. Additionally, some women may experience hormonal side effects, such as mood swings or breast tenderness, when they adjust their pill schedule.

3. Consultation with a Healthcare Provider: It is always best to discuss any changes to your birth control regimen with your healthcare provider. They can provide personalized advice based on your health history and ensure that this method is safe for you. They can also help you understand the implications of changing your pill schedule, including any potential impact on its effectiveness as a contraceptive.

4. Alternative Options: If you are concerned about the effectiveness of the pills or prefer not to adjust your current regimen, consider discussing alternative options with your healthcare provider. There are other methods of contraception that can be used to delay menstruation, such as hormonal IUDs or the contraceptive injection.

5. Long-term Use: While adjusting your birth control pills occasionally to delay your period is generally safe for most women, it should not become a regular practice without medical advice. Long-term alterations to your menstrual cycle can have various effects on your body, and it is essential to monitor how your body responds.

In summary, you can adjust your birth control pills to delay your period by skipping the placebo pills and starting a new pack. However, ensure that you have been taking your pills correctly, consider potential side effects, and consult with your healthcare provider for personalized advice. This approach can help you manage your menstrual cycle effectively while maintaining contraceptive efficacy.

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