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

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Can emergency contraceptive pills be taken to extend the menstrual cycle?


Hello, doctor.
I have a habit of regularly taking Dailian, and my period usually starts three days after stopping the medication (expected on May 26).
Since I will be traveling from May 28 to May 30, I would like to know if I can continue taking a new pack after finishing the 21-day cycle, and then stop the medication after my trip, so that my period will start after May 30?

Niming, 10~19 year old female. Ask Date: 2024/05/20

Dr. Lin Manying reply Obstetrics and Gynecology


Hello: Yes, that is a very correct approach.
Hualien Hospital of the Ministry of Health and Welfare cares about your health.

Reply Date: 2024/05/20

More Info


When it comes to managing your menstrual cycle for travel plans, particularly with the use of birth control pills like Dailian, it is indeed possible to adjust your cycle to accommodate your travel schedule. This practice is commonly referred to as "menstrual cycle manipulation," and many women use it to delay their periods for various reasons, including vacations, special events, or other personal preferences.

In your case, since you are accustomed to taking Dailian, which is a combination oral contraceptive pill, you can extend your cycle by continuing to take the active pills from a new pack after finishing your current pack. By doing this, you can effectively delay your period until after your trip. Here’s how it works:
1. Continuing Active Pills: After completing your 21-day regimen of active pills, instead of taking the placebo pills (which are typically taken during the last week of the cycle), you can start a new pack of active pills immediately. This will prevent your period from occurring during your travel dates.

2. Timing: Since you mentioned that your period usually starts about three days after stopping the active pills, by continuing with the new pack, you can expect your period to be delayed until you decide to stop taking the pills. In your case, if you continue taking the pills until after your trip, your period should not start until you resume the placebo pills or stop taking the active pills altogether.

3. Consultation with Healthcare Provider: It’s always a good idea to discuss any changes to your medication regimen with your healthcare provider. They can provide personalized advice based on your medical history and any potential risks. They may also give you additional tips on how to manage any side effects that might arise from extending your cycle.

4. Potential Side Effects: While many women successfully manipulate their cycles, it’s important to be aware of potential side effects. Some women may experience breakthrough bleeding or spotting when they extend their cycle. Additionally, hormonal fluctuations can lead to mood changes, breast tenderness, or nausea. Monitoring your body’s response is crucial.

5. Effectiveness of Birth Control: Continuing to take active pills without interruption maintains the contraceptive effectiveness of the birth control method. However, if you miss a pill or take it late, it could compromise its effectiveness, so be diligent about taking your pills as scheduled.

6. Post-Travel Considerations: After your trip, you can resume your normal cycle by taking the placebo pills as usual. This will allow your body to return to its regular menstrual pattern.

In summary, you can indeed extend your birth control cycle to avoid having your period during your travel dates. Just ensure that you are consistent with your pill-taking and consult with your healthcare provider for tailored advice. Enjoy your trip, and safe travels!

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