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Adolescent Wellness And Reproductive Education Foundation

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New Extended-Cycle Oral Contraceptives:
All the Benefits and Fewer Periods, Too

Given a choice, most women would prefer to menstruate less frequently-or not at all- according to research conducted in the U.S. and Europe. That comes as no surprise. Many women suffer heavy bleeding, cramping, moodiness or other discomfort during their periods and would happily do without the monthly inconvenience.

Generally, women who use oral contraceptives ("the pill" or "OCs" for short) are pleased to discover benefits beyond pregnancy prevention. Women using OCs often experience less painful, lighter periods and fewer symptoms of premenstrual syndrome (PMS). And now, women who use OCs can have fewer periods, too.

The idea of "extended cycles" is the latest development in oral contraception. Extended-cycle OCs allow women to have their period just four times a year. If you choose an extended-cycle prescription, you take the contraceptive pill, which contains the hormones estrogen and progestin, every day for 84 days straight, followed by a week of sugar pills (or no pills). During the week of sugar pills, you have your period. When the sugar pills are gone, you simply restart the hormone pills and repeat the cycle again. Women using ordinary monthly OCs take the hormone-containing pill for just 21 days, followed by a week of sugar pills (or no pills) and then start again.

The only thing the extended-cycle regimen affects is the length of time between periods. All the other benefits of using OCs-99% protection against pregnancy, reduced menstrual blood flow, shorter periods, and fewer PMS symptoms-still apply. Presently, data indicate that extended-cycle pills are just as safe as regular OCs and have not led to infertility in women who want to get pregnant.

So, you may ask, why 84 days instead of 42 or some other number? In a series of studies, normally menstruating women of different ages were questioned about the length and difficulty of their periods. They were asked how often, using oral contraceptives, they would have their period if they could choose. A majority of the women preferred to menstruate less often than once a month. Among adolescent girls (aged 15 to 19), the preferred frequency of bleeding was once every three months (or 84 days). This preference prompted drug makers to develop the extended regimen.

Young women involved in sports and the athletic organizations they play for have become especially interested in extended-cycle OCs. And women of all ages enjoy the convenience of having periods just four times a year, especially when it comes to planning vacations and other special activities.

For more information about extended-cycle OCs, visit http://www.seasonale.com or send your specific questions to AWARE by clicking here.