A number of birth control methods hold the promise of lighter periods, fewer periods, or none at all, namely the Mirena intrauterine device, the Depo-Provera shot, the single-rod implant Implanon, or continuous use of the pill or NuvaRing. To some of us, the idea of effective contraception and no periods sounds like menstrual nirvana. But for others there is a niggling worry: is it really okay to skip periods?
The short answer is yes, it’s definitely okay! If you think about it, there are several times in a woman’s life when it’s totally normal to have no period, not just as a girl or later in life, but also when pregnant or breastfeeding.
Why do we get periods in the first place? Periods are a coordinated effort between the brain, the ovaries, and the uterus (or womb). It takes teamwork from multiple hormones to pull it off, but the hormones estrogen and progesterone are the two main players. Women have periods if they’re healthy, releasing eggs from the ovaries regularly, and not pregnant or breastfeeding. Periods are the body’s way of getting ready for the next possible pregnancy. A uterus is ever optimistic that its owner is planning to get pregnant in the next few weeks!
How do birth control methods stop a period? The hormone estrogen builds up the lining of the uterus (the endometrium) that is shed every month during a period. The hormone progesterone keeps the lining of the uterus thin. The methods most likely to make your periods lighten or disappear contain progesterone and keep the lining of the uterus thin. Keeping the lining of the uterus thin is one of the ways these birth control methods protect against pregnancy; it’s also why women using these methods have lighter periods or no periods.
There’s a myth out there that not having a period is bad because women’s uteruses need to be cleaned out. But a uterus is not like a mouth—it can take care of itself under most circumstances, and it definitely does not like minty disinfectants.
If you’re using a method that stops your periods, how can you know for sure that you’re not pregnant? If you’re using a Mirena or Implanon, the chances of pregnancy are extremely low (about 1 in 1,000). There are simple ways your doctor can show you to make sure the method is working properly, so check with her if you’re worried. Peace of mind is important, so as you get used to a new birth control method, you can always take a pregnancy test or chat with your doctor.
So to recap, using a method that lightens or stops your period is okay because:
- There is nothing in the uterus to clean out.
- Having a thin lining of the uterus is healthy and happens naturally at several times during a woman’s life.
- Many of these methods are extremely reliable, so you probably don’t need to worry about being pregnant if you’re using them correctly… But if you’re concerned, you can always take a pregnancy test.
Women who use the Mirena intrauterine device or the Depo-Provera shot are most likely to experience lighter and less frequent periods. Some women who use the implant Implanon may also have lighter periods or no period. It’s also okay to use the pill or NuvaRing continuously—just skip the week of sugar pills or the week with no ring and start on the next pack or ring. With any of these methods you may occasionally get some breakthrough spotting. If your periods are heavy, painful, or particularly annoying, the trade off might be worth it!
Is it ok to use Ortho Evra continuously, or is this unsafe?
2011-07-05 02:21:23 UTC
Hi, and thanks for your question. Yes, the patch (Ortho Evra) can be used for longer than the usual 3 weeks on (one patch each week), one week off. In studies of extended use of the patch (for 6 or 12 weeks before having a period), women reported fewer periods, some breakthrough bleeding, and the majority were satisfied with it. The patch does have a higher level of one type of hormone (estrogen) compared to most pills and the ring. There have been no problems associated with this in the studies of extended use, but it may be something you want to talk with a nurse or doctor about before using the patch this way.
2011-07-07 15:23:19 UTC
Maria Isabel Rodriguez
im on the depo shot, and I got my period a week before my next shot was due. my boyfriend and I had sex right before my period started (not knowing I was going to get it) and i mean RIGHT before. Am I still safe?
2012-01-24 23:05:23 UTC
I have a prescription for the pill. I was wondering, can I skip the last week of pills (the placebo week) and just continue on with next month's pills? Can I use non-continuous pills as if they were continuous without any ill side affects?
2012-02-12 20:06:43 UTC