Is It OK To Put Off Your Period?

One thing you never want to take on vacation with you: your period. With summer trips coming up, we definitely don’t blame you for fiddling with your birth control to ensure a tampon-free trip. In fact, 17 percent of women report using hormonal contraception to skip or delay their monthly period, according to a new study in the journal Contraception.

Researchers at the University of Oregon surveyed 1,374 female students who were on combined hormonal contraceptives in the last six months. Of the women who used birth control to delay their cycle, about half did so for convenience or scheduling purposes—like not wanting to worry about a period on vacation. Other less common reasons included personal preference or curbing PMS.

We get why it’s tempting to skip your flow every once in a while, but is it safe? Absolutely, says Mary Jane Minkin, MD, clinical professor of obstetrics and gynecology at Yale University School of Medicine. “If you are a good candidate to be on birth control in the first place—you’re healthy, you don’t have high blood pressure that’s uncontrolled, you’re not over 35 or a smoker—then you are indeed a candidate for fiddling around with your cycle,” says Minkin.

Of course, taking the DIY approach to skipping your menstrual cycle isn’t totally mess-free. “A lot of women will get some breakthrough bleeding,” says Minkin. “It’s not a health hazard, it’s just an annoyance.” You’re more likely to get breakthrough bleeding if you’ve just started this birth control method, if you’re on a triphasic pill (where the level of hormones varies from week to week, like Ortho Tri-Cyclen), and if you delay your period for a longer period of time.

And here’s the best news: Skipping or delaying your period will not decrease the effectiveness of your birth control. That said, when you eventually do take your inactive pills or remove your patch or ring to get your period, it’s crucial that you resume your next cycle in seven days to protect against pregnancy. If you forget to start a new cycle on time (which might be more likely since you haven’t been following a routine schedule), use backup birth control for the next week to make sure you’re protected.

Thinking about skipping your period? Here’s what you need to know:

If you’re on the Pill:
You can skip the inactive week of pills and immediately start a new pill pack. Just make sure that you have an extra pack or two on-hand in case you run out before your insurance company will let you refill your prescription, says Minkin. This works best if you get three months of pills at a time or if your doctor has given you extra samples.

If you’re on the ring or the patch:
After three weeks of wearing the ring or patch, remove it and immediately replace with a new one instead of going without for a week, says Minkin. Just as with the Pill, you’ll want to make sure that you have an extra ring or patch on-hand in case your insurance won’t let you refill your prescription early.

If you want four or fewer periods a year:
While there is no exact cut-off for the amount of time you can put off your period, newer birth control pills like Seasonique and Seasonale are specifically designed to give you a period once every three months. Another new option, Lybrel, gives you a period just once a year. So if you want to put off your flow for that long anyway, you might want to look into switching to one of these pills. Just remember that you’re more likely to have breakthrough bleeding if you use one of these methods, says Minkin.

If you’re over 35/smoke/have uncontrolled high blood pressure:
Talk to your doctor before using birth control to skip or delay your period, says Minkin. These factors can all increase your risk of blood clots, stroke, or heart attack, so you’ll want to be careful about any kind of birth control routine if you fall into one (or more) of these categories.

Photo: Stockbyte/Thinkstock


More from WH:
Fascinating Facts About Your Period
5 Surprising Effects of the Pill 
What’s a Normal Period? 

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Got Period Pain? Put a Pin In It

A new review of 25 studies—and more than 3,000 women—published in Complementary Therapies in Medicine has found that acupoint stimulation provides short-term relief of excessive menstrual pain, also known as dysmenorrhea. (Is your period normal? Find out here.)

How It Works
Acupoint therapy, which has its roots in ancient Chinese medicine, posits that qi, or life force, flows through the body’s meridians, or channels, and is intrinsically tied to health. Several hundred acupuncture points are believed to be located along these meridians, and can be manipulated through acupoint stimulation to help qi flow correctly. “If qi is stuck, or not moving, you can experience pain anywhere. Women can then easily have pain during their period,” says Laurie Steelsmith, ND, LAc, a naturopathic physician, licensed acupuncturist, and author of the bestselling Natural Choices for Women’s Health: How the Secrets of Natural and Chinese Medicine Can Create a Lifetime of Wellness.

Acupuncture’s use for certain conditions has been endorsed by the United States National Institutes of Health, the World Health Organization, and the National Center for Complementary and Alternative Medicine.

In the case of relieving menstrual discomfort, acupoint stimulation increases blood flow to the uterus, which can relax the muscles similarly to a hot pad and reduce uterine contractions (aka cramps), says Lisa M. Bartoli, D.O., Fellow of the American Academy of Physical Medicine and Rehabilitation at Beth Israel Medical Center’s Continuum Center for Health and Healing. It also increases endorphin release to minimize pain and improve PMS symptoms including irritability and mood swings, she says.

Perhaps, most importantly, acupoint therapy balances out the brain’s hormone-regulator, the hypothalamic-pituitary axis, according to Bartoli. By regulating hormones, much like oral contraceptives, it can relieve symptoms ranging from pain to mood. “It’s using the body’s own energy to naturally play with hormones and rebalance the system,” says Bartoli, who often helps athletes kick their cramps on game day. “I’m always amazed how quickly acupuncture works,” she says.

The most common acupoint treatment in the U.S. is acupuncture, in which fine needles are inserted into acupuncture points and left there for 20-30 minutes while the patient lies still. How deep the needles are inserted varies from just beyond the superficial layers of the skin to 1-3 inches, depending on which qi channels are being treated. When performed by a skilled and trained acupuncturist, treatment is relatively painless, says
Steelsmith.

If regular acupuncture doesn’t relieve your pain, the acupuncturist can take things to the next level with electroacupuncture, in which he or she also runs electrical currents through the acupuncture needles. However, the acupuncturist will only do so if the qi will not resume its flow without stronger stimulation, according to Steelsmith. “We meet the energy of the condition with the energy of treatment,” she says.

Skeptical? We were too. So I booked an acupuncture appointment during my time of the month. And while staying still was difficult for this multitasker (it hurts when you move a muscle that has a pin stuck in it!), I did leave feeling like… myself. No cramps, no backache, no moodswings.

The Needle-Free Way to Try Acupoint Therapy
But you don’t have to make your peace with needles to reap the PMS-busting benefits, says Steelsmith. Acupressure, in which you press onto different points along your body’s meridians, can also help to get your qi flowing.

Here, two tried-and-true at-home acupressure exercises to relieve your worst PMS symptoms, such as cramps, breast pain, nausea, and diarrhea:


photo: iStockphoto/Thinkstock

More from WH:
The Benefits of Being Premenstrual
Acupressure for Stress
Natural PMS Cures

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