Menstrual suppression, the practice of intentionally delaying or skipping a period, is a common and medically accepted approach. Individuals often seek to delay their cycle for convenience, such as travel, special events, or relief from uncomfortable monthly symptoms. Hormonal methods achieve this by maintaining consistent levels of reproductive hormones, which prevents the uterine lining from shedding. This article explores the primary methods for safely delaying a period.
Continuous Use of Hormonal Contraception
Individuals already using combined hormonal contraceptives (CHCs), such as the pill, patch, or vaginal ring, have a straightforward option for menstrual delay. These methods deliver estrogen and progestin, which prevents ovulation and keeps the uterine lining thin. The “period” experienced during the hormone-free interval is not a true menstrual period but a withdrawal bleed caused by the drop in hormone levels.
To skip the withdrawal bleed, eliminate the hormone-free interval. This means skipping the placebo pills, applying a new patch, or inserting a new ring immediately. Starting the next pack of active hormones right away maintains consistent hormone levels, preventing the scheduled shedding of the uterine lining. This technique is known as continuous or extended-cycle use and is medically safe.
If you use a traditional 28-day pill pack (21 active pills and 7 placebo pills), discard the placebo pills and begin the active pills of the next pack immediately. This constant hormone delivery suppresses the signal to bleed. Some brands are packaged for extended use, offering 84 active pills followed by a shorter break, resulting in a cycle every three months. Breakthrough bleeding (unexpected spotting) is a common side effect that typically decreases with continued use.
Short-Term Prescription Medications for Cycle Delay
For individuals not using combined hormonal contraception or needing a temporary delay, a healthcare provider may prescribe a progestin-only medication, such as Norethisterone. This prescription is intended specifically for cycle delay, not contraception. Norethisterone is a synthetic progestogen that mimics natural progesterone.
In a normal cycle, a drop in progesterone signals the uterine lining to shed. This medication maintains high levels of progestin, which stabilizes the lining and prevents shedding. To successfully delay the period, the medication must be started a few days before the expected cycle start date, commonly three days prior.
Continue taking the tablets for the duration of the desired delay, often limited to 10 to 17 days based on provider guidance. Once stopped, hormone levels fall, and the period typically begins within two to three days. This method is not reliable contraception, and a new prescription is required for each planned delay.
Medical Consultation and Safety Considerations
Before attempting any form of cycle manipulation, consulting a healthcare provider is the first step. A doctor can review your medical history to rule out contraindications and ensure delaying your cycle is safe. They will consider factors such as a history of blood clots or other health conditions before recommending a method.
Advance planning is important for a successful cycle delay, especially when requesting a new prescription like Norethisterone. It is advised to have a consultation four to six weeks before your expected travel or event date. This allows time for the prescription to be filled and for you to begin the medication on time. Starting a progestin-only tablet too close to the expected period may result in an unsuccessful delay.
Period skipping is generally safe and does not impact future fertility. However, potential side effects exist. The most common is breakthrough bleeding or spotting, which can occur unpredictably, especially with continuous hormonal use. Other side effects include temporary bloating, breast tenderness, or changes in mood, which should be discussed with your provider. If you experience heavy or prolonged unexpected bleeding, consult your doctor.