On the combined pill, if you do not take the pill break what will happen
Not taking pill break: On the combined pill, if you do... - BASHH
Not taking pill break
Nothing at all usually. It is absolutely safe to run pill packs together . The advice used to be that you only need to have a bleed one every 3 months - in other words you could safely run 3 packs together. The new advice is that you can run apcks together for as long as you want - but once you start to get some breakthrough bleeding, to then not take pills for four days , then back on the pill again. It all depends what suits you. This is the faculty guidance - its a bit technical I have changed some words.
Traditional (standard) 21/7 combined pill cycles were designed to induce a bleed each month, mimicking
naturally occurring menstrual cycles. There is, however, no health benefit from a monthly withdrawal
bleed, and the 7-day break has the following drawbacks:
►► Withdrawal bleeding may be heavy, painful or simply unwanted.
►► The break may be associated with symptoms such as headache and mood change.
►► Ovarian suppression is reduced, Errors in pill-taking (or patch or ring use) around the
break could result in extension of the break, risk of ovulation, and thus potential risk of pregnancy.
Tailored (non-standard) pill regimens reduce the frequency of breaks (extended regimens), abolish
the break (continuous regimens) and/or shorten the break . Using tailored regimens, women can reduce
or avoid hormone free (break ) -associated symptoms and could potentially reduce the risk of escape ovulation and
resulting contraceptive failure.