Some Birth Control Users Skip Periods for Years — Is It Safe?

Not everyone loves having a monthly period. For many, hormonal birth control offers more than just pregnancy prevention — it can also stop periods altogether for months or even years.

This method, called continuous use birth control, means taking hormonal pills every day without the usual week-long break (or placebo pills). It’s also possible with implants, rings, or injections that don’t require breaks. The result? No monthly bleeding, and often relief from cramps, migraines, and other period-related symptoms.

But as conversations around birth control grow on social media, so does misinformation. Viral posts on TikTok and elsewhere warn about infertility and other dangers of skipping periods — fears that reproductive health experts say are largely myths.

To clear things up, I spoke with Dr. Kavita Nanda, an obstetrician-gynecologist with over 25 years of experience and a clinical researcher with FHI 360, a nonprofit focused on human development.

How Continuous Birth Control Works

Dr. Nanda explains that combined contraceptives use synthetic estrogen and progesterone to prevent pregnancy by stopping ovulation — the release of an egg. Other options use synthetic progesterone alone, such as some pills, implants, injections, and IUDs. All these methods thicken cervical mucus to block sperm and keep the uterus lining thin.

Usually, combined pills are taken for three weeks, followed by a week off (or placebo pills), which triggers a withdrawal bleed — what many call a period. But with continuous use, you skip the hormone-free week, so the uterine lining stays thin and intact, and bleeding stops.

Is It Safe to Skip Periods for a Long Time?

Research shows that continuous use is just as safe and effective as taking breaks. “There’s no medical reason to have a period while using hormonal birth control,” Dr. Nanda says. As long as you’re healthy and have no medical issues preventing birth control use, continuous use is safe.

Historically, women often didn’t have regular periods due to pregnancy or breastfeeding, so monthly bleeding isn’t necessarily the “normal” baseline for all women.

However, if you’re not using hormonal contraception and aren’t pregnant or breastfeeding but still skip periods, you should talk to your healthcare provider to rule out any health problems.

What About Side Effects?

Side effects with continuous use are similar to regular birth control use: nausea, breast tenderness, and headaches can occur at any time. Some people may experience spotting or breakthrough bleeding at first, but this usually fades within a few months, and many eventually stop bleeding completely.

Does Continuous Use Affect Fertility?

No evidence suggests that long-term use of hormonal birth control causes infertility. Fertility generally returns within a month or two after stopping. The synthetic hormones leave your system quickly, allowing natural ovulation and menstrual cycles to resume — assuming you had normal cycles before.

One exception is the Depo-Provera shot, which may delay fertility return but doesn’t cause permanent infertility.

Why Were Placebo Pills Created?

Dr. Nanda explains that the 21 days on, 7 days off pill schedule dates back to the 1950s. It wasn’t medically necessary but designed to mimic a natural menstrual cycle. The withdrawal bleed reassured users they weren’t pregnant — important before home pregnancy tests existed — and helped ease religious and social concerns about contraception.

Who Benefits Most from Continuous Use?

Choosing continuous or cyclic birth control is a personal decision between you and your doctor. Continuous use can be especially helpful for people who suffer from painful or heavy periods, endometriosis, migraines, anemia, certain disabilities, or for transgender individuals.

Some prefer monthly bleeding for reassurance, while others enjoy skipping it entirely — both choices are valid and safe.

If you’re considering continuous birth control or have concerns, talking with a healthcare provider is the best way to find what works for you.