There is new guidance from the UK’s Faculty of Sexual and Reproductive Health with regards to taking the COCP. Please note this is accepted practice but is ‘off licence’ meaning the drug has not been formally approved for use in this way.
Most errors in taking the cocp occur in the pill free week. This pill free week is not necessary and should be shortened to 4 days.
Patients can now
- Run 2 or 3 packets together. This will give them regularity and regular menses. Only a 4 day break is needed.
- Continue running packets together until they get spotting. Then stop for 4 days.
- Continue running packets together whether there is spotting or not (like the POP).
Consider discussing this with your patients. It gives them more control and flexibility with their menses and reduces risk of pregnancy.