Daily Mail

Women taking the Pill can drop seven-day break

- By Ben Spencer Medical Correspond­ent b.spencer@dailymail.co.uk

WOMEN on the contracept­ive pill no longer need to stop taking it for one week in every four, according to new guidance.

Scientists said there is no evidence backing the sevenday break and claim the measure was only introduced to convince the Pope it was a natural birth control method.

The updated guidelines state there is no health benefit to the establishe­d 21- days- on, sevendayso­ff pattern of taking the combined contracept­ive pill.

The Faculty of Sexual and Reproducti­ve Healthcare added that taking it every day will increase its effectiven­ess in preventing unwanted pregnancie­s while also stopping headaches and mood changes.

Professor John Guillebaud, an expert in contracept­ion, claimed the US scientist who developed the Pill in the 1950s came up with the seven-day gap to appease the Catholic Church.

‘The gynaecolog­ist John Rock devised [the break] because he hoped that the Pope would accept the Pill and make it acceptable for Catholics to use,’ said the professor, of University College London. He also told The Sunday Telegraph: ‘We have been taking the Pill in a sub-optimal way because of this desire to please the Pope.’

Around three million women in Britain are though to take the Pill, which usually combines two hormones. Now those requesting a prescripti­on will be given the new guidance in a leaflet by the Family Planning Associatio­n.

It stresses that giving up the seven-day break is ‘off licence’ – against the terms of the manufactur­er’s authorisat­ion and is only one option for patients.

However, the FSRH also makes it clear that there is no evidence for needing the break.

Its guidance says: ‘The majority of combined oral contracept­ive in the UK is designed to be taken as 28-day cycles, with 21 consecutiv­e daily active pills followed by a seven- day hormone-free interval prior to starting the next packet. The first seven pills inhibit ovulation and the remaining 14 maintain an ovulation.

‘Traditiona­lly women have then either had seven pill-free days or taken seven placebo tablets.

‘During this hormone-free interval, most women will have a withdrawal bleed due to endometria­l shedding.

‘It should be made clear that this bleed does not represent physiologi­cal menstruati­on and that it is has no health benefit.

‘Withdrawal bleeding may be heavy, painful or simply unwanted. The hormone-free interval may be associated with symptoms such as headache and mood change.’

Dr Diana Mansour, vice president for clinical quality at the FSRH, said: ‘The guideline suggests that by taking fewer hormone-free intervals, or shortening them to four days, it is possible women could reduce the risk of getting pregnant on combined hormonal contracept­ion.’

A survey of more than 1,000 British women aged 18 to 45 has found a quarter felt the Pill damaged their mental health.

‘This desire to please the Pope’

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