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How to use Levonorgestrel to skip your period safely?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hello doctor,

I take Trivora birth control pills. I am currently taking week three of the pills. Would skipping week four and going straight to week one of the pills make me skip my period?

Please suggest.

Hello,

Welcome to icliniq.com.

I understand your concern.

Yes, skipping the placebo pills (week four) and starting a new pack of Trivora (Levonorgestrel and Ethinyl estradiol) immediately after week three is a safe and effective way to delay or skip your withdrawal bleed (often called period). Here is what you need to know:

How it works: Trivora is a triphasic pill, meaning hormone levels vary across the three active weeks. By skipping the hormone-free placebo week and starting a new pack of active pills (week one) right away, you avoid the drop in hormones that triggers bleeding.

Effectiveness: Your contraceptive protection remains intact as long as you start the new pack on time (no missed pills).

Possible side effects:

  1. Breakthrough bleeding or spotting may occur, especially with triphasic pills, due to hormone fluctuations. This is harmless but can be inconvenient.

  2. Some users report bloating or breast tenderness.

Recommendations:

  1. Ensure you have enough packs to avoid gaps.

  2. If breakthrough bleeding persists or concerns arise, consult your healthcare provider to discuss switching to a monophasic pill (steady hormones), which may be more predictable for skipping periods.

Long-term use: Skipping placebos occasionally is safe, but if done frequently, discuss it with your provider to confirm it aligns with your health history.

I hope this has helped you.

Please feel free to reach out to me again if you have further queries.

Thank you.

Medically reviewed byiCliniq medical review team

Published At June 19, 2025
Reviewed AtJune 25, 2025

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