From the Guidelines
Marvelon can be taken continuously without a break, which means skipping the pill-free week and starting a new pack immediately, as this approach has been shown to be safe and effective in managing symptoms and preventing withdrawal bleeding. When taking Marvelon continuously, you should take one active pill daily without interruption. Some breakthrough bleeding or spotting may occur, especially in the first few months, but this typically decreases over time, as noted in studies on combined hormonal contraceptives 1. If persistent or heavy breakthrough bleeding occurs, a 3-4 day pill break can help resolve this before resuming continuous use, as suggested by research on treatments for unscheduled bleeding among women using extended or continuous combined hormonal contraceptives 1.
Key Points to Consider
- The safety profile of continuous use is similar to traditional cycling, with no increased health risks identified, according to the U.S. selected practice recommendations for contraceptive use, 2013 1.
- This method works by maintaining stable hormone levels that suppress ovulation and keep the endometrial lining thin.
- Always consult with your healthcare provider before changing how you take any hormonal contraceptive, as they can provide personalized advice based on your medical history and needs.
Managing Breakthrough Bleeding
- Breakthrough bleeding or spotting may occur, especially in the first few months, but this typically decreases over time.
- If persistent or heavy breakthrough bleeding occurs, a 3-4 day pill break can help resolve this before resuming continuous use.
- Research has shown that a hormone-free interval of 3 or 4 days can improve bleeding patterns in women using extended or continuous combined hormonal contraceptives 1.
From the Research
Marvelon Continuous Use
- There is no direct evidence in the provided studies that Marvelon can be taken continuously 2, 3, 4, 5.
- The studies primarily focus on the efficacy, safety, and tolerability of Marvelon as a conventional oral contraceptive, with a regimen that includes a break or placebo phase 2, 3, 4.
- One study mentions that an over-suppression syndrome after discontinuation of Marvelon was not observed, suggesting that the body can recover quickly after stopping the treatment 3.
- Another study discusses the advantages of less frequent dosing and self-administration of contraceptives, but this is in the context of a vaginal ring, not Marvelon 6.
- The provided studies do not address the specific question of continuous use of Marvelon, and therefore, it is unclear if it can be taken continuously based on the available evidence 2, 3, 4, 6, 5.