Extended Pill Regimens
The good and the bad:
Good. Effective long-term treatment for hormone withdrawal symptoms, such as headaches, pelvic pain and mood swings, that occur on 21/7 regimens. [The symptoms respond relatively quickly to an extended regimen with maximal improvement usually seen within the first few weeks with persistent long-term improvement.]
Bad. Breakthrough bleeding/spotting (BTB/BTS) can be a problem for some patients.
Note the BTB/BTS remedy:
[If] BTB/BTS is problematic, improvement continues as the duration of extended use lengthens with institution of a 3-day HFI* [hormone-free interval] effective management in the majority.
*In other words, if you're on an extended regimen and you experience BTB/BTS, stop taking the Pill for 3 days, then restart (after consulting with your Ob/Gyn, of course).