A member asked:

What is the best method (and why) to skip a cycle on tri lo sprintec, while minimizing btb? go straight into the next pack, pyramid method (123,321 placebos) or stack 2 packs (112233 placebos)? i dont want to switch to a monophasic pill. thank you?

A doctor has provided 1 answer

This plan is best ... 112233 placebos because you care mimicking the normal pattern but just prolonging each phase. The drop down before the placebos in the other method may cause breakthrough bleeding, becuase when hormones drop, the vagina bleeds.

Answered 8/28/2023

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