Most people don’t know that women have a choice: they can decide for themselves if and how often to have a period.
If women take the pill without a break or use a hormonal IUD, they will experience little or no bleeding. This is usually welcomed as a positive thing, especially among young women.

Detailed information on the pill with information on effect and tolerability can be found at Information on the different types of the hormone spiral can be found on

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Verhütungsreport 2012,

Historically, women had significantly fewer periods than today, because they were usually pregnant or breastfeeding. A woman only menstruated about 150 times during her lifetime, but today, it’s over 450 times.

The sole function of menstruation is to prepare the uterus for pregnancy.

Therefore, regular monthly bleeding is unnecessary and quite illogical when women are using the pill to prevent pregnancy. Women don’t ovulate on the pill, so bleeding makes no biological or medical sense.

A monthly bleed was introduced by the inventors of the pill in the 1960s to imitate a natural cycle, because they thought this would increase acceptance of the product. It’s only in recent years that this fact became publicly known and questioned, which has led to more and more women varying the frequency of menstruation to suit their own needs. They do so by using the pill, ring, patch, or hormonal IUD.

The following pages contain extensive and useful information about menstruation.
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