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Contraceptive pills and travel

16 July, 2013


I'm on a birth control pill and preparing to leave on an overseas trip. My current pill time is 10 PM, which is in the middle of the night at my destination. Can you advise whether I should transition my time earlier, or simply take it at 10 PM there?

I've asked this question of pharmacists in the past, and they always focused on the actual birth control protection issue and ignored my concerns about breakthrough bleeding. I figured you might be more understanding of that aspect, and give me a more thoughtful answer.

And whatever I do going there – what about the way back, too?

Thanks so much.


If you are only going for a short period of time, it makes sense to try to stick to your usual time if it is not too inconvenient. If your trip will last longer than a couple of days, or if your usual time will come out at a very inconvenient hour, you can gradually transition to a more convenient time. Take your pill an hour or two earlier (or later) each day until you reach a time that suits you, and the reverse on your return.

Please note that it is still possible to experience some spotting, even with a gradual transition. You should review the laws of staining to try to prevent any staining you may experience from rendering you niddah.




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