Extended cycle combined hormonal contraceptive Extended cycle combined hormonal contraceptive Extended or continuous cycle combined oral contraceptive pills are a packaging of combined oral contraceptive pills (COCPs) that reduce or eliminate the withdrawal bleeding that would occur once every 28 days in traditionally packaged COCPs. Extended cycle use of COCPs may also be called menstrual suppression. Other combined hormonal contraceptives (those containing both an estrogen and a progestin) may also be used in an extended or continuous cycle. For example, the NuvaRing vaginal ring and the contraceptive patch have been studied for extended cycle use, and the monthly combined injectable contraceptive may similarly eliminate bleeding.
Tzolk'in agricultural cycle of highland Guatemala, which is also about 260 days. Aveni notes that "the average duration between successive halves of the eclipse season, at 173 ½ days, fits into the tzolkin in the ratio of 3 to 2." This may seem contrived, but the Maya did employ the tzolkin to predict positions of Venus and eclipses. Another theory is that the 260-day period is the length of human pregnancy. This is close to the average number of days between the "first missed" menstrual period and birth, unlike Naegele's rule which is 40 weeks (280 days) between the "last" menstrual