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.
Menstrual synchrony there was no evidence the women in this study synchronized their menstrual cycles. Ziomkiewicz conducted a study with 99 Polish college women living in two dormitories. Thirty six of the women lived in 18 double rooms and sixty three lived in 21 triple rooms. Women recorded their menstrual cycle onsets on menstrual calendars provided to them and 181 days' worth of menstrual cycle data were collected. The mean menstrual cycle length was 30.5 days (SD = 4.56). Based on the mean cycle length of the women in this study, the expected difference by chance in menstrual cycle onset was approximately