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 and Schank followed up on this point by using computer simulations to estimate the average onset difference that would occur by among women with variable cycle lengths and a mean cycle length of 29.5 days reported by McClintock. They reported that the average onset difference by chance among women with cycle characteristics reported by McClintock was about 5 days. They also calculated the expected onset difference at the beginning of the study using McClintock's method for calculating initial cycle onset differences. They reported that the initial cycle onset difference for the groups of women using McClintock's method was about 6.5