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 synchrony throughout an inter-birth interval, Power et al. argued that once we take account of birth seasonality – enhancing the effects of menstrual synchrony by clumping fertile cycles within a relatively brief time-window – it emerges that reproductive synchrony can be effective as a female strategy to undermine primate-style sexual monopolization by dominant males. The controversy remains unresolved. Adopting a compromise position, one school of Darwinian thought argues that the human female may once have had adaptive reasons for evolving a 29.5-day menstrual cycle – implying some theoretical potential for synchrony to a lunar clock – but did so in