While they look similar, a natural period and a withdrawal bleed are different. There are several key differences between the blood or menstruum of periods and withdrawal bleeds. Differences include the timing, amount, and composition.
Timing of bleeds
Firstly, there is a difference between the timing and frequency of each type of bleed. A typical menstrual cycle lasts 21 to 35 days, with 2 to 7 days of bleeding. Because hormones in contraceptives are usually synthetic and in higher amounts than what is naturally made in the body, it no longer follows your natural pattern. Women who experience irregular periods can experience regular withdrawal bleeds after starting hormonal contraception.
Unique to hormonal contraceptives is the ability to postpone withdrawal bleeds. While many packs of pills have a 7-day supply of placebo pills or instructions to pause for 7 days before starting the next pack, this is optional. Women can continuously take pills without the 7-day break safely.
If you decide to continuously take your pills or use another type of contraception, like injectables or implants, you will not experience a withdrawal bleed. In general, a withdrawal bleed will happen a few days after stopping hormonal contraception. The bleeding is oftentimes shorter than a regular period.
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