What is Gedarel 20/150?
Gedarel 20/150 is a type of combined oral contraceptive pill used to prevent pregnancy [1.11.4]. Each tablet contains two active ingredients: 20 micrograms of ethinylestradiol (a synthetic estrogen) and 150 micrograms of desogestrel (a synthetic progestogen) [1.11.1]. These hormones work together in three ways to provide contraceptive protection: they prevent the ovaries from releasing an egg (ovulation), thicken the cervical mucus to make it difficult for sperm to enter the womb, and alter the womb lining to make it less likely for a fertilized egg to implant [1.3.5].
The Standard 21/7 Regimen
The traditional way to take Gedarel 20/150 is to take one pill daily for 21 consecutive days, followed by a 7-day pill-free break [1.3.2]. During this break, a 'withdrawal bleed' usually occurs, which is similar to a period but is caused by the drop in hormone levels [1.2.3]. This 21/7 cycle was originally designed to mimic a natural menstrual cycle, but medical understanding has since evolved [1.2.3].
Can I Take Gedarel 20/150 Without a Break?
Yes, it is medically safe to take combined pills like Gedarel 20/150 continuously without the 7-day break [1.2.3]. This is often referred to as 'continuous use' or 'tricycling' (taking three packs back-to-back) [1.7.3]. The primary reason for doing this is to control when, or if, you have a period-like bleed [1.2.3].
Taking the pill continuously does not reduce its effectiveness as a contraceptive; in fact, it may even increase it by reducing the risk of forgetting to restart a new pack on time [1.7.3, 1.10.3]. There is no medical need to have a monthly withdrawal bleed, as the pill keeps the womb lining thin, so there is no build-up of tissue to be shed [1.9.1, 1.9.3].
How to Take Gedarel 20/150 Continuously
There are a few ways to take the pill without a regular monthly break:
- Tricycling: Take active pills from three 21-day packs back-to-back (63 days total) and then have a 4 or 7-day break. This results in having a withdrawal bleed roughly every three months [1.7.3, 1.2.1].
- Flexible Extended Use: Take pill packs back-to-back continuously. If you experience breakthrough bleeding for 4 or more consecutive days, you can take a 4-day break to allow for a full bleed, then resume taking the pill daily [1.2.3, 1.7.4].
- Continuous Use: Take an active pill every single day without any planned breaks [1.4.2].
It's important that any pill-free break is not longer than 7 days, as this could compromise contraceptive protection [1.2.3].
Benefits vs. Risks of Continuous Use
Deciding to skip the pill-free break is a personal choice with several factors to consider. A healthcare professional can provide personalized advice.
| Feature | Standard Use (21/7 Cycle) | Continuous/Extended Use |
|---|---|---|
| Bleeding Pattern | Regular, monthly withdrawal bleed [1.3.2]. | Fewer or no planned bleeds. Potential for unscheduled breakthrough bleeding or spotting, especially initially [1.4.2, 1.8.2]. |
| Period-Related Symptoms | Symptoms like cramps, bloating, and headaches occur monthly during the break. | May reduce or eliminate symptoms like menstrual pain, heavy bleeding, PMS, and hormonal headaches [1.5.5, 1.7.3]. |
| Convenience | A familiar monthly routine. | Avoids bleeding during inconvenient times (e.g., holidays, special events) [1.7.3]. |
| Contraceptive Efficacy | Over 99% effective with perfect use, but typically around 91-93% due to user error like missed pills [1.10.3, 1.10.2]. | Remains equally effective, and may be more reliable by reducing the chance of missing a pill after the break [1.7.3, 1.10.2]. |
| Side Effects | Standard side effects can include nausea, mood changes, and breast tenderness [1.11.2]. | Breakthrough bleeding is the most common side effect, which usually decreases over time [1.8.2]. Other side effects are similar to standard use [1.4.3]. |
What to Expect: Breakthrough Bleeding
The most common side effect of continuous pill use is unscheduled spotting or 'breakthrough bleeding' [1.8.2]. This is especially common during the first few months as your body adjusts to the steady hormone levels [1.8.1]. This bleeding does not mean the pill isn't working [1.8.2].
Factors that can increase the likelihood of breakthrough bleeding include:
- Missing a pill [1.8.4].
- Vomiting or severe diarrhea [1.6.4].
- Taking certain medications (e.g., St. John's wort) [1.8.3].
- Smoking [1.8.2].
If breakthrough bleeding is persistent (lasts more than 7 days) or heavy, it's important to consult a doctor to rule out other causes [1.8.2].
Conclusion: A Safe and Flexible Option
Taking Gedarel 20/150 without a break is a safe and effective way to use contraception that gives you control over your menstrual cycle [1.2.3, 1.9.1]. While it was originally designed with a 7-day break, modern medical guidance confirms that this break is not necessary for your health [1.9.3]. The primary benefits include avoiding monthly bleeds and reducing associated symptoms like pain and PMS [1.5.5]. The main drawback is the potential for unpredictable breakthrough bleeding, particularly in the first few months [1.8.2]. As with any change to your medication, it is always best to discuss your options with a doctor or pharmacist to ensure it is the right choice for your individual health needs.
