What is Seasonale?


Seasonale is an extended cycle OCP. It is a combined estrogen/progesterone pill that gives women only four periods a year. Each package contains a three month supply with 84 active pills and 7 placebo pills, during which menses occur, for a total 91 day cycle. Instead of getting 13 periods a year as with traditional pills, seasonale decreases this number to four periods a year.

Concern has been voiced that we are increasing the total exposure of estrogen and progesterone on a yearly basis, and what this will do to cancer risk in the long run. This is a valid concern, but it has been a common practice over many years before Seasonale existed to omit the pill free week in traditional OCPs in endometriosis and menstrual migrane sufferers, and to date no untoward effects have transpired.

There is much more break through and irregular bleeding with Seasonale over traditional regimens, especially in the first year of use, and then it gets better in most patients. Efficacy, risks, side effects and contraindications are the same as for traditional OCPs.

Wendy Fried, M.D., FACOG, FACS, is an OB/Gyn with Northern Obstetrics and Gynecology, PC in North Hills, New York

Disclaimer: The information provided in this document is for educational purposes only. It is not medical advice and is not intended as a substitute for medical advice. Only your own physician knows all the important details of your specific medical and personal history and should be the only one to give you advice regarding your own medical care. You should never disregard medical advice or delay seeking medical advice or treatment because of something you have read herein. If you have any questions whatsoever about your medical health or believe you have a medical problem or disease, you should contact your medical doctor or healthcare provider.