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patients often have questions about whether they are able to and whether it is safe to skip their periods patients that are already on birth control pills consider this can consider this as an option it is safe to continue taking pills in a continuous way for as long as you need until you start to have several consistent days of spotting for the most part patients will skip one or two cycles you will do this by taking the hormone active pills in the first three weeks skip the last week of sugar pills and go on to the next pack many times we will use this for certain medical conditions called including endometriosis this is safe to consider as being on birth control pills long-term will keep the lining of the uterus thin