21 vs 28 day Birth Control Pills. What's up with that?

why does birth control come in too

confusing different variations 21-day

version and then down the street with

its competitor 28-day version what's the


in this episode I'll explain exactly why

we have this confusion between 21 and

28-day birth control pills and why it's

important when you're choosing a birth

control pill the doctor is in so in this

episode I'm gonna dispel the confusion

around why these different digits for

birth control pills

if you're on the market for a birth

control pill one of the first confusing

things you're going to come across is

that some of them like this one here

Marvin come in 228 did 21-day

formulation and this other guy yes here

comes as a 28 day variation and to make

things even more perplexing within the

same brand itself not even competing

brands for example the same Marvel on

you can also get a 28-day version so why

on earth would you want like who in

their right mind would prefer 28 tablets

over 21 tablets I think the math is

pretty simple I think most of us would

prefer the least tablets 21 but there is

a good reason a method behind the

madness of why the manufacturers will

still produce 28-day tablets and it

comes out very simply like this the

whole purpose of birth control is not

simply as a birth control device but

actually hijack the female reproductive

system so this is befuddled Becky here

and she's going on birth control for the

first time and she's wondering she

started this 21-day of formulation or

she should go with the 20 28-day

formulation or sorry vice versa so to

understand which he should choose first

thing we have to understand is the

female reproductive cycle from one

period to the

Experion so in other words for one

menstrual cycle to the next one so for

most females is roughly around 28 days

so I'm just gonna draw a calendar here

and we've got four weeks and each week

as we all know has in having seven days

one two three four five one two three

four five six seven no simple math of

that is at seven days times four rows 1

2 3 4 or 4 weeks equals 28

these know in the fun adulterated cycle

the misreading female will have three

weeks hair of peace and then one week

air of potential hoards where you

actually get the bleeding and they get

the crabs and the nausea and headaches

and more dienes etc so this week here is

the write off week where as a female you

would have your cycle know doing the

math again if we look at these three

rolls here by seven days seven days by

three rows is equal to 21

aha so that's where our two magic

numbers come from 21 for example as in

this one and or 28 so let's uh crack

open one of these packets here you get a

look at looking at what we're dealing

with so we could understand more so

here's a real example and I do not get

sponsored by any of these companies

these were just two that I had at my



so I'm not trying to product pusher or

product placement here so anyway this is

the an example of a Marvel on 21 so 21

days so if you count with me we have one

oh sorry it's goes room starting here so

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16

17 18 19 20 21 low and behold there

really are 21 tablets no messing about

no in this other guy here for comparison

sake this is a competitor and this

competitor is called a yes well let's

call them no tablets in this sweet

little pack here with these pink and

white pills so we got here 1 2 3 4 5 6 7

8 9 10 11 12 13 14 15 16 17 18 19 20 21

22 23 24 25 26 27 28 pills the box did

not lie there really are 28 pills so

what is going on here with this

discrepancy okay well if you remember

when we go back here the full cycle is

28 days and the abbreviated subtracted

cycle without the period of menstruation

or bleed is actually 21 days plus 7 days

here of the actual administration so

this is 7 days so that's where the

difference comes in these both utilize

hormones on days 1 to 21 so they both

have that in common

they're both using hormones in the first

21 days to control the cycle and prevent

conception the big selling difference

between these two agents is that this

one has an extra 7 tablets what is

actually in those 7 tablets obviously we

don't want hormones in them like up here

because then you would never get a

period so what the manufacturers

typically do in these 28 days cycles is

these last 7

whit's yes is a little bit typical so

you'll see that there's still pink hair

like all the risks with hormones in them

but just ignore that for a second we're

using this to extrapolate for all all

the 28-day brands so general all these

here would be white so these seven one

two three four five six seven magic

again these seven here are basically

inert placebos sugar tablets I've never

actually bitten into one of these to see

if they're really sugar tablets but

they're purported to be sure they're

tablets so one earth what you want to do

like the girl here on Mars long with 21

take your 21 tablets here three rolls by

seven is 21

just like her why would you want to do

that and then take seven days of a

placebo like design why would that make

sense well the reason it's very simple

when you're a newbie to taking birth

control pills it is very easy to forget

to start the next packet so this girl

here that's using the 21-day she has an

easy reminder by just punching out the

tabs each day one two three all the way

down to 21 on date 21 then she has to

stop for a week to permit herself a

regular cycle for these seven days here

but it's easy to get caught up in life

and we can work and maybe studying

partying etc so there's no reminder that

you need to start your next packet when

this next month starts over here so this

is month to know this was month one so

the problem the beauty of the 21-day

version is that it's a lot less tablets

because you get a free week with no

hassle have dentate tablets the downside

is that there's no built-in reminder of

when it's time to start the next packet

and if you're late then you could very

well-conceived or start having spotting

through your next cycle because you were

not on time you were tardy with this

other method here you keep taking the

tablets past this 21 day

barrier you for this week here for the

bleed you still have one two three four

five six seven so each day corresponds

to one tablet so that's the easy way of

tracking when it's time to start your

next packet because when you get to this

final one here on this final day here

then you know okay it's time for me to

break out my next box take on a new

packet and start all over again whereas

with this unfortunate person here that

took the easy way out with the twenty

one day at the end of their 21-day cycle

here they may easily forget seven days

later I almost had to break off my next

box and start the next cycle so

generally when I'm prescribing birth

control to young females just starting

birth control for the first time I

usually will recommend to them to take

the 28-day version and the reason why

it's because it's much easier for them

to remember and avoid an unwanted

pregnancy or other problems for my more

veteran plants that have been on birth

control for a couple of years or that

are extremely meticulous with timetables

and I feel very confident there's no

chance they're gonna forget I'll

recommend to then 21 day version and

again remember that even within the same

brand this is a 21 day version but

Marvel on this brand here also comes in

a 28 day

so the 21 versus 28-day doesn't really

come into my mental zj's when I'm trying

to figure out what brand to put somebody

on the the numerical value of the

tablets more has to do with is this

person new to taking birth control or

their old hand at taking it so I hope

that a little short expose explains to

you very simply why there's a difference

between the tablets it's not to make

life complex for us actually to simplify

your life and in future videos I'll

explain some other doctor secrets for

example how I would choose which brand

to put somebody on anyway that's it for

now I gotta run

thanks so much for watching and I'll see

you next time on another episode of dr.

secrets thanks for watching get notified

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