I’m on Alysena 28 and I’ve taken it for 6 years. I usually get my period for 3 days during the sugar period but this time I haven’t gotten my period. Should I be worried?

I also never miss a pill

If you’ve used your pill correctly no. You do not get real natural periods on the pill, bleeding during the break week is a withdrawal bleed, just a side effect of not taking active hormones for a few days. So it doesn’t really mean anything. Some users find their bleeding gets lighter or even stops entirely over time.

It’s common not to bleed, even during your break weeks. If you use your pills correctly there is no need to worry. You don’t need to go to your doctor and you don’t need to take a pregnancy test. Trust your birth control.