The Pill's monthly bleed isn't a proper menstruation and is completely unnecessary. It is my opinion that women should not be so advised. There are simple and practical reasons for this. Women who are using oral contraceptives in the traditional manner are intermittently reassured that they are not pregnant. Monthly bleeding, as a result of one week of placebo pills, confirm that, in fact, the contraceptive is working.
People do forget to take their pills sometimes.
No woman wants to worry every month if she has accidentally become pregnant. This small reason assumes a larger importance when it is applied to large populations of patients. It is true that a certain number of women have terrible problems associated with their menses-pain, emotional turmoil, and hemorrhage. These complaints can and should be addressed specifically. In these cases patients can often be given relief from their symptoms by using continuous oral contraceptives.