So, most doctors do like us to have a period periodically. You need to built that into the plan. but in general, you can skip your placebo week if you so desire to not have any bleeding/spotting at all. When you decide to take the placebo week, I'd just do it like a regular pack. You finish a pack and it starts with placebo, so start the new pack with placebo (or where it falls into the packaging). Does that make senseS