I used to skip the sugar pills all the time, for months at a time, until I would have break thru bleeding, then I would have my "fake" period, then skip them for a while again. The pills are a completely artificail cycle where you do not ovulate, so whether or not you skip your fake period has no consequence, the hormones still need work there way out of your body, and then you will ahve normal cycles. Some people get pregant right away, for others they don't. The book" taking charge of your fetility" is very good at learning your body's signals of ovulation and how to optimize your chances of getting pregnant.