Oh, you got me... NOT! My friend was told by her doctors that a woman need to refresh the blood in the uterine wall by having periods, and that her prolonged skipping of the MONTHLY period week of her birth control for years, was why she needed to have a radical hysterectomy, but I guess you know better than her doctors... Oh, that's right, you DON'T!
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The way you tell it, your friend had a prescription with a planned week of bleeding (that is not a period, but a withdrawal bleeding, but I digress). And she skipped that week without consulting her doc. Doing so for years. So? I am sorry for your friend, but what has this to do with prescriptions meant to be taken for a 3 month or 12 monthy cycle or implants with a life span measured in years?
Women need not "refresh blood in the uterine wall". What nonsense are you spouting now? Blood is always circulating. ALWAYS. If it does not, your body part with the non flowing blood will die in a matter of hours. Try blocking bloodflow to your brain for a minute and see what happens (actually you will not see, because you will black out). What does get refreshed wholesale, is the mucus skin, but it does so only because certain hormones act. It does not do so, if the woman is pregnant, before first and after last period, and if you trick the system with hormones. The week of pseudo period bleeding in the birth controll pills schedule was not done for health reasons. Look up it's history.
There are adjustment phases and individual reactions to this. There is a reason why you need a doctor to get prescription.
You probably misunderstood what the doctors were saying and are now trying to apply the individual diagnosis to all women. My guess would be, that they said, that on her prescription she would have needed to have her week off, so some bleeding could occur.
tl;dr read this and shut up https://www.healthline.com/health/withdrawal-bleeding