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The Pill

Hormonal Method

  • Oral

  • Self-Administered

  • Daily

Explore the convenience and effectiveness of birth control pills, small daily tablets containing hormones, offering a reliable and easily manageable contraceptive solution when taken consistently at the same time each day.
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Details

The oral contraceptive pill (also called β€œthe Pill”) contains hormones that prevent pregnancy and is taken once a day. The hormones in the pill prevent pregnancy by stopping the release of an egg from your ovary (ovulation), thickening the mucus in your cervix to stop the sperm from entering your uterus, as well as thinning the lining of your uterus so it is less likely that a fertilised egg will attach.

There are two types of contraceptive pills, both of which contain hormones that prevent pregnancy. Combination pills contain the hormones oestrogen and progestin. Progestin-only pills are called β€œthe minipill” and may be suitable for women who are breastfeeding or who have a history of blood clots and strokes and should not take oestrogen.

The pill should be taken at the same time every day, regardless of whether you have had sex or not. If taken correctly, the pill is very effective in preventing pregnancy.

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How to Use

Ask your healthcare provider if the combined pill is the right contraceptive method for you. Your healthcare provider will also explain how and when to start taking the pill, as this depends on the type you use.

For the pill to be effective, it has to be taken at the same time every day. Missing a pill increases your chances of becoming pregnant. Some women find taking the pill at the same time as a daily routine, such as brushing their teeth, helps them to remember.

If you do miss a pill, make sure to read the Patient Information Leaflet that comes in the box with your pill to find out when to take your next pill. If you are in doubt or have any questions, speak to your healthcare provider.

PROS

  • When taken correctly, the Pill is over 99% effective at preventing pregnancy
  • It is highly effective, widely available, easy to use
  • It does not interrupt sex
  • Some women find that their periods become regular, lighter and less painful
  • It may help reduce acne
  • It can help reduce the symptoms of premenstrual syndrome (PMS)

CONS

  • You need to remember to take the Pill at the same every time day
  • It may cause temporary side effects such as headaches, nausea, breast tenderness and mood swings. If these do not improve, speak to your healthcare provider about changing the type of Pill
  • Though rare, some women may be at an increased risk of serious health conditions, such as blood clots and breast cancer
  • It does not protect you against sexually transmitted infections (STIs), such as HIV), so you may need to use condoms as well

Side Effects

You may experience:

  • Changes in your monthly bleeding patterns, including:

    • Lighter bleeding and fewer days of bleeding

    • Irregular bleeding

    • Infrequent bleeding

    • No monthly bleeding

These changes in bleeding are normal and are not harmful. If you find them bothersome, speak to your healthcare professional.

  • Headaches

  • Dizziness

  • Nausea

  • Painful and tender breasts

  • Weight change

  • Mood changes

  • Acne (can improve or worsen, but usually improves)

  • Increase in blood pressure

FAQs

What is emergency contraception?
The emergency pill, or β€œmorning after pill”, can protect you from pregnancy if you have unprotected sex or if the contraception method fails, such as condom splitting.
Does emergency contraception disrupt an existing pregnancy?
No. Emergency contraceptives (morning after pill) do not work if a woman is already pregnant. When taken before a woman has ovulated, emergency pills prevent the release of an egg from the ovary or delay its release by 5 to 7 days. By then, any sperm in the woman’s reproductive tract will have died, since sperm can survive there for only about 6 days.
How long after having unprotected sex can I take the emergency pill?
Emergency contraception (morning after pill) is most effective when taken within 12-24 hours after unprotected sex. Efficacy changes over time: while it’s 95% effective within the first 24 hours after unprotected sex, that number drops to 58% when the pill is taken within 49-72 hours. For the best chance for it to work, you should take the emergency pill as soon as possible.
How long does emergency contraception protect a woman from pregnancy?
Women who take ECPs should understand that they could become pregnant the next time they have sex unless they begin to use another method of contraception at once. Because ECPs delay ovulation in some women, they may be most fertile soon after taking ECPs. If she wants ongoing protection from pregnancy, she must start using another contraceptive method at once.
Can I use the morning after pill with any other forms of contraception, e.g. if I have forgotten to take my contraceptive pill?
Yes, you can use the emergency pill if something has gone wrong with your usual form of contraception, for example, a forgotten pill (only if the intake is more than 48 hours ago) or a split condom.
Is it safe to use the emergency pill more than once a month?
Repeated administration within a menstrual cycle is not advisable because of the possibility of disturbance of the cycle and a very high hormone dose. The emergency pill (morning after pill) should not be relied on as a regular form of contraception, and it is not as effective as other forms of hormonal contraception specifically made for regular use – it is only intended as a backup.

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