10 things you need to know about birth control pills

Despite being one of the most common contraceptive methods, many women still have doubts about the use of birth control pills. Therefore, we have separated some questions about the use of them.

See below which questions will be answered:

  • How does the birth control pill work?
  • What is it for?
  • Do you need a prescription to use the birth control pill?
  • How to take the birth control pill?
  • What if I forget to take it?
  • What are the side effects of the birth control pill?
  • If it fails, is there a risk to the fetus?
  • Can it cause infertility?
  • Can it cause ectopic pregnancy?
  • Is the morning-after pill abortive?

1. How does the birth control pill work?

Birth control pills are pills that have a hormonal combination, usually estrogen and progesterone, that act by inhibiting ovulation.

In this way, it prevents fertilization from occurring. That is, the encounter of the egg with the sperm in the sexual act. And so, they inhibit pregnancy.

2. What is the contraceptive pill for?

The contraceptive pill is one of the contraceptive methods available for those who wish to inhibit an unwanted pregnancy.

In addition, with medical recommendation it can also be used to treat some diseases and complications, such as:

  • TPM ;
  • Acne;
  • Endometriosis ;
  • Polycystic ovary syndrome.

3. Do you need a prescription to buy birth control pills?

No prescription is required to buy birth control pills. However, before starting your treatment it is recommended that you talk to your gynecologist.

He will recommend the best type of birth control pill, considering your health history, in addition to ordering tests and giving important instructions on its use.

In addition, if you experience any discomfort when taking the pill, the doctor may also ask you to change the medication.

4. How to take contraceptives?

As there are different types of pills, there are also different ways to take them.

Most pills available on the market come in packs of 21 pills (such as Yasmin, Selene and Diane 35). To use these, you must start treatment on the first day of your period, and continue taking it until the pills run out.

Then wait 7 days and start over with another pack.

For contraceptives with 24 tablets (Minima, Mirelle, Yaz, Siblima, Iumi), you must start on the first day of menstruation. After 24 days, wait 4 more and restart treatment.

For those who do not want to stop using it, there is also the option of pills for 28 days (Adoless, Gestinol, Micronor, Elani 28 and Cerazette). In this case, the woman must amend the cards.

5. What if I forget to take birth control pills? 

The recommendation for every woman who uses birth control pills is to take them every day, always at the same time. So, if you prefer to take it in the morning, at 10am, always take it at the same time.

If you forget to take it, and less than 12 hours have passed, no problem. Take it normally, as the pill will continue to work.

However, if more than 12 hours have passed, it is necessary to check the package insert with information about your pill. But the next day, take the pill as normal. And if you have sex, don’t give up using condoms.

The safest thing is to avoid forgetfulness. So, set your alarm clock to help you remember.

6. What are the side effects of birth control pills?

As there are several types of pills, side effects vary from person to person. Therefore, it is even more necessary that you consult with your doctor before starting treatment, so that he can recommend you the best option.

In general, some people report increased migraines , increased risks of cardiovascular disease and vascular problems, such as venous thrombosis.

7. If it fails, is there a risk to the fetus?

If the woman suspects that she is pregnant, it is recommended that she perform a pregnancy test and discontinue using the birth control pill. However, if the woman took the pill in the first weeks of pregnancy, there is no problem, as the pill does not cause congenital malformation or harm the fetus.

8. Can birth control pills cause infertility?

Regardless of the time of use, it is not true that contraceptives cause infertility. What happens is that after stopping the use of the pill, it is necessary to wait about six months for the body to be able to get rid of the remnants of synthetic hormones.

And so it is possible that a healthy woman can have her natural pregnancy.

9. Is the morning-after pill abortive?

The morning after pill is an emergency option for women who have had unprotected sex. It has up to 20 times more hormones than birth control pills, so it should not be used daily, only in rare exceptions.

Many people have doubts about their possible abortion properties. However, the morning-after pill works by making it difficult to fertilize the egg – by changing the pH of the uterus and making the cervical mucus thicker.

Thus, part of the medical community claims that it does not cause abortion, because if the sperm has already fertilized the egg, it will have no effect.

For the morning-after pill to work it must be taken within 72 hours after intercourse. Otherwise, it will have no effect.

10. Can birth control pills cause ectopic pregnancy?

The  ectopic pregnancy  occurs when the embryo is formed outside the uterus (usually in the fallopian tube). Every woman can develop it, but some factors contribute to its occurrence.

Are they:

  • Having undergone surgery or presenting a deformity in the structure of the fallopian tubes;
  • Having pelvic inflammatory diseases and  endometriosis ;
  • Being a smoker;
  • IUD use improperly.

Thus, the use of birth control pills is not a risk factor for ectopic pregnancy. However, although it has not yet been scientifically proven, many women report the occurrence of ectopic pregnancy through the use of pills the next day.

This is because the morning after pill promotes flaking of the endometrium. And so, the embryo, having its fertilization impeded in this organ, finds another place to stay.


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