Everything you need to know about the birth control pill

What is the difference between the combined contraceptive pill and the progestin-only pill?

The birth control pills combined (also called estrogen-progestogen pill) combines 2 types of hormones (estrogen and progesterone)

The pilule progestative (also called minipills) does not contain estrogen but a small amount of synthetic progestogen (desogestrel or levonorgestrel). There pilule microprogestative (also called micropilule) works the same way as the progestin-only pill. The only difference is that the microprogestogen pill contains only one hormone in very small quantities, it is said to be microdosed. In theory (in the context of perfect use), the progestogen pill is 99.7% effective … but due to hazards (taking medication, forgetting …) its effectiveness is estimated at 91% in the common use.

Taking the pill for the first time, can you start your pack on the last day of your period?

Generally, it is recommended to start your 1re plate on 1is period day. This guarantees immediate contraceptive security. In the case of a progestin-only pill, on the other hand, you can start your 1re blister at any time but, in any case, the protection is only effective following 48 hours.

I have bleeding when I chain two platelets, is this normal?

To avoid having your period, it happens that we chain the platelets. If bleeding occurs, it is certainly because we took pills of different strengths ! What can happen with “bi or triphasic” pills, which are of different colors. In fact, with these pills, you have to follow up with the tablets of the last color, otherwise, it bleeds…

What should I do if I am bleeding during the blister?

Stop everything? Especially not ! It’s the best way to get pregnant or bleed more! You have to go to the end of the plate and consult your doctor so that he finds another that suits us better.

Is it dangerous to take 2 pills on the same day?

No it does not matter. We just risk having tight breasts. In addition, the brochure will end a day earlier. It will therefore be necessary to resume the next one a day earlier as well: there must never be a stoppage of more than 7 days between 2 strips of mini-pills.

What if I forgot my pill?

The risk of pregnancy is greater when forgetfulness occurs at the start of the pack. If you take a minipill or the Cerazette® (micropill) and theforgotten is less than 12 hours compared to the normal time of taking, just take the missed pill as soon as possible, then the next one at the usual time. Ditto if you vomited within 2 or 3 hours of taking a pill. If we notice this omission more than 12 hours following or if you take another micropill (Microval®), you have to act as if you were no longer protected. So, in case of sexual intercourse in the previous 5 days, we take the morning following pill as soon as possible (a tablet of Norlevo® or its generic Levonorgestrel from Biogaran, without prescription, in pharmacies) and a second contraceptive method is used until the end of the pack. But if the forgetting occurs at the end of the strip (for the last 7 tablets), we continue with the next strip, whatever the pill and without taking a break.

Can I change pills mid-pack?

No, you have to always wait for the end of a pack to change it. If you switch from one mini-pill to another mini-pill, wait for the 7 days of interruption and start the new one on the 8th.e day, whether menses have started or not and whether they have ended or not. If you go from a mini-pill to a micro-pill (over 28 days), you start on the 1is period day.

When travelling, should you use local time?

It depends. If you have a micropill to take at a fixed time, you must stay on French time, even if it means waking up in the middle of the night. It’s different with a minipill and if you’re going for several weeks, you can shift your grip little by littlebut not more than 3 hours at a time.

Does the morning following pill protect the following days?

No. The morning following pill is a “spare tire” when you’ve had a unprotected sex, and you have to act quickly: its effectiveness is 95% if taken within 24 hours, 85% within 48 hours and 58% within 72 hours. It is also recommended to make a pregnancy test in the days that follow, knowing that this rescue pill can cause bleeding that has nothing to do with menstruation. Beyond 72 hours, the best emergency contraception is the installation of a copper IUD.

If I take a morning following pill several times a month, is that enough to protect me?

Non, it is not a method of contraception, even for infrequent reports. You risk bleeding, disruption of the cycle and, above all, a unwanted pregnancy because its reliability is not 100%.

If I took my pill without knowing I was pregnant, what do I do?

There is no risk for the future babyblood circulation between the embryo and the mother-to-be not being established before the 3rde or the 4e day following missed period. And even beyond this period, we cannot really speak of risk.

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