How Do You Turn Femal Again I Coc

The combined oral contraceptive pill is often simply called "the pill". It contains artificial versions of female person hormones oestrogen and progesterone, which are produced naturally in the ovaries.

If sperm reaches an egg (ovum), pregnancy tin can happen. Contraception tries to stop this happening usually by keeping the egg and sperm autonomously or by stopping the release of an egg (ovulation).

At a glance: the combined pill

When taken correctly, the pill is over 99% effective at preventing pregnancy. This means that fewer than 1 in 100 who use the combined pill every bit contraception will get significant in ane year.
The standard way to take the pill is to take 1 every day for 21 days, then have a break for 7 days, and during this calendar week you have a bleed similar a flow. You lot start taking the pill again after 7 days.
You may be able to have some types of pill with no or shorter breaks (a tailored regime), which may reduce some side effects. Speak to a doctor or nurse almost your options.
You need to take the pill at around the same fourth dimension every solar day. You could get pregnant if you do not practice this, or if y'all miss a pill, or vomit or have severe diarrhoea.
Some medicines may make the pill less effective. Check with your doctor if you're taking any other tablets.
If you have heavy periods or painful periods, PMS (premenstrual syndrome) or endometriosis the combined pill may help.
Minor side furnishings include mood swings, nausea, breast tenderness and headaches – these normally settle downwardly in a few months.
There is no evidence that the pill will make you lot gain weight.
At that place's a very low risk of serious side effects, such every bit blood clots and cervical cancer.
The combined pill is non suitable if y'all are over 35 and fume, or if y'all accept certain medical conditions.
The pill does not protect against sexually transmitted infections (STIs), and so use a safety as well.
There may be a link between the pill and low but show is mixed and further inquiry is needed.

How the combined pill works

How it prevents pregnancy

The pill prevents the ovaries from releasing an egg each month (ovulation). It also:

thickens the fungus in the cervix of the womb, so information technology is harder for sperm to penetrate the womb and reach an egg
thins the lining of the womb, so there is less chance of a fertilised egg implanting into the womb and beingness able to grow

The pill is over 99% effective if used correctly. Other methods of contraception are improve at preventing pregnancy, such as the IUD, IUS, implant and injection.

There are many unlike brands of pill, made upwards of iii main types:

Monophasic 21-twenty-four hour period pills

This is the about common blazon. Each pill has the same amount of hormone in it. One pill is taken each day for 21 days so no pills are taken for the adjacent seven days. Microgynon, Marvelon and Yasmin are examples of this blazon of pill.

Phasic 21-day pills

Phasic pills contain 2 or 3 sections of unlike coloured pills in a pack. Each department contains a different amount of hormones. I pill is taken each day for 21 days and then no pills are taken for the next 7 days. Phasic pills demand to be taken in the right order. Logynon is an example of this type of pill.

Every day (ED) pills

At that place are 21 active pills and 7 inactive (dummy) pills in a pack. The two types of pill look different. I pill is taken each day for 28 days with no break betwixt packets of pills. Every solar day pills need to be taken in the right order. Microgynon ED is an instance of this type of pill.

Follow the instructions that come with your package. If you have any questions, inquire a doctor, nurse or pharmacist.

It's important to accept the pills as instructed, because missing pills or taking them at the same time as sure medicines may make them less effective.

How to have 21-day pills - standard regime

Take your 1st pill from the packet marked with the right day of the week, or the 1st pill of the 1st color (phasic pills).
Keep to take a pill at the same time each mean solar day until the pack is finished.
Stop taking pills for 7 days (during these 7 days you will get a bleed).
Start your adjacent pack of pills on the 8th day, whether you are still haemorrhage or not. This should exist the aforementioned twenty-four hours of the week as when you took your 1st pill.

How to accept every twenty-four hour period pills

Take the 1st pill from the section of the packet marked "start". This will be an active pill.
Proceed to have a pill every day, in the correct order and preferably at the aforementioned fourth dimension each day, until the pack is finished (28 days).
During the 7 days of taking the inactive pills, yous will get a bleed.
Outset your next pack of pills afterward you lot have finished the 1st pack, whether y'all are still bleeding or not.

Tailored regimes

Y'all tin also take the combined pill as a tailored government. This may include taking the pill for 21 days and stopping for four, or taking the pill continuously without a break. For more information speak to a doc or nurse.

Starting the combined pill

Yous can normally showtime taking the pill at any point in your menstrual bicycle. There is special guidance if yous accept simply had a baby, abortion or miscarriage. The guidance may also be different if you have a brusque menstrual cycle. Get advice from a dr. or nurse if you need it. You may demand to apply additional contraception during your 1st days on the pill – this depends on when in your menstrual cycle y'all start taking it.

Starting on the 1st day of your period

If you commencement the combined pill on the 1st twenty-four hour period of your catamenia (day 1 of your menstrual cycle) yous will be protected from pregnancy straight away. You lot will not need additional contraception.

Starting on the 5th twenty-four hours of your cycle or earlier

If you get-go the pill on the fifth mean solar day of your period or before, y'all volition all the same exist protected from pregnancy straight away.

Starting after the 5th 24-hour interval of your cycle

Yous will not be protected from pregnancy direct away and volition need boosted contraception until y'all have taken the pill for vii days.

If you start the pill after the fifth day of your bike, brand sure you have not put yourself at take chances of pregnancy since your last menses. If you lot're worried you're pregnant when you showtime the pill, have a pregnancy test 3 weeks after the last time you had unprotected sex.

What to practise if y'all miss a pill

If you lot miss a pill or pills, or you start a pack tardily, this tin can make the pill less effective at preventing pregnancy. The chance of getting pregnant afterward missing a pill or pills depends on:

when the pills are missed
how many pills are missed

Find out what to practice if you lot miss a combined pill.

Vomiting and diarrhoea

If yous vomit within iii hours of taking the combined pill, it may not have been fully absorbed into your bloodstream. Take some other pill direct away and the adjacent pill at your usual fourth dimension.

If you continue to be ill, proceed using another grade of contraception until y'all've taken the pill over again for 7 days without airsickness.

Very severe diarrhoea (vi to eight watery poos in 24 hours) may too hateful that the pill does not work properly. Proceed taking your pill as normal, but use additional contraception, such as condoms, while y'all take diarrhoea and for 2 days after recovering.

Speak to a GP or nurse or call NHS 111 for more information, if your sickness or diarrhoea continues.

Who can use the combined pill

If in that location are no medical reasons why you cannot accept the pill, and you lot do not smoke, you can have the pill until your menopause. However, the pill is not suitable for anybody. To find out whether the pill is right for you, talk to a GP, nurse or chemist.

The pill may non exist right for you if you:

are pregnant
fume and are 35 or older
stopped smoking less than a yr ago and are 35 or older
are very overweight
take certain medicines

The pill may also non be right for you if you lot accept (or accept had):

blood clots in a vein, for example in your leg or lungs
stroke or whatever other affliction that narrows the arteries
anyone in your close family having a blood clot nether the age of 45
a middle abnormality or heart disease, including high claret pressure
severe migraines, especially with aura (alert symptoms)
chest cancer
disease of the gallbladder or liver
diabetes with complications or diabetes for the by 20 years

Afterwards having a baby

If you accept but had a baby and are non breastfeeding, you can well-nigh likely first the pill on day 21 after the birth but y'all volition need to bank check with a medico. You will be protected confronting pregnancy straight away.

If you lot start the pill later than 21 days later giving birth, you will need boosted contraception (such as condoms) for the next 7 days.

If you are breastfeeding, you lot're not brash to take the combined pill until half-dozen weeks later on the birth.

Subsequently a miscarriage or abortion

If you have had a miscarriage or abortion, you can first the pill up to 5 days afterward this and you will be protected from pregnancy directly away. If yous start the pill more than 5 days afterward the miscarriage or ballgame, y'all'll demand to use boosted contraception until you have taken the pill for 7 days.

Advantages and disadvantages

Some advantages of the pill include:

it does non interrupt sex
it usually makes your bleeds regular, lighter and less painful
it reduces your risk of cancer of the ovaries, womb and colon
information technology can reduce symptoms of PMS (premenstrual syndrome)
it can sometimes reduce acne
it may protect against pelvic inflammatory disease
it may reduce the risk of fibroids, ovarian cysts and non-cancerous breast disease

Some disadvantages of the pill include:

information technology tin crusade temporary side effects at first, such as headaches, nausea, breast tenderness and mood swings – if these do not get later on a few months, it may help to change to a different pill
it can increase your blood pressure
it does non protect you against sexually transmitted infections
breakthrough bleeding and spotting is mutual in the first few months of using the pill
it has been linked to an increased risk of some serious health conditions, such as blood clots and breast cancer

The combined pill with other medicines

Some medicines interact with the combined pill and information technology does not work properly. Some interactions are listed on this page, but it is not a consummate list. If y'all desire to check your medicines are safe to take with the combined pill, you can:

ask a GP, practice nurse or pharmacist
read the patient data leaflet that comes with your medicine

Antibiotics

The antibiotics rifampicin and rifabutin (which can be used to treat illnesses including tuberculosis and meningitis) can reduce the effectiveness of the combined pill. Other antibiotics do non accept this effect.

If you are prescribed rifampicin or rifabutin, you may be advised to change to an alternative contraceptive. If not, you lot will need to use additional contraception (such as condoms) while taking the antibody and for a brusk time later on. Speak to a medico or nurse for advice.

Epilepsy and HIV medicines, and St John's wort

The combined pill can interact with medicines called enzyme inducers. These speed up the breakdown of hormones past your liver, reducing the effectiveness of the pill.

Examples of enzyme inducers are:

the epilepsy drugs carbamazepine, oxcarbazepine, phenytoin, phenobarbital, primidone and topiramate
St John's wort (a herbal remedy)
antiretroviral medicines used to treat HIV (research suggests that interactions betwixt these medicines and the progestogen-only pill can touch on the prophylactic and effectiveness of both)

A GP or nurse may advise you to use an alternative or additional form of contraception while taking any of these medicines.

Risks of taking the combined pill

There are some risks associated with using the combined contraceptive pill. However, these risks are small.

Claret clots

The oestrogen in the pill may cause your blood to clot more readily. If a blood clot develops, it could cause:

deep vein thrombosis (clot in your leg)
pulmonary embolus (jell in your lung)
stroke
heart attack

The run a risk of getting a blood clot is very small, only your doc will bank check if you have certain adventure factors earlier prescribing the pill.

Cancer

The pill tin slightly increase the risk of developing chest cancer and cervical cancer. It can also decrease the risk of developing womb (uterus) cancer, ovarian cancer and bowel cancer.

However, 10 years subsequently you lot terminate taking the pill, your gamble of breast cancer and cervical cancer goes dorsum to normal.

Where you tin get the combined pill

Contraception is gratuitous to everyone through the NHS. Places where you tin can become contraception include:

customs contraception clinics
some genitourinary medicine (GUM) clinics
sexual health clinics – they too offer contraceptive and STI testing services
GP surgeries – talk to a GP or nurse
some young people's services (call the Sexual Health Line on 0300 123 7123 for more data)

Find a sexual health clinic

Getting contraception during coronavirus

If you need contraception, call your GP surgery or a sexual health clinic as soon equally possible. Only go in person if you're told to.

It can have longer to become contraception at the moment and some types are non widely bachelor.

You may only be able to get the combined pill if you've had your blood pressure and weight checked in the last 12 months.

If you cannot become the combined pill, y'all may be advised to utilise the progestogen-but pill or condoms for now.

How practise I alter to a different pill?

If you want advice nigh changing your contraceptive pill, you can visit a GP, contraceptive nurse (sometimes chosen a family planning nurse), or sexual health clinic.

You should not take a break betwixt different packs, and so you will usually exist advised to starting time the new pill immediately or expect until the day after yous have the concluding of your onetime pills.

You may besides be advised to use alternative methods of contraception during the changeover, equally the new pill may have a short time to take effect.

If yous're under 16 years former

Contraception services are free and confidential, including for people nether the age of 16.

If yous're nether 16 and want contraception, the doctor, nurse or pharmacist will not tell your parents (or carer) equally long as they believe y'all fully empathise the information you lot're given and your decisions.

Doctors and nurses work under strict guidelines when dealing with people nether 16. They'll encourage you to consider telling your parents, but they will not make yous.

The merely time that a professional might want to tell someone else is if they believe you're at run a risk of impairment, such as abuse. The adventure would demand to exist serious, and they would normally talk over this with you first.

More information

For more information near the pill visit:

Sexwise'south folio virtually the combined pill
Contraception Choices' page nigh the combined pill

Folio last reviewed: 1 July 2020
Side by side review due: 1 July 2023

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Source: https://www.nhs.uk/conditions/contraception/combined-contraceptive-pill/