Birth Control--The Pill (Cleveland Clinic)

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Birth control is a way to prevent pregnancy. There are many different birth control methods. Some of these methods also reduce the risk for sexually transmitted infections (STIs).

The birth control pill, often referred to as "the pill," is a form of birth control used by women that is taken by mouth to prevent pregnancy. When taken correctly, it is 98% effective. However, the pill does not protect against STIs, including HIV (the virus that causes AIDS). The male latex condom provides the best protection from most STDs.

How does the pill work?
Normally, a woman becomes pregnant when an egg released from her ovary (the organ that holds her eggs) is fertilized by a man's sperm. The fertilized egg attaches to the woman's womb (uterus), where it receives nourishment and develops into a fetus.

Hormones in a woman's body control the release of the egg from the ovary and prepare the body to accept a fertilized egg. The pill contains a small amount of synthetic hormones. These hormones work with the body's natural hormones to prevent pregnancy. Some forms of the pill stop the body from releasing an egg from the ovary (called ovulation). Others work by making the lining of the womb too thick or too thin to accept the fertilized egg.

What does the pill contain?
Most pills contain a combination of two female hormones—estrogen and progestin. Different pills contain various strengths of these hormones. The "mini" pill only contains progestin.

Where can I get birth control pills?
Birth control pills are only available with a doctor's prescription.

How are the pills packaged?
You will receive a set of pills packaged in a thin case. Now the FDA has approved birth control pills for extended cycles beyond the traditional one-month cycle. These are packages that contain continuous active pills for one month or three months.

Other options are 21 active pills with seven placebo or sugar pills to complete a 28-day cycle. A pack of 21 active pills with four placebo pills is also available. The placebo pills do not contain hormones and are used when you expect to have a menstrual flow. They are added to remind you to start a new pill pack after 28 days.

Talk to your doctor about which options are best for you.

How do I take the first pill pack?
Ask your doctor when you should start your pill pack. You will begin your pill pack after you have your period. If you still have your period on the day that you have been told to start your pill pack, go ahead and start the pill pack. You will get your next period about 25 days after starting the pill pack.

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Last Updated: 8/1/2010

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