Overview
Since the U.S. Food and Drug Administration (FDA) approved “the pill” in 1960, it has become the most popular and one of the most effective forms of reversible birth control ever invented. According to The Guttmacher Institute, among U.S. women who use birth control, more than 27 percent use the pill. A 2013 National Health Statistics Report says that 82 percent of women who use contraceptionhave used the pill at some point.e most popular and one of the most effective forms of reversible birth control ever invented. According to Planned Parenthood, among U.S. couples who use birth control, more than 30 percent use the pill.
In recent years, birth control pills have changed to include less hormones, resulting in fe
Since the U.S. Food and Drug Administration (FDA) approved “the pill” in 1960, it has become th
wer side effects. In fact, almost all healthy women who don’t smoke may use birth control pills, regardless of their age. Unlike the original oral contraceptives, low-dose pills have few health risks for most women and even offer some health benefits, such as lighter periods (which reduce risk of ), less severe menstrual cramps and lessening of acne breakouts.
Birth control pills do carry some health risks. For example, if you are over 35 and smoke or have certain medical conditions such as a history of blood clots or breast orendometrial cancer, your health care professional may advise against taking oral contraceptives. Also, birth control pills do not protect you from sexually transmitted diseases (STDs), including HIV (human immunodeficiency virus), the virus that causes AIDS, or HPV, the human papillomavirus that can cause cervical cancer.
Unlike forms of birth control sold over the counter, you need a health care professional’s prescription to purchase birth control pills, and many health insurers cover their cost. The one exception is the emergency birth control pill, Plan B One-Step, which is sold over the counter.
Understanding Your Menstrual Cycle
At the beginning of each menstrual cycle, levels of the hormone estrogen begin to rise. Estrogen helps thicken the bloody lining of the uterus (endometrium) to prepare for a fertilized egg. Once estrogen levels peak, about 14 days into the menstrual cycle, one of the ovaries releases one or more eggs—this release is called ovulation.
After ovulation, levels of another reproductive hormone—progesterone—rise to help prepare the uterus to receive a fertilized egg by thickening its lining. The egg travels through the fallopian tubes toward the uterus, and if the egg is fertilized and successfully implants itself in the uterine lining, conception (pregnancy) takes place. If conception does not occur, both estrogen and progesterone levels drop, signaling the now thickened uterine bloody lining to slough off or shed, and menstruation begins.
How Birth Control Pills Work
Birth control pills are a synthetic form of the hormones progesterone and estrogen. They prevent ovulation by maintaining more consistent hormone levels. Without a peak in estrogen, the ovary doesn’t get the signal to release an egg. Remember that no egg means no possibility for fertilization and pregnancy.
The pill also thickens cervical mucus so the sperm cannot reach the egg. It makes the lining of the uterus unreceptive to the implantation of a fertilized egg.
How to Take Birth Control Pills
There are a few different ways you can start to take birth control pills. Discuss the pros and cons of the following methods with your doctor:
- You can start taking them on the first day of your period, in which case you won’t need backup birth control.
- You can start taking them the Sunday after your period starts, in which case you will need backup birth control for seven days.
- You can start taking birth control pills on the day they are prescribed, in which case you will need to make sure you’re not pregnant and you will need to use backup birth control for the first month. If you have a negative pregnancy test and it has been at least 10 to 11 days since you last had intercourse, you can be nearly sure you are not pregnant and it is OK to start the pill.
No matter when you start taking birth control pills, you will need to start each new pack on the same day of the week that you began your first pack. For example, if you start taking your birth control pills on a Monday, you will always begin taking them on a Monday. Keep in mind that birth control pills only work if you take them every day. They do not accumulate or collect in your body, which is why you must take a pill every day! You shouldn’t skip pills (on purpose or by accident) or stop taking them, even if you’re not having sex often. Also be aware that certain medications, such as certainantibioticstaken for a long time, can make your birth control pills less effective. If you regularly have diarrhea or vomiting, that can interfere with absorption of the pill. If you miss a pill or have gastrointestinal problems or are taking medication that could interfere with your birth control pills, use a backup method for the rest of your cycle. Just remember, don’t stop your birth control pills.Read More
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