General Practice 2022

How to take birth control correctly

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How to take birth control correctly
How to take birth control correctly
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To avoid unwanted pregnancy, you should take 1 contraceptive pill every day until the end of the pack, always at the same time.

Most contraceptives come with 21 pills, but there are also packs with 24 or 28 pills, which differ in terms of the amount of hormones they contain, the pause time between packs and the occurrence or not of menstruation.

It is important that the use of contraceptives is guided by the gynecologist and, in case the pill is forgotten more than once, it is recommended that other contraceptive methods be discussed. Find out about other contraceptive options.

21-day contraceptive

You should take 1 pill a day until the end of the pack, always at the same time, for a total of 21 days with the pill. When the pack is finished, you should take a break of 7 days, which is when menstruation should start, and start a new pack on the 8th day.

Examples: Selene, Yasmin, Diane 35, Level, Femina, Gynera, Cycle 21, Thames 20, Microvlar.

24-day contraceptive

You should take 1 pill a day until the end of the pack, always at the same time, totaling 24 days with pill. Then, you should take a break of 4 days, when menstruation normally occurs, and start a new pack on the 5th day after the break.

Examples: Minima, Mirelle, Yaz, Siblima, Iumi.

28-day contraceptive

You should take 1 pill a day until the end of the pack, always at the same time, totaling 28 days with pill. When you finish the pack, you should start another one the next day, without a break between them.However, if there are frequent spottings, the gynecologist should be consulted to reassess the amount of hormones needed to regulate the menstrual cycle and, if necessary, prescribe a new contraceptive.

Examples: Micronor, Adoless, Gestinol, Elani 28, Cerazette.

Injectable contraceptive

There are 2 different types, monthly and quarterly. In the case of the monthly contraceptive (Perlutan, Preg-less, Mesigyna, Noregyna, Cycloprovera and Cyclofemina), the injection must be administered by the nurse or pharmacist, preferably on the 1st day of menstruation, with tolerance of up to 5 days after menstruation begins. The following injections should always be given every 30 days.

In the case of the quarterly injectable contraceptive (Depo-Provera and Contracep), the injection should be given up to 7 days after the menstrual period begins, and the following injections should be applied after 90 days, with no delay greater than 5 days to ensure the effectiveness of the injection.

What time to take birth control?

The birth control pill can be taken at any time of the day, but it is important that it is always taken at the same time to avoid diminishing its effect. So, in order not to forget to take the contraceptive, some tips are:

  • Set a daily alarm on your phone;
  • Keep the card in a visible and easily accessible place;
  • Associating pill intake with a daily habit, such as brushing your teeth, for example.

It is also important to remember that the ideal is to avoid taking the pill on an empty stomach, as it can cause discomfort and stomach pain.

What to do if you forget to take it at the right time

If you forget to take the missed tablet as soon as you remember, even if you need to take 2 tablets at the same time.If you forget to take the pill for less than 12 hours after the usual contraceptive time, the pill's effect will be maintained and you should continue taking the rest of the pack as normal.

However, if the pill has been forgotten for more than 12 hours or more than 1 pill has been forgotten in the same pack, the contraceptive may have its effect reduced, and the package insert should be read to follow the manufacturer's instructions and use condoms to prevent pregnancy. See more details on what to do if you forget to take your contraceptive.

What to do if your period doesn't come?

If menstruation does not come during the contraceptive break period and all pills have been taken correctly, there is no risk of pregnancy and the next pack should be started normally.

In cases where the pill has been forgotten, especially when more than 1 pill from the same pack has been forgotten, there is a risk of pregnancy and the ideal is to take a pregnancy test that you buy at the pharmacy or take a blood test in a laboratory.

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