Anticonceptive pill

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The combined oral contraceptive pill, generally known as a contraceptive pill or simply "the pill" is a hormonal method to prevent pregnancy.

It is taken regularly by mouth and is composed mainly of two synthetic hormones: progestins and estrogens.

Below you have an index with all the points that we will discuss in this article.

Index

Anticonceptive pill

It is a contraceptive method that prevents pregnancy in several ways:

  • It prevents ovulation so even if sperm entering the uterus, they will not find an ovule to fertilize.
  • It modifies the mucus of the cervix making it difficult for sperm to pass.
  • Alters the lining of the uterus to make the implantation of the embryo more complex.

It is important to note that the combined oral contraceptive pill does not protect against STDs (sexually transmitted diseases), so in case of risk of infection it is recommended to use it together with a barrier contraceptive such as condoms.

Combined oral contraceptive pill

Since its adoption in the United States in the 1960s, its use has increased and is currently one of the most widely used contraceptive methods in the world. In Spain it was commercialized in 1978.

There are many brands and types that exist, although they all work in a similar way. The indications that we detail below are general, so it is recommended to consult with the doctor all the doubts before starting to take them and read carefully the information leaflet.

How should the pill be taken?

So that the hormones administered with the taking of the pill can exert their effect on the hypothalamus-pituitary-ovary axis (in charge of regulating the menstrual cycle), it is important to take the pill every day and at approximately the same time.

There are two main types of contraceptive pill packages:

  • Boxes of 28 pills: include 21 tablets with active ingredient (progestogens and estrogens) and 7 tablets of placebo.
  • Boxes of 21 pills: include only 21 pills with active ingredient, so there will be a week in which the woman will not take any pill.

Although less known, there is also a box that presents 24 pills with synthetic hormones and 4 with placebo (Yaz 28) and one that has only 24 hormone pills (Loestrin 24 Fe) and 4 days off of pills in which the woman does not take nothing.



What happens if I forget a pill?

If you forget to take a tablet at the exact time and take it before 12 hours have passed since the time it should be administered, the contraceptive efficacy does not decrease so there is no risk of pregnancy. In this case, you should take the tablet at the time you remember (within those 12 hours) and continue with the rest of tablets as usual.

In case more than 12 hours have passed since the tablet should have been taken, protection against pregnancy may be reduced. The more tablets that have been forgotten and closer to the placebo week or week of rest, the greater the risk of pregnancy.

Forgetting a contraceptive pill

You must act as follows:

Week 1

If the forgetfulness has been in week 1, the woman should take the tablet as soon as she remembers it, even if it is followed by the next one. The rest of the tablets should be taken as usual. It is also recommended to use a barrier contraceptive method such as a condom during the following 7 days.


contraceptive methods in Toledo(Spain)

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