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the pill  
 
what it does
Birth control pills contain artificial hormones (chemicals that are like the ones a woman’s body makes naturally) that prevent pregnancy.  There are two different types: combination pills which contain estrogen and progestin hormones.  They stop a woman from ovulating, or in other words, it stops her body from releasing an egg from the ovaries (check out the Pregnancy Section for more information on ovulation).  They also thicken the mucus around the cervix which basically keeps the sperm from getting to the egg.  The second type of birth control pills are called mini-pills and they only contain the progestin hormone.  They thicken the cervical mucus which stops the sperm from getting to the egg.  Mini-pills can also stop the release of an egg in some women, but that is not the main way they prevent pregnancy. 
what it doesn't do
The pill does NOT prevent sexually transmitted infections (STIs).  Male and female condoms are the only forms of birth control that also offer protection against STIs.
how to use
How to use the mini-pill:  They come in a pack that will contain 28 pills. Each pill contains hormones, so a pill must be taken at the same time every day to work effectively. Remember to check the expiration date on the pack of pills!

How to use combination pills: They come in a pack that will either contain 21 pills or 28 pills.  For the 28 pill packs, there are three weeks of active pills (pills that actually contain hormones) and one week of placebo (pills that don’t contain any hormones). Take a pill at the same time every day.   For 21 pill packs, there are three weeks of active pills (pills that actually contain hormones).  Take a pill at the same time every day.  After finishing the pack, don’t take any pills for the next 7 days.  After 7 days start the next pack of pills.  Remember to check the expiration date on the pack of pills!

 
side effects
Side effects of combination pills can include nausea (feeling like throwing up), weight gain, headaches, breast tenderness, and changes in desire to have sex and mood.  For most women, these side effects disappear within 3 to 6 months.

The most common side effect of mini-pills is irregular bleeding or spotting between periods.  Some women get no period at all.  Other side effects are nausea and breast tenderness.
is it right for me?
The pill is a safe, effective and easy way to prevent pregnancy, but some women find it hard to remember to take the pill every day at the same time.  If a woman forgets to take a pill, she can check the instructions that came with her pills to find out what to do next.  It’s also a good idea to call a family planning provider or doctor to get more specific instructions or ask about taking emergency contraception if she’s at risk for pregnancy. 

Cigarette smoking increases the risk of serious side effects (i.e. stroke, blood clots, and heart attacks).  The risk increases with age (over 35) and heavy smoking (15 cigarettes or more a day).  Many women consider quitting smoking when they want to start using birth control pills.  If you are a smoker, you can ask your doctor for help to quit or if the mini-pill could be an option for you.

 
 





 
where to get it
A woman can only get it by prescription, but getting a prescription can be easy!  She can get one through her doctor/nurse practitioner, or through a family planning clinic.  She can fill the prescription at a pharmacy, a health clinic or a family planning clinic.
cost
Between $15 - $50 a month. If you have health insurance, it may pay for all or part of the cost.  If you don't have health insurance or don't want to use your parents' insurance, family planning clinics provide the pill at a lower cost.
 
effectiveness
The pill is 92% to 99% effective.  Some medications, like antibiotics, can make the pill less effective.

 

 
other forms of birth control
 

Hormonal Methods
The Shot
Implants
The Patch
The Pill
The Ring



Behavioral Methods
Abstinence
Outercourse
Pulling Out

Other Methods
IUD
Spermicide
Sterilization

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