Topic Overview Birth control pills come in packs. How to start your first pack of pills There are several ways you can start taking your first pack of pills. Talk with your doctor about when to start taking your pills: Quick start. During your medical appointment, take your first pill as soon as you get the pack from your doctor. Take the second pill the next day. During the first 7 days of pills, use a backup method of birth control, like a condom.
Sunday start. Pick a Sunday to take your first pill, so that you do not have periods on the weekends. Fifth-day start. On the fifth day of your menstrual period, take your first pill.
Your daily pill routine Take your hormone pills every day, at about the same time of day. To stay on track and prevent pregnancy, try these easy tricks: footnote 1 Pick a time. Link up your "pill time" with something you do every day, like brushing your teeth, eating a meal, or going to bed. Use your calendar. Mark the days you will start new packs. If you have missed more than one tablet, please ask your doctor for advice. Then if you are in: Week One: Continue taking the tablets as normal.
For the next seven days, use an additional form of contraception. If you have had sexual intercourse in the seven days before the tablet you have missed, there is a chance you may become pregnant. Please see your doctor immediately. Week Two: Continue taking the tablets as normal. If you have taken your tablets correctly in the previous seven days not missed any tablets then no extra contraception is required.
Extra contraception is recommended if you have not taken your tablets correctly in the previous seven days. Week Three: Continue taking the tablets as per normal until you finish the third row of tablets. Then start a new packet of Yasmin in Row One, leaving no gap between them. This means you will miss your period for the month. No other form of contraception is required if you have been taking your tablets correctly for the seven days prior to the missed tablet.
Vomiting or diarrhoea If you experiences vomiting or diarrhoea within 3—4 hours of taking an active tablet, you may not get the correct dose. Periods Bleeding in row four may not occur in all women. Contraindications Yasmin should not be used in certain conditions.
Tell your doctor if you have: Known or suspected pregnancy ; Acute liver disease, or history of severe liver disease; Unexplained vaginal bleeding; Hereditary predisposition or history of thrombosis; History of cancer affecting the breast or genital organs; Cerebrovascular disease ; Coronary heart disease ; Kidney disease ; Pancreatitis ; Diabetes mellitus ; Migraine with aura ; Pulmonary hypertension.
Precautions Your doctor will ask you about your medical history and perform a physical exam before giving you Yasmin. Tell your doctor if you have: High blood pressure ; Circulatory disorders and heart disease; Migraine; Gall bladder disease; Epilepsy ; Poor absorption; Hypertriglyceridaemia ; Smoking ; Obesity ; Given birth within the last 3 weeks; Surgery; Diabetes.
Use in pregnancy Yasmin is a Pregnancy Category B3 medication. Lactation Yasmin is not recommend for use during breastfeeding , as oestrogens may lower the milk supply. Sexually transmitted infections Yasmin does not protect against sexually transmitted infections STIs. Schedule Yasmin is Schedule 4. People do not necessarily experience any of these side effects, so do not become alarmed by this list: Weight changes; Jaundice ; Hair loss or growth; Allergic reaction; Venous thromboembolic events ; Stroke ; Low blood pressure; Missed periods; Abdominal pain ; Sensitivity to light.
References Australian Medicines Handbook. Bonefos [online]. Yasmin [online]. New York: McGraw-Hill; For further information talk to your doctor. Medical Information. Current Competitions. Of Interest This Week. If you miss a pill or pills, or you start a pack late, this can make the pill less effective at preventing pregnancy.
The chance of getting pregnant after missing a pill or pills depends on:. Find out what to do if you miss a combined pill. If you vomit within 3 hours of taking the combined pill, it may not have been fully absorbed into your bloodstream. Take another pill straight away and the next pill at your usual time.
If you continue to be sick, keep using another form of contraception until you've taken the pill again for 7 days without vomiting. Very severe diarrhoea 6 to 8 watery poos in 24 hours may also mean that the pill does not work properly.
Keep taking your pill as normal, but use additional contraception, such as condoms, while you have diarrhoea and for 2 days after recovering. Speak to a GP or nurse or call NHS for more information, if your sickness or diarrhoea continues. If there are no medical reasons why you cannot take the pill, and you do not smoke, you can take the pill until your menopause.
However, the pill is not suitable for everyone. To find out whether the pill is right for you, talk to a GP, nurse or pharmacist. If you have just had a baby and are not breastfeeding, you can most likely start the pill on day 21 after the birth but you will need to check with a doctor. You will be protected against pregnancy straight away. If you start the pill later than 21 days after giving birth, you will need additional contraception such as condoms for the next 7 days.
If you are breastfeeding, you're not advised to take the combined pill until 6 weeks after the birth. If you have had a miscarriage or abortion , you can start the pill up to 5 days after this and you will be protected from pregnancy straight away.
If you start the pill more than 5 days after the miscarriage or abortion, you'll need to use additional contraception until you have taken the pill for 7 days. Some medicines interact with the combined pill and it does not work properly. Some interactions are listed on this page, but it is not a complete list.
If you want to check your medicines are safe to take with the combined pill, you can:. The antibiotics rifampicin and rifabutin which can be used to treat illnesses including tuberculosis and meningitis can reduce the effectiveness of the combined pill.
Other antibiotics do not have this effect. If you are prescribed rifampicin or rifabutin, you may be advised to change to an alternative contraceptive. If not, you will need to use additional contraception such as condoms while taking the antibiotic and for a short time after.
Speak to a doctor or nurse for advice. The combined pill can interact with medicines called enzyme inducers. These speed up the breakdown of hormones by your liver, reducing the effectiveness of the pill. A GP or nurse may advise you to use an alternative or additional form of contraception while taking any of these medicines.
There are some risks associated with using the combined contraceptive pill. However, these risks are small. The oestrogen in the pill may cause your blood to clot more readily. If a blood clot develops, it could cause:. The risk of getting a blood clot is very small, but your doctor will check if you have certain risk factors before prescribing the pill. The pill can slightly increase the risk of developing breast cancer and cervical cancer.
It can also decrease the risk of developing womb uterus cancer , ovarian cancer and bowel cancer. However, 10 years after you stop taking the pill, your risk of breast cancer and cervical cancer goes back to normal.
Contraception is free to everyone through the NHS. Places where you can get contraception include:. Find a sexual health clinic.
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