If you’re considering using birth control pills for contraception or other medical purposes, the first step is deciding which type to use. Mary Jane Minkin, M.D., a clinical professor of obstetrics, gynecology and reproductive sciences at the Yale University School of Medicine and a member of HealthyWomen’s Women’s Health Advisory Council, offers insights into the various options available and how to choose the right one for your specific needs.
How do combination and estrogen-free hormonal birth control pills work?
There are two basic types of hormonal birth control pills, also known as oral contraceptives: combination pills, which contain both estrogen and progestin, and progestin-only pills, also known as estrogen-free pills, which only contain progestin. Both work effectively to prevent pregnancy, with additional benefits related to regulating menstrual bleeding.
Read: Why Hormonal Birth Control Is So Important to Women’s Healthcare >>
How will my period be affected by combination birth control pills? What about estrogen-free birth control pills?
Depending on the specific type of birth control pills you use, they can help regulate periods and reduce period pain. The impact of estrogen-free pills on your period may vary, with some women experiencing no periods, while others may have occasional bleeding.
Are there certain medical conditions or reasons why I can’t take certain types of birth control?
Yes, there are certain medical conditions and reasons that may preclude you from taking certain types of birth control. For example, women who are breastfeeding are advised against using estrogen-containing pills, and those prone to migraines or blood clots may be better suited for estrogen-free pills.
What side effects are most common with each type of pill?
Common side effects when starting the pill may include sore breasts, spotting, changes in your period, headache attacks, or nausea. However, these side effects typically subside after a month or two. If side effects are severe, consult your doctor to explore other pill options.
What happens if I miss a pill?
If you miss a pill, take two the next day. Women using estrogen-free pills may need to use a back-up birth control method for at least a week following a missed dose. Missing one pill with a combination pill is not as significant.
How soon will I be protected from getting pregnant once I start taking each type of pill?
If you start the pill on the first or second day of your period, you should be protected immediately. Starting in the middle of your cycle may require a longer period before the pill is fully effective. Your healthcare provider can advise when the contraception becomes reliable.
Will taking hormonal birth pills now affect my chances of getting pregnant in the future?
Neither type of pill will affect your future fertility. However, while using any type of pill, it’s a good opportunity to focus on maintaining good health, particularly for women planning a future pregnancy.
This educational resource was created with support from Exeltis.
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