Your guide of Everything You Must Know About Birth Control Pills

birth control pills

Birth control methods are too many, including options like condoms or female loop.

But here we will explain in details the birth control pills, the most common used method.

Types and names of contraceptive pill

1-Estrogen-containing Estradiol and Progesterone-type Norethindrone pills such as Gynera pills.

2-Estrogen-containing Estradiol and Progesterone-type Drospirenone pills such as Yasmine pills.

3-Estrogen-containing Estradiol Estrogen pills and Progesterone-type Desogestrel pills such as Marvelon pill.

4-Progesterone-containing pills only have a Desogestrel type such as Cerazette pill.

5-Estrogen-containing Estradiol Estrogen-containing pills and an anti-androgen Cyproterone like Diane pill.

6-Ethanol Estradiol and progesterone-type Levonorgestrel pills, such as Microlut pill.

Contraception for pregnant women

Estrogen inhibits the secretion of breast milk. 

It is obvious that it affects the amount of milk produced by the mother and the duration of breastfeeding in contrast to the progesterone, which does not affect the milk or the baby, and therefore it is possible to use pills containing progesterone alone and not containing tablets containing on estrogen with progesterone. 

It is worth mentioning that the studies did not prove that there is a negative effect on the baby in terms of transmission of these hormones to his body through breast feeding and secretion in breast milk, you should consult with a specialist to know if there are any medical contraindications to seek for the pill.

How to use a pill

Usually pills are bought from pharmacies and come with a special tape consisting of 28 or 30 tablets depending on the type of trade and one tablet is taken orally every day regardless of the date of the meal with a cup of water.

It is worth mentioning here that it is very important not to forget any pill of contraception during the month to ensure that there is no imbalance in the proportion of hormones in the body and thus the pregnancy, for example, take the pill every day at the same time before bedtime, for example, and so on a table.

It is recommended to start taking oral contraceptives on the first or fifth day of the menstrual cycle; in some cases, women may need to use additional contraceptives.

How the pill works

The mechanism of the work of the birth control pills is secretion of hormones that are responsible for the secretion of other hormones or work directly to complete the process of ovulation or preparation of the uterus to receive fertilized egg, it works in three ways:

First The effect of birth control pills on hormones

The pill works to prevent the secretion of Gonadotropin hormones, FSH and LH

The presence of oral contraceptives containing progesterone and estrogen or progesterone alone prevents the increase of FSH, which is directly responsible for ovulation, and therefore the process of contraception is done as there is no mature ovulation for fertilization with the presence of male sperm.

It also affects the hormone LH, which plays a role in the completion of fertilization.

Second The effect of birth control pills on the cervix

Studies have shown that the use of a few doses of pills containing progesterone only works to change the nature of the thickness of the wall of the cervix and the type of secretions where the hormone increases the thickness of the wall of the cervix and make the mucus in that region viscous, which impedes the movement of sperm and thus prevent pregnancy indirect way.

Third The effect of birth control pills on the wall of the uterus

Female hormones play on changing the wall of the uterus and preparing it for the fertilization of the fertilized egg and adhesion by the tissue when the structure of the wall breaks the uterus may not adhere to the egg properly for its growth and thus prevent pregnancy

When does the pill start action?

Dependent on the pill and start the onset of effect depending on when the woman began to take pills and also depends on the type of hormone found in contraceptive pills.

In the case of the use of complex hormones and when taken after the end of the menstrual cycle directly, it is preferable to use another method of contraception for at least seven days and then can ensure the effectiveness of the work of birth control pills.

If you are taking progestin-only pills, you should use another two-day contraceptive method and then commit to taking your pills on time.

Best oral contraceptive pills

The choice of pill type depends on the woman's health status. She should talk to the doctor about any diseases or medications she is taking before starting to take birth control pills to ensure the most appropriate choice for her health.

Proportion of contraceptive failure

The contraceptive pills fail in one woman out of 200 women during the first year of proper use.

To ensure the effective use of oral contraceptives, women should use these pills regularly and accurately and at the same time every day. Fertilization can occur if the woman forgets to take one or several pills on some days.

The effect of the pill on the menstrual cycle

The menstrual cycle occurs after the interruption of the intake of hormones and the intake of oral contraceptive pills.

The blood of the menstrual cycle during the pill is usually less than in the normal menstrual cycle and does not last long and the color is less red than normal blood because the uterus was not well prepared for the occurrence of fertilization, it did not form a thick wall to immobilize the egg.

The pill may affect the date of the menstrual cycle and sometimes may come after 3 months or more depending on the type of pills prescribed by the doctor and the nature of its work.

When pregnancy occurs after leaving the pill

It is possible to have a pregnancy immediately after stopping the pill, as there are some medical studies that proved that 20% of women pregnant after a month of stopping the pill all the body to regain its normal hormonal cycle, unless there are any obstacles or disorders, but some women may need a longer period of pregnancy to be up to 6 months or more at times.

Can pregnancy happen with taking birth control pills?
  • Yes pregnancy can occur with taking birth control pills.

  • The contraceptive pill isn’t 100% effective for contraception, but it is 99% effective if taken in the right way (at the same time every day).

  • The main cause of pregnancy with oral contraceptive pills is not taking them regularly as directed by your doctor or pharmacist.

  • Missed birth control pill, is one of the reasons too, so you should take them immediately after remembering and taking the rest of the pills on time.

  • Most contraceptive pills do not start directly from the beginning. Therefore, a different method of prevention (such as condoms) should be used in the early days of taking them.

  • The wrong way to store the pills lost their effectiveness, which leads to the occurrence of pregnancy, so it must be stored warmly room and keep away from heat and humidity and in the box.
  • The pill may not be effective with women who have excessive obesity.
  • Some conditions such as vomiting and diarrhea can stop the work of birth control pills because it is possible to get the pill out of your body before being absorbed and benefit from them.

Drugs that affect the effectiveness of birth control pills

Antibiotic containing Rifampicin.
Anti fungal agents containing Griseofulvin.
Supplements that contain St. John's Wort, which are used to treat depression.
Some HIV drugs.
Some medications used in the treatment of epilepsy.
The use of laxatives to treat frequent constipation sometimes results in a discontinuation of the effectiveness of birth control pills


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