The "little pill that could"

The oral contraceptive pill remains one of the most effective and widely used forms of birth control. Oral contraceptives or OCs have revolutionized birth control in the 20th century by giving women ultimate control over their fertility.

How does it work?

Combined OCs contain two hormones estrogen and progestogen, which have a similar effect to the hormones found in your own body. Taken daily, these hormones in the pill prevent your ovaries from releasing eggs (ovulation). Pregnancy will be prevented since there are no eggs to fertilize. The pill also causes changes in the lining of the uterus and the mucus of the cervix which further discourages pregnancy.

How effective is the pill?

While OCs have evolved over the years with newer formulas and lower doses - one thing hasn't changed: when taken as prescribed, the pill is more than 99% effective at preventing pregnancy.

How do I know the pill is right for me?

Ask yourself these questions. Are you looking for a method of contraception that:

• is simple and reliable
• makes periods more regular with less bleeding and pain
• does not interfere with your sex life
• you can use from your teens to menopause
• allows you to become pregnant when you stop taking it
• offers other benefits in addition to contraception

If you answered yes, to most/some of these questions, then the pill may be for you. Your doctor will be the one to help you make the final decision, however.

How do I get started?

First see your doctor who will do a physical exam and then make the decision whether the pill is right for you. The physical exam may include:

• breast examination
• pelvic examination
• urine and blood tests
• blood pressure check
• measurement of your height and weight

Is there any reason why I can't take the pill?

If your doctor has determined that you are healthy, then there is no reason why you can't take the pill. However, the pill may not be for you if:

• Presence or a history of venous or arterial thrombotic/thromboembolic events (e.g., deep venous thrombosis, pulmonary embolism, myocardial infarction) or of a cerebrovascular accident.
• Presence or history of prodromi of a thrombosis (e.g. transient ischaemic attack, angina pectoris).
• History of migraine with focal neurological symptoms
• Diabetes mellitus with vascular involvement.
• The presence of a severe or multiple risk factor(s) for venous or arterial thrombosis may also constitute a contraindication (see under ‘Special Warnings and Special Precautions for Use’).
• Pancreatitis or a history thereof if associated with severe hypertriglyceridaemia.
• Presence or history of severe hepatic disease as long as liver function values have not returned to normal.
• Presence or history of liver tumors (benign or malignant).
• Known or suspected sex steroid-influenced malignancies (e.g., of the genital organs or the breasts).
• Undiagnosed vaginal bleeding.
• Known or suspected pregnancy.
• Hypersensitivity to the active substances or to any of the excipients.

Combined Pill
Mini-Pill