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Questions and Answers: Birth Control - The Pill

[General Birth Control | The Pill | Depo Provera | NuvaRing | Lunelle | Ortho-Evra]

I didn't start the pill when my period started and I'm at the end of my pill pack and I haven't gotten my period yet. Is this OK?
I used the pill to skip my period, and now I'm spotting. Is this normal?
If I take my first pill a day early after the "off" week, could I get pregnant?
Am I more likely to get pregnant during the inactive week of pills?
Can I get pregnant if I have sex during the week I take inactive pills?
I started on the pill and now my period is irregular. Why?
I missed two pills and I'm spotting. Should I be worried?
Am I supposed to get my period on Seasonale?
If I forget to take some of my pills, does it affect my period?
If I start my Sunday pack on a Monday, could I get pregnant?
Can I still have sex while taking the "reminder" pills?
Is it healthy to continually start and stop my pills?
I skipped my period with pills last month, but I'm not getting it now. Why?
My period comes the first week of my pills. Is this normal?
How soon after starting the pill can I have unprotected sex?
Is there any way to safely change the time that I take my pill?
What are the risks of mixing alcohol and Ortho Tri-Cyclen Lo?
If I forgot my pill yesterday and had sex today, could I be pregnant?
How old do you have to be to take Seasonale?
I just started Seasonale. I have 3 reminder pills left but no period. Why?
I've been on Seasonale for 4 days, and I had sex. Could I be pregnant?
I've been on antibiotics and I had light spotting. Are my pills still ineffective?
I'm having a thick brown discharge with Seasonale. Is this normal?
Seasonale instructions say I should stop for a week. Should I?
I've been on the pill 4 months. I'm only spotting with no period. Is this normal?
I've been on the pill 2 years. Is my period getting shorter, or am I pregnant?
I've been on the pill 3 years. My period was a week early. Is this normal?
If I stop the pills in the middle of my cycle, will my period come?
I stopped my pills on the 15th. It's been 3 days with no period. Why?
What does it mean if your period doesn't come during the reminder pills week?
Went off the pill. Test was negative, but I'm having pregnancy symptoms. Why?
Is it normal to get my period while I'm on the pill?
If I'm on the pill, will I get pregnant if he ejaculates inside me?
Do I need a doctor's appointment to get birth control?
Where can I get birth control on campus?
I took my pills every day, but at different times. Are they still as effective?
If I go on the pill after unprotected sex, will it prevent pregnancy?
How would I know if I was going through menopause while on the pill?
Where can I get birth control?
I had to skip a week of the pill. Can I start my pack a week late?



QUESTION: I got my period on feb.23 and 1 week later i went to the doctor to get pills for the first time. i had to start the pills 2 weeks after i got my period when it's supposed to be the sunday after. it's alreay marck 30 so im 8 days late and tooday i take my 4th green pill but i haven;t gotten my period. i've had sex but my boyfriend has pulled out... can i be pregnant or do the pills regulate my period? (April 18, 2005)

ANSWER:
Oral contraceptives prevent pregnancy by inhibiting the monthly release of the "egg" from the ovaries. Oral contraceptives are almost 100% effective when taken correctly (If you miss your pills or forget to take them at the same time each day, the effectiveness is reduced).

It is recommended that women who are just beginning to use the pill use a second form of contraception the first seven days of the first cycle. If you were sexually active within the first 7 days of taking the pill, or you have taken pills late or missed them completely, pregnancy is a possibility. If you think you might be pregnant, it is recommended that you take a pregnancy test. For more information on how pregnancy occurs, please see our Pregnancy FAQ.



QUESTION: i started my birth control about 4 months ago and for the first time i decided that i would skip my period. im on ortho-cyclen so after finishing my blue pills i just skipped my unactive green pills then started a new pack of pills..i didnt have my period and i thought everything was going ok well a couple days later i started spotting and i have been for the last 5 days on the new blue pills..i wanted to know if this is normal..like does skipping periods not work on every one or do i need to see my gyno..im just worried..i wanted to know how long this spotting will continue..i heard it could last up to 2 weeks or until my next period. (March 29, 2005)

ANSWER:
Many women use birth control pills continuously to supress menstruation; for some women who do this spotting or 'breakthrough bleeding' is a common side effect. It is recommended that women wishing to supress their menstrual cycle speak with their clinician before attempting to do so. If you are concerned about the spotting you are having it is recommended you speak with your clinician.



QUESTION: i have taken the contraceptive pill 1 day too early after my week off, and have had unprotected sex. Is there a chance i could be pregnant? (March 18, 2005)

ANSWER:
If you began taking the pill before your normal start day, continue taking the pill. It is better to begin taking the pill too early, instead of too late. Being late starting your next pack will lengthen the time off the active pills. Lengthening this pill-free interval can allow your body to ovulate. Remember, it is important that you take the pill at the same time each day for maximum effectiveness. Additionally, it is important to remember that the pill does not protect against sexually transmitted infections (STIs); using a barrier method, such as a condom, can help protect against STIs.

If you are concerned about being pregnant it is recommended that you take a pregnancy test. For more information about how pregnancy occurs and how to lower your risk of becoming pregnant, please visit our Pregnancy FAQ.



QUESTION: During the week that I am taking the sugar pill am I more prone to pregnancy than the week that I am taking the pill? (March 8, 2005)

ANSWER:
Taking oral contraceptives (aka the Pill) stops the process of ovulation (release of an egg), which is necessary in order to become pregnant. If the Pill is taken correctly, is is approximately 99% effective in preventing pregnancy. Missing pills or taking pills at inconsistent times can reduce the effectiveness.



QUESTION: I got my period (slight flow) one week before finishing my pills to the "sugar" week. My period stopped Wednesday of the sugar pill week. I had sex (unprotected) Thursday and Friday. I start back up on the pill on Sunday. Have I had sex during a time I am prone to get pregnant? I'm really worried. Should I ask my doctor for the night after pg drug? (February 28, 2005)

ANSWER:
Please see the Pregnancy FAQ for answers to your pregnancy question.



QUESTION: i started taking orthotri-cyclen lo january 16 (period started the 12th, sunday starter) and january 27th i started my period again 17 days early. today i am still on my period 9 days later and it is medium to heavy flow. is this normal when first starting the pill? i'd ask my dr. but she is hard to get a hold of. Before i started they were 3-4 days long and painless. now i have cramps with it? (February 8, 2005)

ANSWER:
It may take some time before your body adjusts to taking an oral contraceptive. Birth control pills introduce synthetic hormones into your body; the level of hormones in your pill may be more or less than what your body was producing before you started taking the pill, which may cause your body to react in different ways. Breakthrough bleeding, which is spotting or irregular bleeding between periods, is common in women in the first one to three months after starting oral contraceptives. If you are experiencing breakthrough bleeding after the third month of taking birth control pills, it is recommended you see your clinician. It is important to remember to take your pill at the same time each day; failing to do so could cause irregular bleeding or spotting. Additionally, if you are concerned about bleeding between periods, it is recommended you speak with your clinician.



QUESTION: I had my wisdom teeth removed and forgot to take my pills for two days. The pack said to take two pills the day i remember, two pill the next day and then continue as normal. I did that but i have had a lot of spotting and cramps like i have my period. Is that normal? When should it stop? I'm a little worried. (February 1, 2005)

ANSWER:
Missing pills can cause spotting and cramping; each woman's body is different so missing pills affects each woman differently. It is difficult to say when your cycle will return to 'normal', but it is important to follow the instructions included with your pills in the event that you miss more pills.



QUESTION: i began taking seasonale for the first time three months ago this is my first time im supposed to get my period on it and i havent gotten it yet i took the first white pill over 24 hours ago and now i have taken my second white pill how long will it take before i get my period (November 30, 2004)

ANSWER:
Usually it takes a day or two for women to start menstruating after ending their active birth control pills. However, many of the women who take Seasonale have either very light periods, usually lasting only a couple of days during their week of placebo pills, or no periods at all. If you are concerned about your menstrual cycle, it is recommended you speak with your clinician.



QUESTION:
This month I forgot to take about 3 of my birth control pills. My period started on a Sunday which is normal but ended on Tuesday. My period was very, very light, almost not even there. This is unusual because my period usually last 5 days and are very heavy. Do you know what could have caused my period to be like this? Could it be the fact that I forget to take some of my pills this month? (November 16, 2004)

ANSWER:
Missing pills can significantly decrease the effectiveness of oral contraceptives, making pregnancy among sexually active users a greater possibility. However, missing pills can also alter one's menstrual cycle. Periods may be heavier, lighter, early or late, depending on the number of pills missed. For the highest level of effectiveness, it is recommended you take your pill at the same time each day. Additionally, if you miss a pill, follow the instructions in your pill pack to see what action you should take.



QUESTION:
I'm a Sunday starter and misplaced my pill and didn't take any on Sunday. I began taking them on Monday and had sex a week later. Can I get pregnant? (November 2, 2004)

ANSWER:
It is important to follow the directions on the pill pack inserts on how to take your pills in these circumstances and if a back up method is recommended. You can also check out http://www.plannedparenthood.org/bc/pill_schedule.html as it is very dependent on the type of pill you use.

Using a backup method consistently and correctly, like latex/polyurethane condoms, will decrease the chance of an unplanned pregnancy as well as decrease the transmission of some sexually transmitted infections like chlamydia, HIV, and others.



QUESTION:
estrostep fe 28 pill pak: the fourth week of pills are "reminder" pill??? if i have sex on the fourth week do i need to use extra contraception or is still considered birth control? (October 26, 2004)

ANSWER:
The "reminder" pills in Estrostep-FE do not contain hormones and are there so you have a period as well as a "reminder" to continue to take your pills, when to start your next pack, and some "reminder" pills have iron or other vitamins in them. Although there are no hormones in the "reminder" pills the effectiveness of the pill pack does not decrease during this week, but using a backup method with any contraception can reduce the chances of an unplanned pregnancy even more.

It's important to note that some pill packs do not have "reminder" pills and some pill packs, mainly progestin-only pills, have "reminder" pills but these do have hormones. Therefore it is important to know what type of pill you're on as well as to follow the directions your clinician has told you on how to take the pills.

If you have questions about your pill pack or more on birth control in general please check www.plannedparenthood.org and/or talk to your clinician.



QUESTION: I have been on Ortho Try Cyclen for almost 4 years now and never had a problem. Recently, I was suppose to start the 1st white active pill on Friday. Becuase of not having the perscription in time, I couldn't start until Monday night. So the DR said just to use a back up plan for birth control. But I ended up getting mix up and after taking only 5 of the white active pills I missed two pills. I then decided to not finish the pack of pills and went off them Tuesday b/c I can't double up for two days. For I will vomit and get very nausea. But today Friday I started bleeding. Heavily as if I started menstrualing again (I just got over my period last week) Its heavy but different than a regular period. I was wondering if I should stay off the pills for a few months and let my body readjust, or when should I start taking the pills again? The sunday after this so called period, even though I just started taking the active pills last monday. (If it is a period! or if its just bleeding) Or should I wait a following month for a regual period and start then.

So basically my question is it safe to do what I'm doing, (going off and then back on the pills) And is this bleeding considerd a period, and how long typically will it last)? and when should I start the pills if I should at all? My system is all messed up and I need help. (October 15, 2004)

ANSWER:
It is recommended you discuss your birth control with your clinician. It is not recommended you begin your current pack of pills or a new pack of pills until you talk with your clinician. In the meantime, it is recommended you use another non hormonal birth control method such as condoms.



QUESTION:
I am currently taking Alesse and have been doing so for a year now. I have always had my period on time, or even 3 or 4 days early (before I take my reminder pills). For the past two months I didn't take my sugar pills and went right to the next pack to skip my period..... That was the first time I have ever done that. This month I took my pills as normal *with reminder pills* and did not get my period. I am very good about taking my pills every day and at the same time each day. I am switching to Mircette this up comming month, and I was wondering if I should start the pack as usual, or if I should wait a month or so to see if my period comes. I took a pregnancy test and it came out negative.... however, i was just wondering why it didn't come- and if it has anything to do with the fact that I "re-regulated" my period. Also, i didn't know if i had to wait for all the hormones to come out before my period would come. I'm just worried if I start Mircette without getting my period that I won't get it next month either. (September 24, 2004)

ANSWER:
Using your pills continuously stops your period by not allowing withdrawal from hormones. It is possible that the level of hormones in your body is higher than necessary to promote menstruation, which may be causing your delayed period.

It is recommended that you speak with your clinician before beginning your new pill; s/he would be able to make a recommendation to you about when to start your next pill pack, based on his or her familiarity with your body and health status.



QUESTION:
I have been on the pill for about a year now. When my doctor first prescribed it to me I used it exactly how she instructed. For some reason though, ever since i have started taking it, my periods never come during the blank pills. They always come in the first week of a new pack of pills. I have tried to talk to my doctor about this but she is not very helpful or informative. Is it possible you can help? (August 11, 2004)

ANSWER:
There are a number of different types of pills including one's with "sugar"pills and one's without. It would depend on which pills you are taking, but by your question it sounds like the pill pack you are taking may have what you call blank pills. After speaking with the UIC Family Medicine Clinic, they recommend that if you are not having your periods at the right phase of your cycle then you may want to see another clinician in the same practice if your current clinician is not being helpful, as you may need a different type/dose of pills.

If you are a UIC student, you are able to use the UIC Family Medicine Clinic as certain services including a GYN exam are free as well as reduced prices on some birth control pills. To schedule an appointment please call 312/996.2901. If you are not a UIC student, it would be recommended you see a clinician that would be helpful and informative with your questions.



QUESTION:
exactly one week after I started taking birth control for the first time, my partner ejaculated into me. how soon does the pill take effect? am i at risk? (August 3, 2004)

ANSWER:
It depends on which method or pill you are taking. Some methods it states to use a backup method, such as a condom, for 1 week after beginning the method, but others recommend using a backup method for 1 month after starting it. So, it would depend on the method you are on. If you read the insert that came with the pill package it usually tells you somewhere in there the answer to your question.

Now, if the encounter happened less than 72 hours ago, you do have the option of taking emergency contraception (EC). To find out more about EC, please see our ECP FAQ. If it has been longer than 72 hours then you can take a pregnancy test on the first day of a missed period (if you miss your period) to see if pregnancy was the result of this encounter. If you have additional questions on pregnancy, please see our "Pregnancy FAQ."



QUESTION:
I have been on Ortho Lo for a month now and my daily schedule is going to change soon. Is there a way that I can safely change the time of day that I take the pill? I take it around 10:30 am and I want to take it around 7:30 am. (July 27, 2004)

ANSWER:
The best way to go about switching the time you take your pill would be to wait until the start of a new pill pack, and begin taking the new pack of pills at the desired time.

Some women may experience spotting when they change the time they take their pills. It may take up to two weeks for your body to equilibrate to the new pill taking time.



QUESTION: What are the effects or risks of mixing alcohol with Ortho Tri-cyclen Lo? (July 27, 2004)

ANSWER:
Drinking alcohol does not affect the effectiveness of the birth control pill. However, if a woman has too much to drink and throws up within a few hours of taking the Pill, it may affect the effectiveness of it.

It is important to note that mixing sex with alcohol or other drugs may increase the chances of unintended pregnancy and exposure to sexually transmitted infections; if a person has sex when she or he is under the influence of alcohol and/or other drugs, that person is much less likely to be thinking clearly enough to use condoms, use them correctly, or practice other kinds of safer sex.



QUESTION:
I take a birth control, but forgot to take it yesterday. Today I had unprotected sex, but he pulled out. I realized an hour later that I forgot to take the pill. Could I still be pregnant? (July 20, 2004)

ANSWER:
All birth control pill come with an instruction sheet; this is found in every pack of pills. The instruction sheet tells the user what to do should she miss a pill. Most pill users are instructed to take the missed pill as soon as you remember and take your next pill at your usual time. This may mean taking two pills in one day. Depending on how many pills were missed, back up protection is sometimes recommended; however, it is important that you read the instructions enclosed in your pill pack to determine what you should do.

If you have additional questions, it is recommended that you speak to your clinician. For other pregnancy-related questions, please see our pregnancy FAQ link.



QUESTION: Umm... I'm thirteen and i was wondering do how old do you have to be to use the new Seasonale birth control pill? (July 8, 2004)

ANSWER:
Being sexually active is an important decision and it is recommended you talk with your guardians about sex, relationships, birth control and sexually transmitted infections (STI's) if possible. Planned Parenthood is a great (and reliable) resource to learn more information on these topic as well (www.plannedparenthood.org).

Seasonale is a fairly new birth control method on the market and has been tested in women of reproductive age. It is expected to be safe and effective in users under age 16 as well, but, again, it hasn't been tested in adolescent girls. Birth control pills are not 100% effective at preventing unplanned pregnancies, but will reduce the chance of pregnancy if used correctly. Birth control pills do not protect you from transmitting/contracting an STI, some of which are lifelong (HIV, genital warts, herpes, and hepatitis B) and some are curable if treated (gonorrhea, chlamydia, syphilis, pubic lice, etc.).

It is important to know as much as possible so you can make an informed decision about being sexually active and again, it would be recommended you discuss this with your guardians as well.



QUESTION: I have taken seasonale for the first time and its time for me to take the reminding pills and start my period but haven't I have 3 sugar pills left and still no period what could be wrong? (July 6, 2004)

ANSWER:
According to the SEASONALE website, it is a method of birth control that extends they cycle to where women may only get 4 periods per year, although some side effects can be spotting in between periods. It works like a 28-day birth control pill and is just as effective at reducing the chances of an unplanned pregnancy. SEASONALE also recommends women use an additional method of birth control, such as condoms, for at least the first 7 days of use.

The only way to find out for sure if you are pregnant or not is to take a pregnancy test. To find Chicagoland locations offering pregnancy test, please visit our website and click on the "STI/HIV and Pregnancy Testing Contacts".

If you have any clinical questions regarding birth control methods, please see your clinician.



QUESTION: I've been on Seasonale for about 4 days now. My boyfriend and I had sex. I really don't want to get pregnant. We DIDNT use a condom, and he took his penis out before he ejaculated. But some of the ejaculation got on my leg when i was still naked. There was a lot of ejaculation. Can I be pregnant? (June 24, 2004)

ANSWER:
Seasonale is fairly new on the market and they recommend women using it continue to use another method of birth control (i.e. condoms) for at least 7 days after beginning its use (www.seasonale.com).

Even if your partner withdrew his penis before ejaculation, there is a possibility of pre-cum (which is separate from ejaculation and happens when the penis becomes erect) as it can also contain sperm. It's not likely you would get pregnant if his ejaculation was on you leg, unless it got in or around your vaginal opening, but, again, there may be pre-cum. It also depends a great deal on where you are in your cycle and when you ovulate.

If you are worried about becoming pregnant and it's within 72 hours of the encounter, you can look into emergency contraception (see our EC FAQ). If you are a UIC student currently (summer semester), you can get EC at the UIC Family Medicine Center (312/413.2901). You can also look into Planned Parenthood at www.plannedparenthood.org. If it's been longer than 72 hours, you can take a pregnancy test once you have missed the first day of your period.

If you have more questions about pregnancy or EC, please visit our FAQ's at www.wellctr.uic.edu.



QUESTION:
I have been on the pill for over a year now and recently I had to take antibiotics for an infection. I have been off these antibiotics for a whole cycle but about three days before I started my inactive pills, I got light bleeding. could this mean that the pill is still ineffective? (June 17, 2004)

ANSWER:
Some medications can make some birth control methods less effective, therefore it is important to talk with you clinician about the possibility of using a different method while taking the medication(s). It's also important to discuss with your clinician the length of time you and your partner should use this alternative/additional method as it may vary from the medication you're on.



QUESTION:
Ive been on seasonale for almost 3 months now. For the past month in a half i have been having this think brown discharge very often.. is this a side effect or should i be concerend? (June 17, 2004)

ANSWER:
According to the SEASONALE web site, it is common and more likely (than with a 28-day pill) to have slight spotting and/or a flow similar to a period while on this method, but this should decrease over time.



QUESTION:
I've been on the seasonale birth control pill for two months now, and I've just now started to have some spot bleeding. The instructions for the pill say that I should continue to take the last month of pills as I have been, but I've read that I should stop for a week, have a period, and then resume my schedule of pills. What should I do? Thanks (April 12, 2004)

ANSWER: It is important to take prescription pills exactly as prescribed by your clinician. If you have questions about how to take your pills, or you are concerned about any side effects you may be having, it is recommended you speak to your clinician.



QUESTION:
I just started using the pill. I'm about to start my fourth pack. In the third week of taking the active pills I had light bleeding and brown smear. however for me this abnormal. But now that i'm taking the reminder pill. I haven't had any light bleeding except the brown smear. Is this normal or should I contact my doctor for a different pill? (April 12, 2004)

ANSWER: Many women experience side effects when they first go on the pill, usually within the first one to three months. The vast majority of women have only minor side effects.

Some of these side effects are: light bleeding between menstrual periods, skipped periods, heavy bleeding, nausea, weight change, bloating, increase in vaginal infections, abdominal pain, or headaches.

If you are concerned about the changes in your period, it is recommended that you speak to your clinician.



QUESTION: I have been on the pill for 2 years and this month my period only lasted for 2 1/2 days and then was mostly dark discharge. Is my period gradually become shorter or should I be more concerned with pregnancy? (April 1, 2004)

ANSWER:
Over the course of time, birth control pills (BCPs) gradually thin out the lining of the uterus (the endometrium). This may result in lighter periods, and over time, for some women, this may mean actually missing a period.

If you are concerned that your period is too light, or that you may be pregnant, it is recommended that you see your clinician.



QUESTION: I have been taking the birth control pill for about 3 years now. i have always had pretty regular periods always following on the last thursday of my pack of pills. This month my period started almost a week early. Is this something to worry about? (March 19, 2004)

ANSWER: If something occurs (or doesn't occur) that is abnormal for you or your body, it would be recommended you see your clinician to discuss the situation.



QUESTION:
I deliberately miss 5 pills so as to bring my period earlier because I will be going for a trip 2 weeks later. I am not worry about pregnancy since i will not be having sex. However, after stopping for 4 days, I still don't see my period. Is my period not going to come because of the missed pills? Is taking the pills for 16 days good enough to bring forward the period? (March 19, 2004)

ANSWER: It would be highly recommended you contact your clinician for an answer to this question. If you are a UIC student you can contact a nurse at the UIC Family Medicine Clinic by calling 996.2901 and pressing 4 when the prompt comes on. The nurse will want to know the type of pill you're on as well as any surrounding information.

Also, since you missed a number of pills it is recommended you use another form of protection, such as a condom, if you do decide to have sex. Another form of protection should be used until you have completed one whole month/new pack without missing any days/pills.



QUESTION:
I have taken Brevinor for 2 months, but then in the second month, i stopped taking it after 15 days. It is now the third day after stopping, why i don't have my period? Will my period come within a few days? Is it necessary to take 21 days? I have spotting while taking the pills, why I still have spotting even i have stopped taking for 2 days? (March 18, 2004)

ANSWER: Since you took the pills for 1.5 months, it may take a little bit for your body to get back to a normal cycle unless your cycles were irregular prior to taking the pills.

It would be recommended you do not start back on the pills until you see your clinician again for advice, but using another form of contraception, like a condom, would be advised when and if you have sex.

As with all hormonal contraceptives, including oral contraceptives, there could be side effects for the person taking them. It may be best to read the drug information insert you probably received when you picked up your pills at the pharmacy. In this insert, under side effects, it says that spotting or bleeding may occur during the first few cycles and that if such bleeding persists or if heavier bleeding occurs, medical advice should be sought. There could be other side effects including slight nausea at first, weight gain or breast discomfort, which will soon disappear, and possible amenorrhea (loss of period). Prolonged amenorrhoea following the use of oral contraceptives may occur, but is fairly rare according to studies.

It is recommended you talk with your doctor about your concerns and discuss the side effects of any medication prescribed to you.



QUESTION:
What does it mean if your period doesn't land on the week the pills say it should? (October 2, 2003)

ANSWER: If you are unsure about your menstrual schedule it is best to talk to a clinician and see if your schedule is not in sync with your pills.



QUESTION:
Since last April I went off the pill. I took the pill for about 7 years. My husband & I have been trying for a baby since then. Now in Mar.03, I was a week late, started but was very light (only about a day) have been experiencing breast tenderness, fatigue, nausea. Decided to take pregnancy test, was neg. Still experiencing breast tenderness & extreme fatigue. Could I still be pregnant??

ANSWER: There is a possibility you could still be pregnant since the over-the-counter test may not be extremely accurate or it could be too soon for the test to detect your pregnancy. It may be good to see your clinician for a pregnancy test since they are able to do more valid test.



QUESTION:
1) Is it normal for a woman to get her periods/spotting when she is on the pill/Birth control, and is having sex? What does it mean if she gets the same

2) When a woman discontinues the pill and is trying to get pregnant, and she gets irregular bleeding/spotting does that means she is pregnant?

3) Why do some women bleed the first time they have sex? Is that a cause for concern?

ANSWER:
1) It is normal for women to continue to have their periods and spot between periods while on the pill. Each woman is different when taking birth control pills. It is also normal for some women to bleed/spot the first time they have sex and sometimes after sex. 2) It is very dependent on how long she has been taking the pill. Some women can have irregular periods (especially if they were irregular prior to taking the pill) after they cease taking the pill. If she wants to find out if she is pregnant it is best to take a pregnancy test to find out.3) Some women are naturally tight the first time they have sex, therefore stretching the vaginal wall can cause little tears, which can lead to spotting/bleeding. This is not cause for concern unless it is excessive bleeding, which should then be checked out by a clinician.



QUESTION: My boyfriend and I started having unprotected sex after I started birth control, now I have been on the pill for about 2 months and last night he ejaculated in me for the first time, can I become pregnant?

ANSWER: If you use the pill consistently and correctly, as prescribed by your clinician, then there is less than a 1% chance you could get pregnant. This chance is decreased even more if you use condoms as well. The pill is usually effective against pregnancy after 1 month of consistent and correct usage. Before this, you may want to think about using another prevention method like condoms.



QUESTION: Do I need a doctor’s appointment in order to get birth control pills?

ANSWER: Yes. Birth control pills need to be prescribed by a clinician and at most clinics you need an appointment. If you do not have a clinician, please check out our website at http://www.uic.edu/depts/wellctr/stihivandpregnancy.html to find numbers to the UIC Family Medicine Clinic and area Planned Parenthood locations.

If you are a UIC student, you have a student health fee (you are not allowed to waive out of this) and depending if you waived out of the student insurance (MegaLife) you may have that as well. With the student health fee you are able to go to UIC Family Medicine for basic care including gynecological care. There is a small fee for the monthly pill packs though.


QUESTION: Is there a place on campus where a student can receive birth control at discounted prices?

ANSWER: The UIC Wellness Center, located in room B19 of the Student Center East (formerly CCC) offers free condoms (male and female) to the UIC Community Monday - Friday, 8:45am - 4:45pm.

If you prefer prescription birth control, UIC Family Medicine, located on the west campus, offer a wide variety of birth control options. Their phone number is 996.2901. If you click here, you will find a list of Planned Parenthood locations in the Chicagoland area who offer birth control services, some at a reduced cost depending on income. Please call the location your interested in to find out about discounted prices.



QUESTION: I've been taking the pill for two months...but lately in the last two weeks or so I haven't been taking the pill on time everyday. I usually take then between 10 and 12, but occasionally I take them in the evening. However, I haven't missed a day. I started the pill (ortho-tri-cyclen) at the end of my flow cycle...the first month I spotted for two weeks (during the light blue and green pills)...this month I thought I would start my period on my fourth week (the green pills), but haven't. It's been three days into the green pills, but last night my boyfriend ejaculated in me for the first time. Are the pills just as effective?

I called the family center to talk to a nurse… She said I should be fine and not pregnant. I asked about the morning after pill, but she said it wouldn't be necessary because I haven't missed a day of pills...should I be satisfied with her answer.

ANSWER: Our office has been fortunate enough to collaborate with UIC Family Medicine and we routinely call them to schedule appointments or refer students to them. Although we are confident in their work, the question is if you are. If you are uncomfortable with what they said, you may want to schedule an appointment with a clinician.

As for birth control pills, it is best to follow the directions of the pills, pharmacists, and your clinician. Literature has shown the pills are effective if taken daily.



QUESTION: One of my friends who were on birth control said that they were pregnant but that birth control stopped it but whenever she went off birth control she got pregnant again. I had sex with my boyfriend and the condom broke so he pulled out but I’m paranoid and want to know if I go on birth control now will it prevent me from being pregnant if I am?

ANSWER: Well, your friends are partially correct. A high dose of pills (which have to be prescribed by a physician) can be taken within 72 hours of intercourse and decrease the chance of pregnancy - this is called emergency contraception. To repeat what was said, you need to see a physician to receive the correct dosage and instructions as to administering the drugs.



QUESTION: I had been on Ovcon 35 for about 6 years, to control monthly periods, and decrease heavy clotting during periods. I starting to spot every few months between periods, so I was put on ovcon50. This is my 2nd month on it. I did not spot during the first month, period lasted about 7 days, only 2 were slightly heavy. Now this month I just started the 3rd week of the pills and I am getting menstrual cramps, no spotting yet. I am wondering if this is normal. I thought with the pill you weren't supposed to ovulate. I used to get small cysts that would go away on their own before I was put on the pill. I had a tubular done 21 years ago. Is this normal or am I possibly starting menopause? I am 47. How would I know menopause being on the pill? Thanks for any help you can give me.

ANSWER: Unfortunately, because this is a clinical question, we are unable to answer it. Please contact your clinician for an answer to your questions.



QUESTION: Where can I get birth control pills?

ANSWER: Birth Control Pills (BCP) need to be prescribed by a clinician. Locations in the Chicago Land area can be found on our website at "Chicago Pregnancy testing contact information". Among these you will find the UIC Family Medicine (312/996.0136) and various Planned Parenthood locations that you can call to schedule an appointment.



QUESTION: I finished my period a week ago and was unable to start new pill pack. I have the new pack and want to start now. I have not been taking the pill for 7 days (from a 28 day pack). Do I wait until I get my next period or can I start now?

ANSWER: Please talk with your clinician regarding this question to see what is best for you.



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