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Q: Mini Pill use and side effects ?
asked by: GreyWolf on August 12th, 2009
Experienced User
Although I am not in a relationship currently, I figured it would be a good idea to look into back-up contraception in case anything happened at any point (accident, getting carried away, condom breaking etc). I cannot take the combined pill or any birth control containing oestrogen due to a history of severe migraines, and I'm a virgin so probably wouldn't be able to use an IUD or IUS! I also have a latex sensitivity, so some brands of condom are out of the question (I've already mentioned this somewhere else on this board).
As a result my options regarding contraception are somewhat limited! I'm trying to find out more about the Mini Pill. I first heard about it on this forum and I have a few questions. I live in the UK.

Firstly how do I get hold of the mini-pill? I've spoken to my doctor about it but she didnt actually say where to get it. Is it something I have to obtain from her via repeat prescription, or do I have to buy it OTC? If OTC, is there any way I can get hold of it for free (I have very little money at the moment), and if not, how much will it most likely cost?

Also what are the possible side effects? I have quite heavy periods that can sometimes be a bit irregular. I also suffer physically from PMS and bad period pains. Does the Mini Pill affect your period in any way and does taking it increase your chances of suffering from PMS or pain? I'm currently on iron tablets (ferrous fumarate) for anaemia and take meds for period pain (mefenamic acid). Are either of these likely to clash with the POP or reduce it's effectivity?

Also how reliable is the POP? Is it less reliable than the combined pill? I got the impression from my doctor that Cerazette is just as effective as the combined pill, but other people have been saying that no POP is as effective as the combined.

I know you have to take it at the same time each day, but how much time do I have either side in case I forget, or take it early? What happens in the event of a missed pill or one taken early? How long do I have to take it before I'm protected? Do I have to take the active pill constantly or is there a placebo pill like there is for the combined? Also is there any way to know I am protected and the pill is working? Would I have to use a condom during any placebo week?

Sorry for all the questions, and thanks Smile
Grey.
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rockon0159
replied on August 12th, 2009
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I'll try to answer as many questions as best I can:
-When you are on birth control you, you don't really have a menstrual period. Rather, you have a withdrawal bleed in the time when you are not taking pills that contain hormones. This is caused by the drop in hormones in your system, which causes the lining of the uterus to shed. It is NOT a menstrual period because ovulation does NOT occur. Therefor, taking the pill should make your "periods" considerably better. Most people experience decreased cramps and bleeding, and for some, their bleeds go away all together.
-POP's are just as reliable as the combined pill, HOWEVER, this requires they are taken perfectly. The combined pill has a larger window of time to take the pill without it loosing its efficacy, whereas the mini-pill's window is much smaller. IT IS A 3 HOUR TIME WINDOW. This means that if you usually take your pill at 8:00 pm, you can take it as late as 11:00 pm. Taking it later than that will cause it to loose its efficacy.
-For most pills, one missed pill should not effect your protection. However, this may be different depending on what kind of pill you are taking. When you get your pills, you may want to read the booklet that comes with the pack. It will tell you exactly what to do in the case of a missed pill, and whether your protection has been compromised or not.
-Some people say the pill is effective after 7 days. But, everyone's bodies are different, so many doctors suggest letting your body get used to the pill for a while (about a month or so) before relying on it completely. After that, as LONG AS YOU TAKE YOUR PILL AT THE SAME TIME EVERY DAY, you will be able to have sex without a condom and be more than 99% protected.
-Birth control pills are obtained by prescription. I do not think you can buy them OTC.
-Most women rely on the existence of their monthly withdrawal bleed as proof that they are not pregnant. For many women, one of their first signs of pregnancy was the absence of a withdrawal bleed during the placebo week. But, this is not sound proof that one is or is not pregnant. Many things can cause your period to not occur during the placebo week.
-For most mini-pills, there is a placebo week.
-Remember: Relying on the pill for protection requires that you take it perfectly. This means taking it on time every day. There are, however, also outside factors that can contribute to pill failure. Taking contradicting medications or experiencing vomiting/severe diarrhea MAY reduce your pills efficacy, as the pill would not have a chance to absorb properly. A good rule to remember is the rule of 7: You MUST have 7 effective days of hormones in your system before your are fully protected.!

Sorry that was a bit long! Please let me know if you have any other questions, and best of luck!
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