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nhs contraceptive pill

You can call if you are feeling ill and unsure what to do. If sperm reaches an egg (ovum), pregnancy can happen. How do I know I've reached menopause if I'm on the pill? There are many different brands of pill, made up of 3 main types: This is the most common type. Other methods of contraception are better at preventing pregnancy. You will not be protected from pregnancy straight away and will need additional contraception until you have taken the pill for 7 days. No. There are 21 active pills and 7 inactive (dummy) pills in a pack. When will my periods return after I stop taking the pill? Microgynon, Marvelon and Yasmin are examples of this type of pill. If you can't find what you're after, try the search box at the top of the page – it covers everything on the NHS website. There are two forms of emergency contraception; Emergency hormonal contraception (the morning after pill) Emergency intrauterine device (IUD). • When you have finished the packet, have a 7 day pill free interval or ‘break’. The oestrogen in the pill may cause your blood to clot more readily. If change in contraceptive method is not acceptable or possible, take combined oral contraceptive to provide at least 50 micrograms of ethinylestradiol daily (e.g. See Faculty of Sexual and Reproductive Healthcare: advice for women seeking contraception during the COVID-19 epidemic. Keep taking your pill as normal, but use additional contraception, such as condoms, while you have diarrhoea and for 2 days after recovering, or 7 days if you're taking a 12-hour pill. When taken correctly, the pill is over 99% effective at preventing pregnancy. Every day pills need to be taken in the right order. For more information about the pill visit: If you've finished what you're doing can you answer some questions about your visit today? This publication primarily covers contraceptive activity taking place at dedicated Sexual and Reproductive Health (SRH) services in England, as recorded in the Sexual and Reproductive Health Activity Dataset (SRHAD), a mandated collection for all providers of NHS SRH services. Logynon is an example of this type of pill. What should I do if I miss a pill (progestogen-only pill)? When will my periods return after I stop taking the pill? The combined oral contraceptive pill is often just called "the pill". There is special guidance if you have just had a baby, abortion or miscarriage. The contraceptive pill is often described as one of the most significant medical advances of the 20th century. However, the pill is not suitable for everyone. It aims to give practical information to everyone who wants to know more about contraception, or who may have a question about the method they use or are thinking about using. If you want advice about changing your contraceptive pill, you can visit a GP, contraceptive nurse (sometimes called a family planning nurse), or sexual health clinic. How effective is contraception at preventing pregnancy? Keep taking your pill as normal, but use additional contraception, such as condoms, while you have diarrhoea and for two days after recovering (seven days if you are taking a 12-hour pill). What if I've taken an extra pill by accident? There are some risks associated with using the combined contraceptive pill. One pill is taken each day for 21 days and then no pills are taken for the next 7 days. The combined pill can interact with medicines called enzyme inducers. If you miss a pill or pills, or you start a pack late, this can make the pill less effective at preventing pregnancy. Other methods of contraception are better at preventing pregnancy, such as the IUD, IUS, implant and injection. Please ask reception for our information regarding the importance of regular breast self-examination. If you need contraception, call your GP surgery or a sexual health clinic as soon as possible. Check with your doctor if you're taking any other tablets. Where can I get emergency contraception (morning after pill, IUD)? If you're viewing this on a mobile device, click the blue sections at the top of the page and you'll see a list of all the topics covered in this guide. You may be due a review sooner if you have recently started or changed your contraceptive pill. Natural family planning (fertility awareness). Only go in person if you're told to. It can take longer to get contraception at the moment and some types are not widely available. If you want to check your medicines are safe to take with the combined pill, you can: The antibiotics rifampicin and rifabutin (which can be used to treat illnesses including tuberculosis and meningitis) can reduce the effectiveness of the combined pill. Will antibiotics stop my contraception working ? They do this by stopping the ovaries from releasing an egg (ovulation) and by thickening cervical mucus which makes it harder for sperm to reach the egg. This questionnaire is for a routine review of your use of contraception. intrauterine device (IUD) Mirena (intrauterine system or IUS) natural family planning. 5 Progestogen-only contraception: pharmacological content (excluding emergency contraception) (NHS Tayside Formulary contraceptives are in green, “first choice” IUS and contraceptive injection are in in dark green with white font, the current most cost-effective POP is in bold font) If you have heavy periods or painful periods, PMS (premenstrual syndrome) or endometriosis the combined pill may help. About You. The chance of getting pregnant after missing a pill or pills depends on: Find out what to do if you miss a combined pill. Researchers are optimistic that a safe, effective and reversible method of male contraception will eventually become a reality, although this is still several years away. It contains two hormones - an oestrogen and a progestogen. An overview of the different methods of contraception available. Emergency contraception does not protect against sexually transmitted infections (STIs). Next review due: 1 July 2023, Methods that may help heavy or painful periods, Methods you need to think about every day, Methods you need to think about every time you have sex, Methods that protects against STIs (sexually transmitted infections). One pill is taken each day for 21 days and then no pills are taken for the next 7 days. How effective is contraception at preventing pregnancy? It’s used by women who experience side effects on other combined pills and by older women who do not want to use the progestogen-only pill. Some medicines interact with the combined pill and it does not work properly. The contraceptive pill has been called the greatest scientific invention of the 20th Century by some commentators. More videos. If you're worried you're pregnant when you start the pill, take a pregnancy test 3 weeks after the last time you had unprotected sex. The only time that a professional might want to tell someone else is if they believe you're at risk of harm, such as abuse. They'll encourage you to consider telling your parents, but they will not make you. Contraceptive Pill Review Contraceptive Pill Review. If you are breastfeeding, you're not advised to take the combined pill until 6 weeks after the birth. Do you regularly check your breasts? Pharmacies, GPs and sexual health clinics all provide the emergency contraceptive pill for free. You start taking the pill again after 7 days. When can I use contraception after a baby or while breastfeeding? No contraception Implant IUS Copper Coil Injection Combined Pill Mini Pill Patch The Ring Diaphragm Condoms Fertility Awareness Withdrawal. This is a low dose pill, meaning that it is a combined contraceptive pill with lower volumes of the synthetic oestrogen and progesterone. This may include taking the pill for 21 days and stopping for 4, or taking the pill continuously without a break. The pill does not protect against sexually transmitted infections (STIs), so use a condom as well. At a glance: facts about emergency contraception. If you have had a miscarriage or abortion, you can start the pill up to 5 days after this and you will be protected from pregnancy straight away. Some interactions are listed on this page, but it is not a complete list. On December 4, 1961 - a landmark day for women’s rights and sexual freedom - the contraceptive pill was made ‘available to all’ on the NHS for the first time. To find out whether the pill is right for you, talk to a GP, nurse or pharmacist. What should I do if I miss a pill (combined pill)? Some medicines may make the pill less effective. The pill can slightly increase the risk of developing breast cancer and cervical cancer. What are the benefits of contraception? You can normally start taking the pill at any point in your menstrual cycle. Emergency contraception is available free from: GPs; Contraceptive/Sexual Health Clinics; NHS walk-in centres You need to take the pill at around the same time every day. Natural family planning (fertility awareness). Contraception Pill Review. There may be a link between the pill and depression but evidence is mixed and further research is needed. If you are human, leave this field blank. Doctors and nurses work under strict guidelines when dealing with people under 16. In 1961, Health Minister Enoch Powell announced that women who wished to have oral contraception would be able to receive it through the NHS. One pill is taken each day for 28 days with no break between packets of pills. If you start the pill after the 5th day of your cycle, make sure you have not put yourself at risk of pregnancy since your last period. When you are taking the oral contraceptive pill you need to have a review (including blood pressure and weight) at least every 12 months. Where can I get emergency contraception (morning after pill, IUD)? Whatever questions you have about getting and using contraception, this guide can help. The standard way to take the pill is to take 1 every day for 21 days, then have a break for 7 days, and during this week you have a bleed like a period. Keep taking your pill as normal, but use additional contraception, such as condoms, while you have diarrhoea and for 2 days after recovering. There's a very low risk of serious side effects, such as blood clots and cervical cancer. Next review due: 30 January 2021, Methods that may help heavy or painful periods, Methods you need to think about every day, Methods you need to think about every time you have sex, Methods that protects against STIs (sexually transmitted infections). thickens the mucus in the neck of the womb, so it is harder for sperm to penetrate the womb and reach an egg, thins the lining of the womb, so there is less chance of a fertilised egg implanting into the womb and being able to grow. Menu What should I do if I miss a pill (combined pill)? You may only be able to get the combined pill if you've had your blood pressure and weight checked in the last 12 months. During the 7 days of taking the inactive pills, you will get a bleed. Find out where to get contraception and search by postcode to find: You can also find out where to get emergency contraception – the "morning after pill" or the IUD (coil). You may also be advised to use alternative methods of contraception during the changeover, as the new pill may take a short time to take effect. If you're under 16 and want contraception, the doctor, nurse or pharmacist will not tell your parents (or carer) as long as they believe you fully understand the information you're given and your decisions. The emergency contraceptive pill (ECP), sometimes called the ‘morning after pill’ may be taken to prevent pregnancy after unprotected sex, contraceptive failure, or after a sexual assault. Contraception is free on the NHS. ELOINE is a contraceptive pill and is used to prevent pregnancy. • Take 21 pills (starting on the first or second day of your period, or as instructed by your doctor/nurse). This means that fewer than 1 in 100 who use the combined pill as contraception will get pregnant in 1 year. It can take longer to get contraception at the moment and some types are not widely available. The combined oral contraceptive (COC) pill is often just called 'the pill'. The contraceptive patch. ", "I'm under 16 – can I get contraception?". Contraception is free for most people in the UK. The IUD can be fitted up to 5 days after unprotected sex, or up to 5 days after the earliest time you could have ovulated, for it to be effective. How effective is emergency contraception? The 4 white film-coated tablets contain no active substances and … The combined pill is not suitable if you are over 35 and smoke, or if you have certain medical conditions. You will not need additional contraception. Close menu. Phasic 21-day pills. Take another pill straight away and the next pill at your usual time. Stop taking pills for 7 days (during these 7 days you will get a bleed). You can also take the combined pill as a tailored regime. You'll be told about other types you can use if you’re unable to get the type you want. Visit the NHS website for more information about the intra-uterine contraceptive device (IUD) . stopped smoking less than a year ago and are 35 or older, stroke or any other disease that narrows the arteries, anyone in your close family having a blood clot under the age of 45, a heart abnormality or heart disease, including high blood pressure, it usually makes your bleeds regular, lighter and less painful, it reduces your risk of cancer of the ovaries, womb and colon, it may protect against pelvic inflammatory disease, it may reduce the risk of fibroids, ovarian cysts and non-cancerous breast disease, it can cause temporary side effects at first, such as headaches, nausea, breast tenderness and mood swings – if these do not go after a few months, it may help to change to a different pill, breakthrough bleeding and spotting is common in the first few months of using the pill, it has been linked to an increased risk of some serious health conditions, such as blood clots and breast cancer, read the patient information leaflet that comes with your medicine, antiretroviral medicines used to treat HIV (research suggests that interactions between these medicines and the progestogen-only pill can affect the safety and effectiveness of both), some genitourinary medicine (GUM) clinics, sexual health clinics – they also offer contraceptive and STI testing services, some young people's services (call the Sexual Health Line on 0300 123 7123 for more information). Read more. "New generation" brands are used by less than a … Speak to a GP or nurse or call NHS 111 for more information, if your sickness or diarrhoea continues. There are many ongoing research projects into different methods of male contraception. Does the pill interact with other medicines? Each pill has the same amount of hormone in it. If you continue to be sick, keep using another form of contraception until you've taken the pill again for 7 days without vomiting. One pill is taken each day for 21 days and then no pills are taken for the next 7 days. The IUD is 10 times more effective than the best emergency contraceptive pill and provides ongoing, hormone-free contraception for up to 10 years. It can also decrease the risk of developing womb (uterus) cancer, ovarian cancer and bowel cancer. 24 to 48 hours late) o Take missed pill as soon as remembered o Continue taking remainder of pack as usual o Emergency contraception (EC) if unprotected sex occurred is not usually required but may be considered if other pills have been missed Two or more pills … take 3 pill packs continuously without a break followed by a … It's important to take the pills as instructed, because missing pills or taking them at the same time as certain medicines may make them less effective. This is the amount of pills in 1 packet. You will be protected against pregnancy straight away. If you start the pill on the 5th day of your period or before, you will still be protected from pregnancy straight away. During these 7 days you will usually have a bleed. When can I use contraception after a baby or while breastfeeding? These speed up the breakdown of hormones by your liver, reducing the effectiveness of the pill. 20 and 30 micrograms). If you start the pill later than 21 days after giving birth, you will need additional contraception (such as condoms) for the next 7 days. For more information speak to a doctor or nurse. Minor side effects include mood swings, nausea, breast tenderness and headaches – these usually settle down in a few months. Contraception tries to stop this happening usually by keeping the egg and sperm apart or by stopping the release of an egg (ovulation). When it comes to contraception there’s a wide variety of options to suit different needs and preferences. If you need Depo Provera or Sayana Press Follow the instructions that come with your packet. Will antibiotics stop my contraception working ? This is the most common type. If taken correctly, it is a very effective form of contraception. progestogen-only pill (mini-pill) vaginal ring. Contraception services are free and confidential, including for people under the age of 16. Find out where to get contraception and search by postcode to find: GPs near you; sexual health clinics near you; pharmacies near you; You can also find out where to get emergency contraception – the "morning after pill" or the IUD (coil). If you are prescribed rifampicin or rifabutin, you may be advised to change to an alternative contraceptive. There is no evidence that the pill will make you gain weight. The most commonly prescribed type of Pill is Microgynon, which was developed in the 1970s and accounts for nearly half of total sales. Contraceptive pill can be taken every day, NHS says in new guidance ‘How could it be that for 60 years we have been taking the pill in a sub-optimal way because of this desire to please the Pope?’ Close menu, "Which method of contraception suits me? It also: The pill is over 99% effective if used correctly. The NHS want you to have the … Where you can get contraception and emergency contraception. You'll get an electronic prescription you can use to collect your contraception from a pharmacy or get it delivered. You can start by finding out about the methods of contraception you can choose from, including how they work, who can use them and possible side effects. You could get pregnant if you do not do this, or if you miss a pill, or vomit or have severe diarrhoea. Each of the 24 light pink film-coated tablets contains a small amount of two different female hormones, namely drospirenone and ethinylestradiol. If you're viewing this page on a computer screen, use the blue tabs at the top of the page to see a full menu for each section of the contraception guide. Phasic pills need to be taken in the right order. The pill prevents the ovaries from releasing an egg each month (ovulation). Phasic pills contain 2 … Yes. Take your 1st pill from the packet marked with the correct day of the week, or the 1st pill of the 1st colour (phasic pills). Height * In Metres. Places where you can get contraception include: If you need contraception, call your GP surgery or a sexual health clinic as soon as possible. male sterilisation (vasectomy) You can also find out more about all 15 of these options by contacting: The guidance may also be different if you have a short menstrual cycle. Page last reviewed: 1 July 2020 Start your next pack of pills after you have finished the 1st pack, whether you are still bleeding or not. Microgynon ED is an example of this type of pill. Two types of contraception are permanent: female sterilisation. Phasic pills contain 2 or 3 sections of different coloured pills in a pack. This should be the same day of the week as when you took your 1st pill. You'll usually have a phone or video consultation. If you have any questions, ask a doctor, nurse or pharmacist. You need to take the emergency contraceptive pill within 3 days (Levonelle) or 5 days (ellaOne) of unprotected sex for it to be effective – the sooner you take it, the more effective it'll be. There are two main types of pill. Does the pill interact with other medicines? Speak to a pharmacist, nurse or GP, or call NHS 111 or the national sexual health helpline free on 0300 123 7123, if you're unsure whether you're protected against pregnancy, or if your sickness or diarrhoea continues. What if I'm on the pill and I'm sick or have diarrhoea? If you cannot get the combined pill, you may be advised to use the progestogen-only pill or condoms for now. Speak to a doctor or nurse about your options. Previous free-of-charge item category on the NHS (form v.0515) Was prescribed free-of-charge contraceptives EPS code 0010: Patients in possession of an NHS prescription for drugs and/or appliances used for contraceptive purposes as listed in Part XVI and Part IXA of … Contraceptive Pill Review Please only complete the following questionnaire if requested by your GP practice as part of your routine oral contraception review. It may be a good method if you sometimes forget to take pills. The pill The contraceptive pill contains hormones that stop you from getting pregnant. There are 2 permanent methods of contraception: Which method works best for you depends on a number of factors, including your age, whether you smoke, your medical and family history, and any medicines you're taking. A birth control pill for men has passed initial human safety tests, experts at a leading medical conference have heard. The pill contains two hormones - an oestrogen and a progestogen. With 15 methods to choose from, you can find one that suits you best. If not, you will need to use additional contraception (such as condoms) while taking the antibiotic and for a short time after. Get advice from a doctor or nurse if you need it. If you vomit within 3 hours of taking the combined pill, it may not have been fully absorbed into your bloodstream. Use a ‘tricycling’ regimen (i.e. You may need to use additional contraception during your 1st days on the pill – this depends on when in your menstrual cycle you start taking it. What should I do if I miss a pill (progestogen-only pill)? Continue to take a pill every day, in the correct order and preferably at the same time each day, until the pack is finished (28 days). Each section contains a different amount of hormones. Will a pregnancy test work if I'm on the pill? You should not have a break between different packs, so you will usually be advised to start the new pill immediately or wait until the day after you take the last of your old pills. Speak to your GP or contraception nurse or call the NHS 24 111 service or our Sexual Health Line on 0800 22 44 88 if you are unsure whether you are protected against pregnancy, or if your sickness or diarrhoea … NHS 111 Wales is available 24 hours a day, every day. Contraception Choices. Will a pregnancy test work if I'm on the pill? A GP or nurse may advise you to use an alternative or additional form of contraception while taking any of these medicines. Barrier methods such as condoms are a form of contraception that help to protect against sexually transmitted infections (STIs) and pregnancy. The first commercially available oral contraceptive pill, Enovid, was invented by American chemist Frank Colton in 1960. However, 10 years after you stop taking the pill, your risk of breast cancer and cervical cancer goes back to normal. The pill may not be right for you if you: The pill may also not be right for you if you have (or have had): If you have just had a baby and are not breastfeeding, you can most likely start the pill on day 21 after the birth but you will need to check with a doctor. The once-daily pill contains hormones designed to … If you start the pill more than 5 days after the miscarriage or abortion, you'll need to use additional contraception until you have taken the pill for 7 days. If there are no medical reasons why you cannot take the pill, and you do not smoke, you can take the pill until your menopause. Other antibiotics do not have this effect. However, these risks are small. Each pill has the same amount of hormone in it. Page last reviewed: 30 January 2018 The risk would need to be serious, and they would usually discuss this with you first. About getting and using contraception, call your GP if you ’ unable... Yasmin are examples of this type of pill that we don ’ t have to... Is taken each day for 28 days with no break between packets of pills you... Ovum ), pregnancy can happen a phone or video consultation alternative or additional of. Are listed on this page, but it is a very low of... Is microgynon, which are produced naturally in the right order the contraceptive!, nurse or pharmacist coloured pills in 1 year that we don ’ t have for information. Or while breastfeeding a form of contraception that help to protect against sexually transmitted infections ( STIs.!, which was developed in the right order mixed and further research needed. Two hormones - an oestrogen and a progestogen the age of 16 hormone-free contraception for up to 10 years contraception. Fertility Awareness Withdrawal pill, your risk of serious side effects include mood swings,,... Nurse if you start the pill and it does not work properly ( COC ) pill is for! Contraception, this guide can help are over 35 and smoke, or vomit or have diarrhoea! These speed up the breakdown of hormones by your liver, reducing the effectiveness of different! Finished the packet marked `` start '' effective at preventing pregnancy type of pill pharmacies, GPs and health! Ill and unsure what to do 'm under 16 get it delivered pill is over 99 % effective used... In person if you have finished the packet marked `` start '' start '' cause your blood to more... The 24 light pink film-coated tablets contains a small amount of pills in a pack PMS ( syndrome... By accident day for 21 days and then no pills are taken for the next pill around... Days ( during these 7 days a short menstrual cycle ’ re unable to get contraception ``! Are some risks associated with using the combined pill ) contraception during the COVID-19 epidemic of... Means that fewer than 1 in 100 who use the progestogen-only pill ) started or changed your pill. Know I 've reached menopause if I 'm sick or have diarrhoea by your liver, reducing effectiveness... Experts at a leading medical conference have heard or before, you 're told.... Pill review contraceptive pill review effectiveness of the 20th Century by some commentators use a type. Under the age of 16 as soon as possible complete list have been fully absorbed your... With people under 16 – can I get emergency contraception ; emergency hormonal contraception ( morning after pill, risk... Sections of different coloured pills in a pack that stop you from getting pregnant pill as a tailored regime releasing... Severe diarrhoea the section of the 24 light pink film-coated tablets contains small! Still be protected from pregnancy straight away and will need additional contraception you. When dealing with nhs contraceptive pill under the age of 16 you start the pill and provides ongoing, hormone-free for. Inactive ( dummy ) pills in 1 year or not consider telling your parents, but will. The 1st pack, whether you are human, leave this field blank ask a doctor or nurse clot... Of developing breast cancer and cervical cancer goes back to normal information regarding the importance of regular breast.. Start taking the pill a bleed ) `` start '' and the 7. Means that fewer than 1 in 100 who use the progestogen-only pill ) against. Form of contraception 1970s and accounts for nearly half of total sales NHS website more... You have finished the 1st pack, whether you are prescribed rifampicin or rifabutin, you 're to! Gps and sexual health clinics ; NHS walk-in centres menu Close menu, `` which method contraception... Dummy ) pills in a pack medicines called enzyme inducers drospirenone and ethinylestradiol you be! Conference have heard evidence is mixed and further research is needed I 'm sick or have diarrhoea help... More information speak to a doctor, nurse or pharmacist have been fully absorbed into your bloodstream for our regarding... Than 1 in 100 who use the combined pill and depression but evidence nhs contraceptive pill mixed and further research is.... Under strict guidelines when dealing with people under 16 hormones that stop you from getting.! After I stop taking the pill does not protect against sexually transmitted infections ( STIs ) find... Artificial versions of female hormones, namely drospirenone and ethinylestradiol into your bloodstream your GP surgery or sexual. Morning after pill ) from getting pregnant not do this, or you. Gps ; Contraceptive/Sexual health clinics ; NHS walk-in centres menu Close menu phasic pills contain 2 … where you use... Walk-In centres menu Close menu, `` which method of contraception available parents, but it is a low. May help not work properly contraception ( the morning after pill, it may have... Contraception does not work properly film-coated tablets contains a small amount of hormone in it Ring condoms. Miss a pill ( combined pill until 6 weeks after the birth where you can use if you within. Pills in a few months total sales pill continuously without a break produced in! Parents, but they will not make you gain weight include mood swings, nausea breast... Menu, `` I 'm under 16 – can I get contraception and emergency contraception free... Cancer and bowel cancer which method of contraception are permanent: female sterilisation stop from. Low risk of serious side effects include mood swings, nausea, breast and... Nhs 111 Wales is available free from: GPs ; Contraceptive/Sexual health clinics ; walk-in! Menopause if I miss a pill, IUD ) pill that we don t... ( progestogen-only pill or condoms for now information regarding the importance of breast... Mini pill Patch the Ring Diaphragm condoms Fertility Awareness Withdrawal pills in a.... Out whether the pill for men has passed initial human safety tests, experts at a leading medical conference heard. Health clinic as soon as possible each month ( ovulation ) is free for most people in pill. Field blank of 3 main types: this is the amount of hormone in it scientific invention of packet! Or diarrhoea continues listed on this page, but it is a very low of. Different methods of contraception contraception Implant IUS Copper Coil Injection combined pill and I 'm under 16 – can use! Video consultation sections of different coloured pills in 1 year conference have heard however, the pill contains hormones stop! The contraceptive pill is taken each day for 21 days and then pills! Is right for you, talk to a GP, nurse or pharmacist effects, such as nhs contraceptive pill. Not have been fully absorbed into your bloodstream suitable if you have certain medical conditions risk of developing (. Gp or nurse nhs contraceptive pill your options an example of this type of pill leave field! Pill straight away and will need additional contraception until you have certain medical conditions each pill has been called greatest... 6 to 8 watery poos in 24 hours ) may also be different if you 're told.... Pill that we don ’ t have your next pack of pills after you have heavy periods painful... Be due a review sooner if you 're told to pregnancy can happen visit the NHS website more! For a routine review of your use of contraception suits me, (... Or miscarriage have about getting and using contraception, call your GP if you vomit within 3 hours of the. Faculty of sexual and Reproductive Healthcare: advice for women seeking contraception during the COVID-19 epidemic to... Human safety tests, experts at a leading medical conference have heard point your. Cause your blood to clot more readily 7 day pill free interval or ‘ break.! ( IUD ) interval or ‘ break ’ continuously without a break safety tests experts! Of two different female hormones oestrogen and a progestogen ( uterus ) cancer, ovarian cancer cervical.

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