- Side Effects
- Birth Control Pill Brands
- Drug Interactions
- What Else to Know
What are birth control pills, and what are they used for?
Oral contraceptives are hormonal preparations that may contain combinations of the hormones estrogen and progestin or progestin alone. Combinations of estrogen and progestin prevent pregnancy by inhibiting the release of the hormones luteinizing hormone (LH) and follicle stimulating hormone (FSH) from the pituitary gland in the brain.
LH and FSH play key roles in the development of the egg and preparation of the lining of the uterus for implantation of the embryo. Progestin also makes the uterine mucus that surrounds the egg more difficult for sperm to penetrate and, therefore, for fertilization to take place. In some women, progestin inhibits ovulation (release of the egg).
3 birth control types
There are different types of combination birth control pills that contain estrogen and progestin that are referred to as monophasic, biphasic, or triphasic.
- Monophasic birth control pills deliver the same amount of estrogen and progestin every day.
- Biphasic birth control pills deliver the same amount of estrogen every day for the first 21 days of the cycle. During the second half of the cycle, the progestin/estrogen ratio is higher to allow the normal shedding of the lining of the uterus to occur.
- Triphasic birth control pills have constant or changing estrogen concentrations and varying progestin concentrations throughout the cycle. There is no evidence that bi- or triphasic oral contraceptives are safer or superior to monophasic oral contraceptives, or vice versa, in their effectiveness for the prevention of pregnancy.
What are the side effects of birth control pills?
The most common side effects of the birth control pills include;
These side effects often subside after a few months of use.
Scanty menstrual periods or breakthrough bleeding may occur but are often temporary, and neither side effect is serious.
Women with a history of migraines may notice an increase in migraine frequency. On the other hand, women whose migraines are triggered by fluctuations in their own hormone levels may notice improvement in migraines with oral contraceptive use because of the more uniform hormone levels during oral contraceptive use.
Rarely, oral contraceptives may contribute to;
Women who smoke, especially those over 35, and women with certain medical conditions, such as a history of blood clots or breast or endometrial cancer, may be advised against taking oral contraceptives, as these conditions can increase the adverse risks of oral contraceptives.
This is not a complete list of all side effects or adverse reactions that may occur from the use of this drug. Call your doctor for medical advice about serious side effects or adverse reactions. You may also report side effects or health problems to the FDA at 1-800-FDA-1088.
List of birth control pill brands and generic names
List of examples of oral contraceptives of different brands and categories:
|ethinyl estradiol||ethynodiol diacetate|
|Genora 1/35||ethinyl estradiol||norethindrone|
|Levlite 28||ethinyl estradiol||levonorgestrel|
|Loestrin 21 1/20
Loestrin 21 1.5/30
Loestrin FE 1/20
Loestrin FE 1.5/30
|ethinyl estradiol||norethindrone acetate|
Microgestin FE 1/20
Microgestin FE 1/5/30
|ethinyl estradiol||norethindrone acetate|
|Nordette 28||ethinyl estradiol||levonorgestrel|
|Norinyl 1/35||ethinyl estradiol||norethindrone|
|Ortho-Novum 1/35||ethinyl estradiol||norethindrone|
|Tri-Norinyl 28||ethinyl estradiol||norethindrone|
|Yasmin 28||ethinyl estradiol||drospirenone|
|ethinyl estradiol||ethynodiol diacetate|
|Jenest 28||ethinyl estradiol||norethindrone|
|Ortho-Novum 10/11||ethinyl estradiol||norethindrone|
|Ortho-Novum 7/7/7||ethinyl estradiol||norethindrone|
Ortho Tri-Cyclen LO
|Tri-Norinyl 28||ethinyl estradiol||norethindrone|
|Triphasil 28||ethinyl estradiol||levonorgestrel|
|Trivora 28||ethinyl estradiol||levonorgestrel|
|24-4 PREPARATIONS (24 days of hormone pills and 4 days of placebo pills)|
|Lo Estrin 24-4||ethinyl estradiol||norethindrone acetate|
Previous contributing medical author: Carolyn Janet Crandall, MD, MS, FACP
What is the dosage for birth control pills? How do you take them?
Many of the birth control pills come in easy-to-use dispensers in which the day of the week or a consecutive number (1, 2, 3, etc.) is written on the dispenser with a corresponding tablet for each day or number.
- For example, some Ortho-Novum dispensers are labeled "Sunday" next to the first tablet. Thus, the first tablet is to be taken on the first Sunday after menstruation begins (the first Sunday following the first day of a woman's period). If her period begins on Sunday, the first tablet should be taken on that day.
- For birth control pills that use consecutive numbers, the first tablet (#1) is taken on the first day of the menstrual period (the first day of bleeding). Tablet #2 is taken on the second day and so on.
- Still other packages instruct women to begin on day five of the cycle. For such products, women count from day one of their menstrual cycle (day one is the first day of bleeding). On the fifth day, the first tablet is taken. Tablets then are taken daily.
- Most birth control pills are packaged as 21-day or 28-day units. For 21-day packages, tablets are taken daily for 21 days. This is followed by a seven-day period during which no birth control pills are taken. Then the cycle repeats.
- For the 28-day units, tablets containing medication are taken for 21 consecutive days, followed by a seven-day period during which placebo tablets (containing no medication) are taken.
- Newer formulations with 24 days of hormone pills and only four days of placebo pills are now available, as are continuous or extended-cycle oral contraceptive regimens, in which only active hormone pills are taken. Extended-cycle preparations include seven-day intervals of placebo pills to be taken approximately every three months.
- Women just starting to take birth control pills should use additional contraception for the first seven days of use because pregnancy may occur during this period.
- If women forget to take tablets, pregnancy may result. If a single tablet is forgotten, it should be taken as soon as it is realized that it is forgotten. If more than one tablet is forgotten, the instructions that come with the packaging should be consulted, or a physician or pharmacist should be called.
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What drugs interact with birth control pills?
Estrogens can inhibit the metabolism (elimination) of cyclosporine, resulting in increased cyclosporine blood levels. Such increased blood levels can result in kidney and/or liver damage. If this combination cannot be avoided, cyclosporine concentrations can be monitored, and the dose of cyclosporine can be adjusted to assure that its blood levels do not become elevated.
Estrogens appear to increase the risk of liver disease in patients receiving dantrolene (Dantrium) through an unknown mechanism. Women over 35 years of age and those with a history of liver disease are especially at risk.
Estrogens increase the liver's ability to manufacture clotting factors. Because of this, patients receiving warfarin (Coumadin) need to be monitored for loss of anticoagulant (blood thinning) effect if an estrogen is begun.
Several medications, including some antibiotics and antiseizure medications, can decrease the blood levels of oral contraceptive hormones, but an actual decrease in the effectiveness of the oral contraceptive has not been convincingly proven. Nonetheless, because of this theoretical possibility, some physicians recommend backup contraceptive methods during antibiotic use. Examples of medications that increase the elimination of estrogens include
- carbamazepine (Tegretol),
- phenytoin (Dilantin),
- primidone (Mysoline),
- rifampin (Rifadin),
- rifabutin (Mycobutin), and
- ritonavir (Norvir).
Birth control pills with higher concentrations of estrogen or alternative forms of contraception may be necessary in women using those medications.
Are birth control pills safe to take if you are breastfeeding?
Use of birth control pills during lactation has been associated with decreased milk production, decreased infant weight gain, and decreased nitrogen and protein content of milk. The amount of estrogen consumed by an infant whose mother takes a standard dose of birth control pills is considered to be the same as from a lactating woman who is not taking birth control pills, and side effects have not been reported.
Using a progestin-only product is most often recommended during lactation if birth control pills are to be used during this period. The American College of Obstetrics and Gynecology (ACOG) recommends delaying taking combined estrogen-progestin contraceptives until at least six weeks postpartum, while the World Health Organization (WHO) recommends delaying the initiation of combined contraceptives until six months.
How do you store birth control pills safely?
- All oral contraceptives should be stored in a safe place, out of the reach of small children, at a temperature between 15 C (59 F) and 30 C (86 F).
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Birth control pills (oral contraceptives) are prescription medications that prevent pregnancy. Three combinations of birth control pills that contain progestin and estrogen are 1) monophasic, 2) biphasic, and 3) triphasic. Birth control pills may also be prescribed to reduce menstrual cramps or prevent anemia. Certain prescription medications may cause drug interactions. Some women experience various levels of side effects of birth control pills.
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Related Disease Conditions
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High Blood Pressure (Hypertension)
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Blood Clots (in the Leg)
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Thrush (Oral Candidiasis)
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Fibrocystic Breast Condition
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Heart Attack (Myocardial Infarction)
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Which Birth Control Is the Best for Acne and Weight Loss?
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Birth Control Options
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Uterine Fibroids (Benign Tumors of the Uterus)
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Pregnancy Planning (Tips)
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Does the Pill Stop Your Period?
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Premenstrual Dysphoric Disorder (PMDD)
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Premenstrual Syndrome (PMS)
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Smoking (How to Quit Smoking)
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At What Age Should You Stop Birth Control?
If you don’t want to get pregnant, you should be taking birth control up until menopause. But the age range for reaching menopause is wide, so there’s no one age that’s right for all women to stop birth control.
Does Birth Control Affect Your Appearance?
The birth control pill or the “pill” is used to prevent an undesired pregnancy. Over years, the pill has been blamed to cause weight gain, sex drive, and even affect the skin in a bad way. Which part is true? Which part is a myth? Let’s find out.
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Which Birth Control Has Least Side Effects?
No form of birth control is free of side effects, but there are some that have the least noticeable ones.
Menstrual cramps (pain in the belly and pelvic area) are experienced by women as a result of menses. Menstrual cramps are not the same as premenstrual syndrome (PMS). Menstrual cramps are common, and may be accompanied by headache, nausea, vomiting, constipation, or diarrhea. Severity of menstrual cramp pain varies from woman to woman. Treatment includes OTC or prescription pain relief medication.
Can You Lose Weight While on the Birth Control Pill?
It is possible to lose weight while on the birth control pill, but every woman's body is different and reacts differently to hormones. Eating a sensible diet and adopting a regular workout regimen will help you maintain a healthy weight.
Menstrual Cramps and PMS (Premenstrual Syndrome) Treatment
Menstrual cramps and premenstrual syndrome (PMS) symptoms include abdominal cramping, bloating, a feeling of fullness, abdominal pain, mood swings, anxiety and more. Treatment for menstrual cramps and premenstrual syndrome (PMS) symptoms include regular sleep, exercise, smoking cessation, diet changes, and OTC or prescription medication depending on the severity of the condition.
Birth Control Pill vs. Depo-Provera Shot
Birth control pills (oral contraceptives) and the Depo-Provera shot are two hormonal methods of birth control. Both methods work by changing the hormone levels in your body, which prevents pregnancy, or conception. Differences between "the pill" and "the shot." Birth control pills are available as combination pills, which contain the hormones estrogen and progestin, or mini-pills that only contain progestin. In comparison to the Depo-Provera injection, which prevents pregnancy for three consecutive months. Both methods of birth control are very effective in preventing pregnancy. Both the combination pill (if you take them as directed) and shot are up to 99% effective in preventing pregnancy. While the mini-pill is only about 95% effective in preventing pregnancy. Both methods cause weight gain, and have other similar side effects like breast pain, soreness or tenderness, headaches, and mood changes. They may lead to decreased interest in sex in some women. There are differences between the other side effects of these methods (depending upon the method) that include breakthrough bleeding or spotting, acne, depression, fatigue, and weakness. Both oral contraceptives and the Depo-Provera shot have health risks associated with them, such as, heart attack, stroke, blood clots, and cervical cancer. Birth control pills appear to increase the risk of cervical cancer. Talk with your OB/GYN or other doctor or health care professional about which birth control method is right for you.
What Are Polycystic Ovarian Syndrome (PCOS) Symptoms?
Polycystic ovarian syndrome (PCOS), also known by the name Stein-Leventhal syndrome, is a hormonal problem that causes women to have a variety of symptoms including irregular or no menstrual periods, acne, obesity, and excess hair growth. Treatment of PCOS depends partially on the woman's stage of life and the symptoms of PCOS.
Erythema nodosum is a skin inflammation that results in reddish, painful, tender lumps most commonly located in the front of the legs below the knees. Erythema nodosum can resolve on its own in three to six weeks, leaving a bruised area. Treatments include anti-inflammatory medications and cortisone by mouth or injection.
Dry eyes are caused by an imbalance in the tear-flow system of the eye, but also can be caused by the drying out of the tear film. This can be due to dry air created by air conditioning, heat, or other environmental conditions. Treatment may involve self-care measures, medications, or rarely, surgery.
Amenorrhea (including hypothalmic amenorrhea) is a condition in which there is an absence of menstrual periods in a woman. There are two types of amenorrhea: primary and secondary. Treatment of amenorrhea depends on the type. In primary, surgery may be an option and in secondary amenorrhea medication or lifestyle changes may be treatment options. We go over the definition of amenorrhea, causes, and treatment options for amenorrhea.
DVT and Birth Control Pills (Oral Contraceptives)
Deep vein thrombosis (DVT) is a blood clot that has traveled deep into the veins of the arm, pelvis, or lower extremities. Oral contraceptives or birth control pills can slightly increase a woman's risk for developing blood clots, including DVT. DVT symptoms and signs in the leg include leg or calf pain, redness, swelling, warmth, or leg cramps, and skin discoloration. If a blood clot in the leg is not treated, it can travel to the lungs, which can cause a pulmonary embolism (blood clot in the lung) or post-thrombotic syndrome, both of which can be fatal if not treated immediately. Increased risk factors for DVT and birth control pills include over 40 years of age, family history, smoking, and obesity. Other medical problems that increase the risks of blood clots, for example, lung or heart disease, or inflammatory bowel disease or IBD (Crohn's disease and ulcerative colitis (UC). Other options for preventing pregnancy include IUDs, birth control shots, condoms, diaphragms, and progestin-only oral contraceptives.
Breast cancer is an invasive tumor that develops in the mammary gland. Breast cancer is detected via mammograms, breast self-examination (BSE), biopsy, and specialized testing on breast cancer tissue. Treatment of breast cancer may involve surgery, radiation, hormone therapy, chemotherapy, and targeted therapy. Breast cancer risk may be lowered by managing controllable risk factors. What you should know about breast cancer Breast cancer is the most common cancer among American women. One in every eight women in the United States develops breast cancer. There are many types of breast cancer that differ in their capability of spreading (metastasize) to other body tissues. The causes of breast cancer are unknown, although medical professionals have identified a number of risk factors. There are 11 common types of breast cancer and 4 uncommon types of breast cancer. Breast cancer early signs and symptoms include a lump in the breast or armpit, bloody nipple discharge, inverted nipple, orange-peel texture or dimpling of the breast's skin (peau d'orange), breast pain or sore nipple, swollen lymph nodes in the neck or armpit, and a change in the size or shape of the breast or nipple. Breast cancer can also be symptom free, which makes following national screening recommendations an important practice. Breast cancer is diagnosed during a physical exam, by a self-exam of the breasts, mammography, ultrasound testing, and biopsy. Treatment of breast cancer depends on the type of cancer and its stage (0-IV) and may involve surgery, radiation, or chemotherapy.
Why Is Birth Control So Bad for You?
Birth control is used all over the world. The main use of birth control is to avoid unplanned pregnancy. Although there are various means of birth control, birth control pills are popular because they have a good success rate and are relatively safe for the majority of the population.
Hemolytic Uremic Syndrome
Hemolytic uremic syndrome (HUS) is a diseases in which blood clots within the capillaries. Causes associated with HUS include: E. coli, birth control pills, pneumonia, medications such as chemotherapy, Ticlid, and quinine. Symptoms of HUS include: gastroenteritis, abdominal cramping, vomiting, and bloody diarrhea. Diagnosis of HUS includes: medical history, physical examination, and medical tests. Treatment includes: rest, fluids, possible hospitalization for blood transfusion or complications due to kidney failure.
Endometrial Cancer Prevention
Endometrial cancer, or uterine cancer, affects the endometrium of the uterus. It's the most common invasive cancer of the female reproductive system. Risk factors include smoking, obesity, lack of exercise, taking estrogen-only hormone therapy, early menstruation, late menopause, and never being pregnant.
Is It OK To Skip the 7-Day Break on the Pill?
There seems to be no additional risks associated with using the pill to suppress the seven-day break (beyond the health risks already linked to hormonal pills or devices).
Pseudotumor Cerebri (Idiopathic Intracranial Hypertension)
Pseudotumor Cerebri (intracranial hypertension) is a condition where there is an increase in pressure of fluid surrounding the brain and spinal cord (cerebrospinal fluid or CSF) mimicing a brain tumor. The cause is unknown. The most common symptom is headache but also include eye-pain, vision loss and double vision. Pseudotumor cerebri is diagnosed with MRI or CAT scans and treated by discontinuing offending medications (if applicable), weight loss and diuretic medications. The condition can also be helped by repeated drainage of spinal fluid using the lumbar puncture.
What Does Birth Control Do to Your Body?
Different birth control methods work in different manners. No birth control method is perfect and every procedure or method has a side effect.
Heart Attack Prevention
Heart disease and heart attacks can be prevented by leading a healthy lifestyle with diet, exercise, and stress management. Symptoms of heart attack in men and women include chest discomfort and pain in the shoulder, neck, jaw, stomach, or back.
Pregnancy and Drugs (Prescription and OTC)
Taking prescription medications or over-the-counter drugs or supplements should be discussed with your doctor. There are some medications that have been found to cause no problems in pregnancy, however, medications such as Accutane for acne, should never be taken during pregnancy.
Reproductive health encompasses the beginning of menstruation for women, choosing the right birth control method for you and your partner, preventing contracting sexually transmitted diseases (STDs), and for women, ending with the menopausal transition.
Sexual health information including birth control, impotence, herpes, sexually transmitted diseases, staying healthy, women's sexual health concerns, and men's sexual health concerns. Learn about the most common sexual conditions affecting men and women.
Kleine-Levin syndrome is a rare sleep condition, primarily affecting adolescent males. Symptoms of Kleine-Levin syndrome include recurring but reversible periods "episodes" of excessive sleep. There is no definitive treatment for Kleine-Levin syndrome. Medication can be prescribed to treat sleepiness and episodes.
What Is the Best Form of Birth Control?
What's "best" among birth control methods differs from person to person. What's right for one person may not be right for others. And a person’s needs may also change over time.
Treatment & Diagnosis
- Natural Birth Control
- Triglycerides (Tests and Lowering Your Triglyceride Levels)
- Parathyroidectomy Surgery
- IUD (Intrauterine Device for Birth Control)
- Birth Control: Surgical Sterilization
- Barrier Methods of Birth Control Side Effects, Advantages, and Disadvantages
- Hormonal Methods of Birth Control
- Contraceptive Measures after Unprotected Sex
- What Are the Natural Contraception Methods?
- Missed Menstrual Period
- Weight Gain
- Pregnancy: Trying to Conceive: After Birth Control
- Vaginal Bleeding
- Menstrual Cramps
- Breast Pain
- PMS (Premenstrual Syndrome)
- Birth Control Choices-- Laura Corio, MD
- Doctor: Checklist to Take To Your Doctor's Appointment
- Birth Control: Contraception: What's New?
- Endometriosis FAQs
- Birth Control FAQs
- How Much Do You Know About Birth Control FAQs
- What are granulomatosis with polyangiitis and erythema nodosum?
- How To Reduce Your Medication Costs
- Pharmacy Visit, How To Get The Most Out of Your Visit
- Indications for Drugs: Approved vs. Non-approved
- Birth Control Prescribed by Pharmacists
- Ovarian Cancer Symptoms, Early Warning Signs, and Risk Factors
- Drugs: Buying Prescription Drugs Online Safely
- Drugs: The Most Common Medication Errors
- Medication Disposal
- Dangers of Mixing Medications
- Do Antibiotics Interfere With Birth Control Pills?
- Can Birth Control Pills Cure PCODS?
- Do I Need Birth Control After Menopause?
- Birth Control: The Contraceptive Patch
- Birth Control Types
- Generic Drugs, Are They as Good as Brand-Names?
- Ask The Experts: Women's Health
Medications & Supplements
- Drugs: Questions to Ask Your Doctor or Pharmacist about Your Drugs
- Birth Control Pills vs. Nuvaring
- Drug Interactions
- Birth control pills (oral contraceptives) vs. Plan B (levonorgestrel)
- estradiol, Alora, Climara, Delestrogen, Depo-Estradiol, Divigel, Elestrin, Estrace, and Others
- Birth Control Pills vs. Condoms
- What Are Hormonal Methods of Contraception?
- Birth Control Pills (Oral Contraceptives) vs. Patch (Ortho Evra)
- Birth Control Pills (Oral Contraceptive) vs. Depo-Provera (medroxyprogesterone injection)
- What Are the Barrier Methods of Contraception?
- Side Effects of Ortho Micronor (norethindrone)
- What Are Intrauterine Devices?
Prevention & Wellness
- FDA Mulling Over-the-Counter Sale of Contraceptive Pill
- Some Pharmacy Chains Limit Morning-After Pill Sales to Avoid Potential Shortage
- New 'On-Demand' Birth Control Pill on the Horizon
- New Male Birth Control Pill Works in Study
- Could Semen Hold Key to New Over-the-Counter Contraceptive?
- Better Access to Birth Control Boosts School Graduation Rates
- Could the Pill Reduce Asthma Attacks?
- Birth Control Pill Could Cut Women's Risk for Asthma
- Employers Can Refuse to Provide Birth Control Coverage: U.S Supreme Court
- Not a Myth -- Contraceptives Can Cause Weight Gain
- A Birth Control Pill You Take Just Once a Month?
- Birth Control Pill May Alter Part of Women's Brains
- Depressive Symptoms More Common in Teen Girls Who Take Birth Control Pills: Study
- Pregnancy Much More Likely for Teen Girls With ADHD
- Make All Hormonal Birth Control Available Without Prescription, Doctors' Group Says
- Longer Rx for Birth Control Pills a Smart Idea for Female Vets: Study
- Birth Control Pills May Protect Against Most Serious Ovarian Cancer: Study
- 'Male Pill' Makes Another Advance
- Are Some Birth Control Methods Doomed to Fail?
- Surge in Long-Term Birth Control After Trump's 2016 Win
- 'Cocktail' Approach Offers Early Hope for New Male Contraceptive
- Vaccine, Screening Can Prevent Cervical Cancer Deaths
- Teen Birth Control Use Up, But Still Too Many Unwanted Pregnancies
- Health Tip: Why You May Have Adult Acne
- Newer Birth Control Pills Tied to Lower Odds for Ovarian Cancer
- Fewer American Teens Having Sex, Most Using Birth Control
- Birth Control Pills Recalled Over Potential Pregnancy Risk
- FDA Puts New Restrictions on Contraceptive Implant Essure
- Male Birth Control Pill Shows Early Promise
- Abortion Services Vary Widely Across the U.S.
- Birth Control Pill Tied to Slight Rise in Breast Cancer Risk
- Are Birth Control Pills Tied to Decline in Ovarian Cancer Deaths?
- Vitamin D Levels May Fall When Women Stop Taking Birth Control
- Birth Control Pills Linked to Fewer Severe Knee Injuries in Teen Girls
- Obese Women on Birth Control Pills May Face Higher Risk of Rare Stroke
- No Link Between 'the Pill' and Birth Defects: Study
- Birth Control Pills May Cut Women's Odds for Uterine Cancer
- Women Spend Far Less on Birth Control Because of 'Obamacare'
- Obese Teens Less Likely to Use Birth Control
- Newer Birth Control Pills May Slightly Raise Blood Clot Risk
- Use of 'the Pill' Tied to Higher Risk for Rare Brain Cancer
- The Pill Remains Most Common Method of Birth Control, U.S. Report Shows
- The 'Hobby Lobby Ruling' and What It Means for U.S. Health Care
- Obesity, 'The Pill' May Raise MS Risk, Research Suggests
- Obama Administration Stands by Contraception Rule
- Male Birth Control Shows Promise in Mice
- 'The Pill' Tied to Raised Risk of Glaucoma
- Millions Still Lack Access to Modern Contraception, Study Says
- Give Teens Access to Emergency Contraception, Pediatricians Say
- Medical Group: Sell the Pill Without Prescription
- Prescription Drugs for Kids: What's Up, Down
- Study: Heart Attack, Stroke Risk Low with Birth Control Pills
- 1 Million Birth Control Pill Packs Recalled
- FDA: Stronger Labeling Needed for Newer Contraceptives
- Heart Attack Symptoms in Women
- Birth Control Myths
- Drug Name Confusion: Preventing Medication Errors
- FDA Strengthens Warning on RU-486
- Stopping Sperm in Their Tracks
- Sexual Infections with Depo Provera?
- Contraceptive: Fake Contraceptive Patches Warning
- FDA Approves First Chewable Oral Contraceptive Tablet
- New Pill, Fewer Periods
Health Solutions From Our Sponsors
Report Problems to the Food and Drug Administration
You are encouraged to report negative side effects of prescription drugs to the FDA. Visit the FDA MedWatch website or call 1-800-FDA-1088.
FDA Prescribing Information