Reduction in ovarian cancer
Reduction in endometrial cancer
Decreased pain with menstruation
Decreased hair growth
Reduction of acne
Decreased blood loss during menses, leading to decreased anemia and increased iron stores
Decreased benign breast disease, ie. Fibrocystic breasts
Protection against and treatment for endometriosis
Treatment for polycystic ovarian disease
Please tell one of the midwives if you currently have or have ever had one of these conditions:
Current known or suspected pregnancy
Stroke or cerebrovascular disease
Coronary occlusion or heart attack
Liver damage, impaired liver function, or acute hepatitis
Benign or malignant liver tumor
Estrogen dependent cancer/tumors
Undiagnosed abnormal genital bleeding
Cancer of reproductive system
Classic migraine headaches with aura
(should be discussed with your midwife)
Smoking over age 35
High blood pressure (greater than 140/90)
Heart, kidney, or gallbladder disease
History of severe depression
Condoms should be used along with hormonal methods for any situations where sexually transmitted
infection is a possible risk.
Hormonal contraception should be used with a back-up method, like condoms, in the first month.
Antibiotics may decrease the effectiveness of hormonal contraception.
Possible side effects:
It is not at all unusual to have irregular spotting in the first three to four cycles after initiating hormonal
contraceptives. If this is occurring beyond the third cycle/pill pack, please call us so that we may
discuss other alternatives for you.
Warning Signs to Report to Midwife:
Headaches- severe, persistent, of sudden onset, or different than the headaches you normally
Visual disturbances- blurring of vision, flashing lights, double vision, floaters, periods of temporary
Unexplained severe chest pain or shortness of breath
Unexplained severe abdominal pain
Severe calf or thigh pain
Temporary numbness or paralysis of any part of the face or body
Slurring of speech
Coughing up blood tinged sputum
Marked increase in blood pressure
How to start taking oral contraceptives (you have two options):
Start your new pill pack/patch/nuvaring on the first day of your next menstrual period (You are likely to
have better cycle control with this method)
OR Start your new pill pack/patch/nuvaring on the Sunday following the start of your next menstrual
What do I do if I miss a pill?:
If you miss any of the 7 reminder pills/placebo pills in your 28 day pill pack, you are not at increased
risk of pregnancy. You should discard the reminder pills you missed and finish the rest of the pack.
Start your next pack on your usual day.
If you miss any of the 21 hormonal pills:
Back up contraception
Completely missing a pill or even taking a pill as much as 12 hours
late, may decrease your protection against pregnancy. Use a back up method such as condoms
or abstinence for the next seven days
How late are you in taking your pill?
Less than 24 hours: take the missed pill right away, return to your daily pill taking routine, take your next pill at the usual time
24 hours: take both the missed pill and today’s pill at the same time. More than 24 hours(you completely missed one pill and
are late for or completely missed a second pill, too): Take the last pill you missed right away, take the next pill on time,
throw out the other missed pills, take the rest of the pills in the package right on schedule.
If you have not taken your pills on schedule and have had unprotected sex in the last 72 hours, you
may want to use emergency contraception to reduce the risk of pregnancy. Please call us to discuss