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According to CDC guidelines, a pill is only considered 'missed' if 24 hours or more have passed since the last pill taken.

However, typical use is often not exact due to timing errors, forgotten pills, or unwanted side effects.

With typical use, the estimated risk of getting pregnant is about 0.9%, or about 9 in 1000 women on COCP will become pregnant in one year.

For the first 21 days of the cycle, users take a daily pill that contains hormones (estrogen and progestogen).

The last 7 days of the cycle are hormone free days.

Starting in 2003, women have also been able to use a three-month version of the pill.

Similar to the effect of using a constant-dosage formulation and skipping the placebo weeks for three months, Seasonale gives the benefit of less frequent periods, at the potential drawback of breakthrough bleeding.

Then after 28 days, or 91 days depending on which type a person is using, users start a new pack and a new cycle.

If used exactly as instructed, the estimated risk of getting pregnant is 0.3%, or about 3 in 1000 women on COCPs will become pregnant within one year.

Some packets only contain 21 pills and users are then advised to take no pills for the following week.

Other packets contain 7 additional placebo pills, or biologically inactive pills.

COCPs provide effective contraception from the very first pill if started within five days of the beginning of the menstrual cycle (within five days of the first day of menstruation).


 
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16-Jan-2020 09:02