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The Pill
HTHGS:
Questions about the pill (written by Dr. Pluhar) Ask Erika, Dear Sincerely concerned, That said, there are several
ways to start the pills. The most common and preferred method is to start taking
pills on the first day of your next menstrual period. If you do this, you will
not need a back-up method and will be fully protected. If you are starting on
Sunday, which is also common, you will need to use a back-up method such as a
condom for 7 days after starting. (Note: the Sunday start method leads to no
periods on weekends). If you start at any other time (e.g., the same day you get
your pills), you will need to use a back-up method for 7 days. It sounds like you and your partner
are taking your time and planning in preparation for this next step in your
sexual relationship, which is great! I encourage you to continue to be open with
each other, and to communicate honestly before, during, and after you have
intercourse. HTHGS: Effectiveness of biphasil 28 (written by Dr. Pluhar)
Dear Please inform me, "For ONE antibiotic, rifampin, the message is
fairly clear: use a back-up contraceptive or a higher dose pill, reduce the
pill-free interval or use an entirely different contraceptive. For other antibiotics the message I want patients to
receive is NOT clear and I think that I can assure you that as long as we are
using our current COCs the messages women receive from package inserts,
clinicians, women's magazines, the National Medical Advisory Committee of
Planned Parenthood and contraceptive texts will remain conflicting and
frustrating. Given all the conflicting messages, here is an attempt
at summarizing but not cutting through the confusion regarding the antibiotics
most women and their health care providers are most concerned about: If you are
taking a broad spectrum antibiotic such as tetracycline, doxycycline, ampicillin
or erythromycin, some clinicians recommend that you use a back-up contraceptive,
others do not. Some women taking these broad spectrum antibiotics use a back-up
contraceptive, others do not. The decision is up to you" (Hatcher, June 12,
2000, www.managingcontraception.com). I hope this is helpful to you. My suggestion
would be that if you are really concerned about getting pregnant and will feel
uncomfortable every time you have sex due to the fact that there is not one
consistent message from the experts, then use a back-up method such as a condom.
Sincerely, |
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September 19, 2006 |