The Pill - Staying on Schedule

     For the pill to be effective it is very important that it is taken on schedule. Correct and consistent use of the birth control pill increases your protection against pregnancy.
It is very important to maintain the level of hormone needed to prevent pregnancy. Do not skip pills, even if you:

* have spotting or bleeding between periods
* do not have vaginal intercourse very often

     Pills come in monthly packs. Combination pills come in 28-day or 21-day packs. In the first pack, 21 pills are "active" - they contain hormones that prevent pregnancy. The last seven pills in the pack of combination pills are called "reminder" pills. They do not contain hormones. They are taken during the fourth week, including during menstruation.

     In 21-day packs, all of the pills are "active." The pills are taken for three weeks and no reminder pills are taken during the fourth week, when menstruation usually occurs. A new pack of pills is started seven days after the last pack is completed. Progestin-only pills come only in 28-day packs and all progestin-only pills are "active." Be sure to follow the instructions on the package, and your clinician will explain how to use your pill pack. You will also be advised whether you should start on a Sunday or on the first day of your period. Taking the Pill at the same time each day makes it more effective and it also helps you remember to stay on schedule. It is a good idea to pick a time of day that is easy to remember, such as at dinner-time. With all of the pills, menstruation usually occurs during the fourth week, no matter which series is used.

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