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Author Topic: Birthcontrol
KJK2
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I was just curious because in my information packet for Lo Loestrin Fe it states to take the same time each day. I've read all the articles on here that explain it or relate to it but I was still left with questions. If you could please answer these it would be appreciated [Smile]

1) Does taking it within a half an hour one day of your normal time still count you as a perfect pill user? (Normally I do take it the exact time every day)

2) What is the actual time window for taking a low dose combined pill? Is it different for lower dosages?

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Karybu
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Half an hour earlier or later would still be considered perfect use. With combined pills, no matter the dosage, you have three hours either side of your normal pill-taking time in which it would still be considered on time. So if you normally take it at noon, you could take it as early as 9 am or as late as 3 pm and it would still be on time. A pill isn't considered late unless it's taken at least 12 hours after your usual time. (Keep in mind though that even though you're a perfect user, the rate of effectiveness for perfect use are determined in a very controlled setting - even with perfect use, most people will have somewhere between perfect use and typical use effectiveness.)

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KJK2
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But you tend to have more towards the perfect if you take it daily at the same time every day with no interfering antibiotics correct?

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KJK2

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Robin Lee
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As Karybu said, it's not necessary to take the pill at the exact same time each day in order for it to still be effective. Many people find it useful to do so to make sure they remember to take it, but the important thing is to take it at around the same time of day.

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Robin

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KJK2
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But my question was on the effectiveness rating leaning more towards perfect use ratings if the pill is taken close to the same time every day?

Also I know when the pill is combined with condons the risk is as low as it can be?

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KJK2

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Robin Lee
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Here's some info on combining birth control methods.

The Buddy System: Effectiveness Rates for Backing Up Your Birth Control With a Second Method

using condoms also reduces the risks of STI transmission.

Taking the pill at around the same time of day is taking it correctly, so it'll be as effective as it can be. It's really not possible for us to say, beyond that, how effective it will be for each individual person.

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Robin

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Heather
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Just to be clear, "perfect use" with any method truly just means taking it as directed, per the directions your patient information leaflet gives you.

So, the way that leaflet, and any other prescribing information, says to take it? If you do that, every day (or every time you use a method with methods like cervical barriers or condoms you might not use every day), it's perfect use.

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KJK2
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I have another question, as to what Heather said, I consider myself a perfect use pill taker. However, my past two cycles seem to have changed to occur 3-4 days before my estrogen only pills (I take Lo Loestrin Fe). I read a message board that said our bodies have a mind of it's own and cause our withdrawal to happen when it wants it to. Does this sound like a cause for concern?

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KJK2

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Edith_*
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Hi KJK2!

Periods sometimes - and often do- change. That's not unusual, and not a reason to get concerned. What we say is that our bodies are not machines and they won't always act the same way. There are a lot of reasons for a period to come before or after the date we are "supposed" to have it. Excercise, stress, hormones imbalance, diet, etc. So, if you ask me, I don't think you have anything to worry about. [Smile]

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KJK2
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So if a month ago my withdrawal bleed was about 3 days before my placebos and my past withdrawal was 5 days before, should expect my next withdrawal to be around the same time?

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KJK2

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KJK2
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Also is having my period before my placebos a problem or unusual?

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KJK2

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Redskies
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It's not a problem to start your withdrawal bleed before you get to the placebos. If it's something you're not happy about, you can talk about it with the healthcare provider who prescribed you your pill; but again, it's not a problem in itself. It makes sense to think that you might start your withdrawal bleed around that time in the future, but equally, you might not - there isn't any way of knowing.

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Robin Lee
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There's really no way to predict whether your withdrawal bleed will continue to arrive before your placebo week starts.

I'm a little baffled as in one post you're referring to estrogen-only pils while in another you're referring to placebo pills. Placebo pills do not contain estrogen. They're pills with no active ingredients that are there as placeholders.

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Robin

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KJK2
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In lo loestrin fe it says there's two estrogen only pills and two pills only containing iron and the other 24 are the combined pills

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KJK2

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KJK2
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Can you explain how a withdrawl bleed occurs before the "placebo week" I guess if I'm referring to it wrong?

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KJK2

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Robin Lee
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Ah, okay, so that's how your pill brand works. I'm not familiar with all of the pill brands. The iron-only pills are the ones that don't contain any hormone.

Even on the birth control pill, our bodies aren't always going to do the same thing, and sometimes other hormonal shifts in the body, not related to the pill, can impact what your body does. If you continue to have a withdrawal bleed that comes before the estrogen-only pills, it's worth mentioning to your healthcare provider so they can advise you but this happening isn't usually cause for concern.

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Robin

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KJK2
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Sorry for another question, but when you guys say there's a three hour window to take your pill, is that three hours after your normal pill time or a three our window like you take your pill at 10ish pm and you can take it between 9-11pm?

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KJK2

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Heather
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Just to be clear (because it seems there was some misunderstanding in here):
- combined pills have a 12 hour grace period
- minipills, a three hour one.

Your pill is a combined pill. So, you have a twelve-hour window within which to take it when you take it each day before it is late.

So, if you took your pill today, for example, at 8 AM, you would ideally take it at 8 AM tomorrow, but could take it as late as 7:59 PM tomorrow and it still would not be late.

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Heather Corinna, Executive Director & Founder, Scarleteen
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Never doubt that a small group of thoughtful, committed citizens can change the world. Indeed, it is the only thing that ever has. - Margaret Mead

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KJK2
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Oh! Okay that clarifies the 12 hour grace period too, thanks so much!

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KJK2

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Heather
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Yay!

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Heather Corinna, Executive Director & Founder, Scarleteen
About Me • Get our book!
Never doubt that a small group of thoughtful, committed citizens can change the world. Indeed, it is the only thing that ever has. - Margaret Mead

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KJK2
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So I have another question regarding the time frame. So as long as you, say take your pill within an hour of your normal time you'd still have the same effectiveness as taking the pill at the same time everyday right?

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KJK2

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Robin Lee
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Hi KJK2,

Have you seen this article? It has pretty much any information about the timing of taking one's pill that you might want. [Smile]

http://www.scarleteen.com/article/advice/three_questions_about_taking_the_birth_control_pill_and_plenty_of_answers

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Robin

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