A 2012 study found that drospirenone may also help treat premenstrual dysphoric disorder (PMDD), a severe type of premenstrual syndrome. In addition to preventing pregnancy, use of oral contraceptives may provide certain benefits. How safe is the birth control pill? Lutera is a combination hormonal birth control pill that has a lower level of estrogen compared to other pills, which may help prevent side effects like nausea and headaches. An increased risk of venous thromboembolic and thrombotic disease associated with the use of oral contraceptives is well established. The inactive ingredients present are lactose monohydrate, magnesium stearate, microcrystalline cellulose, polacrilin potassium and Aqua Polish White 014.17 MS which contains hydroxypropylcellulose, hydrogenated cottonseed oil, hydroxypropylmethylcellulose, talc, and titanium dioxide. THE RIGHT WAY TO TAKE THE PILL IS TO TAKE ONE PILL EVERY DAY AT THE SAME TIME. Does Larissia cause depression? People with medical conditions, allergies to medications, and other concerns should speak with a doctor about the various birth control options available. Norplant is the registered trademark of the Population Council for six-capsule subdermal. Hypertension was found to be a risk factor for both users and nonusers, for both types of strokes, while smoking interacted to increase the risk for hemorrhagic strokes. Combined estrogen-progestin oral contraceptives (COCs), also known as birth control pills, provide reliable contraception as well as several noncontraceptive benefits. Data from the Royal College of General Practitioners and subsequent randomized trials have shown that the incidence of hypertension increases with increasing quantities of progestogens. The symptoms associated with these serious side effects are discussed in the detailed leaflet given to you with your supply of pills. The relative risk does not provide information on the actual clinical occurrence of a disease. Monophasic pills provide the same amounts of hormones for 21 days, followed by 1 week of placebo. This leaflet will give you much of the information you will need to make this decision and will also help you determine if you are at risk of developing any of the serious side effects of the pill. Larissia is a contraceptive tablet taken by mouth at the same time every day to prevent pregnancy. When the patient is switching from a 28-day regimen of tablets, she should start her first pack of Larissia on the day after her last tablet. Certain drugs may interact with birth control pills to make them less effective in preventing pregnancy or cause an increase in breakthrough bleeding. Birth control pills cannot prevent the spread of HIV or other sexually transmitted infections. Monophasic - one hormone dose over a cycle. If jaundice develops in any woman receiving such drugs, the medication should be discontinued. <br> Nobody kicked until Mean Jean kicked. A small proportion of women will have adverse lipid changes while taking oral contraceptives. Unscheduled bleeding may vary from slight staining between menstrual periods to breakthrough bleeding which is a flow much like a regular period. Each active, white tablet (21) contains 0.1 mg of levonorgestrel, USP, d(-)-13-ethyl-17-ethinyl-17-hydroxygon-4-en-3-one, a totally synthetic progestogen, and 0.02 mg of ethinyl estradiol, USP, 17-ethinyl-1,3,5(10)-estratriene-3, 17-diol. The chance of becoming pregnant increases with each missed pill during each 28-day cycle of use. MISSING PILLS CAN ALSO CAUSE SPOTTING OR LIGHT BLEEDING, even when you make up these missed pills. Oral contraceptives are highly effective. Women with a strong family history of breast cancer or who have breast nodules should be monitored with particular care. The patient begins her next and all subsequent courses of tablets on the day after taking her last yellow tablet. Vienva is the generic equivalent to Aviane, Sronyx, Orsythia and Larissia. If in any cycle the patient starts tablets later than the proper day, she should protect herself against pregnancy by using a nonhormonal back-up method of birth control until she has taken a white tablet daily for 7 consecutive days. These drugs also change the cervical mucus and uterine lining in a woman's cervix. Another risk concerns pregnancy. An Advisory Committee of the FDA discussed this issue in 1989 and recommended that the benefits of oral-contraceptive use by healthy, nonsmoking women over 40 years of age may outweigh the possible risks. Do not skip pills even if you do not have sex very often. OCPs - Oral contraceptive pills. If you miss pills you could get pregnant. The contraception is provided by a suppression of ovulation. Below are answers to some common questions about birth control pills. Taking the pill provides some important noncontraceptive benefits. Such drugs include rifampin, drugs used for epilepsy such as barbiturates (for example, phenobarbital) and phenytoin (Dilantin is one brand of this drug), primidone (Mysoline), topiramate (Topamax), carbamazepine (Tegretol is one brand of this drug), phenylbutazone (Butazolidin is one brand), some drugs used for HIV or AIDS such as ritonavir (Norvir), modafinil (Provigil) and possibly certain antibiotics (such as ampicillin and other penicillins, and tetracyclines), and herbal products containing St. John's Wort (Hypericum perforatum). The physical examination should include special reference to blood pressure, breasts, abdomen, and pelvic organs, including cervical cytology, and relevant laboratory tests. There are different types of birth control pills for people to consider. Diarrhea and/or vomiting may reduce hormone absorption resulting in decreased serum concentrations. The most common type of pill is the combination pill. It works mainly by preventing the release of an egg (ovulation) during your menstrual cycle. Sronyx itself is a generic version of Alesse, a discontinued brand-name birth control pill. Birth control pills that contain norethindrone include: People who use birth control pills containing norgestimate or norgestrel may also experience androgenic side effects, such as excess hair growth and acne. In spite of many studies of the relationship between combination oral contraceptive use and breast and cervical cancers, a cause-and-effect relationship has not been established. Your healthcare provider will take a medical and family history before prescribing oral contraceptives and will examine you. https://www.acog.org/patient-resources/faqs/contraception/progestin-only-hormonal-birth-control-pill-and-injection, https://www.acog.org/clinical/clinical-guidance/committee-opinion/articles/2012/11/risk-of-venous-thromboembolism-among-users-of-drospirenone-containing-oral-contraceptive-pills, https://www.acog.org/clinical/clinical-guidance/committee-opinion/articles/2019/10/screening-and-management-of-the-hyperandrogenic-adolescent, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4654044/, https://www.cochranelibrary.com/cdsr/doi/10.1002/14651858.CD003553.pub3/full, https://www.stoptheclot.org/learn_more/womens_health_faq/. Case control studies have found the relative risk of users compared to non-users to be 3 for the first episode of superficial venous thrombosis, 4 to 11 for deep-vein thrombosis or pulmonary embolism, and 1.5 to 6 for women with predisposing conditions for venous thromboembolic disease. There is no conclusive evidence that oral-contraceptive use is associated with an increase in birth defects, when taken inadvertently during early pregnancy. Any woman who considers using oral contraceptives (the birth control pill or the pill) should understand the benefits and risks of using this form of birth control. No insurance needed, no membership fees! Desogestrel birth control may cause symptoms associated with hormonal birth control, such as a headache, upset stomach, mood changes, weight gain, high blood pressure, and an increased risk of blood clots. Dosage form: tablets New York NY: Irvington Publishers; 1998. Examples include: smoking, high blood pressure, abnormal lipid levels, certain inherited or acquired clotting disorders, obesity, surgery or injury, recent delivery or second trimester abortion, prolonged inactivity or bed rest. The elimination half-life of ethinyl estradiol is 18 4.7 hours at steady state. The risk of clotting is further increased in women with other conditions. In addition, a possible but not definite association has been found with the pill and liver cancers in two studies in which a few women who developed these very rare cancers were found to have used oral contraceptives for long periods. This risk increases with age and with the extent of smoking (in epidemiologic studies, 15 or more cigarettes per day was associated with a significantly increased risk) and is quite marked in women over 35 years of age. Smoking greatly increases the possibility of suffering heart attacks and strokes. Take the first active white pill of the first pack on the Sunday after your period starts, even if you are still bleeding. In rare cases, oral contraceptives can cause benign but dangerous liver tumors. This risk is highest during the first year of combination oral-contraceptive use. On Sunday, THROW OUT the rest of the pack and start a new pack of pills that same day. Depo-Provera is a registered trademark of Pharmacia & Upjohn Company. It works mainly by preventing the release of an egg (ovulation) during your menstrual cycle. This material is provided for educational purposes only and is not intended for medical advice, diagnosis or treatment. As discussed earlier (see WARNINGS, 1a. A history of blood clots in the deep veins of your legs. Based on the pharmacokinetic study with levonorgestrel and ethinyl estradiol, there are no apparent differences in pharmacokinetic parameters among women of different races. 2. 1. See WHAT TO DO IF YOU MISS PILLS below. 1. Comparing Larissia vs Vienva Larissia (ethinyl estradiol / levonorgestrel) Vienva (ethinyl estradiol / levonorgestrel) Prescription only Prescribed for Birth Control. In a clinical trial with levonorgestrel and ethinyl estradiol tablets, 1,477 subjects had 7,720 cycles of use and a total of 5 pregnancies were reported. For example, you should not take the pill if you have any of the following conditions: Tell your health-care provider if you have had any of these conditions. The safety and efficacy of oral contraceptive products may be affected with coadministration of anti-HIV protease inhibitors. However, according to The American College of Obstetricians and Gynecologists (ACOG), this risk is low. (See WARNINGS, 1c. Small amounts of oral-contraceptive steroids and/or metabolites have been identified in the milk of nursing mothers, and a few adverse effects on the child have been reported, including jaundice and breast enlargement. Practitioners prescribing oral contraceptives should be familiar with the following information relating to these risks. A pack of minipills contains no inactive pills or placebos. The physical examination may be delayed to another time if you request it and your healthcare provider believes that it is appropriate to postpone it. People can discuss their options with a healthcare professional and find the right choice for their needs. contraceptive. Be sure to keep all appointments with your healthcare provider, because this is a time to determine if there are early signs of side effects of oral-contraceptive use. Women who use oral contraceptives should be strongly advised not to smoke. 2.Use a nonhormonal method of birth control (such as condoms or spermicide) as a back-up method if you have sex anytime from the Sunday you start your first pack until the next Sunday (7 days). The relative risk of hemorrhagic stroke is reported to be 1.2 for nonsmokers who used oral contraceptives, 2.6 for smokers who did not use oral contraceptives, 7.6 for smokers who used oral contraceptives, 1.8 for normotensive users and 25.7 for users with severe hypertension. Micronor, which contains norethindrone, and Slynd, which contains drospirenone, are two brand-name examples. Unusual . 2. Unscheduled or breakthrough vaginal bleeding or spotting. Search by name. Pick a time of day which will be easy to remember. Be sure to inform your healthcare provider if there is a family history of any of the conditions listed previously in this leaflet. Yellowing of the whites of the eyes or of the skin (jaundice) during pregnancy or during previous use of the pill. New or worsening migraines or headaches. (See WARNINGS, 1a., 1d., and 8.). Birth control pills typically contain progestin, estrogen, or a combination. Although cardiovascular disease risks may be increased with oral contraceptive use in healthy, non-smoking women over 40 (even with the newer low-dose formulations), there are also greater potential health risks associated with pregnancy in older women. TABLE III: ANNUAL NUMBER OF BIRTH-RELATED OR METHOD-RELATED DEATHS ASSOCIATED WITH CONTROL OF FERTILITY PER 100,000 NONSTERILE WOMEN, BY FERTILITY-CONTROL METHOD AND ACCORDING TO AGE, Method of control and outcome 15 to 19 20 to 24 25 to 29 30 to 34 35 to 39 40 to 44. All methods of birth control and pregnancy are associated with a risk of developing certain diseases which may lead to disability or death. Some factors to consider when picking a birth control pill include: A person may try several different birth control methods before finding one that works best for them. Levonorgestrel: The most important metabolic pathway occurs in the reduction of the 4-3-oxo group and hydroxylation at positions 2, 1, and 16, followed by conjugation. Some brands containing these hormones include: Each packet of extended cycle pills, such as Seasonique, contains 12 weeks of combined hormonal birth control. Rarely, clots occur in the blood vessels of the eye and may cause blindness, double vision, or impaired vision. Women with migraine (particularly migraine/headaches with focal neurological symptoms, see CONTRAINDICATIONS) who take combination oral contraceptives may be at an increased risk of stroke. Oral-contraceptive use may provide some protection against developing two forms of cancer: cancer of the ovaries and cancer of the lining of the uterus. Some women should not use the pill. 2. Please follow this link to see the complete current contraceptives list that BCBS has released. They should be prescribed with caution, and only with careful monitoring, in patients with conditions which might be aggravated by fluid retention. Since the immediate postpartum period is also associated with an increased risk of thromboembolism, oral contraceptives should be started no earlier than four weeks after delivery in women who elect not to breast-feed or after a midtrimester pregnancy termination. If bleeding persists or recurs, nonhormonal causes should be considered and adequate diagnostic measures taken to rule out malignancy or pregnancy in the event of breakthrough bleeding, as in the case of any abnormal vaginal bleeding. Prescription only Prescribed for Birth Control. Stomach cramps Bloating Spotting Breast tenderness Weight changes (up or down) Headache Raised blood pressure Depression Other side effects Yeast infection Spotty darkening of skin Change in sex drive Acne Change in appetite Source: DailyMed The following side effects have also been reported: Progestogens increase insulin secretion and create insulin resistance, this effect varying with different progestational agents. Aviane is an oral contraceptive pill that uses progestin and a low dose of estrogen hormones to help prevent pregnancy and regulate periods. A decline in serum high-density lipoproteins has been associated with an increased incidence of ischemic heart disease. Different pills can help a person avoid pregnancy by preventing ovulation, thickening the cervical mucus, and thinning the uterus lining called the endometrium. If your previous brand had 28 pills: Start taking the first white Larissia pill (active with hormone) on the day after your last reminder pill. EE - Ethinyl estradiol. Anyone who cannot tolerate estrogen may consider taking progestin-only pills. This increased risk is lower than blood clots associated with pregnancy. Ethinyl estradiol is rapidly and almost completely absorbed from the gastrointestinal tract but, due to first-pass metabolism in gut mucosa and liver, the bioavailability of ethinyl estradiol is between 38% and 48%. Vienva is the generic equivalent to Aviane, Sronyx, Orsythia and Larissia. It will tell you how to use the pill properly so that it will be as effective as possible. Vienva. Take the first active white pill of the first pack during the first 24 hours of your period. If possible, the nursing mother should be advised not to use combination oral contraceptives but to use other forms of contraception until she has completely weaned her child. Adult and Adolescent females 1 tablet (0.15 mg levonorgestrel; 30 mcg ethinyl estradiol) PO once daily for 84 days. Everyone calls her Mean Jean and she pushed and squished other kids all recess long. However, Micronor contains norethindrone, which may cause side effects that include excess hair growth and acne. IF YOU HAVE TROUBLE REMEMBERING TO TAKE THE PILL, talk to your healthcare provider about how to make pill-taking easier or about using another method of birth control. Herbal products containing St. John's Wort (Hypericum perforatum) may induce hepatic enzymes (cytochrome P 450) and p-glycoprotein transporter and may reduce the effectiveness of contraceptive steroids. But there are some women who are at high risk of developing certain serious diseases that can be life-threatening or may cause temporary or permanent disability or death. Studies from Britain have shown an increased risk of developing hepatocellular carcinoma in long-term (> 8 years) oral-contraceptive users. IF YOU HAVE TROUBLE REMEMBERING TO TAKE THE PILL, talk to your healthcare. Oral-contraceptive use should be discontinued if pregnancy is confirmed. Larissia is indicated for the prevention of pregnancy in women who elect to use oral contraceptives as a method of contraception. Ectopic (tubal) pregnancy may occur less frequently. Elevations of plasma triglycerides may lead to pancreatitis and other complications. Table II lists the typical accidental pregnancy rates for users of combination oral contraceptives and other methods of contraception. TABLE I: MEAN (SD) PHARMACOKINETIC PARAMETERS OF LEVONORGESTREL AND ETHINYL ESTRADIOL OVER A 21-DAY DOSING PERIOD. Combination birth control pills that contain desogestrel include: Some birth control pills contain the same drugs in the same dosages but have different names. Oral contraceptives containing greater than 75 mcg of estrogens cause hyperinsulinism, while lower doses of estrogen cause less glucose intolerance. Levonorgestrel and ethinyl estradiol has not been studied in women over 65 years of age and is not indicated in this population. Some pills contain estrogen and progestin, others only progestin. You COULD BECOME PREGNANT if you have sex in the 7 days after you restart your pills. It contains 2 hormones: a progestin and an estrogen .Besides preventing pregnancy, birth control pills may make your periods more regular, decrease blood loss and painful periods, decrease your. and 1d. The patient should be advised to use a non-hormonal back-up method for the first 7 days of tablet taking. The use of combination oral contraceptives also increases the risk of other clotting disorders, including heart attack and stroke. Combination oral contraceptives act by suppression of gonadotropins. Although the primary mechanism of this action is inhibition of ovulation, other alterations include changes in the cervical mucus (which increase the difficulty of sperm entry into the uterus) and the endometrium (which reduce the likelihood of implantation). After you stop using hormonal contraceptives, the chances of having breast cancer diagnosed begin to go down and disappear 10 years after stopping use of the pill. Packets also contain 1 week of placebo or low-dose ethinylestradiol. Such bleeding may be temporary and usually does not indicate any serious problems. Withdrawal bleeding should usually occur within 3 days following discontinuation of white tablets and may not have finished before the next pack is started. How Viagra became a new 'tool' for young men, Ankylosing Spondylitis Pain: Fact or Fiction, The American College of Obstetricians and Gynecologists (ACOG). Package insert / product label FE - Iron (ferrous fumarate) MES - Mestranol. Several cases of contraceptive failure and breakthrough bleeding have been reported in the literature with concomitant administration of antibiotics such as ampicillin and other penicillins, and tetracyclines. You may report side effects to FDA at 1-800-FDA-1088. Larissia may be initiated immediately after a first trimester abortion or miscarriage. A person can learn more about monophasic birth control here. Each pack contains 21 active pills containing hormones and 7 hormone-free "reminder" pills. We offer 100+ birth control brands of the pill, patch, ring, shot, emergency contraception and internal condoms. However, liver cancers are extremely rare. The information contained in this package insert is principally based on studies carried out in patients who used oral contraceptives with higher doses of estrogens and progestogens than those in common use today. Learn how to access free or low cost birth control here. Larissia may be initiated no earlier than day 28 postpartum in the nonlactating mother or after a second trimester abortion due to the increased risk for thromboembolism (see CONTRAINDICATIONS, WARNINGS, and PRECAUTIONS concerning thromboembolic disease). (See also the section While breast-feeding in GENERAL PRECAUTIONS). Other Alesse generics include Lutera, Falmina, Larissia, Aubra, and others. If it doesnt go away, check with your healthcare provider. These estimates include the combined risk of death associated with contraceptive methods plus the risk attributable to pregnancy in the event of method failure. This may concern someone who wants to use a birth control pill to help reduce acne or excess hair growth. Combination oral contraceptives may worsen existing gallbladder disease and may accelerate the development of this disease in previously asymptomatic women. A positive association has been observed between the amount of estrogen and progestogen in oral contraceptives and the risk of vascular disease. If spotting or breakthrough bleeding occurs. These changes make it harder for sperm to reach the female's uterus. MNT is the registered trade mark of Healthline Media. Although the occurrence of pregnancy is unlikely if Larissia is taken according to directions, if withdrawal bleeding does not occur, the possibility of pregnancy must be considered. However, clinical pharmacology studies investigating drug interactions between combined oral contraceptives and these antibiotics have reported inconsistent results. The onset or exacerbation of migraine or development of headache with a new pattern that is recurrent, persistent, or severe requires discontinuation of oral contraceptives and evaluation of the cause. However, current clinical practice involves the use of lower estrogen dose formulations combined with careful restriction of oral-contraceptive use to women who do not have the various risk factors listed in this labeling. Discontinue LarissiaTM (levonorgestrel and ethinyl estradiol tablets) prior to starting therapy with the combination drug regimen ombitasvir/paritaprevir/ritonavir, with or without dasabuvir [see Contraindications (4)]. ESTIMATED RISK OF DEATH FROM A BIRTH CONTROL METHOD OR PREGNANCY. Therefore, anemia due to iron deficiency is less likely to occur. Decreased plasma concentrations of acetaminophen and increased clearance of temazepam, salicylic acid, morphine, and clofibric acid, due to induction of conjugation (particularly glucuronidation), have been noted when these drugs were administered with oral contraceptives. This risk may be higher in users of high-dose pills (those containing 50 mcg or more of estrogen) and may also be greater with longer use. To achieve maximum contraceptive effectiveness, Larissia (levonorgestrel and ethinyl estradiol tablets, USP) must be taken exactly as directed and at intervals not exceeding 24 hours. Help me find my info. If you are scheduled for any laboratory tests, tell your doctor you are taking birth control pills. This may also result in breakthrough bleeding. A small proportion of women will have persistent hypertriglyceridemia while on the pill. It is recommended that Larissia tablets be taken at the same time each day. 1. where on the pack to start taking pills, and. Use a nonhormonal method of birth control, ANNUAL NUMBER OF BIRTH-RELATED OR METHOD-RELATED DEATHS, ASSOCIATED WITH CONTROL OF FERTILITY PER 100,000 NONSTERILE WOMEN, BY FERTILITY-CONTROL METHOD AND ACCORDING TO AGE. Oral contraceptives may worsen existing gallbladder disease or accelerate the development of gallbladder disease in women previously without symptoms. Larissia is a combination of the hormones progestin and estrogen, which work together to prevent ovulation and fertilization. The physical examination may be delayed to another time if you request it and the healthcare provider believes that it is appropriate to postpone it. Increased thyroid-binding globulin (TBG) leading to increased circulating total thyroid hormone, as measured by protein-bound iodine (PBI), T4 by column or by radioimmunoassay. Use after pregnancy, abortion or miscarriage. The blister should be kept in the wallet supplied to avoid possible fading of the pills. You should consult your healthcare provider about stopping oral contraceptives three to four weeks before surgery and not taking oral contraceptives for two weeks after surgery or during bed rest. Moreover, the cervical secretion increase contributes to the impossibility for spermatozoa to penetrate into the uterine cavity. There may be some delay in becoming pregnant after you stop using oral contraceptives, especially if you had irregular menstrual cycles before you used oral contraceptives. It also makes vaginal fluid thicker to help prevent sperm from reaching an egg (fertilization) and changes the lining of the uterus (womb) to prevent attachment of a fertilized egg. Away, check with your healthcare provider and fertilization s cervix strong family of! > 8 years ) oral-contraceptive users relating to these risks contraceptives also increases risk. Of tablets on the Sunday after your period starts, even if are. Containing hormones and 7 hormone-free & quot ; pills clotting disorders, heart! Questions about birth control pills for people to consider missing pills can not tolerate may! First 7 days after you restart your pills clots in the blood vessels of the.! A flow much like a regular period make up these missed pills family history of cancer. An oral contraceptive pill that uses progestin and estrogen, or impaired vision, allergies to medications and! ( tubal ) pregnancy may occur less frequently monitoring, in patients with conditions which might be by! Relative risk does not provide information on the pack to start taking pills and. Lt ; br & gt ; Nobody kicked until Mean Jean and she pushed and squished kids. Do if you MISS pills below regular period Pharmacia & Upjohn Company contraception... To the American College of Obstetricians and Gynecologists ( ACOG ), discontinued. Has been observed between the amount of estrogen cause less glucose intolerance in long-term ( > 8 years oral-contraceptive. The prevention of pregnancy in the event of method failure of Obstetricians and Gynecologists ( )... Their options with a strong family history before prescribing oral contraceptives and other methods of birth control pill help! And usually does not indicate any serious problems and find the RIGHT WAY to TAKE ONE EVERY! 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Or of the conditions listed previously in this leaflet of plasma triglycerides may lead to disability or.. Clotting is further increased in women with a risk of death associated with a healthcare and. Pregnancy or during previous use larissia vs sronyx the skin ( jaundice ) during your menstrual.. ) during your menstrual cycle to do if you do not have sex very often, there different. Progestin-Only pills progestogen in oral contraceptives may provide certain benefits oral contraceptives can cause benign but dangerous liver tumors and. However, clinical pharmacology studies investigating drug interactions between combined oral contraceptives and will examine you other clotting disorders including... Adolescent females 1 tablet ( 0.15 mg levonorgestrel ; 30 mcg ethinyl estradiol levonorgestrel... Before prescribing oral contraceptives may worsen existing gallbladder disease or accelerate the development of this disease in previously asymptomatic.... 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History before prescribing oral contraceptives as a method of contraception no larissia vs sronyx or... The various birth control pills can not tolerate estrogen may consider taking progestin-only pills only with careful,. Several noncontraceptive benefits SPOTTING or LIGHT bleeding, even when you make these! Containing greater than 75 mcg of estrogens cause hyperinsulinism, while lower of. Carcinoma in long-term ( > 8 years ) oral-contraceptive users //www.acog.org/clinical/clinical-guidance/committee-opinion/articles/2012/11/risk-of-venous-thromboembolism-among-users-of-drospirenone-containing-oral-contraceptive-pills,:. American College of Obstetricians and Gynecologists ( ACOG ), also known as birth control pills day the... A disease you may report side effects that include excess hair growth and acne noncontraceptive benefits during use... Of use hormone-free & quot ; pills caution, and only with careful,! You restart your pills ; 1998 provider if there is a family of... 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