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    Roughly 85 of women who do not use birth control and are trying to get pregnant will conceive within one year. If you do not want to become pregnant, and if you are not likely to remember to take a pill each day, you probably should consider a longer-acting form of birth control, such as the injection, patch, implant, vaginal ring or IUD. A monthly period still occurs with the traditional, combination birth control pills. Women may also choose the extended or continuous dosing birth control pill, in which a period only occurs 4 times a years e.g., Seasonique or is completely eliminated e.g., Amethyst. It is also possible to completely eliminate periods by taking only the active pills continuously every day from a combination birth control pill package, and skipping the inactive pills. Ask your healthcare provider if this would be a good option for you. Any time you miss a birth control pill it is best to use a back-up method of birth control, such as a condom or diaphragm with a spermicide, or a contraceptive sponge. Your chances for getting pregnant increase depending upon when you missed your pill during your cycle. If you miss one or two combination estrogen and progestin pills, take them as soon as you remember. Take your next pill at the regular time. This means if you miss two pills, you would take both missed pills at the same time, and then take your next pill whenever it is due. Taking two pills at once may make you feel a little sick to your stomach, but that will not last long. Use a back up method of birth control, such as a condom, sponge or spermicide until you finish the pack, unless your healthcare provider advises otherwise. If you miss three combination pills in a row, call your healthcare provider. You may need to stop using your current birth control pack and start a new pack while using a back up method of birth control. You could become pregnant if you miss taking your progestin-only pill mini-pill by more than 3 hours. If you miss taking one mini-pill, take it as soon as you remember, and take the next pill at the regular time. Continue to take the remainder of the mini-pills on the regular schedule. Use a back-up method of birth control, such as a condom, sponge or spermicide for the next 48-hours. If you are still confused about what to do if you have missed any birth control pills, use a back-up method of birth control each time you have vaginal intercourse, and take a birth control pill each day until you can talk to your health care provider. The birth control pill does not protect against any form of sexually transmitted disease STD, including HIV AIDS. A male latex or female condom should be used in combination with any other form of birth control if protection against STDs is needed. Breastfeeding mothers should avoid the estrogen in combined hormonal birth control as it may reduce milk supply. Birth control options for breastfeeding women include:

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    The progestin-only or mini-pills contain only norethindrone and each pill is active there are no placebo, inactive pills. When you finish one pack of progestin-only pills, you start another pack the next day. With progestin-only pills you will either get your period in the fourth week, get no periods, or have spotting during the month. Your periods may be heavier or lighter. Do not stop taking your progestin-only pills.

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