Today, many women in our country use birth control pills as a method of family planning. So if you are using this type of pill, or are planning to use it, it is very important to be fully informed about it. Today we are talking about one of the most commonly used family planning pills, which is made up of two hormones, Norgestimate and Ethinyl Estradiol.
What kind of pill is this? What does it do to the body?
Simply put, this is a hormonal pill. It contains two types of hormones, estrogen and progestin, which are naturally produced in the female body. The main function of these pills is to prevent ovulation, that is, to prevent the release of an egg from an ovary. If an egg is not released, there is no way for pregnancy to occur. So it is often used to prevent pregnancy, that is, as a method of birth control.
Also, sometimes, doctors recommend this type of pill as a treatment for acne that occurs on the face of some women, because hormonal imbalances also contribute to the occurrence of some types of acne.
Things you need to tell your doctor before using this medicine
Before you start using this medication, it is important for your doctor to know your complete health history. If you have, or have had, any of the following medical conditions, be sure to tell your doctor.
- If you have unusual vaginal bleeding
- If you have or have ever had breast, cervical, uterine, ovarian, or liver cancer
- Diabetes (Diabetes Mellitus)
- High Blood Pressure
- If you have high blood cholesterol or triglyceride levels
- If you have heart disease or have recently had a heart attack
- If you have blood vessel diseases
- If you have a history of blood clots
- If you have had a stroke
- If you have severe migraine headaches
- Liver or kidney disease
- Gallbladder disease
- Immune system diseases like Systemic Lupus Erythematosus (SLE)
- If you are a smoker (this is very important)
- If you have recently had a baby or had a miscarriage
- If you are preparing for major surgery
- If you think you are pregnant or are trying to get pregnant
- If a mother is breastfeeding her child
- If you have allergies to other medications, foods, or dyes
It is very important for your own safety to tell the doctor without hiding these things.
How exactly do you use these pills?
These pills are to be taken by mouth. Some people may feel nauseous after taking them. To reduce this, it is best to take the pill with a meal.
The most important thing is to take the pill at the same time every day. Choose a time of day that is easiest for you to remember. For example, every evening after dinner.
You should take the pills in the order listed on the pill packet. The arrows on the packet indicate the order in which you should take them. Do not take more than one pill a day, unless your doctor tells you to.
What do you do if you forget to take a pill?
If you forget to take a pill one day, follow the instructions in the patient information sheet that comes with your medicine. Usually, you should take the missed pill as soon as you remember and then take your next pill at the usual time that day. However, if you miss two or three days, the contraceptive effect of the pill may be reduced. In such cases, it is important to use another form of contraception, such as a condom , and talk to your doctor.
What if I take too much medicine?
If you think you have swallowed more medicine than you think, call the National Poisons Information Centre at the National Hospital immediately. Or go to the Emergency Department (ETU) at the nearest hospital.
Other things that may interact with this medicine (Interactions)
Some medications can affect the effectiveness of birth control pills when taken with them. So tell your doctor about all the medications you are taking (including vitamins, herbal remedies, and supplements).
| Things that can cause problems | Description |
|---|---|
| Medicines that should never be taken | Some medications for Hepatitis C, such as Dasabuvir, Ombitasvir, Paritaprevir, and Ritonavir. |
| Other things that can have an impact |
|
This list is not complete, so it's best to inform your doctor about all medications you take.
Things to consider when using pills
- Smoking and age: If you are over 35 years old and you smoke, the risk of blood clots and stroke is greatly increased by using this type of pill. Therefore, taking this pill is not advisable in such a situation. Even if you are under 35 years old, it is wise to completely avoid smoking if you are taking this pill.
- Sunlight: Your skin may be a little sensitive to sunlight while taking these pills. Therefore, it is a good idea to use sunscreen and wear clothing that covers your body if you are going to be in the sun.
- Sexually transmitted diseases: These pills only prevent pregnancy. They do not protect against sexually transmitted diseases like HIV/AIDS. To protect against them, you must use a condom.
- Medical tests: When using these pills, it is important to have regular medical tests (e.g. Pap smear, breast exam) as directed by your doctor.
What side effects can be expected?
Like any medicine, this one can have side effects. Some are serious, some are common.
| Classification of side effects | |
|---|---|
| 🚨 Things to report to your doctor immediately | |
| Allergies | Skin rash, itching, swelling of the face, lips, tongue. |
| Symptoms of a blood clot | Leg pain, swelling, warmth, difficulty breathing, chest pain. |
| Symptoms of a Stroke | Sudden numbness or weakness in the face, arm, or leg, difficulty speaking, severe headache. |
| Liver disorders | Pain in the upper right abdomen, yellowing of the skin or eyes, dark urine, and pale stools. |
| Other serious symptoms | Increased blood pressure, new or worsening migraines, depression. |
| 🙂 Things to tell your doctor if they are usually not serious, but persist | |
| Common disorders |
|
If you experience any other unusual symptoms not mentioned on this list, it's best to talk to your doctor.
Take-Home Message
- Remember to take these birth control pills at the same time every day.
- Be sure to tell your doctor about any other medications you take, any medical conditions you have, and whether you smoke.
- Women over the age of 35 and those who smoke are at increased risk from taking these pills.
- These pills only prevent pregnancy. They do not protect against sexually transmitted diseases like HIV/AIDS.
- If you have symptoms of a serious side effect (e.g., severe chest pain, difficulty breathing, leg swelling, difficulty speaking), seek medical advice immediately.
- In case of any problem, do not hesitate to talk to your doctor and seek advice.


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