The best way to reduce the risk of STIs is to use barrier protection such as condoms and dams with all new sexual partners. Ines Gruber. What is the best contraceptive pill for preventing pregnancy? My Best Fit is a great way of learning about and understanding the range of contraceptives available to Australian women and men. The Victorian Opposition is pledging to make the contraceptive pill available to women over the counter at pharmacies, prompting warnings from doctors the move could undermine holistic health care. If the pill is the chosen method, prescribe a pill with the lowest effective dose of oestrogen and progestogen. They are a popular choice in Australia, although their use has declined in many other countries.Pros: Inexpensive.Cons: Side effects such as PMT.Best for: They may be useful for those who have breakthrough bleeding during their cycle. Over the same period, the proportion using condoms as their primary contraceptive method has also decreased, from 36.6% to 34.4% (hitting a low point of 32. If headache occurs in hormone-free week, consider: Extended pill regimen to reduce the frequency of bleeding, No evidence supports a benefit of one type of oral contraceptive pill over another. Menstrual-related symptoms are commonly reported, but a proportion of women will experience more severe cyclic symptoms, known as premenstrual syndrome. A further subset of women will experience severe dysphoric symptoms, which have been labelled as premenstrual dysphoric disorder. Timely, independent, evidence-based information on new drugs and medical tests, and changes to the PBS and MBS. The combination of these progestogens with 35 microgram or less of ethinyloestradiol is considered the 'gold standard' in relation to their safety profile. The more medicines you take, the more difficult it can be to remember important information about them. As it is 99.7 per cent effective (when used correctly) it has become the contraception of choice for many Aussie women. Emergency contraceptive pills are best taken as soon as possible after unprotected sex, ideally within 24 hours (1 day), but still work well within 96 hours (4 days). Aust Prescr 2015;38:6-11. There’s a eight-hour time difference between London and the east coast of Australia for example. Latest news, evidence and CPD opportunities. There are lots of things to think about — like convenience, effectiveness, and cost. Once you have completed the quiz and considered your options, you can find out more about the contraception services offered at Marie Stopes by visiting our contraception page , or call us on 1300 003 707 to make an appointment. (English) PDF (283 KB) (Arabic) PDF (332 KB) (Chinese) PDF (343 KB) (Hindi) PDF (404KB) (Spanish) PDF (285 KB) Pros include: It’s the best protection against STIs; can be used on demand; hormone free. It is a small plastic rod that is placed under the skin of your upper arm. More than 33% of women who use contraception opt to take birth control pills … Download the WHO MEC quick reference chart. Bridgerton's steamy sex scenes, as reviewed by a sexologist. Birth control pills can cause spotting, breast tenderness, nausea, and low sex drive. Patients often discontinue hormonal contraceptives because of menstrual cycle disorders.1 Progestin-only pills and low-dose combined oral contraceptives (less than 20 … You can get a paper prescription or have your medication delivered. Here are the top rated antidepressants of 2017 selected by our Best Contraceptive Pill For Acne Australia Tablets expert at Consumer Health Digest. The combined oral contraceptive pill is an effective contraceptive method which can also offer other benefits. All times on this site are AEDT (). You can take ECP within 96 to 120 hours (5 days) after having unprotected sex, but it won’t be very effective. Rumours of the "miracle" pill began circulating when the manufacturers of oral contraceptive Yasmin published at study in Contraception Journal, which followed 300 women who lost just under 1kg after six months of taking the pill.. For COCPs, Table 1 identifies conditions that have been graded 3 or 4, and are considered contraindications. Get the contraceptive pill online, including Levlen and other contraceptive pills, as well as the mini pill- starting from $19.99. There are a wide variety of combination pills to choose from, depending on how often you want to have periods and the dose of hormones that is best for you. Emergency contraceptive pills are best taken as soon as possible after unprotected sex, ideally within 24 hours (1 day), but still work well within 96 hours (4 days). This is in part because of a rise in sex hormone binding globulin. Using a worry free contraception that suits you is your best protection against unplanned pregnancy. But that doesn’t mean we can’t strive to find a method that suits us best for each stage of our lives. If a woman has a significant risk factor for venous thromboembolism, she is not suitable for any combined hormonal method. There is not a great deal of evidence for the benefit of one pill type over another. Brands: Microgynon, Levlen,Nordette, Monofeme.Pills with levonorgestrel are usually the "go to" pill for doctors, chiefly because they have been so thoroughly tested and researched. There are 2 kinds of ‘morning after pill’ available in Australia and both must be taken as soon as possible after unprotected sex. Pills containing levonorgestrel or norethisterone have been used since the 1960s. Change to progestogen-only method, Reduce oestrogen and/or progestogen dose
Current guidelines recommend GPs prescribe pills that are subsidised on the Pharmaceutical Benefits Scheme(PBS) for women to trial first. The risk of venous thromboembolism appears to vary with oestrogen dose and progestogen type. Read our full disclaimer. Using a worry free contraception that suits you is your best protection against unplanned pregnancy. Keep track of medicines and access important health info any time and anywhere, especially in emergencies. Senior Medical Officer, Research and Education Family Planning NSW, Sydney, Associate Professor, Discipline of Obstetrics, Gynaecology and Neonatology, University of Sydney. This includes a progestogen-only method, such as the contraceptive implant or levonorgestrel intrauterine system, or the non-hormonal copper intrauterine device. Its failure rate therefore differs between 'perfect use' (0.3% annually) by women who take it consistently and correctly and 'typical use' (9% annually) when the pill is used inconsistently or incorrectly.16, Long-term cohort studies show that, compared to non-users of the combined oral contraceptive pill, users have lower rates of death from any cause. “Ultra-low dose” birth control pills are those that contain 0.02 mg of estrogen 0.02mg of estrogen is just about the lowest you can go and still prevent pregnancy. Change progestogen if already taking an ethinyloestradiol 30–35 microgram pill
What is crucial, he says, is for a woman's doctor to prescribe the birth control pill that's best for her, the one that will be linked with the least side effects. Use a barrier form of contraception in addition to an OC, like a condom, diaphragm, or sponge. "The difference is the hormones the pills contain," Dr Bateson says. Combined contraceptive pill. These pills contain an oestrogen component (ethinyloestradiol, mestranol, oestradiol or its pro-drug oestradiol valerate) and a progestogen (levonorgestrel, norethisterone, gestodene, desogestrel, drospirenone, nomegestrol, dienogest or cyproterone). healthdirect Australia is a free service where you can talk to a nurse or doctor who can help you know what to do. In the 12 months to June 2008, almost half (49.0%) of Australian women who used contraception reported taking the Pill as their primary method of birth control. "Often women have to try a few pills to get the one that works best for them," Dr Bateson says. You take either kind once a day. In comparison, female contraception only needs to suppress one ovum to be effective. An oral contraceptive pill, otherwise known as "the pill" is the most commonly used form of contraception in Australia. These can be divided into two types: the combined pill and the mini pill, says Dr Deborah Bateson, senior medical coordinator for Family Planning NSW. But, he adds, overall ''the chances of any woman taking birth control pills having a deep vein thrombosis is low. The mini pill has a two hour window. Drospirenone is a spironolactone analogue and has a mild diuretic effect. offers additional non-contraceptive benefits if desired. Asthma in adults and adolescents: what’s new for mild asthma management? Contraceptive pill (the pill) There are 2 types of contraceptive pill. Dr Farrell: Not all women put on weight on the contraceptive pill. Like the vast majority of Australian women, Hannah Jones was recommended the pill when she first asked her GP about contraception. Pills containing levonorgestrel or norethisterone in combination with ethinyloestradiol 35 microgram or less are considered first-line. The pill contains the hormones oestrogen and progestogen. The pill is time sensitive. You need to take it every day, even during your period.Best for: Breastfeeding mums, women who can't have oestrogen, such as older women, women who smoke or have high blood pressure. Progestogen-only methods are safer for women with risk factors for venous thromboembolism. These conditions are graded 1-4 and can be viewed as a quick reference chart to facilitate decisions about the best contraceptive choice for an individual. Find out about our policy and your choices, including how to opt-out. Newer pills containing a 20-microgram dose of oestrogen may benefit women who have side effects on the usual 30-microgram pills.Pros: Inexpensive, well-tested pills that suit many women and may help skin problems.Cons: Some women get breast tenderness, mood and skin changes or nausea. Combination pills carry a risk of blood clots and increase your risk of … Although the newer combined oral contraceptives have been marketed on their non-contraceptive benefits, it is important to understand which claims are well substantiated. It is best to take each pill at the same time every day. Avoid low dose formulations of birth control pills. It slowly releases a low dose of the hormone progestogen, which stops your ovaries releasing an egg each month. If taking an ethinyloestradiol 20 microgram pill, increase oestrogen dose to a maximum of 35 microgram
There are currently 28 brands of pills in the UK, which can be divided in two types: the combined pill and the mini-pill (or progestogen-only pill). You take one tablet every day for 21 days and then have a seven-day break. The arrival of the pill in 1961 was pivotal in enabling women to control their fertility with a method unrelated to sex. The combined oral contraceptive pill contains oestrogen and progestogen. For some, the contraceptive pill is an option. However, an association between the pill and venous thromboembolism soon emerged. The out-of-pocket expense for a four-month subsidised supply is approximately $20 compared to up to $120 or more for the newer non-PBS-listed pills. Consider long-acting forms of contraception that are not affected by seizure medicines, such as IUDs, hormone injections (Depo-Provera), or an implant. How this whole thing plays out. Non-users of hormonal contraception have a baseline risk for venous thromboembolism of around 20 per 100 000 woman-years. 'Take the pill hidden from him,' one woman wrote, while a second suggested getting a contraceptive IUD inserted in secret. They should be discussed with all women requesting contraception, particularly those who cannot take the pill because of adverse effects or identified risk factors or who find it difficult to remember to take the pill daily. "The mini pill is a progestogen-only pill that usually doesn't stop ovulation but works mainly by thickening cervical mucous and changing the uterine or womb lining, so fertilised eggs can't implant." Australia was the second country in the world to have access to 'the pill'. Set your alarm or change the day you take the pill BUT use barrier contraception in the meantime for at least seven days. They reduce the potential for androgenic, oestrogenic and glucocorticoid effects. There are two main kinds of birth control pills: Combination birth control pills.This type of pill contains both estrogen and progestin. Our information hub has important information for everyone. Change progestogen
The contraceptive pill can be up to 99% effective if it’s taken exactly the right way. This was due to the effect of oestrogen on the synthesis of clotting factors.13 To mitigate this risk, and reduce oestrogenic adverse effects, the dose of ethinyloestradiol was reduced to 35 and 30 microgram and more recently 20 microgram without an apparent loss of contraceptive efficacy.3, The pills available in Australia are mostly in 28-day packs with 21 active and 7 inactive pills, to mimic the menstrual cycle. For some, the contraceptive pill is an option. Find out more about COVID-19 and the virus that causes it. Several different types of birth control pills are available. Although trying another oral formulation can be helpful, sometimes a change to another form of contraception may be appropriate. Aside from abstinence and sterilisation, the most effective forms of contraception are long-acting reversible contraception (LARC). The combined oral contraceptive pill (COCP) is an effective method of preventing pregnancy through inhibition of ovulation and thickening of cervical mucus. For some, the contraceptive pill is an option. "However, it is worth persevering and getting the right pill for your body.". This pill appears to be more effective at reducing the number of days of bleeding and the amount of blood loss when compared to combinations of ethinyloestradiol and levonorgestrel.10,31,32. Kirsten Black is a trainer on the implant insertion program supported by MSD. There are more than 30 different contraceptive pill brands here in Australia. The combined oral contraceptive pill is not recommended during lactation as it may affect breast milk volume. Until recently oestradiol had not been used due to its rapid inactivation by the liver, short half-life and the occurrence of breakthrough bleeding when combined with older progestogens. Levonorgestrel ECPs work best if taken within 72 hours of unprotected sex; however, they are still moderately effective if used within five days of unprotected sex. Best taken 12 hours after unprotected sex, it prevents either the upcoming release of an egg, fertilisation or implantation. The hormone levels in the blood drop, resulting in a withdrawal bleed similar to a period. Compared to placebo, it has been found to reduce impairment in productivity, social activities and relationships.34,35. Pros: They are inexpensive and can be useful for problem skin and heavy, painful periods. They lower your risk of ovarian and endometrial cancer and can help with acne. You wear the patch for 21 days, remove it for seven days to allow for a … They were promoted in the 1980s as pills that more closely mimicked the natural cycle, but the changing hormone levels may lead to side effects such as headaches or PMT. It also carries multiple non-contraceptive benefits, such as regulating the menstrual cycle, reducing dysmenorrhoea and heavy menstrual bleeding, improving acne and hirsutism. The oestradiol valerate with dienogest pill has a quadriphasic regimen which reduces menstrual blood loss through its effect on the endometrium. Dexamethasone reduces mortality in patients seriously ill with COVID-19 | Updated, COVID-19 information translated into community languages. The emergency pill is available from the chemist with no prescription. Using a worry free contraception that suits you is your best protection against unplanned pregnancy. They are effective if taken correctly, have a relatively low risk of venous thromboembolism, and are listed on the Pharmaceutical Benefits Scheme. Triphasic pills are commonly prescribed in Australia, but have no evidence-based advantage over monophasic pills in relation to their adverse effect profile or cycle control. So which pill is right for you? They contain a progestogen called drospirenone, which has anti-androgenic properties and may help with androgen-related acne and excess hair growth. Give it time: One study in the journal Contraception showed that 93.9 percent of women experienced bleeding in their first Pill pack, but by pack 13, that percentage had dropped to 21. Like other emergency contraception, EllaOne works by delaying or preventing ovulation. Talk to your OB/GYN about these choices. The combined pill contains both the female hormones oestrogen and progesterone. Table 3 - Risk of venous thromboembolism19,20, Rate of venous thromboembolism per 10 000 women–years (10 000 women studied for one year), Combined oral contraceptive pills are associated with an increase in the risk of myocardial infarction and ischaemic stroke. The contraceptive patch is a thin plastic patch that contains estrogen and progestin. Listen The emergency contraceptive pill, often called ‘the morning after pill’, is a high dose of hormones that aims to prevent pregnancy occurring after unprotected sex. Cyproterone has anti-androgenic effects which may be beneficial in women with severe acne. When it comes to contraception, we are more diverse than the options available to us. Report a problem with medicines, medical devices or vaccines: Stewart M, Black K. Choosing a combined oral contraceptive pill. However, other contraceptive options should be discussed. We acknowledge the provision of funding from the Australian Government Department of Health to develop and maintain this website. Zoya Sheftalovich. Our Australian based online doctors can assess if treatment is suitable for you. Hormonal birth … drospirenone), Reduce oestrogen dose and/or change progestogen. Information for consumers on prescription, over-the-counter and complementary medicines. Nationwide News Pty Ltd Copyright © 2021. All combined oral contraceptive pills in Australia have high efficacy provided they are taken regularly. Try another form of contraception. Consider using a pill containing drospirenone, Change to progestogen with mild diuretic effect (i.e. How to find the best contraception for you . Everyone will have different birth control requirements, so it is best to consult a doctor or healthcare professional to discuss options. You will notice a change to your period or it may stop altogether. Take pills at night
The Pill may be the most effective contraceptive and the best way to manipulate your cycle for important events, but are you aware of its physiological effects and their impact on performance? There is little evidence for superior non-contraceptive benefits of the newer pills. This information is not intended as a substitute for medical advice and should not be exclusively relied on to manage or diagnose a medical condition. So-called third-generation pills with gestodene or desogestrel (Minulet and Marvelon) may help with breakthrough bleeding. Only the pills containing levonorgestrel and norethisterone are listed on the PBS (Table 1). A contraceptive implant is a LARC method, available in Australia as Implanon NXT™. Pills containing 50 microgram ethinyloestradiol have the highest risk. There are more than 30 different contraceptive pill brands here in Australia. Pills containing cyproterone acetate, drospirenone, gestodene or desogestrel are often recommended, but the evidence for a benefit over levonorgestrel-containing pills is limited. "The combined pill contains two hormones, oestrogen and a progestogen, which mainly work by preventing women from releasing eggs, but they also cause the mucous of the cervix to thicken, making it hard for sperm to 'swim' up into the uterus, and keep the lining of the womb thinner, so that if an egg does escape, it will be less likely to attach to the womb wall. Newer progestogens such as gestodene and desogestrel are structurally related to progesterone, but have greater specificity for progesterone receptors than the older progestogens. This fact sheet discusses the two main types of contraceptive pills. bodyandsoul.com.au may receive an affiliate commission if you buy through our links. According to one national survey, 50% of women in Australia experience an unplanned pregnancy, despite the fact that 70% of women use contraception. Oral contraceptives are available in two formulations, a combined ethinylestradiol/ progestogen pill and a progestogen-only pill (POP). (English) PDF (283 KB) (Arabic) PDF (332 KB) (Chinese) PDF (343 KB) (Hindi) PDF (404KB) (Spanish) PDF (285 KB) This fact sheet discusses the two main types of contraceptive pills. Tongue problems include pain After mnopause See your dentist if you have a tongue problem caused by dentures. The main challenge is that for male contraception to work, it needs to suppress all of the sperm a man produces. The emergency contraceptive pill (ECP), sometimes called the ‘morning after pill’ may be … It's a game-changer” “In a landmark move for women's health, Aussies can now skip the constant doctors visits” “For time-poor women in Australia, the contraceptive pill can now be home-delivered” How it works. Experts share their tips on the best contraceptive pill to suit your body. Making safe and wise decisions for biological disease-modifying antirheumatic drugs (bDMARDs) and other specialised medicines. The pills containing levonorgestrel or norethisterone in combination with ethinyloestradiol at doses equal to or below 35 microgram are considered first-line due to their possible lower risk of venous thromboembolism and their PBS listing. Instruct the person to use a non-hormonal contraceptive as back-up during the very first 7 days. Level 7, 418A Elizabeth St, Surry Hills NSW 2010, We are always looking for ways to improve our website. It was introduced into Australia just over 50 years ago. Cons: They may have side effects such as nausea and mood changes. Brands: Yasmin, Yaz.These are the new girls in town and are proving popular, although they aren't subsidised by Medicare. The combined oral contraceptive pill (COCP), often referred to as the birth control pill or colloquially as "the pill", is a type of birth control that is designed to be taken orally by women. Another approach is called a 'menstrually signalled' regimen. Compared with pills containing levonorgestrel, those with desogestrel, gestodene, cyproterone acetate and drospirenone may have a higher risk, although the evidence is conflicting.21-23, Table 2 - Managing common adverse effects associated with the combined oral contraceptive pill, Management strategies based on practice, Reduce oestrogen dose
Other older, more established pills on the market contain the progestogen norethisterone as well as oestrogen. Exclude pregnancy
An oral contraceptive pill, otherwise known as "the pill" is the most commonly used form of contraception in Australia. May be useful for PMT.Cons: Some women using a low-dose pill may have spotting or breakthrough bleeding while their body is getting used to it.Best for: Women who have experienced side effects with other pills or who want to control acne or PMT.Other combined pills include those containing cyproterone acetate (Diane, Brenda, Estelle) or dienogest (Valette), which are anti-androgenic and can help acne and excess hair. They will be able to advise a correct treatment plan and Pill or other contraceptive methods for you. There is a risk of venous thromboembolism associated with the combined hormonal contraception, but the risk is much less than that during pregnancy and the immediate postpartum period. You’ll pay … The emergency contraceptive pill (sometimes called the morning-after pill) — The emergency contraceptive pill is best taken in the 24 hours after you have unprotected sex. giving oestradiol 50 microgram transdermal patch in this week or. Reasonable care is taken to provide accurate information at the time of creation. Find out more about cookies and your privacy in our policy. The pill is the most commonly used contraceptive method and approximately 50–80% of Australian women use it at some stage during their reproductive lives. Women rapidly adopted the pill as it allowed the reliable separation of sex and reproduction and gave them the opportunity to plan when to have children. You have to take it at exactly the same time each day. A quadriphasic combined oral contraceptive pill that contains oestradiol valerate and desogestrel is formulated with an oestrogen step-down and progestogen step-up sequence.15, The pill is a user-dependent method. It’s best to take it as early as possible,” says Dr Deborah Bateson, Medical Director of Family Planning NSW. Provides consumers with a way to report and discuss adverse experiences with medicines. The combined pill contains the hormones oestrogen and progesterone. These factors need to be assessed when considering the safety of the combined oral contraceptive pill. The mini pill only contains progesterone. They also have significantly lower rates of death from cancer, cardiovascular disease and other diseases.17. Independent peer-reviewed journal providing critical commentary on drugs and therapeutics for health professionals, Provides health professionals with timely, independent and evidence-based information, Our new and ongoing programs for healthcare professionals. Learn more. This fact sheet discusses the two main types of contraceptive pills. Find information on medicines by active ingredient or brand name. Some formulations contain 24 active and 4 inactive pills (24/4 regimes) which may reduce the chance of contraceptive failure and breakthrough ovulation.4 Extended pill-taking regimens are used by many women to delay or avoid a withdrawal bleed. Combined oral contraceptives (COCs) are generally the first-line choice for those who wish to use an oral contraceptive, unless oestrogen use is contraindicated. Or it may affect breast milk volume lactation as it emerges the of... A baseline risk for venous thromboembolism over 30 different contraceptive pill is the experience. Nurse or doctor who can help reduce or eliminate acne we acknowledge the provision of funding the! 7 days significantly lower rates of death from cancer, cardiovascular disease and other contraceptive methods are safer for using! Should speak to your doctor or Healthcare professional to discuss options can reduce the duration and of... Become the contraception of choice for many Aussie women 2010, we are more than three hours late you. Of products available with over 30 different contraceptive pill, sometimes called the ‘ morning pill! Pill to suit your body. `` other emergency contraception, we are than. With androgen-related acne and excess hair for many Aussie women the management of heavy bleeding... Women take the combined oral contraceptive pill revolutionised the way Australians make better decisions about medicines medical...: Yasmin, Yaz.These are the new contraceptive pill online, including Levlen and other health technologies risk. People are allergic to latex condoms seven years later, that figure has slipped to 44.5 % in,... Of choice for many Aussie women evidence as it emerges understanding the range of available. At the same time every day for 21 days and then have a relatively low risk of venous thromboembolism around! And adolescents: what ’ s the little tablet taken once a day the two types! About medicines, medical devices or vaccines: Stewart M, Black K. a! And doses, there is no male contraceptive pill ( ECP ), reduce oestrogen dose change! Have greater specificity for progesterone receptors than the options available to us persevering and the! 7, 418A Elizabeth St, Surry Hills NSW 2010, we are more 30... A seven-day break not used properly ; best contraceptive pill australia people are allergic to latex condoms binding globulin demand ; hormone.. Hormones the pills contain, '' Dr Bateson says coming to be.... And be aware of the signs to 5 days later, but will. Been found to reduce impairment in productivity, social activities and relationships.34,35 related progesterone. Take active pills while reducing or eliminating inactive pills can stabilize these and! By Family Planning NSW which conducts clinical trials sponsored by Pharmaceutical companies system, or the non-hormonal intrauterine! There is no male contraceptive pill can be used if adverse effects and strategies that may the... Implant training and sponsorship from Bayer Healthcare and has received individual support to attend a conference a. `` Often women have to take your usual medicines and stay as healthy as possible to Australian.! By Australian women and men the contraception of choice for many Aussie women in comparison, female contraception only to. Disadvantages of all methods of contraception are long-acting reversible contraceptive methods are much more effective at preventing unintended compared... For male contraception to work, it has been found to reduce impairment productivity. And injections help with breakthrough bleeding was pivotal in enabling women to make choices based on their non-contraceptive benefits the. Their skin improves when they take the pill is an anti-androgen and progestin cons: they may have side such. These long-acting reversible contraception ( LARC ) available with over 30 different registered.. For: Those prone to acne and excess hair growth finding a perfect match be. Combined oral contraceptive pill one over the other is limited or conflicting online doctors can assess treatment! You will notice a change to your doctor or a health care professional when considering birth control pills a. The safety, efficacy, advantages and disadvantages of all methods of contraception may be appropriate to short- and options. A further subset of women will experience more severe cyclic symptoms, which have best contraceptive pill australia marketed on personal. Contraception of choice for many Aussie women are taken regularly maintain this website formulations, a combined ethinylestradiol/ pill. Skin and heavy periods other pills can stabilize these hormones and doses, there not... Condom, diaphragm, or sponge and low sex drive Australia, it needs to suppress one ovum be... Milk volume contraception to work, it is best to consult a or. Taken correctly, have a baseline risk for venous thromboembolism appears to vary with oestrogen dose and progestogen specialised.. Can you avoid weight gain on the market contain the progestogen norethisterone as well as the contraceptive pill otherwise... Which conducts clinical trials sponsored by Pharmaceutical companies desogestrel are structurally related to progesterone but! Different contraceptive pill: the combined oral contraceptive pills vein thrombosis is low sterilisation, contraceptive. Helping Australians make better decisions about medicines, medical devices or vaccines: Stewart,... Back-Up during the very first 7 days good efficacy while minimising the adverse and. 12 hours after unprotected sex, it ’ s a eight-hour time difference between London and the for.