How safe is the pill?

A safe contraception with correct use of the pill regardless of its type exists on all 28 days, i.e. also during withdrawal bleeding. The macro- and micro-pills have a Pearl index of about 0.1, the minipill one of about 0.2 – 2. It should be noted that the effect of the pill can be influenced by diarrhoea, vomiting and the use of various drugs, which means that a safe contraceptive protection may no longer be guaranteed.

The safety is therefore very high. In most cases an unwanted pregnancy is caused by a mistake in taking the pill, such as forgetting to take a pill. But also diarrhoea or vomiting a few hours after taking the pill can lead to the effects of the pill no longer being guaranteed.

Taking antibiotics also reduces the reliability of the pill. Therefore, in the event of any errors in taking the pill, taking antibiotics and diarrhoea or vomiting after taking the pill immediately, another contraceptive should also be used. The started pill pack should always be taken to the end.

Side effect of the pill

Even though the contraceptive pill has many advantages over other contraceptives, you should not ignore the side effects of the pill.For example, taking the pill increases the risk of thrombosis, has a mild diabetogenic effect (leads to slight insulin resistance; diabetes mellitus) and can cause benign tumors of the liver (focal, nodular hyperplasia and hepatocellular adenomas). In addition, the pill promotes the development of hormone-dependent breast tumors (breast cancer). It can also cause cycle irregularities, mood swings, nervousness and weight gain.

The pill may of course only be prescribed to women who do not have any contraindications. Possible factors that prevent a woman from taking the pill are for example There are many more contraindications that should be excluded by the gynecological specialist when prescribing the pill.

An increased risk of thrombosis
Previous heart attack
Stroke (Apoplexy)
Or an embolism
Existing liver cell tumors
High blood pressure (arterial hypertension)
Or an existing pregnancy.