Kink Talk – What does The Pill mean?
The Pill
The pill is a daily hormone tablet that prevents pregnancy, either as a combined pill with estrogen and progestin or as a progestin-only mini pill, and is very reliable when taken on time.
What does the pill mean?
“The pill” became the everyday name for oral contraception after the first birth control pill was approved in the US in 1960. West Germany followed in 1961. It’s a hormone tablet you take every day to prevent pregnancy. There are two main types. The combined pill contains an estrogen and a progestin and stops ovulation. The mini pill contains only a progestin. Depending on the type, it mainly thickens the mucus at the cervix or also stops ovulation. With perfect use the Pearl Index of most pills is below 1, meaning fewer than 1 in 100 users get pregnant in a year. With typical use, when pills get missed, it’s clearly higher.
What can make the pill less effective?
Missed or late pills are the most common reason. Vomiting or severe diarrhea soon after taking it can also stop the hormones from being absorbed. Some medicines lower protection too, for example certain epilepsy drugs and St. John’s wort. The leaflet explains what to do if you miss a pill or get sick. When in doubt, use condoms as backup. And remember: the pill never protects against STIs, so condoms still matter with new partners.
What are the side effects of the pill?
Many people take it without problems. Possible side effects include headaches, tender breasts, spotting, mood changes and lower libido, and they often settle after the first few months. The combined pill slightly raises the risk of blood clots, known as thrombosis, especially if you smoke. In Germany the pill needs a prescription, so talk to a gynecologist about your health history and what suits you.