Hormonal methods of birth control (hormonal contraceptives) are usually prescribed by a doctor or family planning clinic.

Before a hormonal contraceptive is prescribed contraindications must be ruled out. These are medical conditions or circumstances in which use of a certain drug or medical procedure is not allowed or not advised.

Talking to the doctor

First the doctor will ask you about your medical history (past illnesses, operations, etc.). He will also ask whether you have a family history of certain diseases (relatives with cancer or thrombosis etc.).

It is important to inform your doctor about any regular medication you are taking. Certain drugs can reduce the effectiveness of hormonal methods of contraception.

The doctor may also ask you some personal questions so as to be able to advise you better.

For example he may ask whether you already have children or whether you are planning to start a family. If your family is already complete or if you are not planning to have children in the next few years he may recommend a long-term method such as the intrauterine system.

He may ask if you smoke. If you want to use a hormonal method of contraception you should give up smoking because there is an increased risk of thrombosis.

What you and your doctor talk about will of course vary from person to person. It will also depend on what questions you have. Maybe you have already informed yourself about the different methods of contraception available. Tell your doctor if there is a particular method you would prefer and ask him if this method is suitable for you.

The physical and gynecological exams

A general physical exam includes blood pressure measurement and certain laboratory tests. In addition you should also be given a gynecological exam including a cervical smear and examination of the breast.

The prescription

If the doctor has ruled out contraindications a hormonal contraceptive can be prescribed.

If the doctor has ruled out contraindications a hormonal contraceptive can be prescribed.

Read the product information carefully and completely and follow all instructions. For example, there are situations in which it may be necessary to stop taking the hormonal contraceptive.

Regular check-ups

If you are using hormonal contraception your doctor will ask you to have regular check-ups.

Of course you should always see your doctor if you notice any changes in your health. There are situations in which it may be necessary to stop taking the hormonal contraceptive.

It is always a good idea to ask the doctor for advice if you have made a mistake in using your hormonal contraceptive.

Prolonged immobilization increases the risk of thrombosis. In such cases your doctor may advise you to stop using the hormonal contraceptive for a while. He will also tell you when you can start using the preparation again.