One of the main ways hormonal birth control prevents pregnancy is by stopping ovulation—so the egg never leaves the carton, so to speak. The pill, the patch, the ring, and the shot are most reliable at blocking ovulation, so people using these methods may have fewer ovarian cysts. If you tend to get ovarian cysts, your provider may recommend one of these methods to prevent future cysts. /The progestin-only or mini-pill has an unpredictable effect on ovulation and may lead to more cysts. These almost always disappear on their own, but if you’ve had problems with cysts in the past, the mini-pill may not be the best contraception for you.
Birth control pill
How can birth control help an ovarian cyst?
How much does the pill cost?
If you’re on Medicaid you can probably get on the pill for free and private insurance probably covers everything except for your copay.
Also, check with the family planning clinics around you and find out if they offer free or low cost birth control pills. Most do.
Check out our pill page for more information!
That depends on whether you have insurance and, if so, what kind, but the average is around $25 per month. You might be able to pay less if you use a generic rather than brand-name pill or if you can find an online pharmacy that offers cheaper prices. Be sure to ask your provider about those options.
If you’re on Medicaid you can probably get on the pill for free and private insurance probably covers everything except for your copay.
Also, check with the family planning clinics around you and find out if they offer free or low cost birth control pills. Most do.
Check out our pill page for more information!
I'm traveling to a different time zone. How can I figure out when to take my pill?
If you use our pill reminder system, you’re good to go while traveling; we’ll always send the reminder based on your home time zone.
If you remember your pill by setting an alarm on your phone, however, make sure to adjust it as needed when you’re on the road. If it’s easier (for example, if your usual pill time falls in the middle of the night wherever you’re visiting), you can change your schedule, as long as you don’t go more than 24 hours without a pill. So, if you live in DC and you go to Spain and want to stay on a 9AM schedule, it’s totally fine to take your next pill at 9AM Spanish time (18 hours after your last East Coast pill). But if you’re taking a progestin-only pill (also called the mini pill), the rules are different. You need to take it within 3 hours of your normal time or you’ve missed that dose. So even if that means taking it late at night, you have to stick to your regular schedule.
Also, if you’re traveling long enough that you’ll be starting a new pack of pills while you’re gone, don’t forget to stick them in your suitcase!
Basically you need to figure out what time it is in your home time zone and take it at that time. For example, if you live in Washington, DC, and you travel to Spain, which is 6 hours ahead, you should take your pill 6 hours later in the day than you normally would. So if you take your pill at 9AM in DC, you should take it at 3PM in Spain.
If you use our pill reminder system, you’re good to go while traveling; we’ll always send the reminder based on your home time zone.
If you remember your pill by setting an alarm on your phone, however, make sure to adjust it as needed when you’re on the road. If it’s easier (for example, if your usual pill time falls in the middle of the night wherever you’re visiting), you can change your schedule, as long as you don’t go more than 24 hours without a pill. So, if you live in DC and you go to Spain and want to stay on a 9AM schedule, it’s totally fine to take your next pill at 9AM Spanish time (18 hours after your last East Coast pill). But if you’re taking a progestin-only pill (also called the mini pill), the rules are different. You need to take it within 3 hours of your normal time or you’ve missed that dose. So even if that means taking it late at night, you have to stick to your regular schedule.
Also, if you’re traveling long enough that you’ll be starting a new pack of pills while you’re gone, don’t forget to stick them in your suitcase!
Is it safe to take two pills in one day?
However, if you miss a pill, take it as soon as you remember, even if that means it’s at the same time as your next regularly scheduled dose. You might feel nauseated if you have to do this, especially if you need to take two pills at once, so take your pills with food.
Yes, it’s absolutely safe to take two pills in one day, including taking two pills at once. That said, the most effective and best way to take your birth control pill is to take one every day (and if you’re taking the mini-pill, it’s extra important to take it at the same time every day). Regularly taking more than one pill a day won’t make your birth control more effective.
However, if you miss a pill, take it as soon as you remember, even if that means it’s at the same time as your next regularly scheduled dose. You might feel nauseated if you have to do this, especially if you need to take two pills at once, so take your pills with food.
What if I want to start taking my pill at a different time?
That’s fine—the easiest thing is probably to finish out your current pack on schedule and start the next pack at the time you prefer. In that case you shouldn’t need any backup.
If you can’t wait for your next pack, just make sure you don’t allow more than 24 hours to pass between pills. So, for example, if you want to switch from morning to afternoon, you have to take 2 pills in one day—one at the old time and one at the new time. That’s probably better than waiting 36 hours and worrying about backup for a week! Only catch is you may also have to relabel your pill pack, because if you take the “Wednesday” pill on Tuesday night and forget to change the rest of the pack, confusion may abound.
Does the pill protect against STIs?
In a word, no. The best way to guard against sexually transmitted infections (STIs) if you’re having sex is still the good ol’ condom. If you’re concerned about both pregnancy and STIs, doubling up with the pill and condoms is a great option.
I heard that hormone-filled pee is killing our fish and harming the environment. Is taking hormonal birth control bad for our water?
Any form of birth control is better than no birth control when it comes to the environment. But let’s look a little closer at the claim that hormones in birth control are getting into the environment through pee. The simple answer is: yes, it is. But—and this is a big but—it is small compared to other sources of estrogen. Current research finds that the contribution of EE2 (the primary active ingredient in the pill, the ring, and the patch) to the total amount of estrogen in of our waterways is small. Bigger—much bigger—sources of estrogen in the environment come from industrial and manufacturing processes; agricultural fertilizers and pesticides; the drugs we give livestock; and the waste and runoff produced by these sources. Simply removing hormones from contraceptives will not eliminate the environmental impacts of estrogenic compounds. It’s much better to buy organic food if you can and even better to tell Congress to do its job and regulate chemicals, than to forego birth control. From Mother Earth’s standpoint, any form of birth control is better than no birth control.For purists who don’t want to add any hormones to the environment or to their body, no matter how small, there are options for you. Natural latex condoms and the copper IUD are two frequently cited examples of ultra-green contraceptives.
Is the pill bad for the environment?
Still others say, “green contraception” means “hormone free.” We don’t dispute that that is one way to look at the issue. And fortunately, there are many contraceptives already on the market that are hormone free: condoms (male and female), Paragard IUD, diaphragms, cervical cap, and the sponge.
But a lot more goes into a green stamp of approval. The Paragard IUD is generally thought to be the “greenest” contraceptive. It’s hormone-free, long lasting (up to a decade embracing the reduce portion of the “reduce, reuse, recycle” mantra), made from small amounts of cheap, plentiful metal (copper), and 99% effective. If for whatever reason you don’t feel like the IUD is right for you, choose another method. Because when it comes to having sex, the greenest thing you can do is use birth control.
Any form of birth control is better than no birth control when it comes to the environment. Still some people insist on “green” contraception. We say: Any effective method of contraception is green since the impact of birth control pales in comparison to the impact of another human.
Still others say, “green contraception” means “hormone free.” We don’t dispute that that is one way to look at the issue. And fortunately, there are many contraceptives already on the market that are hormone free: condoms (male and female), Paragard IUD, diaphragms, cervical cap, and the sponge.
But a lot more goes into a green stamp of approval. The Paragard IUD is generally thought to be the “greenest” contraceptive. It’s hormone-free, long lasting (up to a decade embracing the reduce portion of the “reduce, reuse, recycle” mantra), made from small amounts of cheap, plentiful metal (copper), and 99% effective. If for whatever reason you don’t feel like the IUD is right for you, choose another method. Because when it comes to having sex, the greenest thing you can do is use birth control.
Want to learn more?
If I'm using another method of birth control, do I still have to use condoms?
Unless you’re in a totally exclusive relationship and you and your partner have both been tested recently for every single STI, you should definitely use condoms with whatever other birth control method you choose. Using a condom with another form of birth control is called dual protection. It means you’re being super-safe and protecting yourself against both pregnancy and STIs.
Do antibiotics affect how effective the pill is?
The only type of antibiotic that’s been shown to lessen the effectiveness of the pill is rifamycins—including rifampin, rifapentine, rifalazil and rifaximin. Rifampin can be used to treat tuberculosis, but is no longer the first choice for treatment and not typically prescribed in the US.
Want to learn more?
Does birth control work the minute I get it?
No, most forms of birth control are not effective immediately, so you want to check with you doctor before having unprotected sex. Until then, use a condom for added protection.
Does birth control cause blood clots?
Progestin-only methods like the implant, mini-pill, the shot, and Skyla and Mirena IUDs don’t increase your risk. If you’re worried about blood clots, we recommend talking to your doctor about which birth control options are best for you.
Using a method of birth control with estrogen increases a young woman’s risk of forming a blood clot by several times, but for women who have no history of stroke, blood clots, or heart attack, and whose family members have never experienced a blood clot, the risk is still quite low. Women with a history of these medical conditions in their family have a higher risk of forming a new blood clot; adding birth control with estrogen to the mix increases that risk to an unacceptable level.
Progestin-only methods like the implant, mini-pill, the shot, and Skyla and Mirena IUDs don’t increase your risk. If you’re worried about blood clots, we recommend talking to your doctor about which birth control options are best for you.
Want to learn more?
Heat up your weekends with our best sex tips and so much more.