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progestins, proe-jes-tins, hormones, the low-dose progestins for contraception, prevent pregnancy, other names for progestin-only oral contraceptives are minipills and progestin-only pills, pops, progestins can prevent fertilization by preventing a woman's egg from fully developing, progestins cause changes at the opening, the uterus, thickening, the cervical mucus, this makes it hard for the partner's sperm to reach the egg, the fertilization, the woman's egg with her partner's sperm is less likely to occur while she is taking, receiving, using a progestin, it can occur, even so, the progestins make it harder for the fertilized egg to become attached to the walls, the uterus, making it difficult to become pregnant, no contraceptive method is 100 percent effective, studies show that fewer than 1, each 100 women become pregnant during the first year, use when correctly receiving the injection on time, receiving the levonorgestrel implants, fewer than 10, each 100 women correctly taking progestins by mouth for contraception become pregnant during the first year, methods that do not work as well include using condoms, diaphragms, spermicides, discuss with my health care professional what my options are for birth control, progestins are available only with a physician's prescription, dosage forms, oral, levonorgestrel, tablets, norethindrone, tablets, norgestrel, tablets, subdermal, levonorgestrel, implants, parenteral, medroxyprogesterone, intramuscular injection, subcutaneous injection, are using progestins for contraception you should understand how their benefits and risks compare to those, other birth control methods, this is a decision you, sexual partner, a physician will make, for progestins, allergic reaction to progestins, allergic to any other substances, foods, preservatives, dyes, are you on a special diet, a low-sodium, low-sugar diet, use, progestin-only contraceptives during pregnancy is not recommended, doctors should be told if pregnancy is suspected, when accidently used during pregnancy, progestins used for contraception have not caused problems, when breast-feeding (Ency), although progestins pass into the breast milk, the low doses, progestins used for contraception, haven't been shown to cause problems in nursing babies, progestins used for contraception are recommended for nursing mothers when contraception is desired, teenagers progestins, used by teenagers, haven't been shown to cause different side effects, problems than they do in adults, must take progestin-only oral contraceptives every day in order for them to work, progestins do not protect against sexually transmitted diseases (Ency), a risk factor for teenagers, not known if depo-provera contraceptive injection causes problems with bone development and growth in teenagers and young women, important that a physician check you regularly for growth problems, been using this medicine for 2 years, has been tested and has not been shown to cause different side effects, problems in older people, in younger adults, an interaction might occur, change the dose, when you are taking a progestin, health care professionals, aminoglutethimide, cytadren, carbamazepine, tegretol, phenobarbital, phenytoin, dilantin, rifabutin, mycobutin, rifampin, rifadin, rimactane, may decrease the effects, progestins and increase my chance, so use, a second form, birth control is recommended other medical problems, progestins, any other medical problems, asthma, epilepsy, heart, circulation problems, kidney disease (Ency), severe, migraine headaches, progestins, fluid build-up, known to cause, conditions to become worse, bleeding problems (Ency), undiagnosed, blood in urine (Ency), changes in vaginal bleeding (Ency), may make diagnosis, problems more difficult, breast disease, breast lumps (Ency), cysts, may make this condition worse in certain types, diseases that do not react in a positive way to progestins, central nervous system, cns, disorders, mental depression, high blood cholesterol, progestins, these conditions, may make these conditions worse, diabetes mellitus, sugar diabetes, a mild increase, in my blood sugar and a need to change the amount, medicine you take for diabetes, liver disease (Ency), some progestins, increased and may worsen this condition, other conditions that increase the chances for osteoporosis (Ency), brittle bones, possible that certain doses, progestins, temporary thinning, the bones by changing my hormone balance, important that a physician know, an increased risk, osteoporosis (Ency), some things that can increase my risk for having osteoporosis include cigarette smoking, abusing alcohol, drinking large amounts, caffeine, having a family history, osteoporosis (Ency), easily broken bones, some medicines, glucocorticoids, cortisone-like medicines, anticonvulsants, seizure medicine, can also cause thinning, the bones, tell a physician about, risk factors, taking depo-provera contraceptive injection, depo-subq provera 104, this contraceptive, bone mineral density, a physician may replace this contraceptive with a different one, thought that progestins can help protect against osteoporosis in postmenopausal women, to make the use, a progestin as safe and reliable as possible, should understand how and when, take it and what effects, expected, progestins for contraception usually come with patient directions, read them carefully before taking, progestins do not protect a woman from sexually transmitted diseases (Ency), stds, human immunodeficiency virus, hiv, acquired immunodeficiency syndrome, aids, the use, latex, rubber, condoms, abstinence is recommended for protection from these diseases, do not take it for a longer time, side effects, try, take the medicine at the same time each day to reduce the possibility, side effects, allow it to work better, when using the levonorgestrel subdermal dosage form, for insertion, six implants are inserted under the skin, upper arm by a health care professional, this usually takes about 15 minutes, no pain should be felt from the insertion process because you will receive a small injection from a physician, a medicine that will numb my arm, for care, insertion site, keep the gauze wrap on for 24 hours after the insertion, then, should remove it, the sterile strips, tape should be left over the area for 3 days, be careful not to bump the site, get that area wet for at least 3 days after the procedure, do not do any heavy lifting for 24 hours, swelling and bruising are common for a few days, for contraceptive protection, full protection from pregnancy begins within 24 hours, the insertion is done within 7 days, the beginning, menstrual period, otherwise, use another birth control method for the rest, first cycle, protection using implants lasts for 5 years, until removal, for removal, the implants need, removed after 5 years, them removed by a health care professional at any time before, want to continue using this form, birth control after 5 years, health care professional may insert new implants, same area where the old ones were, into the other arm, after a local injection numbs the area on my arm, removal, the medication usually takes 20 minutes, the implants are hard to remove, health care professional may want, return another day to complete the removal process, keep a gauze wrap on for 24 hours after the removal, the sterile strips, tape underneath the gauze wrap should be left over the area for 3 days, be careful not to bump the site, get that area wet until the area is healed, when using levonorgestrel tablet dosage form for emergency contraception, the tablets, taken at any time during the menstrual cycle (Ency), when using medroxyprogesterone injection dosage form for contraception, injection is given by a health care professional every, 3 months, to stop using medroxyprogesterone injection for contraception, simply do not have another injection, full protection from pregnancy begins immediately if you receive the first injection within the first 5 days, menstrual period, within 5 days after delivering a baby if you will not be breast-feeding (Ency), are going to breast-feed, to wait for 6 weeks from my delivery date before receiving my first injection, follow this schedule, do not need to use another form, birth control, protection from that one injection ends at 3 months, will need another injection every 3 months to have full protection from becoming pregnant, the injection is given later than 5 days from the first day, last menstrual period, will need to use another method, birth control as directed by a physician, when using an oral progestin dosage form, take a tablet every 24 hours each day, the year, taking the medicine at the same time each day helps to reduce the possibility, side effects and makes it work as expected, taking my tablet 3 hours late is the same as missing a dose, cause the medicine to not work properly, keep the tablets, container in which you received them to help, keep track, dosage schedule, when switching from estrogen and progestin oral contraceptives, should take the first dose, the progestin-only contraceptive the next day after the last active pill, the estrogen and progestin oral contraceptive has been taken, this means you will not take the last 7 days, placebo, nonactive pills, a 28-day cycle, the estrogen and progestin oral contraceptive pack, will begin a new pack, progestin-only birth control pills on the 22nd day, when switching, full protection from pregnancy begins after 48 hours if the first dose, the progestin-only contraceptive is taken on the first day, the menstrual period, the birth control is begun on other days, full protection may begin 3 weeks after you begin taking the medicine, should use a second method, birth control for at least the first 3 weeks to ensure full protection, are not fully protected if you miss pills, the chances, getting pregnant are greater with each pill that is missed, dosing follow a physician's orders, the directions on the label, follow my health care professional's orders to schedule the proper time to remove the implants, receive an injection, progestins for contraception, health care professional may choose to replace the implants sooner, begin a new method, birth control, the average doses, dose is different, for levonorgestrel, for subdermal, dosage form, implants, for preventing pregnancy, adults and teenagers, six implants, a total dose, 216 milligrams, inserted under the skin, the upper arm in a fan-like pattern, from this total dose, about 30 mcg is released every day for 5 years, for oral, dosage form, tablet, for emergency contraception for preventing pregnancy, adults and teenagers, the first dose, 0.75 milligram, should be taken, possible within 72 hours, intercourse, the second dose, taken 12 hours later, for medroxyprogesterone, for muscular injection, dosage form, for preventing pregnancy, adults and teenagers, 150 milligrams injected into a muscle, upper arm, buttocks every three months, 13 weeks, for subcutaneous injection, dosage form, for preventing pregnancy, adults and teenagers, 104 milligrams injected under the skin, the anterior thigh, abdomen every three months, 12 to 14 weeks, for norethindrone, for oral, dosage form, tablets, for preventing pregnancy, adults and teenagers, 0.35 milligrams, every 24 hours, beginning on the first day, menstrual cycle whether menstrual bleeding begins, menstrual cycle can be figured out by counting 28 days from the first day, last menstrual cycle (Ency), for norgestrel, for oral, dosage form, tablets, for preventing pregnancy, adults and teenagers, 75 micrograms, mcg, every 24 hours, beginning on the first day, menstrual cycle whether menstrual bleeding occurs, menstrual cycle can be figured out by counting 28 days from the first day, last menstrual cycle (Ency), missed dose, for oral, dosage form, tablets, when you miss 1 day's dose, oral tablets, 3 hours, more late in taking my dose, many doctors recommend, take the missed dose immediately, continue my normal schedule, use another method, contraception for 2 days, this is different from what is done after a person misses a dose, birth control tablets that contain more than one hormone, for injection, dosage forms, if you miss having my next injection, it has been longer than 13 weeks since my last injection, stop receiving the medicine, use another method, birth control until my period begins, until a physician determines, not pregnant, a physician has other directions, follow that advice, any time you miss a menstrual period within 45 days after a missed, delayed dose you will need, tested for a possible pregnancy, keep out of a child's reach, store away from heat, light will fade some tablet colors, will not change the tablets' effect, in other damp places, heat, moisture, the medicine to break down, keep the medicine from freezing, do not refrigerate, keep the injectable form, from freezing, do not keep outdated medicine, medicine no longer needed, discarded medicine is out of a child's reach, precautions, know the side effects, very important, health care professional check my progress at regular visits, this will allow my dosage, adjusted to my changing needs, will allow any unwanted effects, detected, visits are usually every 12 months when you are taking progestins by mouth for birth control, are receiving the medroxyprogesterone injection for contraception, a physical exam is needed only every 12 months, need an injection every 3 months, a physician will also want, for any bone development, growth problems, especially, a teenager, young adult, are using the levonorgestrel implants, the area where they were placed within 30 days after they are put into, removed from my arm, after, a visit every 12 months, all that is needed, progestins, some people to become dizzy, before you drive, not alert, vaginal bleeding (Ency), various amounts may occur between my regular menstrual periods during the first 3 months, this is not unusual and does not mean you should stop the medicine, this, spotting when the bleeding is slight, breakthrough bleeding when, heavier, continue on my regular dosing schedule, vaginal bleeding continues, an unusually long time, menstrual period has not started within 45 days, last period, missed menstrual periods may occur, suspect a pregnancy, should call a physician immediately, are scheduled for any laboratory tests, taking a progestin, progestins can change certain test results, medicines might reduce the effectiveness, progestins for contraception, aminoglutethimide, cytadren, carbamazepine, tegretol, phenobarbital, phenytoin, dilantin, rifabutin, mycobutin, rifampin, rifadin, sometimes a physician may use these medicines with progestins for contraception, will give you special directions to follow to make sure my progestin is working properly, use a second method, birth control while using these medicines that reduce the effectiveness, progestins for contraception, are using medroxyprogesterone injection for contraception, continue using a back-up method, birth control until you have my next injection, those medicines that affect contraceptives are discontinued, are using the oral tablets, implants, continue using a back-up method, birth control for a full cycle, 4 weeks, those medicines that affect contraceptives are discontinued, vomit my oral progestin-only contraceptive for any reason within hours, do not take another dose, return to my regular dosing schedule and use an additional back-up method, birth control for 48 hours, are receiving levonorgestrel tablets for emergency contraception and vomiting occurs within 1 hour, taking either dose, contact my physician to discuss whether the dose should be repeated, side effects, along with its needed effects, some unwanted effects, side effects may occur, may need medical attention, side effects occur, changes in uterine bleeding, increased amounts, menstrual bleeding occurring at regular monthly periods, lighter uterine bleeding between menstrual periods, heavier uterine bleeding between regular monthly periods, stopping, menstrual periods, mental depression, skin rash (Ency), unexpected, increased flow, breast milk, incidence not known--for patients taking depo-provera contraceptive injection, cough, decrease in height, difficulty swallowing, fast heartbeat, hives, itching, puffiness, swelling, the eyelids, around the eyes, face, lips, tongue, pain in back, ribs, arms, legs, shortness of breath, pain, swelling in arms, legs without any injury, skin rash (Ency), tightness in chest, wheezing, side effects may go away during treatment, body adjusts to the medicine, side effects continue, bothersome, abdominal pain (Ency), cramping, diarrhea, dizziness (Ency), fatigue, mild headache, mood changes, nausea, nervousness, pain, irritation at place, injection, place where implants were inserted, swelling, face, ankles, feet, unusual tiredness (Ency), weakness, vomiting, weight gain, acne, breast pain, tenderness, brown spots on exposed skin, possibly long-lasting, hot flashes, gain, facial, scalp hair, sexual desire, trouble in sleeping, the side effects listed above, reported for each, reported for at least one, all, the progestins are similar, side effects may occur with, after you stop using this medicine, body may need time to adjust, time this takes depends on the amount, medicine you were using and how long you used it, during this period, time check with a physician if you notice, side effects, delayed return to fertility, stopping, menstrual periods, unusual menstrual bleeding, continuing, other side effects, brand names some commonly used brand names are, depo-provera contraceptive injection, depo-subq provera 104, micronor, norplant system, nor-qd, ovrette, plan b, micronor, norplant system,