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Mastering the Details: How to Use Levofem for Contraception

5 min read

According to DKT Nigeria, Levofem, a low-dose oral contraceptive, boasts an impressive 99% effectiveness rate when used correctly. This guide breaks down how to use Levofem safely and effectively, providing comprehensive instructions for new and continuing users, including how to manage any missed doses.

Quick Summary

A guide on using Levofem, a combined oral contraceptive, detailing correct daily usage, understanding the 28-day pill pack, managing missed pills, and important safety considerations. It outlines starting instructions, potential side effects, and how the medication works to prevent pregnancy.

Key Points

  • Take Daily at the Same Time: For maximum effectiveness, take one Levofem pill at approximately the same time every day, following the blister pack's order.

  • Understand the Pill Pack: A pack typically consists of active hormone pills and inactive tablets. Follow the order indicated on the packaging.

  • Starting Instructions: Begin taking the pill as directed by your healthcare provider. If starting at a time other than the first day of your period, use a backup method for the first seven days.

  • Manage Missed Pills Correctly: Follow the specific instructions provided with your medication or by your healthcare provider for managing missed active pills.

  • Beware of Drug Interactions: Certain medications and herbal supplements can reduce Levofem's effectiveness. Always inform your doctor of all products you are taking.

  • Consult a Doctor for Side Effects: While mild side effects are common initially, contact your doctor for persistent or severe symptoms.

  • Use Backup Contraception if Vomiting Occurs: If you vomit shortly after taking an active pill, treat it as a missed dose and use backup contraception as advised by your healthcare provider.

In This Article

Before taking any medication, including Levofem, it is essential to consult with a healthcare professional. They can provide personalized advice based on your individual health history and needs.

Levofem is a combined oral contraceptive (COC) pill designed to prevent pregnancy through the use of synthetic hormones, levonorgestrel and ethinylestradiol. To achieve its high effectiveness, consistent and correct use is crucial. Following the instructions precisely will help regulate your cycle and minimize the risk of unintended pregnancy.

Understanding the Levofem Pill Pack

A standard Levofem pack contains 28 tablets, which include two different types of pills.

  • 21 Active (Yellow) Pills: These tablets contain the hormones levonorgestrel and ethinylestradiol. They are taken for a specific period of the cycle to inhibit ovulation.
  • 7 Inactive (White) Pills: Also known as placebo or reminder pills, these contain ferrous fumarate (an iron supplement) and no hormones. They are taken during the last 7 days of the cycle. Taking these non-hormonal pills helps you maintain the habit of taking a pill every day, ensuring you start your next pack on time. During this week, you will experience withdrawal bleeding, which is similar to a menstrual period.

How to Take Levofem Correctly

Consistency is key to the effectiveness of any birth control pill. Here is a step-by-step guide for using Levofem.

Daily Intake

  • Take one pill every day at approximately the same time. Choosing a specific time, such as with breakfast or before bed, can help you remember. The most important thing is to be consistent.
  • Swallow the tablet whole with a glass of water.
  • Follow the arrows on the blister pack to ensure you take the pills in the correct order, starting from the active (yellow) tablets and moving to the inactive (white) ones.

Starting Your First Pack

  • Day 1 Start: For new users, it is recommended to start the first active pill on the first day of your menstrual period. This provides immediate contraceptive protection.
  • Anytime Start: If you are not on your period, you can start taking the pill at any point, as long as you are reasonably certain you are not pregnant. In this case, you must use a backup form of contraception, like condoms, for the first seven consecutive days of pill-taking.

What to Do During Your Cycle

  • Taking the Pills: Take one active (yellow) pill daily for the prescribed period, followed by one inactive (white) pill daily for the next 7 days, as indicated on the packaging and by your healthcare provider. Your withdrawal bleeding will typically occur during the inactive pill week.
  • Starting the Next Pack: Begin a new pack of Levofem the day after you take the last white tablet, regardless of whether your period has stopped.

What to Do If You Miss a Pill

Missing pills is a common error that increases the risk of pregnancy. The steps you take depend on how many pills you have missed. Consult the patient information leaflet or your healthcare provider for specific instructions based on the number of pills missed and where in the cycle the pills were missed.

If you miss one active (yellow) pill

  • Take the missed pill as soon as you remember.
  • Take your next pill at the usual time, even if this means taking two pills in one day.
  • Follow the instructions provided with your medication regarding the need for backup contraception.

If you miss two or more active (yellow) pills

  • Follow the specific instructions provided with your medication or by your healthcare provider.
  • Use a backup method of contraception, such as condoms, for the next seven consecutive days.
  • After finishing the active pills, you may need to discard the inactive pills and start a new pack immediately, depending on the instructions.

Common Side Effects and Precautions

Like all medications, Levofem can cause side effects. These are often mild and subside after the first few months.

  • Common Side Effects: Headaches, nausea, vomiting, gastric upsets, breast tenderness, spotting between periods, and slight changes in body weight or libido are some commonly reported side effects. Taking the pill with food or at night can help reduce nausea.
  • Serious Precautions: While rare, combined oral contraceptives increase the risk of serious cardiovascular events such as blood clots, particularly in women over 35 who smoke. It is crucial to inform your doctor of any pre-existing health conditions or if you experience severe headaches, chest pain, or leg swelling.
  • Drug Interactions: Some medications, including certain antibiotics and herbal supplements like St. John's Wort, can reduce the effectiveness of Levofem. Always inform your doctor and pharmacist about all other medicines you are taking.

Comparison of Oral Contraceptive Packs

To better understand how Levofem fits into the oral contraceptive landscape, here is a comparison with other common types.

Feature Levofem (Combined Oral Contraceptive) Progestin-Only Pill (Mini-Pill)
Hormones Levonorgestrel and Ethinylestradiol Progestin only (e.g., Norethindrone)
Mechanism of Action Inhibits ovulation, thickens cervical mucus, and thins uterine lining Primarily thickens cervical mucus; may inhibit ovulation in some cases
Pill Schedule Typically involves a period of active pills followed by inactive pills Typically involves taking active pills continuously
Missed Dose Specific instructions for missed pills are provided with the medication. There is a limited window for taking a missed dose; backup contraception is often required if missed.
Menstrual Bleeding Predictable withdrawal bleeding often occurs during the inactive pill period. Bleeding can be irregular, mild spotting, or absent.
Timing Sensitivity While consistency is recommended, the timing window for a combined pill is generally more flexible than a mini-pill. High sensitivity; must be taken at the same time every day for maximum effectiveness.

Conclusion

Levofem is a highly effective combined oral contraceptive when used correctly and consistently. Proper usage involves taking one pill daily at the same time, following the prescribed cycle of active and inactive pills. Managing missed pills correctly and being aware of potential side effects and drug interactions are essential for maximizing its effectiveness and safety. By understanding the nuances of how to use Levofem, users can feel confident in their choice of contraception. Always consult your healthcare provider before starting any new medication to ensure it is the right option for your individual health needs.

Medical Disclaimer

This article provides general information about how to use Levofem and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition or treatment before undertaking a new healthcare regimen. The American College of Obstetricians and Gynecologists (ACOG) offers authoritative guidelines on contraceptive use.

Frequently Asked Questions

Levofem is a combined oral contraceptive pill containing the hormones levonorgestrel and ethinylestradiol. It works primarily by preventing ovulation, but also by thickening cervical mucus to block sperm and thinning the uterine lining to prevent implantation.

You should take Levofem at approximately the same time each day. Establishing a consistent routine, such as taking it with a meal or at bedtime, helps maintain stable hormone levels and ensures high contraceptive effectiveness.

If you miss one active (yellow) pill, take it as soon as you remember. Take your next pill at the usual time, even if it means taking two pills in one day. Follow the instructions provided with your medication regarding the need for backup contraception in this case.

If you miss two or more active (yellow) pills, follow the specific instructions provided with your medication or by your healthcare provider. You will likely need to use a backup method of contraception for the next seven days.

If you start taking Levofem on the first day of your menstrual period, you are generally immediately protected. If you start at any other time, you must use a backup birth control method, such as condoms, for the first seven days.

Yes, missing a Levofem pill increases your risk of pregnancy, and the risk increases with the number of pills missed and where in the cycle they were missed. Following the correct steps for missed pills and using backup contraception when advised is crucial.

Common side effects include headaches, nausea, breast tenderness, spotting between periods, and slight changes in mood or weight. These side effects often decrease after the first two to three months of use.

If you vomit within a few hours of taking an active pill, treat it as a missed dose because the absorption may not be complete. You should take another pill as soon as possible and use a backup method of contraception as directed by your healthcare provider.

No, Levofem is a combined oral contraceptive designed for routine daily use to prevent pregnancy. While it contains levonorgestrel, the dosage and intended use differ significantly from emergency contraception like Plan B. Levofem is not effective for preventing pregnancy after unprotected sex has occurred.

Levofem is completely reversible, and fertility can return quickly after you stop taking the pill. You can potentially become pregnant as soon as you stop using the medication.

References

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Medical Disclaimer

This content is for informational purposes only and should not replace professional medical advice.