Birth Control

Contact(s)

There are many different types of birth control available to you through The Clinic. Find out more by reviewing the options listed below or booking a birth control options appointment.

The Pill (Oral Contraceptive Pill)

Instructions regarding missed combined oral contraceptive pill 

When one pill is delayed for less than 24 hours:

  • Take one pill ASAP and take the next pill at the usual time. Continue taking one pill daily until the end of the pack. This may mean that 2 pills are taken that day.

One or more pills missed during week one (greater than 24 hours):

  • Take 1 pill ASAP and continue to take 1 pill daily until the end of the pack. This may mean that 2 pills are taken that day.  Back-up contraception such as condoms should be used until 7 days of pills are taken. Emergency Contraceptive (ECP) should be considered if unprotected sex has occurred during the day of the missed pill or within 5 days before.

One or two pills are missed during weeks two or three:

  • Take 1 active pill ASAP and continue to take one pill daily until the end of the pack. Discard hormone free (sugar) pills and start the next package of pills without a hormone free interval. Effectiveness of pill is not expected to be reduced but breakthrough bleeding may occur.

Three or more pills are missed:

  • Take 1 active pill ASAP and continue to take one pill daily until the end of the pack.  Discard hormone free (sugar) pills and start next package of pills without a hormone free interval.  Back up contraception such as condoms should be used until 7 pills have been taken in a row. ECP should be considered if unprotected intercourse has occurred during the interval of missed pills and until 7 pills have been taken consecutively.

Hormone free (sugar) pills:
  • If you forget any of the seven hormone free (sugar) pills in week four (for a 28 day pack), safely dispose of the pills you missed and keep taking one pill each day  until the pack is empty. You do not need to use a back up method of contraception.

If you wish to keep the start day the same for your next package of pills, shorten your hormone free week (sugar pills) and take your first hormone pill of the next pack on your regular start day.

  • Hormone free (sugar) pills: These are only found in 28 day packages. They contain no hormones and are the last seven pills in the package.
  • Active Pill: These are the first 21 pills in the 28 day pack. They contain hormones. These are not the seven at the end which are hormone free (sugar) pills.

Note:  A missed dose is defined as taking the oral contraceptive 24 hours or more after the scheduled time.

For questions please call the Sexual Health Clinic and ask to speak with a registered nurse:

  • North Bay: (705) 474-1400 ext. 5289
  • Parry Sound: (705) 746-5801 ext. 3213

 

More information on missed oral contraceptive pill

Source: Society of Obstetricians and Gynaecologist of Canada (SOGC).  www.sogc.org

Instructions regarding missed progestin only pill

If progestin only pill is delayed by more than three hours or missing one or more pills

If no unprotected intercourse has occurred in the past five days
  • Take one pill as soon as possible and continue taking one pill daily at the same hour every day. Use back-up contraception such as condoms for 48 hours.
If unprotected intercourse has occurred in the past five days
  • Take one pill the next day and continue taking one pill daily at the same hour every day. Back-up contraception such as condoms should be used for 48 hours.
  • Emergency contraception is recommended. 

For questions please call the Sexual Health Clinic and ask to speak with a registered nurse:

  • North Bay: (705) 474-1400 ext. 5289
  • Parry Sound: (705) 746-5801 ext. 3213

 

More information on missed progestin only pill

Source: Society of Obstetricians and Gynaecologist of Canada (SOGC).  www.sogc.org

Contraceptive patch (Evra)

Instructions regarding missed contraceptive patch

If the patch has been detached for less than 24 hours

  • Reapply the patch or replace it with a new patch as soon as possible. The patch change day will remain the same.
  • Ensure you have had three consecutive weeks of patch use before a patch free week.

Delayed application or detachment for greater than 24 hours

During week one
  • Detachment for 24 hours or more or unsure of how long the patch was detached
  • Apply a new patch as soon as possible. Keep the original patch change day
  • Back-up contraception such as condoms should be used for seven consecutive days. Emergency contraception should be considered if unprotected intercourse has occurred during patch omission or in the five days prior.
During week two or three

Detachment for less than 72 hours (three days)

  • Apply a new patch as soon as possible. Keep the original patch change day.

  • Finish the cycle of patches and start a new cycle of three patch with no hormone free interval

Detachment for more than 72 hours (three days)

  • Apply a new patch as soon as possible. Keep the original patch change day.  Finish the cycle of patches and start a new cycle of three patches with no hormone free interval.
  • Back up contraception such as condoms should be used for seven consecutive days. Emergency contraception should be considered if unprotected intercourse has occurred during the interval of detachment up until the patch has been worn for seven consecutive days.

If you wish to keep the start day the same for your next package of patches, you can shorten your hormone free interval(patch free week) and start your first patch of your next package on your regular start day.

Hormone Free Interval: The fourth week in a 28 day cycle, where no patch is worn.

Note:  A missed dose is defined as initiating the contraceptive patch 24 hours or more after the scheduled time.

For questions please call the Sexual Health Clinic and ask to speak with a registered nurse:

  • North Bay: (705) 474-1400 ext. 5289
  • Parry Sound: (705) 746-5801 ext. 3213

 

More information on missed contraceptive patch

Source: Society of Obstetricians and Gynaecologist of Canada (SOGC).  www.sogc.org

Vaginal ring (Nuva Ring)

Instructions regarding missed contraceptive ring

The Ring has been removed for three hours or less

  • Insert the ring as soon as possible. Keep it in until the scheduled ring removal day.  

Delayed insertion for 24 hours or more or removal for more than three hours

During week one 

Removal for more than two hours or unsure of how long ring was removed

  • Insert the ring as soon as possible.  Keep it in until the scheduled ring removal day
  •  Back-up contraception such as condoms should be used until the ring is worn for seven consecutive days
  • Emergency contraceptive should be considered if unprotected intercourse has occurred during the interval of ring omission or in the five days prior
During week two or three

Removal for less than 72 hours (less than three days)

  • Insert the ring as soon as possible
  • Keep it in until the scheduled ring removal day

  •  Start a new cycle with a new ring with no hormone free interval

Removal for more than 72 hours (more than three days)

  • Insert the ring as soon as possible
  • Keep it in until the scheduled ring removal day

  • Start a new cycle with a new ring with no hormone free interval

  • Back-up contraception such as condoms should be used until the ring is worn for seven consecutive days

  • Emergency contraceptive should be considered if unprotected intercourse has occurred during the interval of ring omission up until the ring has been worn for seven consecutive days

If you wish to keep the start day the same for the next Nuva Ring package, you can shorten your hormone free interval (ring free week) and insert the next Nuva Ring on you regular start day.

For questions: 

Please call the Sexual Health Clinic and ask to speak with a registered nurse

  • North Bay:  (705) 474-1400 ext 5289
  • Parry Sound:  (705) 746-5801 ext 3213 

 

More information on missed oral contraceptive ring

Source: Society of Obstetricians and Gynaecologist of Canada (SOGC).  www.sogc.org

North Bay

345 Oak Street West
705-474-1400

Parry Sound

70 Joseph Street Unit #302
705-746-5801

Burk's Falls

17 Copeland Street (by appointment only)
1-800-563-2808