The United States has safely been using prescription-based birth control pills for over half a century. In the summer of 2021, the FDA granted approval to Opill, the first contraceptive pill available over-the-counter. This nonprescription option offers wider access to contraception, but its exact release date and cost are yet unknown.
Opill is a progestin-only form of birth control that prevents pregnancy by impeding ovulation, thickening cervical mucus, and altering the uterine lining to prevent implantation. Its effectiveness in preventing pregnancy varies depending on the user’s consistency in taking the pill. With perfect use, Opill is 98% effective; however, typical use decreases its efficacy to 91%. Even though Opill is available over-the-counter, it may be less effective when taken with certain medications used to treat migraines and seizures.
To use Opill effectively, it must be taken once daily at the same time each day until the entire pack is finished. Missing a dose or taking it more than three hours late can decrease its effectiveness. If a user forgets or misses a dose, they should take it as soon as possible and use a backup method such as condoms for the next 48 hours.
Opill is generally safe for teenagers and has no age restrictions. However, not all teenagers may prefer this method of contraception, as consistency in taking medication may be challenging. Fortunately, there are various options for preventing pregnancy that cater to individual preferences and goals.
Common side effects of Opill include unexpected vaginal bleeding or spotting, acne, headache, gastrointestinal symptoms such as nausea, abdominal pain, and bloating, and changes in appetite. Unlike combination birth control pills, Opill does not increase the risk of developing blood clots, future infertility, or cancer.
In summary, Opill is a newly FDA-approved birth control pill available over-the-counter for wider access to non-prescription contraception. While it is generally safe and effective, users must be consistent in taking it, and certain medications may decrease its efficiency. Ultimately, the choice of which contraceptive method to use depends on individual preferences, goals, and health considerations.