Choosing the right pill

According to the National Survey of Family Growth conducted in 2015-2017, 80.5% of reproductive-aged women who had ever been sexually active had used oral contraceptive pills (OCPs) at some point. [...]generation progestins maintain a high potency but have lower androgen-like effects. [...]the only fourth-generation progestin, drospirenone, has both anti-mineralocorticoid and anti-androgenic properties and is newly available in a progestin-only pill.18,19 It has an improved bleeding profile while matching COCs in efficacy, as well as extending the missed-pill window to 12 hours for ease of use23 (Table 3). Many of the common side effects of COCs will resolve on their own in the first few months. [...]in the absence of severe side effects, patients should be encouraged to continue their pills for an initial 3-month interval.