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When should the combined oral contraceptive pill (OCP) be started?

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When should the combined oral contraceptive pill (OCP) be started?

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Ideally the combined OCP should be started during the first seven days of the menstrual cycle. When the oral contraceptive pill is started during this interval a back-up method of contraception is unnecessary provided that no combined OCPs are missed. The combined OCP can be started at any time in a woman who is sure that she is not pregnant and who has not recently given birth. Women starting the combined OCP after day seven of the menstrual cycle should use a back-up method of contraception during the first cycle of use.

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