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开始就诊

Birth-control guide

Birth control pills online in Virginia and West Virginia

This guide is for adult women who want to prevent pregnancy with the progestin-only pill (the mini-pill). Combined estrogen pills, non-pill methods, and pill requests for acne, PCOS, or heavy periods need in-person care instead.

在线开始

为 Birth control 开始一次 $59 的在线审核。

National guidance (CDC US MEC and US SPR 2024) supports starting the progestin-only pill without a pelvic exam, labs, or a blood-pressure check when the screening history is collected carefully. After the full safety checklist — including a pregnancy-certainty check — the physician can prescribe norethindrone 0.35 mg in 3-month supplies, with a short re-check before each refill and a complete re-evaluation at least every 12 months. Combined (estrogen-containing) pills are not prescribed through this lane because they require a blood pressure verified in person.

如果治疗合适，医生可以将非管制药物处方发送到您的药房，并通过门户网站向您提供说明。

开始本次就诊查看响应时间

快速信息

  • 在提出请求时，您必须身处弗吉尼亚州和西弗吉尼亚州
  • $59 起
  • 无需保险
  • 无需下载应用程序
  • 随时可进行医疗审核
  • 在适当的情况下，非管制药物处方可以发送到您的药房
  • 在医学上适当的情况下，可附上用于工作或学校的证明
  • 响应时间窗口：24/7，每天全天候

常见症状

  • Want to start or restart a daily birth-control pill
  • Switching from another pill or method
  • Able to take a pill at the same time every day
  • No pregnancy symptoms and no severe pelvic pain

可能适合在线护理

  • 18 岁或以上的成年人
  • Adult woman requesting pregnancy prevention only
  • Can pass the pregnancy-certainty checklist (or has a recent negative test)
  • No history of breast cancer, blood-clot-related stroke or heart disease, or severe liver disease
  • Not taking rifampin, enzyme-inducing seizure medicines, or St. John's wort

请寻求其他类型的护理

  • Wanting pills mainly for acne, PCOS, heavy or irregular periods, or perimenopause symptoms
  • Known or possible pregnancy, or unexplained abnormal vaginal bleeding
  • Current or past breast cancer, prior heart attack or stroke/TIA, severe liver disease, or lupus with positive or unknown antiphospholipid antibodies
  • Prior gastric bypass or other malabsorptive weight-loss surgery, or a progestin allergy

需要准备什么

  • The date your last period started
  • Your current or most recent birth-control method and timing
  • Your most recent blood-pressure reading if you know it (helpful, not required)
  • Medication allergies and a complete list of current medications and supplements

接下来会发生什么

标准

$59

2 小时内

优先

$99

1 小时内

加急

$149

30 分钟内

在网站上开始提交请求，回答快速审核的问题，并选择您偏好的响应时间。如果该病例仍然适合，医生会进行审核，并在您访问门户网站后向您发送一份安全的更新。在适当的情况下，非管制药物处方可以发送到您的药房，并可由医生酌情附上一份用于工作或学校的基本证明。

Which birth-control pills can be prescribed online here?

The progestin-only pill norethindrone 0.35 mg (the mini-pill) only. Combined estrogen-containing pills are not prescribed through this lane because national guidelines require a verified blood pressure below 140/90 before starting estrogen, and an async visit cannot verify one yet. Drospirenone (Slynd), patches, rings, injections, IUDs, and implants are also not offered here.

Do I need an exam, labs, or a blood-pressure check first?

Not for the mini-pill. CDC guidance (US MEC and US SPR 2024) states that no examination or testing is required before starting a progestin-only pill — careful screening questions are the standard. The intake still records your most recent blood pressure because it matters if you ever want combined pills.

How much supply do I get, and how do refills work?

Each prescription covers 3 months. Before each refill you complete a short re-check confirming nothing has changed — no new diagnoses or medicines, no warning signs, no chance of pregnancy — and at least every 12 months a full re-evaluation with the complete questionnaire is required.

How do I take the mini-pill correctly?

Take one tablet at the same time every day with no pill-free days. The window is strict: a pill taken more than 3 hours late counts as missed — take it as soon as you remember, keep taking the pack, and use condoms or another backup method for the next 7 days. Backup is also advised for the first 7 days after starting. Irregular bleeding or spotting is common and expected, especially at first.

Can I use this lane while breastfeeding or after having a baby?

Usually yes — the progestin-only pill is considered safe while breastfeeding and soon after delivery. If you gave birth less than 6 weeks ago, the physician gives your request extra review to confirm timing. Combined estrogen pills are a different story postpartum and are not offered here.

When should birth control be handled in person instead?

If you might be pregnant, have unexplained vaginal bleeding, have ever had breast cancer, a heart attack, a stroke or TIA, severe liver disease, or lupus with positive or unknown antiphospholipid antibodies, take enzyme-inducing medicines, had malabsorptive weight-loss surgery, or want pills for acne, PCOS, or heavy periods — see a gynecologist or your primary care clinician in person. Severe pelvic pain, chest pain, a severe headache with neurologic symptoms, new leg swelling, or vision changes are emergency-department problems.