Combined birth control guide

Combined birth control online in Virginia and West Virginia

This guide is for adult women who want a combined (estrogen + progestin) method — the combined pill, the patch, or the vaginal ring — after a full safety screen. It's not for anyone the screen flags for an estrogen-related risk; our progestin-only mini-pill lane may fit instead.

在线开始

为 Combined birth control 开始一次 $59 的在线审核。

Combined methods add estrogen to progestin, so this visit runs a full safety screen (the same one used in clinics) before the physician decides whether starting or continuing one is appropriate for you. Starting estrogen requires a blood-pressure reading you provide from the last 3 months, showing below 140/90 — the visit cannot start estrogen without one. The screen also checks for migraine with aura, a clot history, smoking at age 35 or older, uncontrolled blood pressure, and several other factors that would make estrogen unsafe; when the screen flags one of those, the physician does not prescribe a combined method, and our progestin-only mini-pill lane may be the safer fit instead.

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 a combined pill, the patch, or the ring for the first time
Restarting a combined method you've used safely before
Switching from the progestin-only mini-pill to a combined method
Have a recent blood-pressure reading and no history the screen would flag

可能适合在线护理

18 岁或以上的成年人
Adult woman requesting pregnancy prevention with a combined method
Have a blood-pressure reading from the last 3 months below 140/90
No migraine with aura, blood-clot history, or smoking at age 35 or older
No history the safety screen flags — see the full list below

请寻求其他类型的护理

Possible current pregnancy, or a blood-pressure reading of 140/90 or higher, or no reading from the last 3 months
Migraine with aura, smoking at 35 or older, or any personal history of a blood clot (DVT/PE), clotting disorder, heart attack, stroke, or TIA
Current or past breast cancer, severe liver disease, or lupus with positive or unknown antiphospholipid antibodies
Recent childbirth (under 3 weeks, or under 6 weeks while breastfeeding), or taking rifampin, certain seizure medicines, or St. John's wort

需要准备什么

A blood-pressure reading from the last 3 months (pharmacy machine, home cuff, or clinic reading all count)
Your current or most recent birth-control method, if any
Any personal or family history of blood clots, migraine with aura, or the other screened conditions
Medication allergies and a complete list of current medications and supplements

接下来会发生什么

标准

$59

6 小时内

优先

$99

3 小时内

加急

$149

1 小时内

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。

Why do I need a blood-pressure reading before I can even start?

Estrogen can raise blood pressure and clot risk, so national contraception guidance requires a verified reading below 140/90 from the last 3 months before estrogen starts. An async visit can't take your blood pressure itself, so you provide a recent reading from a pharmacy machine, home cuff, or clinic visit.

What disqualifies someone from a combined method?

The screen checks for migraine with aura, a blood-clot history or clotting disorder, smoking at age 35 or older, uncontrolled blood pressure, a history of heart attack, stroke, or TIA, current or past breast cancer, severe liver disease, lupus with certain antibodies, recent childbirth, and a few interacting medications. Any one of those is a reason the physician will not prescribe a combined method here — it doesn't mean birth control is off the table, since the progestin-only mini-pill often fits those situations instead.

Which combined products can be prescribed here?

A combined oral contraceptive pill, the patch (Xulane), or the vaginal ring (NuvaRing or Annovera) — whichever the physician determines fits you best once the safety screen is clear. This lane does not place an IUD or implant.

When does this need in-person or emergency care instead?

Severe chest pain, shortness of breath, a severe headache with vision or speech changes, or new pain or swelling in one leg are emergencies — call 911. A positive pregnancy test or unexplained abnormal bleeding needs an in-person evaluation rather than a combined-method start.