By Sarah Ellis, 5/2/19

When you account for the occasional missed day or pill taken off schedule, the pill’s effectiveness rate is around 91 percent, according to Planned Parenthood (it’s 99 percent effective if taken perfectly). And thankfully, it’s totally safe for most people, according to Dr. Kecia Gaither, board certified OB-GYN. “It’s safe to be on birth control pills for years — provided that the woman is under the care of a health provider regularly, and she herself has no risk factors,” Dr. Gaither tells Elite Daily. The exceptions to this? “If you have a genetic condition that puts you at a higher risk of getting blood clots,” or “if you have migraines with aura and have an active liver disease,” then you should not be on traditional birth control pills, Dr. Gaither explains.

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