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If you start the Pill, Implanon, or Depo-Provera on the first day of your period, it is considered effective right away. It takes up to seven days for the hormones to become fully effective. However, the first seven days of a woman's cycle are already infertile, so no additional protection is required.
If you start the method on any other day than the first day of your period, you need to use a backup plan for up to seven days. For the minipill, you may need a backup method for 28 days. Ask your doctor to be sure. For the Pill, some doctors recommend using a backup method for the first 30 days. This is mainly to be sure that a pregnancy does not occur while you are still getting in the habit of taking a pill every day.
Sincerely,
Dr. Williams