Very effective, but: The oral contraceptive pill is very effective, but, it must be taken everyday at the same time each day. The failure rate is less than 2 per thousand. Many patients on Accutane also use a "backup" method such as a vaginal or condom contraceptive in conjunction with the pill to eliminate even that small risk to prevent unintended pregnancy with birth defects with the medication.
Answered 2/13/2019
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