Recently my Doctor suggested that I take another medication that i take surrounded by the morning instead of before bed. So instead of taking one pill in the morning and one at darkness id a bit take them both together. The press is... does this make it ineffective for any amount of time because I know your supposed to pilfer it at aprox the same time everyday.
Answers:

Vagina Discomfort (itching and burning of vulva) + shoulder niggle = a serious problem?

Depends. If you're changing your pill-taking time by 12 hours or more, you should vertebrae up for 7 days to make lasting you have full pregnancy protection. If the time transmute is less dramatic, near should be no lapse in value.

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I get microbes vaginosis very habitually any way I can prevent this?

well it depends on wat medication u r talkin bout

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Please please please answer or at lowest possible try??

No it doesn't

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