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Birth control pills are made of hormones that prevent ovulation. The hormones in the pill cause changes in the cervical mucus and the lining of the uterus. The cervical mucus thickens, which blocks the sperm from entering the cervix. The lining of the uterus thins, making it less likely that a fertilized egg can attach to it. Together, these events make it very unlikely that someone taking the pill will become pregnant.