Thursday 5 December 2013

General guidelines for usage of progesterone only contraceptive pills (mini pills).

Progesterone only pills are called mini pills.
-These contraceptive pills should be started on the first day of the cycle.
 -They can be started within first 5 days of the menstrual cycle.
In case of shorter menstrual cycle, if tablet started on around 5th day, better to take additional contraceptive method for first two days.
- They can be used during lactating period also.
They have to be started within 21 days after delivery.
-In case of abortion they have to be started within 7 days after abortion for better contraceptive effect.


-Pill should be taken on everyday without break, even during withdrawal bleeding.
-Pill should be taken at same time every day.
-Missing the time can lead to withdrawal bleeding and may decrease the protective effect.
-Better to prefer nights, as it is easy to remember in nights because lack of deviations.
-And better to take the pill after food to decrease side effects like nausea etc.
-If pill is missed:
• Within 3 hours, you can take that tablet.
• If 3 hours over, you can take the tablet when you remember, but should use additional contraceptive method for the next two days.
•If unprotected intercourse occurred on next two days after missing the pill, emergency contraceptive pill should be taken.
-Missing the pill can lead to withdrawal bleeding. Usually
this will subside soon.

Mini pills can present with side effects like intermenstrual spotting, break through bleeding, nausea, bloating sensation etc.
Some women may have delayed or absent periods also.
If there is any doubt regarding pregnancy, pregnancy test to be taken.
If test comes negative, pills can be continued as per the schedule irrespective of spotting.
In case of major side effects, tablets should be stopped and doctor to be consulted immediately. 

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