BIRTH CONTROL PILLS

This article has been revised and re-written several times since its very first creation in 2008, to keep the information current. The most recent revision was done by Dr. Ashok Koparday डॉक्टर अशोक कोपर्डे on February 03, 2016

प्रेगनन्सी ना रहनेकी गोलीयां

Saheli © Saheli © pdf downloadDownload the pdf file, which gives details about Saheli ©

Saheli © contains centchroman as its active ingredient. As advised in the prescription leaflet pdf Saheli is to be taken twice a week on fixed days for the first three months followed by one pill in a week thereafter. Saheli © is an original Indian product made in Lucknow. Saheli © is available only in India. Saheli © is a non hormonal oral contraceptive.

Saheli © being non hormonal does not cause nausea and stomach upset, which the hormonal contraceptive pills may cause.

All other oral contraceptive pills are hormonal pills. The oral contraceptive pills come in a pack of 21 or 28 tablets.

The patient information leaflet should be read and the pills should be taken accordingly. OC pills of some brands are to be taken starting from Day 1. Day 1 is the first 24 hours of your period.

OC pills of some brands are to be taken from Day 5.

All these (hormonal) Oral Contraceptives are to be taken on the same time each day.
The second packet of 21 days pills is to be taken 7 days after stopping the previous packet.

The second packet of 28 days pills is to be taken immediately after the first is over. The 28 days pills have actually 21 hormonal pills (similar to 21 day packet) and the other 7 are inert or inactive pills (placebo pills, reminder pills or ‘iron and folic acid’ containing pills).

Some Oral Contraceptives can be started from Sunday.

So it is important to read the information leaflet that comes along with the packet.

Your Question:
hi!
ive been taking cerazzette for 8 months and my sex drive is very low.i would like to continue taking cerazeette as im breastfeeding and would like to continue. is there somthing that you can recomend me to take with cerazze inorder to balance out my hormones and lift my low libido? if not should i maybe take a combation pill? is there one that i am still able to continue breast feeding with?

Reply: My doctor tells

Hi,
Greetings.
Cerazette is Progesterone Only Contraceptive Pill
(POP) supplied by Merck Sharp & Dohme Limited. Cerazette consists of 75 micorgrams of Desogestrel, which is known to decrease sexual desire. Rather than adding some medicine to counteract its side effect, it is recommended that Cerazette be stopped and a different oral contraceptive molecule used. Consider the option of barrier contraceptive or Intra Uterine Device that are effective.
Side effects of Desogestrel are:
Acne
Bleeding irregularity
Breast pain
Headache
Decreased libido (sexual desire)
Mood changes
Nausea
Weight gain
Best wishes,

Dr. Ashok Koparday
Sex Therapist
March 2013

Triquilar ©Download Triquilar © Hormonal Oral Contraceptive Pills Triquilar © Patient Information leaflet pdf

Among the hormonal Oral Contraceptive pills Triquilar © has a more body friendly hormonal dosage.

The advantage of Oral Contraceptive pills is that they are the most effective (99%) among all reversible methods of birth control.

It is advised that for the first cycle (during first packet of pills) other methods to avoid pregnancy have to be used. To be on safer side I tell two cycles (two packets). Then onwards you can totally depend on the pills.

image of oral contraceptive pill 28 days and 21 days packet labeled with days of the week
Click to see bigger picture Oral Contraceptive Pill

Who should not take Oral Contraceptive Pills?

Those who smoke should not take oral contraceptive pills.

Mala-D ©Download Mala D© pdfMala D is oral contraceptive preferred by Government of India. Click to download the information leaflet pdf.

BIRTH CONTROL PILLSPicture OC pillsOral Contraceptive Pills picture and download information .pdf files. – ORAL CONTRACEPTIVE PILLS

Related to OC pills: options, methods, shots, patch, rings, side effects, effectiveness, garbha nirodhak golya, pill, pills, OC pills

Mala ©| Ovral L © | Triquilar ©  | Modus © |

What are OC pills?

Oral Contraceptive Pills are Hormone containing tablets taken orally by woman in her reproductive age to

  • avoid pregnancy.

OTHER BENEFICIAL USES OF OC PILLS

  • menorrhagia,
  • irregular cycles,
  • abdominal cramps,
  • acne,
  • to protect against some forms of breast disease,
  • anemia,
  • ovarian cysts, and
  • ovarian and
  • endometrial cancers.

One pill (tablet) from the Oral Contraceptive Pill packet is taken orally beginning from the 5th day to the 25th day. The next packet starts on the 5th day of the menses, irrespective of whether the bleeding (menses) has stopped or not. The day bleeding begins is counted as the [1st] FIRST day.

What Oral Contraceptive Pills do not do?

OC pills does not protect against

  • STI or STD,
  • heart break and its consequences
  • shame and guilt
  • disgrace in society and its
  • consequences.

Who takes Oral Contraceptive Pills?

A girl/woman who is in her reproductive years [capable of bearing a child/pregnancy] and has sexual activity likely to cause pregnancy, takes OC Pills to avoid pregnancy.

I am NEWLY WED. Can I start taking Oral Contraceptive Pill?

Yes, you can.

What are the possible [not seen in all women] side effects of Oral Contraceptive Pills?

Birth Control Pills are remarkably safe. Side effects are uncommon. The mild side effects of Oral Contraceptive Pills are:

  • irregular menstrual bleeding
  • nausea, weight gain, headaches, dizziness, and breast tenderness
  • mood changes
  • blood clots (rare in women under 35 who do not smoke)

Most of the side effects disappear in about 3 months. Sometimes the Doctor changes the pill and the side effects disappears.

How is the Oral Contraceptive Pill taken?
The correct procedure
of taking the tablets is provided in a folded paper inside every OC packet. This information is provided in different local languages by the company. Example: http://www.hlfppt.org/images/mala-d.pdf

One Oral Contraceptive Pill or tablet is taken every day at the same time of the day.

The OC pills are available either as packet containing 21 or 28 pills (tablets).
The 28 pill packet consists of 21 pills + 7 inactive pills, which do not contain hormone.

21 tablets containing packet is to be started on 5th day till 25th day. The Oral Contraceptive Pills are taken from the 5th day. The next packet has to be started on the 5th day of the menses, irrespective of whether your periods (bleeding) has stopped or not.

28 pills containing packet is started similarly on the 5th day. in 28 day packet you keep taking the pill without missing out any day for as long as you want to prevent pregnancy. Hence, as soon as one packet is over, the next packet begins. Thus,

One Oral Contraceptive pill is to be taken DAILY at the SAME TIME each day.

Names of Oral Contraceptive Pills available in India

Bandhan Ethinylestradiol 30 mcg + Levonorgestrel  150 mcg    German Remedies

Mala D 21 white sugar coated Ethinylestradiol 50 mcg + Norgestrel  300 mcg (0.3mg)
7 brown tablets of Ferrous Fumarate 60 mg   (28 tablets) Eupharma
Ortho Novum 777 (Ethnor)
7 white tabletsof    Ethinylestradiol 35 mcg +  Norethindrone 0.5 mg

7 pale peach tablets Ethinylestradiol 35 mcg +  Norethindrone 0.75 mg

7 peachtablets      Ethinylestradiol 35 mcg +  Norethindrone 1.0 mg

Ovral G Ethinylestradiol 50 mcg + Norgestrel  500 mcg (0.5mg)

Ovral L Ethinylestradiol 30 mcg + Levonorgestrel  150 mcg

Suvidha Ethinylestradiol 30 mcg + Levonorgestrel  150 mcg + Ferrous fumarate 60 mg

Triquilar

6 brown tablets of      Ethinylestradiol 30 mcg + Levonorgestrel  50 mcg

5 white tablets of       Ethinylestradiol 40 mcg + Levonorgestrel  75 mcg

10 Ochre tablets of    Ethinylestradiol 30 mcg + Levonorgestrel 125 mcg

21 Tablets Total        (German Remedies)


Non Hormonal Oral Contraceptive CENTCHROMAN

Centran contains Centchroman 30 mgs (Torrent)

Saheli contains Centchroman 30mgs  (Kerala Drugs)

Sources Acknowledgement Copyright Reference:
http://www.healthcaremagic.com/questions/Been-taking-cerazzette-Why-is-sex-drive-low/279255?mess=Your%20answer%20has%20been%20posted%20successfully&showMore=yes

http://www.cerazette.co.uk/107/Are-there-any-side-effects
http://www.mhra.gov.uk/yellowcard

38 Replies to “BIRTH CONTROL PILLS”

  1. huma parween

    dear doctor i got married 1 and half months ago, not want pregnancy now, i am having hypothiroidism for the last 5-6 years and on eltroxin 100 mg , kindly suggest OCP for me age 28 years.

  2. prath

    had sex wid my gf a month ago. n now she missed her period. date was day before yesterday but till now she haven’t. wat shoul i do now. i dont want her to be pregnant.

  3. Ramphal

    Respected Doctor my wife has a problem of heavy period after doctor prescription she takes Sehali contraceptive pill from last 3 years after this period are stopped she is 28 years old when we contact to doctor she advises us to stop the sehali but after stopping the tablet again period is very heavy please tell are we start again sehali please mail me. Thanks

  4. hammer

    Dr. I wanted to know that can I have unprotected sex (without condom) if my wife is on Mala D for her last 2 cycles. Last night there was a condom failure so should we use Unwanted 72 or MT pill or they are not required. Please reply me on my mail and in detail. Please also tell any remedy for her acne problem due to contraceptive use.

    • By Ashok Koparday, Sexologist and Marriage Counselor, Sex Therapist, Accredited Sexual Health Center - World Class - Premier - Best - Samadhan India

      You wrote:
      me 30 din me 1 ya 2 din hi sex karti ho hu to kya tab mujhe daily MALA-D tablet lena jaruri hai ya nhi

      नमस्ते जी,
      Hello,
      Greetings from http://mydoctortells.com
      Mala D tablet yeh daily li jaane wali tablet hai.
      Aap ko laabh hoga ‘calendar method’ jise ‘rythm method’ bhi kahte hai. Yedi aap ke periods regualar hai to hi calendar method kaam karega.
      http://mydoctortells.com/calendar-method-formula/
      Saath may anya dino k liye condom use kar sakti hain. Yeh video female condom kaise use kiya jata hai us ka hai http://mydoctortells.com/female-condom-how-to-use-video/
      aur yeh movie purush ke liye condom istemal karne ka sahi tarika batata hai.
      http://mydoctortells.com/movie-how-to-use-condom/
      ( इस से अच्छा जवाब हम दे सकते है| पूरी जानकारी देना यहा क्लिक करना हाउ टू आस्क http://mydoctortells.com/how-to-ask/)
      (To get more personalized reply it is necessary to provide details as given here. Click how to ask http://mydoctortells.com/how-to-ask/)
      Please feel free to ask or tells us if you have additional questions or doubts related to sex.

      Best wishes,
      Dr. Ashok Koparday
      Ex. Teaching Faculty
      Seth G. S. Medical College & K.E.M. Hospital
      and
      Grant Medical College & Sir J. J. Group of Hospitals.
      Medical Director
      Samadhan India
      Fellow Council of Sex Education and Parenthood International
      Connect with us on Facebook | Twitter | Google Plus
      अभी भी कोई शंका हो या प्रश्न हो तो बिना जिझक से पूछिये।
      डॉक्टर अशोक कोपर्ड़े
      जिस तरह से सारी बाते हम गोपनीय (गुप्त) रखते है उसी तरह आप को भी इस ईमेल द्वारा मिलनेवाली जानकारी गोपनीय रखनी होगी। We respect your privacy and keep all communication confidential. This communication is for your personal (single person) reference. It is mandatory that you too keep all contents private & not share it with any one else. The expert opinion that you requested is not a substitute to visiting and getting treatment from a qualified doctor.

      • sonu

        sir mujhe kuchhh v sex ka knowllg nhi hai par sir meri shadi hone wali hai 6 mah bad or mane apni bb se sex kiya or use date huye 7 din huye thay sir waise mera 5 secnd me veerya gir chuka tha pr thoda andr hi gir gya to bchha to nhi hoga 20 din ho chuke hai sir pls sujhaw de

  5. swati

    hello sir… i had sex with my bf.. it was nt the full intercourse nd he had not ejaculated… but i am worried will i get pregnant…. should i use oc nd pls tell me how to use it…

  6. rashmi

    dear doctor,
    PLEASE,tell me how should i start using saheli contraceptive pill as am a virgin,so when should i start it.should i start it on my first day of periods before having first sex ?or should i start it after the sex on my periods 1st day..????
    Plzzz plzz reply me..

    • By Ashok Koparday, Sexologist and Marriage Counselor, Sex Therapist, Accredited

      Hello,
      (Your name has been changed to respect your privacy)

      I have sent a personal reply to your question.

      One pill (tablet) from the Oral Contraceptive Pill packet is taken orally beginning from the 5th day. Remember these pills are to be taken everyday. First two months you have to use other protection like ‘condom’. Then you can rely upon oral contraceptive pills.

      You will find lot of useful information about male condom as well as female condom on this site.

      There is a small movie on using condom here http://mydoctortells.com/movie-how-to-use-condom/

      If you have more doubts, additional questions feel free to ask doctor.

      Dr. Ashok Koparday

    • By Ashok Koparday, Sexologist and Marriage Counselor, Sex Therapist, Accredited

      Hi,

      Hi,
      Greetings.

      [You can download Saheli and Triquilar patient information .pdf files from the post above.]

      Saheli © contains centchroman as its active ingredient. As advised in the prescription leaflet pdf Saheli is to be taken twice a week on fixed days for the first three months followed by one pill in a week thereafter. Saheli is available only in India. Saheli is a non hormonal oral contraceptive. I do not have experience of prescribing Saheli ©.

      All other oral contraceptive pills are hormonal pills. The oral contraceptive pills come in a pack of 21 or 28 tablets.

      The patient information leaflet should be read and the pills should be taken accordingly. OC pills of some brands are to be taken starting from Day 1. Day 1 is the first 24 hours of your period.

      OC pills of some brands are to be taken from Day 5.

      All these (hormonal) Oral Contraceptives are to be taken on the same time each day.
      The second packet of 21 days pills is to be taken 7 days after stopping the previous packet.

      The second packet of 28 days pills is to be taken immediately after the first is over. The 28 days pills have actually 21 hormonal pills (similar to 21 day packet) and the other 7 are inert or inactive pills (placebo pills, reminder pills or ‘iron and folic acid’ containing pills).

      Some Oral Contraceptives can be started from Sunday.

      So it is important to read the information leaflet that comes along with the packet.

      Among the hormonal Oral Contraceptive pills Triquilar © has a more body friendly hormonal dosage.

      The advantage of Oral Contraceptive pills is that they are the most effective (99%) among all reversible methods of birth control.

      It is advised that for the first cycle (during first packet of pills) other methods to avoid pregnancy have to be used. To be on safer side I tell two cycles (two packets). Then onwards you can totally depend on the pills.

      Dr. Ashok Koparday

  7. swati

    hi doctor,
    I just wanted to know that as am 24 year old & going to get marry soon,am going use saheli pills but as it is suggested that it should be started on first day of periods.
    so as am a virgin should i wait till my periods comes after having first sex to start it? Or should i start if before having sex before my marriege?? Please help.

  8. swati

    hi dr.Ashok,
    I am 25 years old & going to marry in next 3 months.& i dont want a child for 2 years,so i am going to use saheli pills
    but my question is it is suggested to take on the first day of periods but after having first sex should i wait till my periods comes? To start the pill?or should i start it before marreige i mean before first sex as am a virgin. Please help me.

  9. pratiksha

    I have done complet sex using condom then also my periouds r not occuring on right time.
    What should i do.
    Its more then 72 hours its being 3 to 4 weeks of havng sex.
    Wich tablet should i use wich can solve my problem of being pregnt.
    Oral pil wich can be taken once n can solve my problem.
    Plz reply as soon as u can.i need ur help.
    Pratiksha

  10. Dr. Ashok Koparday, Sexologist and Marriage Counselor, Accredited Sex Therapist, Medical Director: Sex Therapy, Education, Research Center, Samadhan, Mumbai, India

    For mpvk and Sheena
    DOCTOR’S REPLY:
    Read http://mydoctortells.com emergency contraception topics.
    “i pill” or other tablet containing levonorgestrel will be available in Chennai. Just taking usual oral contraceptive pills will not prevent pregnancy after your sexual intercourse. .
    If you have to use usual pills this is how you must take for it to act as emergency contraceptive or post coital pill.
    Oral Contraceptive Pills, taken 4 at a time,followed by another 4 after 12 hours, example 4 Ovral © Pills does the same function as Emergency Contraceptive Pills, (Yuzpe regimen),

    If you have additional doubts feel free to ASK DOCTOR.

  11. Dr. Ashok Koparday, Sexologist and Marriage Counselor, Accredited Sex Therapist, Medical Director: Sex Therapy, Education, Research Center, Samadhan, Mumbai, India

    QUESTION ASKED TO DOCTOR:
    Kirti
    i have done sex but using condom. but he has not intercourse just he masturabate. but i got delayed in my periods. is it cause any chances of pregnancy?? plz suggest me how i will have my periods sooner?? please reply me soon…i have an auspicious occasion & i wan to have my periods soon…

    DOCTOR’S REPLY:
    If semen has not come in contact on your genitals then there is no chance of pregnancy. You said, “He masturbated . . . “. So there was no insertion of penis in vagina or rubbing or touching your genitals is what I presume. Then why are the periods delayed? You haven’t given me the details of your menstrual cycle, how many days you bleed, after how many days you get periods, are the periods regular, if not how much variations have been there in past one year. I presume you have regular menses. Why did the period get delayed? Your periods are not because of pregnancy. If in doubt do urine pregnancy test, which is easy, sure method of checking pregnancy at home in total privacy. The periods are delayed because you have been under high anxiety following sexual intimacy. This kind of stress is known to cause variation in periods. You will get periods soon. If not you can approach your family doctor and get medicines, which are commonly used to bring or delay periods. This gives withdrawl bleeding. Then your periods will return to normal.

    Know the dangers/risks when you indulge in sexual activity. Avoid it or take necessary precaution as detailed in http://mydoctortells.com. The movie clip on how to use a condom would be very useful to you.

    If you still have doubts, worries don’t hesitate to ASK DOCTOR.
    Dr. Ashok Koparday

  12. chaman

    so each pill in the 28day pack of Mala d has same dosage? I am asking this because my wife is on the pill and in the second week, instead of continuing the pack from right, she started from the left., now the leaflet says each while coated pill “Mala D – 21 white sugar coated Ethinylestradiol 50 mcg + Norgestrel 300 mcg (0.3mg)” means they have ideally same dosage, irrespective of which white pill you are taking, just ensuring that you need to take active white pill on the active days… Is it correct?? Plz help

    • Dr. Ashok Koparday, Sexologist and Marriage Counselor, Accredited Sex Therapist, Medical Director: Sex Therapy, Education, Research Center, Samadhan, Mumbai, India

      DOCTOR’S REPLY
      All white colored tablets of Mala D are same. So your conclusion, “_ _ _ you need to take active white pill on the active days _ _ _” is correct.

      http://www.hlfppt.org/images/mala-d.pdf This gives information that is contained in the leaflet you already have.
      If still you have doubts or questions feel free to ask me.

      Dr. Ashok Koparday
      Medical Director
      Samadhan India: Center for Therapy, Education, Research in Sex, Marriage, Relationships.

      Ex Teaching Faculty
      Seth G. S. Medical College and K. E. M. Hospital
      and
      Grant Medical College and Sir J. J. Group of Hospitals

      • chaman

        Hi thanks for the information Dr. Ashok, another question though, we got married a month ago, and we not planning for a baby for 1st year, might plan it in second. so she started with the most safe and low hormones yet effective BCP (mala d) is it safe to use such techniques for short term. I wanna know after a year, when we plan for a baby, i know she needs to be off the pill for atleast 4 months for the effect of med to nullify in body, but is it safe??

        thanks for your response 🙂 much appreciated

        DOCTOR’S REPLY:
        Oral Contraceptive are 100% effective amongst all contraceptive measures.
        Please take the OC pills as advised in the literature.
        Once the pills are stopped she will be physiologically back to the way she was before taking pills.
        Your choice is correct.

        If you have further doubts/suggestions/comments do not hesitate to ask.
        Best wishes,
        Dr. Ashok Koparday
        Marriage Counselor

        • chaman

          gotya.. thanks again for your help, you have been a great support, but my question was, are they safe to use?? these pills wont impact her fertility or ability to give birth to a healthy child (may god bless every mother with a healthy child)..

          Thanks Doc 🙂

          DOCTOR’S REPLY
          Oral Contraceptive pills do not adversely affect fertility. On stopping OC pills her ability to give birth to child is unaffected. OC pills get flushed out of body system. They don’t stay in the body. They mimic body’s own hormone only to the extent of stopping ovulation only when the pills are being taken regularly. After stopping OC pills the woman is just like any woman who has not taken OC pills ever.
          Dr. Ashok Koparday

  13. kirti

    i have done sex but using condom. but he has not intercourse just he masturabate. but i got delayed in my periods. is it cause any chances of pregnancy?? plz suggest me how i will have my periods sooner?? please reply me soon…i have an auspicious occasion & i wan to have my periods soon…

  14. sheena

    I am staying in chennai where emergency contraceptive pills are not available i had unprotected sex last night and want to know if i take a regular contraceptive OC will that help …………… please respond

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