OCP

An advanced oral contraceptive pill usually contains two hormones, progestin (desogestrel 150 mcg) and estrogen (ethinylestradiol 30 mcg). This combined OCP works mainly by preventing the release of an egg (called ovulation) during the menstrual cycle. It also makes vaginal mucus thicker to help prevent sperm from reaching an egg (called fertilization) and changes the lining of the uterus to prevent attachment of a fertilized egg. If an egg does become fertilized, it is unable to attach to the uterus and passes out of the body.

It is 92% effective for an average user but when used exactly as prescribed it is 99.7% effective. ‘Exactly as prescribed’ means taking it at the same time, every day, without missing any pill.

If you start the pills within 5 days of when your period starts, you’ll be protected from pregnancy right away.

If you start the pills any other time, you’ll be protected from pregnancy after seven days of taking the pill. Use a back-up method of birth control — like a condom, if you have sex during the 7 days. After 7 days, you may stop using the backup method.

Before you start using an advanced OCP, talk to your doctor and tell him/her if you have any of the conditions mentioned below:

  • Obesity.
  • Diabetes.
  • Migraine or Epilepsy.
  • You or anyone in your immediate family has or has had breast cancer.
  • You or anyone in your immediate family has had a thrombosis, a heart attack or a stroke.
  • You are a smoker.

Yes. Your doctor will tell you about the benefits of using an advanced OCP and will make sure it is the right contraceptive solution for you.

  • Lesser frequency of nausea and headache associated with use of OCPs
  • Lower rate of menstrual irregularities, resulting in lighter and more predictable periods
  • Reduced menstrual blood loss
  • Reduced pre-existing acne and hirsutism (excessive hair-growth on the face, chest or back)
  • Positive effect on mood
  • Lowered cardiovascular risk associated with taking OCPs for women with hypertension

Most advanced OCPs are in a 21-pill pack. Take one pill every day at the same time for 21 days. On the pack, each pill is marked with a day of the week on which it has to be taken. Take your pills at the same time each day and be as precise with timing as possible.

Stop taking pills for the next 7 days until your next menstrual cycle (often called a period) starts. Your period should begin during these 7 days. Usually it will start within 2-3 days after the last advanced OCP pill.

Start taking pills from your next pack on the 8th day, regardless of when your period started.

If you are less than 12 hours late in taking a pill, the reliability of the pill is maintained. Take the forgotten pill as soon as you remember and take the next pill at the usual time.

If you are more than 12 hours late, the reliability of the pill may be reduced. The more pills you miss and take at different times, lesser is the efficiency of an OCP.

If you forget to take 2 or more pills, you should take 2 pills every day until you are back on schedule. You should use extra contraception (such as a condom) for the next 7 days.

When taken correctly (this means taking a pill at the same time, every day, without missing any pill), advanced OCP is 99.7% effective. This means less than 1 in 100 women have a chance of becoming pregnant. With average use, an advanced OCP is 92% effective, which means approximately 8 out of 100 average users have a chance of becoming pregnant.

Yes. Stop using advanced OCPs when you want to get pregnant and consult your doctor. You will have a full return to fertility upon stopping use of advanced OCPs.

If you have just had a baby, your doctor may tell you to wait until your first normal period before you start taking an advanced OCP. Sometimes, it is possible to start sooner with your doctor’s advice. If you are breastfeeding and want to take avanced OCPs , you must discuss this with your doctor first.

Side effects reported by users include:

  • Nausea and dizziness
  • Headache or migraine
  • Breast tenderness and breast enlargement
  • Spotting between periods
  • Weight gain

You should note, however, that side effects are fewer when taking an advanced oral contraceptive pill compared to other oral contraceptives. In particular, advanced OCP users have:

  • Lesser frequency of nausea and headache associated with use of OCPs
  • Lower rate of menstrual irregularities, resulting in lighter and more predictable periods
  • Reduced menstrual blood loss
  • Reduced pre-existing acne and hirsutism (excessive hair-growth on the face, chest or back)
  • Positive effect on mood
  • Lesser weight-gain
  • Lowered cardiovascular risk associated with taking OCPs for women with hypertension

The side effects may occur in the first few months of using advanced OCPs and will lessen with time.

With the pills, you can have vaginal bleeding between your periods (called spotting) for the first few months. You may need to use sanitary protection and should continue taking your pills. The spotting will stop once your body adapts to changes caused by the pill.

If you have taken your pills at the right time and not suffered from diarrhea or have vomited, then continue taking the pills as usual. However, if you have missed two periods in a row, you may be pregnant and should consult your doctor immediately. Do not start the next pack of advanced OCP without consulting your doctor.

Please Note:

Before you start using advanced OCPs, talk to your doctor, especially if you have any of the conditions mentioned below:

  • Obesity.
  • Diabetes.
  • Migraine or epilepsy.
  • If you or anyone in your immediate family has or has had breast cancer.
  • If you or anyone in your immediate family has had a thrombosis, a heart attack or a stroke.
  • If you are a smoker.


EC

Emergency contraceptive pills are pills that you can take if you’ve had unprotected sex, i.e., sex without using contraception, or you think your contraceptive method might have failed, and  wish to avoid a pregnancy. 

Emergency contraceptive Pills (EC) prevent fertilization to help avoid pregnancy. They work by delaying or preventing the release of an egg by at least 5 days. Since the life of a sperm is 5 days, the reproductive tract is clear of any sperm by the time the egg is released. 

Emergency Contraceptive Pill must be taken within 72 hours of having unprotected sex. 

No. ECs do not work if a woman is already pregnant.

There is no evidence that ECPs affect subsequent births or the fertility in any way. It is possible to become pregnant immediately after taking ECPs. The ECPs prevent pregnancy only from acts of sex that took place in the 5 days before.

An Emergency contraceptive is most effective when taken under 72 hours of having unprotected sex. The precise efficacy of ECPs depends mostly on the woman’s cycle day when ECPs are taken and how soon they are taken after unprotected sex.

ECPs are safe to use for women and girls of reproductive age. There have been no cases of serious complications in the last three decades of carefully monitored use of the ECPs. 

Although ECPs are labelled for single use, using more than once even in the same menstrual cycle does not pose any known health risks. 

But you should not rely on EC pills as a long-term birth control method as they are not so effective in preventing pregnancy as using a birth control method like oral contraceptive pill or injection consistently and correctly.

The repeated use of ECs is classified as Level 1 in the World Health Organization’s Medical Eligibility Criteria (Level 1 indicates “a condition for which there is no restriction for the use of the contraceptive method”) which means that even though they are labelled as single use products, using ECs more than once is not known to pose any health risks.
There may be side effects such as menstrual irregularities and nausea, but they are generally short term. However, every person should decide for themselves according to their bodies and medical histories.

No, it does not. It is possible to become pregnant immediately after taking ECPs. The ECPs prevent pregnancy only from acts of sex that took place in the 5 days before.

In the first several days after taking ECPs, some users report the following 

  1. Nausea
  2. Abdominal pain
  3. Fatigue
  4. Headaches
  5. Breast tenderness
  6. Dizziness
  7. Vomiting 

There could changes in bleeding patterns, including; 

  • Slight irregular bleeding for 1-2 days after taking ECPs
  • Monthly bleeding that starts earlier or later than expected 

These are common reported side effects and usually last for only a few days. If any of these effects become severe, consult your doctor as soon as possible. 

Emergency contraception is not as effective at preventing pregnancy as other short-term and long-term methods of birth control,  such as oral contraceptive pills, injectable contraceptives, Intrauterine contraceptive devices (IUCDs) etc. Use of a regular contraceptive method also lets you be spontaneous and be worry free during sex instead the constant anxiety and stress of landing in an emergency situation every time you have sex.

A doctor’s prescription is required for purchasing an emergency contraceptive pill. ECPs are available at your nearest pharmacy.


Consultation

Yes, you can. Our doctors are available at https://docterz.com/betweenus/. You can book an e-consultation and get an e-prescription. This e-prescription is valid to make any purchases in all online & offline pharmacies.

Yes, all the doctors listed have a consultation fee which is written against their listing.

Yes, it will be a video-call.

The choice is yours as all our doctors are qualified and experienced Obstetricians and Gynaecologists.

Yes, you can reschedule the appointment if the doctor is available for the next appointment.

The appointment is booked for a slot of 15 mins and you can join anytime in this slot. the appointment gets cancelled if you do not join within 15 minutes.

You can connect with the helpline provided by Docterz.com, to check for a solution.

Your prescription will be sent to your registered e-mail id. Alternatively, it is also available in your patient account with Docterz.com.

A prescription carrying below information is considered as valid:

  1. Name and Medical Registration Number of the Doctor
  2. Patient name and age
  3. Date of consultation or date of the prescription
  4. Name of medicine, dosage, strength and duration for which it is prescribed/advised.

You can login via your application. You will receive a reminder 5 minutes before the scheduled call.


Purchase

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*The information on this page is general in nature. Please consult your doctor for detailed information about the specific brand you are using or intend to use.