Which is more feasible to use on the first marriage-night, contraceptive or a pill?

Definitely a pill along with condom. If girl is having knowledge of pills she may start taking it even before honeymoon i.e. starting from the 5th day of the menstruation and continue taking it. Male should use condom but it seems to be difficult to wear it on the first night. There may be some hesitancy. During first month double precaution is necessary.

What is the mode of action of contraceptive pills?

Oral pills are the most effective reversible contraceptive becuase of their multiple site of action. It acts by inhibiting ovulation.

How oral pill works?

Pill prevents the ovary from releasing an egg.

Pill reduces the ciliary action of the fallopian tubes which is necessary for transporting the fluid and the egg from the tubes to the uterus.

Daily low doses of hormones of pill prevents the mucous membrane of uterus from being adequately prepared for implantation.

* Sperm can penetrate the outer membrane of the egg through a certain ripening process. Progesterone interferes with this ripening process.

How these pills are to be taken?

A packet contains 28pills; out of these 21 are hormonal and 7 are placebo. On 5th day of menstruation hormonal tablet has to be started and for last 7 days non hormonal tablets to be taken.

What is minipill?

Oestrogens are often blamed for physical problems and are said to cause nausea, headache, fluid retention, small varicose veins etc. So progesterone dose is increased and oestrogens are removed. Pill has to be taken every day even during menstruation. But reliability is reduced if you change, the timing of consumption off and on. The monthly cycle occurs as if no pill were being used.

Is bleeding a common side effect of pills?

In addition to regular menstruation period break through bleeding may occur but it is harmless and disappears with time. It is due to an insufficient level of hormones in the body and Will disappear when a pill of higher dosage is prescribed.

Do ladies gain weight when they are on pills?

All women are concerned about the gain in weight. Weight gain occurs in about 8% bases. Till containing a greater amount of oestrogen will tend to cause the body to retain water and if this can not be controlled a pill with less oestrogen should be substituted by the physician.

What skin reactions a female may develop while on pills?

Younger women may notice the appearance or increase of acne, of unusual hair growth and of seborrhea of oily skin. These side effects are caused by sensitive reaction to certain progesterones contained in some pills. If the problem presists, a pill containing mote oestrogen and a different type of progesterone should be prescribed.

What are the advantages of pill?

Pill also has positive side effects, cramps caused by menstruation usually become less frequent and if the right pill is prescribed bleeding which may be particularly strong in some ladies can be reduced. Unpleasant or even painful breast tenderness is also decreased when a pill of higher concentration of progesterone is used. It regulates the menstrual cycle.

What are the effects of pills in relation to sex?

These effects are not due entirely to the pill alone. Sex drive increases because due to pills fear of an unwanted pregnancy is eliminated and woman's attitude towards sexual experience may change. When lady is on pills, frequency of sex act also increases.

Can pill cause heart attack?

Higher incidence of heart attacks are due to the effect of pill along with smoking. Woman suffering from leg thrombosis or pulmonary embolism should not take pills and should turn to alternative methods of contraception such as I.U.D. or sterilisation,

What one should do if one forgets to take pill?

In case of combination pill reliability is up to 36 hours but in case of sequential variety or a combination pill of low dosage i.e. mini then reliability is lower. Next day two pills may be taken.

Is pill adivsed for a young girl?

Young girls most frequently take the pill as a means of birth control. How so ever side effects it may have pills are the only reliable contraceptive for this age group because the IUD is often difficult to implant in the small uterine cavity. Side effects of pills are better than an undesired pregnancy or abortion.