Hi XXXXXXX

Thanks for the query.

Femilon is a bleeding.

The failure rate is usually less than 1%. This is a very low chance of failure of this contraceptive alone. Usually no other contraceptive is used once a person is on the Oral contraceptive pill due to the high chance of preventing pregnancy.

If you miss the pill one day, you can take 2 pills on the next day.

When you are on Femilon, you will not have periods for 21 days during the month but within the next 7 days you may have withdrawal bleeding. In some cases the bleeding may be very mild.

In order to postpone your periods, you will need to stop the Oral contraceptive pill under medical supervision and your Doctor shall prescribe you Primolut N tablet which can be taken about 3 times a day for up to 10-14 days, as required. This medicine also has side effects like weight gain, irregular menstruation once the tablet is stopped, pain in breasts, stomach pain, nausea etc.

The irregular bleeding you are experiencing could be due to various factors. Most cases are due to hormone imbalance. It would be wise to consult your Gynecologist and get a thorough checkup to rule out the various causes of irregular menses.

Even stress can cause irregular menses. Reduce stress in your life by doing Yoga. Eat healthy, drink plenty of water. Get 6-8 hours of sleep daily. Do daily brisk walking for 40 minutes a day to stay fit and reduce stress.

Once you are on Femilon you will not have bleeding for the 21 days but the next 7 days when tablet is not taken, withdrawal bleeding will occur which is normal. This shall stop when you resume the next cycle of Femilon for 21 days.

I hope I have answered your query. I will be available to answer your follow up queries.

Wishing you good health.

Regards,

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Hi XXXXXXX

Thanks for the reply.

You can expect the withdrawal bleeding which is an equivalent of your period after 21 days of using Femilon.

I believe the medicine Primolut-N is not an over-the-counter drug. It may require the prescription of a Registered Medical Practitioner.

Since you have irregular bleeding already, it is highly advisable you try to find the time to get a proper medical checkup by your Gynecologist before starting Primolut-N as there are certain contraindications in persons with high blood pressure, clotting problems, and hormonal disturbance as well. There is no substitute to proper clinical examination before starting medication.

Primolout-N cannot be taken while you are on Femilon. This is why you will need a thorough clinical examination before you take this medication, that even pregnancy should be ruled out as well before this medicine can be taken.

Primolut-N is usually taken 3 times a day for 10-14 days maximum. It can be started about 3 days before the expected date of starting of menses. Once the tablet is stopped, the menses shall return within 3 days. There may be some irregularity of menstruation which should clear up within couple of menstrual cycles.

According to various studies, the oral contraceptive combined pill like Femilon is usually enough to prevent pregnancy and does not warrant the use of any other contraception at the same time. It should be taken in persons who have no risk of heart disease, clotting disorders, migraine etc.

The effect of Femilon begins the day you start taking it. Avoid missing a dose, but should you do, you can always take two tablets the next day.

I hope I have answered your query. I will be available to answer your follow up queries.

Wishing you good health.

Regards,

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