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Knowledge about Oral contraceptive pills - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Excellent Posted in: Birth Control
Answered by

General & Family Physician
Practicing since : 2004
Answered : 1773 Questions
Doctor :   Hi
Doctor :  
How can i help you?
User :   Hi, How you doing?
Doctor :  
i am fine
Doctor :  
how about you?
User :   good to hear that
User :   fine thanks for asking
User :   now about my query
Doctor :  
please proceed with your Q
User :   by the way whats your good name?
Doctor :  

User :   ok
User :   i got married 3 months back and i want to practice birth control measures
User :   can you help me on that?
Doctor :   i will help you in this

User :   good
User :   basically i want to know more about oral contraceptive pills for my wife
Doctor :   ok
User :   she is around, in case you have any questions
Doctor :   ok thats fine
Doctor :  
the oral contraceptive pills are hormonal pills
Doctor :  
they come in the form of combined where you have combination of two hormones
Doctor :  
and progestrone only pills
Doctor :  
this is single hormone only
Doctor :  
now how to consume the pills
Doctor :   combined pills
Doctor :   they come in a pack of 21 or 28
Doctor :   are you following?

User :   yes very much
Doctor :  
User :   ok,we r planing to consive in 2011 so my wife will b consuming these pills till about a year, so you can suggest accordingly, btw she has only a medical history of a kidney stone in 1999. she is 28 and counting right now
User :   conceive*
Doctor :   in your case i suggest you to take combined type of pills

Doctor :   a pack of 28 is the right choice

Doctor :  
you need to consume one table on the same time every day
Doctor :  
if you miss the tablet time than you can consume as soon as you remember
User :   ok..
Doctor :  
the pills should be stopped after completing the pack when you plan for pregnancy
Doctor :  
and with in 2 to 6 months after stopping the pill she can concieve
User :   alright, so she has to consume the pills regularly till about 2-6 months before we want to concieve?
Doctor :  
yes thats right
User :   everyday, including her menstrual days?
Doctor :   yes every day
User :   ok
Doctor :   during the first few days
Doctor :  
of consumption of pill
Doctor :  
she might experience stomach discomfort
Doctor :  
mood changes
Doctor :  
little irritability
Doctor :  
and some amount of bleeding in the form of spotting
Doctor :  
that will disappear over a period of time
User :   alrught, let me inform you, she already undergoes severe stomach pain during the 1-2 days of her menstrual periods
Doctor :   this is the menstrual pain

Doctor :  
but i am talking of the mild side effects of the drug
Doctor :  
which will disappear over a period of time
User :   alright
User :   so are they any long term effects of the drugs?
Doctor :   yes there are few long term effects

Doctor :  
they are clotting of blood in the leg veins
Doctor :   increase in weight

Doctor :  
pimples on face
Doctor :  
darkening of the skin color called as mealasma
User :   how many % of women undergoes these effects after following these drugs?
Doctor :   felling of vomiting, stomach pain, spotting, breast pain and all is more commoner and is experienced by all most every women

Doctor :  
in the initial few days
Doctor :  
but with in 15days to 1 month all the symptoms do disappear
Doctor :  
the more major side effects as i told is more commoner in people who has used them for many years
Doctor :  
usually for more than 3 to five years
User :   alright makes sense
User :   so doc overall do you suggest these pills to be safe
Doctor :   the pill has one major advantage

Doctor :   it is protective against ovarian and uterus cancer
User :   good to hear something +ve too
Doctor :  
over to say they are safe drugs to consume for a short period
User :   so would you count 1 year a short period?
Doctor :   yes 1 to 2 years is usually short period.

User :   ok, got your point. What i am confused at the moment is that if my wife takes this pill till our first delivery, we plan the next one after another 3-4 years, so for short term i go for this option and after the first delivery what do i do for the long term planning
Doctor :   it should be a combination of condom and oral pills

Doctor :   after the delivery till the first baby is breast feed
Doctor :  
the nature gives you protection, she cannot become pregnant
Doctor :  
i mean to say when she is breastfeeding the baby she cannot become pregnant
User :   alright
Doctor :   so breast feeding will be up to a year or so
Doctor :  
than use condoms for the next 4 to 6 months
Doctor :  
than you can opt for oral pills
User :   alright, thats good info, thanks
Doctor :  
one more advice i like to give
Doctor :  
before starting the oral pills
Doctor :  
kindly get a physical examination done by a gynaecologist, the basic blood investigation done
Doctor :  
and keep them as record
User :   ok
Doctor :   this will act as base line medical status
Doctor :   is there any thing else i can help you with
Doctor :   please fill the feed back form

User :   now can you suggest me some combined type of pills to start off with
Doctor :   they are like Mala-D or Mala-N

Doctor :   before starting dont forget to get the physical examination and blood examination done
Doctor :  
by a doctor there
User :   lastly i wanted to ask you, are there any pre-conditions of taking these tablets, like empty stomach,early morning, time-gap between two pills etc
Doctor :   the only condition is, if you take a tablet at one time of the day- say at 11 clock, than the next day you have to take the tablet at the same time, 11clock

Doctor :  
the time gap between two tablets is 24 hours
Doctor :  
and it is preferred to take after food.
User :   alright, thank you so much for your help, will get back if i have any other query, you have solved all my questions
Doctor :  
Thanks for consulting HealthcareMagic. Bye for now. Please refer your friends to our service.
User :   sure,also i have taken a daily package with 3 consultations valid till a day, can you let me know till when is my package valid
Doctor :   it will be valid for 24 hours
User :   ok thanks, its been a pleasure
Doctor :   thanks

Doctor :   bye
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