Progestin-only oral contraceptives

Progestin-only oral contraceptives

Progestin-only oral contraceptives: are called:
= Progestogen Only Pills
= POP
= Mono-hormonal pills
= Minipilule

Contain one hormone, a progestin derived progestagen or in very small quantities. in Romania there is Exluton product that contains a synthetic progestogen, lynestrenol, each 28 pills on foil.

The best oral contraceptive for lactating women.

Mechanism of action
thickens cervical mucus, hindering the passage of sperm, prevents ovulation in about half of the menstrual cycle.

Efficiency
Breastfeeding women are very effective in normal use: 1 pregnancy per 100 women in first year of use.
Efficiency is very high when used correctly and continue even outside the period of breastfeeding: 0, 5/100 women in the first year of use.

Reversibility - immediately.
 Progestin-only oral contraceptives
Directions
Take one pill every day at the same time, without breaks.
WARNING! The film is 28-pill after finishing a film immediately pass a new film without any day of rest in between.

How to start using POP:
- After giving birth
-If the woman breastfeeding - starting 6 weeks after birth (it is necessary to use a method PF-unless a woman full breast-feeding or if menstruation returned or if the child is over 6 months);
-If the woman does not breastfeed may start at any time in the first 4 weeks, without waiting menstruation, or after 4 weeks if pregnant can not be sure.
- After Abortion
-Immediately or within 7 days after I or II trimester abortion;
-At any time later, if she is sure she is not pregnant.
- If the woman is menstruating
- In the first 5 days of the menstrual cycle (best is the first day), there is no need to use an additional method;
- At any time during the cycle is safe if she is not pregnant, requires the use of additional methods (condoms or spermicides) during the first 2 days after beginning pill use
- Immediately after the correct use of other effective methods of contraception
Once started this method, the pills are taken continuously, without breaks between films.
Progestin-only oral contraceptives
What to do if:
- If the pills are taken correctly
- Unless you're breastfeeding, delayed only a few hours (over 3 hours) administration of progestin-only pill may increase the risk of pregnancy (it increases significantly if two pills are missed) take a pill as soon as she remembers and uses an additional method of protection on these two days;
- If breastfeeding women using progestagen only pills for extra protection continues to be protected even if he forgot a pill;
- If there are digestive disorders (vomiting in less than 1 hour after taking the pill, persistent diarrhea for several days) proceed as in the COC.
- If the woman has received treatment with rifampicin, griseofulvin or anticonvulsants, proceed as for COCs.
Progestin-only oral contraceptives
Side effects
Common side effects:
- Changes in menstrual cycle regularity (irregular menstruation, amenorrhea);
- Intermenstrual bleeding or spotting;
- Headache (rare);
- Tension in the breasts (less than with COCs).
Menstrual changes, breast tension are less disturbing for breastfeeding and therefore more acceptable. for women who do not breastfeed and have regular cycles, these minor side effects can be perceived as unpleasant.