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question:hi, had my baby 3 months ago, and from then have been on the contraceptive injection, up until recently when i had to switch to oral contraceptive, trigestrel. i am a first time user and not sure which pill to take first. i dont have my period at the moment, can i start taking it?

answer:HelloThanks for writing to us with your health concern.You would be having amenorrhoea because of the contraceptive injectionThe depo shot often leads to residual amenorrhoea.It can take upto 3 - 6 months for normal cycles to resume.For starting the pill, it is recommended to start it on day 2 or day 3 of the period.If you are amenorrhoeic right now, it is best to induce your period first.This can be done by progesterone withdrawal bleed.Take progesterone preparations ( Meprate, Deviry , Norlute N, Primolut N etc ) twice or thrice a day for 5 days.After stopping the drug, wait for one week.Maximum within a week, you would have withdrawal bleeding.You can start the oral contraceptive from the second or third day of that artificial period.Also, for the first month of pill use, please use a backup method like condoms.This is because it takes one month for the hormones to start acting and provide maximum effect.So please use a backup to be safe.Also, amenorrhoea could be due to the recent childbirth and the lactation, in case you are breastfeeding.Even in that case, progesterone withdrawal will produce a period.Contraception is a must though as even in the absence of periods, you might ovulate.All the bestTake care.

question:Hi, I m 18 yrs old i have taken i pill after intercourse after 4 days i got heavy bleeding for 2 days on which my periods ar due. Now after 9 days of taking i pill have severe abdominal and leg pain what does this indicate ??? I m pregnant ????? I dnt want to see doctor please advise i m vry tensed.

answer:HI,Leg and abdominal pain after i pill is rare especially since you already got your periods. The pain could be due to other reason like local injury or rarely blood clot in your leg. Does the pain increase on walking and associated swelling is present?Chances of pregnancy is less but still to confirm it i want you to do a pregnancy test with a UPT kit . It costs cheap and is available in all pharmacy. The instructions on how to use it & how to read the test is given on the Kit Box .Contact us with the test report

question:Hi, i am taking birth control, and during the sugar pills (where i usually get my period), I was super stressed. My period didnt come and now I am fours days into the new pack and still havent gotten it. Is it possible it just wont come anymore now that I have started the new pack? Or should I take a pregnancy test?

answer:Hello madam Mental stress does affect menstrual cycles, can cause early or delayed cycles. If you start the next pack you are not likely to get periods , however you may get break through bleeding. Stopping the pills usually causes withdrawal bleed within a week. So wait for a week.

question:I've been on the minigynon 30 from last year November and February 14 I missed a pill and February 15 I missed the pill for more than 12 hours so I took both that night and continue taking it normally February 15 and I had my period that day. It is still going on now and I've been taking the pills as usual. Is ok? What to do? Help! By the way, it was the 6th day in the pack I missed (February 14).

answer:HelloThanks for writing to us with your health concern.When you miss two pills in the first week of pill use, the chances of that month's pills being ineffective are very high.When taken consistently and correctly, pills are more than 99 % effective in preventing a pregnancy.However, as two pills in the first week itself have been missed, it is advisable for you to use back up methods this month.PLease use condoms as backup contraception this month.Also continue using the pill pack as usual for the rest of the pack, without missing any pill.This is because you want to avoid any chances of abnormal or breakthrough bleeding in between.Continue using the pill pack and use backup this month.From next month onwards, it is better to use a new pack sincerely and religiously without skipping pills.All the bestTake care.

question:im on a contraceptive pill havent had my periods for 2 months smtimes i forget to take my daily dosage of pill. i took the home pregnancy test which came back negative the doctor has prescribed me primolut but i havent got my periods yet can i be pregnant.

answer:Dear Madam, yes it may lead to pregnancy so you need to be rehular with your oral contraceptive pills. Dr. Shruti

question:Hello. I have a question if I could be pregnant or not. I had sex tonight and the condom broke. I checked my period chart and it says I ovulated 2 days ago. But my period is always irregular. I took plan b like an hour after the condom broke. I really want to know what the odds are of me being pregnant. Thank you.

answer:Hello,Welcome to HCMThere are always chances of becoming pregnant if there is failure of contraception.If you have taken plan b,your chances of becoming pregnant has decreased.But still i would advice you to do urine pregnancy test after two weeks and confirm it.Hope you are satisfied with the answer.Thank you

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