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Combined Oral Contraceptives (COS) and injectables 


Before initiating oral contraceptive pills:

  • Check blood pressure

  • Perform vaginal examination (to check normal size of uterus)

  • Check for contraindications like deep vein thrombosis 

Follow up:

  • Instruct women always to inform the doctor or nurse that they are on contraceptives while attending clinic or hospital.

  • Women on oral contraceptives need regular physical check-ups including blood pressure measurement every six months 

  • Need to withdraw COCs or Progesteron Only Contraceptives (POPs) in:

  • Pregnancy

  • Severe headaches especially associated with visual disturbances

  • Numbness or paresis of extremities

  • Unexplained chest pain or shortness of breath

  • Severe leg pains etc.  


The recommended oral contraceptives are:

  • Ethinyloestradiol + Norgestrel Tablets 0.03mg + 0.3mg   


  • Ethinyloestradiol + Levonogestrel Tablets 0.03mg + 0.15mg   


  • Ethinyloestradiol + Desogestrell Tablets 0.03mg + 0.15mg   


  • Medroxyprogesterone acetate IM 150 mg every three months 


  • Take the first pill on the 5th day of menstruation and then continue every day without any interruptions

  • Check blood sugar and hypertension after every 6 months 

 Caution! Avoid use in women with severe hypertension and women without proven fertility


Updated on, 3.11.2020


1. STG

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