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            <h3>Hormonal Contraception   </h3>
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                    <h4>Hormonal Contraception</h4>
                    <h4>Hormonal ways to prevent pregnancy can be of two types</h4>
                    <ul>
                        <li>Oral contraceptive pills </li>
                        <li><strong>Non oral hormonal contraception</strong>: Includes Hormone releasing Intrauterine device, injectable contraceptives, Contraceptive Implants, Transdermal hormonal patch , Hormonal contraceptive vaginal ring .</li>
                    </ul>
                    <h4>Oral contraceptives</h4>
                    <p>Can be of two types</p>
                    <ul>
                        <li>Combined pills (estrogen and progesterone combined pills)</li>
                        <li>Progestogen only pills </li>
                    </ul>
                    <h4>Why Oral contraceptive pills(OCPs)?</h4>
                    <p>OCP is a widely accepted and most effective method of fertility control.</p>
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                    <h5>Advantages benefits of Pills include</h5>
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                                <ul>
                                    <li>Minimum failure rate of 0.1% to 1.8%</li>
                                    <li>Prevents pregnancy effectively</li>
                                    <li>Period cycle regularization    </li>
                                    <li>Cure of many menstrual disorders</li>
                                    <li>Protection against Uterine cancer and Ovarian cancer</li>
                                    <li>Protection against Benign breast disease like fibrocystic changes , fibroadenoma</li>
                                    <li>Protection against acne , hirsutism </li>
                                </ul>
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                                <ul>
                                   <li>Treatment for functional Ovarian cysts/ Follicular cyst</li>
                                   <li>Treatment of Premenstrual Syndrome </li>
                                   <li>As a treatment of Endometriosis/ Adenomyosis</li>
                                   <li>Reduces painful cramps and heavy blood flow is reduced as well!!</li>
                                   <li>Does not interfere in sexual life</li>
                                   <li>DOES NOT AFFECT FUTURE FERTILITY! You can get pregnant right after stopping the medicines.!!</li>
                                </ul>
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                    <h4>Which OCP is best suitable for you ?</h4>
                    <ul>
                        <li><strong>In non lactating women , young females → </strong>fourth generation lower dose oral contraceptive pills are helpful.</li>
                        <li>If you are a patient of PCOS and does not want pregnancy then OCP containing Drospirenone and ethinyl estradiol helps better in preventing acne and hirsutism  </li>
                        <li><strong>In Lactating mother → </strong>Progestin only pills should be given.e.d Dronis -P </li>
                    </ul>
                    <h4>How Pills should be consumed?</h4>
                    <p>Newer generation low dose pills come in a pack of 21 tablets like shown below. </p>
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                    <ul>
                        <li>One tablet is to be taken starting between day 1 to 4 of the menstrual cycle and continued daily for 21 days everyday before sleeping at bed time.</li>
                        <li>The medicine should be stopped after finishing the first pack of 21 tablets, usually menstrual blood flow occurs between 2-4 days of stoppage of medicine. </li>
                        <li>The next pack should be started after 7 days of stopping the previous pill. Or from the 3rd day of the next cycle.</li>
                        <li>The pill free period allows menstrual blood flow.</li>
                        <li>Do not miss the dose orelse irregular bleeding or conception may occur.</li>
                    </ul>
                    <h4>What are the common side effects?</h4>
                    <ul>
                        <li>Nausea, vomiting, loss of appetite</li>
                        <li>Breakthrough bleeding</li>
                        <li>Reduced blood flow during menses</li>
                        <li>Vaginal discharge</li>
                    </ul>
                    <h4>Am I eligible ?? Who should avoid OCP?</h4>
                    <ul>
                        <li>Patients with age>40 years</li>
                        <li>With other conditions like High blood pressure, Diabetes, Thyroid Disease</li>
                        <li>Women with history of Deep Vein thrombosis</li>
                        <li>Women with Liver disease, Gallbladder disease</li>
                        <li>Women with migraine </li>
                    </ul>
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                        <img src="img/hormonal-img3.png" alt="">
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                    <h5>For personalized touch and to know which is the best OCP for you meet our team of best gynecologists in ahmedabad. Your safety is our motto.</h5>
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