As we have already discussed in Temporary Methods of Birth Control - Oral Contraceptive Pills -
- These are medicines taken by mouth to help prevent pregnancy.
- Pills have to be taken daily for 21 days starting within the first five days of the menstrual cycle.
- After a gap of 7 days (during which menstruation occurs) it has to be repeated.
- These pills act in four ways:
- Inhibition of ovulation
- Inhibition of motility and secretory activity of fallopian tubes
- Changes in cervical mucus impairing its ability to allow passage and transport of sperm.
- Alteration in uterine endometrium to make it unsuitable for implantation
Types of Contraceptive Pills:
- Mini Pills:
- They contain progesterone only.
- Saheli is a non-steroidal pill developed at Central Drug Research Institute (CDRI).
- It contains centchroman which is taken once a week after an initial intake of twice a week dose for 3 months.
- These pills primarily act on cervical mucus by making it inhospitable to sperm.
- These also hinder implantation.
- Combined Pills:
- These are most commonly used oral contraceptive pills.
- They contain both progesterone and estrogen to check ovulation.
- Pill Mala D and Mala N are commonly used. They are taken daily without break.
- Morning After Pills:
- These are also called the emergency contraceptives.
- These pills can prevent pregnancy if taken within 72 hours of coitus.
- They can either suppress ovulation or prevent fertilization.
- They are most effective in the first 24 hours.
Hence, the correct option is (a).
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