Oral contraceptive

Oral contraceptive
Oral contraceptive is a hormonal pill. It is a combination of oestrogen and progesterone. When taken orally and regularly it acts as the most effective method to prevent pregnancy.Rock, Garcia, Pincus from USA first pioneered in the clinical use of the pill as contraceptive in 1957.
The OC is started from the 5th day of a menses. One pill is taken at bed time daily for 21 days. Within a week the next menses comes. The next course is started from the 5th day of the menses. If one pill is missed at any night the missed pill is taken at the next morning.
There are some Absolute contraindications when the oral contraceptive is not to be taken –

  • History of liver disease or jaundice with one year.
  • Thromboembolic disorders.
  • Carcinoma of breast, cervix or uterus.
  • Undiagnosed genital bleeding.

There are some Relative contraindications where it may or may not be used after proper consideration.

  • Migraine
  • Severer allergy
  • Hypertension
  • Diabetes
  • Women aged beyond 35 years who smoke.
Mechanism of action of Oral contraceptiveOral contraceptives containing the oestrogen and progesterone act by their action on the anterior pituitary and hypothalamus. Its action is also at the uterus and the cervix. It causes the abolition of midcycle FSH-LH surge by suppressing GNRH and FSH. These hormones are required for the development of follicles in the ovary. Thus as no follicular development takes place no ovulation occurs. At the Cervix the cervical mucus becomes less penetrable to sperm by the action of progesterone. Endometrial lining of the uterus also becomes unresponsive to lodging of the fertilized egg.All women must have preliminary medical checkups before starting on the pill.
Following delivery ovulation is delayed beyond 6 weeks, although it can happen at 4th week when the women are not breast feeding. Thus if the mother is not breastfeeding it is started at 4 weeks and if she is breastfeeding it is started after 6 months because oestrogen inhibits prolactin action on breasts causing poor milk yield.

Pregnancy failure per 100 women year is  0.1

 Contraception
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About Manbir & Gurpreet

Gurpreet Kaur’s journey in this world .... Gurpreet Kaur was a Musician. She was a singer and a composer of music. Her interest was composing and singing Gurbani Shabads in Indian Classical style. She sang Shabads in All the Raags mentioned in Sri Guru Granth Sahib Ji. She also taught Gurmat Sangeet at Gurmat Gian Missionary College, Jawadi, Ludhiana. Elder child to Pushpinder Kaur and Dr. Brig. Harminder Singh, was born in Amritsar on 13th Jan 1962. She attended various convent schools as a child because her father would get frequent Army postings as a dental surgeon. She graduated with Music Honors from Govt. College for Women, Chandigarh. Music was her hobby and she composed and sang Raag based Gurbani Shabads. Doing Kirtan was part of growing up nurtured by her parents. She learned music from her father Dr. Brigadier Harminder Singh who was a dental surgeon in Indian Army and a very good singer himself. Gurpreet’s Bhua (father’s sister), Ajit Kaur retied as a Head of Department of Music from Govt. College for Women Ludhiana, and was a renounced Punjabi singer of her time. Gurpreet Kaur also learned nuances of Indian Classical Music from Pandita Sharma. She was a mother of three children, and a grandmother. Her daughter Keerat Kaur is a Computer Engineer. Her two sons Gurkeerat Singh and Jaskeerat Singh are doctors in USA. Her daughter Keerat Kaur too was part of her group ~ Gurmat Gian Group. Gurpreet Kaur left this world at the age of 54yrs on 12th Sept 2016 in Baltimore USA. She had recorded around 25 cds of Gurbani Keertan. 'Raag Ratan' Album (6 CDs) is a Compilation of Shabads in All the 31 Sudh Raags of Sri Guru Granth Sahib Ji. 'Gauri Sagar' Album (3 CDs) is a Compilation of All forms of Raag Gauri in Sri Guru Granth Sahib Ji. 'Nanak Ki Malhaar' ~ ((3 CDs) is an album of Raag Malhar Shabads in various forms of Malhar. 'Gur Parsaad Basant Bana' ~ (3 CDs) is an album of Shabads in Raag Basant sung in various forms of Raag Basant. Har Ki Vadeyai Sarni Aayea Sewa Priya Kee Preet Piyaree Mohan Ghar Aavho Karo Jodariya Mo Kao Taar Le Raama Taar Le Tere Kavan Kavan Gun Keh Keh Gawan Mera Baid Guru Govinda Saajanrraa Mera Saajanrraa

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