Combined Oral Contraceptive Pills

Combined Oral Contraceptive Pills

 

Can my combined oral contraceptive pill withdrawal bleed be planned to avoid weekends?

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Can my combined oral contraceptive pill withdrawal bleed be planned to avoid weekends?

If a pill packet is commenced on a Sunday, the withdrawal bleed should occur on weekdays. When starting the combined oral contraceptive pill for the first time, if you delay to the next Sunday rather than commence on the first day of the period, additional contraception is required for the first seven days. For those on monophasic pills (Table 16.1) who wish to convert to a Sunday start, it is probably best to take two packets back-to-back and then finish the second packet on the Saturday. The third packet is commenced on the following Sunday. The other option would be to continue taking the combined oral contraceptive pill from a spare pack until the next Sunday. This spare packet can be kept in reserve for similar cycle adjustments when required. 

Table 16. 1 Monophasic combined oral contraceptive pills:

 Preparation

Ethinyl Oestradiol (mg)

mg / Progestogen

Manufacturer

Loestrin 20 20 1 norethisterone acetate Parke Davis
Loestrin 30 30 1.5 norethisterone acetate Parke Davis
Brevinor?

Ovysmen

35

35

0.5 norethisterone

0.5 norethisterone

Searle

Jannsen-Cilag

Norimin 35 1 norethisterone Searle

Norinyl  -1

Ortho-Novin 1/50

50 (mestranol) 1 norethisterone Searle

Janssen-Cilag

Microgynon  30

Ovranette?

30

30

levonorgestrel

0.15 levonorgestrel

Schering

Wyeth

Eugynon ? 30

Ovran 30

30

30

levonorgestrel

0.25 levonorgestrel

Schering

Wyeth

Ovran 50 0.25 levonorgestrel Wyeth
Cilest 35 0.25 norgestimate Janssen-Cilag
3rd GENERATION:
Mercilon 20 0.15 desogestrel Organon
Marvelon 30 0.15 desogestrel Organon
Femodene

Minulet

30

30

0.075 gestodene

0.075

Schering

Wyeth

Femodette 20 0.075 Schering
Yasmin?

Evra Patch

30

(see 16-01a-)

3 drospirenone Schering

Janssen-Cilag

Table 16. 2 Phasic combined oral contraceptive pills:

 Preparation

Ethinyl Oestradiol (mg)

mg / Progestogen

Manufacturer

Binovum

35

0.5/1  norethisterone

Janssen-Cilag

Trinovum

35

0.5/0.75/1  norethisterone

Janssen-Cilag

Synphase

35

0.5/1/0.5 norethisterone

Searle

Logynon

Trinordiol

30/40/30

30/40/30

0.05/0.075/0.125 levonorgestrel

0.05/0.075/0.125 levonorgestrel

Schering

Wyeth

3rd GENERATION

Triadene

30/40/30

0.05/0.07/0.1 gestodene

Schering

Tri-Minulet

30/40/30

0.05/0.07/0.1 gestodene

Wyeth



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