Methods of Family Planning- HORMONAL-POPs PDF

 Can be used by nursing mothers starting at six weeks after childbirth Quality and quantity of breast milk not affected; can be very effective during breastfeeding No estrogen side effects  Women take one pill every day with n...

 Can be used by nursing mothers starting at six weeks after childbirth Quality and quantity of breast milk not affected; can be very effective during breastfeeding No estrogen side effects  Women take one pill every day with no break. Easier to understand than taking 21-day combined pills Lesser risk of progestin-related side effects, such as acne and weight gain, than with low-dose combined oral contraceptives May help prevent: Benign breast disease; Endometrial and ovarian cancer; Pelvic inflammatory disease Experience changes in menstrual bleeding: irregular periods, spotting or bleeding between periods (common), amenorrhea possibly for several months (less common), prolonged or heavy menstrual bleeding. Less common: headache and breast tenderness  For women who are not breastfeeding, taking the pill more than three hours late increases the risk of pregnancy. Missing two or more pills increases the risk greatly. Offers no protection against STIs/HIV. Effectiveness may be lowered when certain drugs for epilepsy (phenytoin and barbiturates) or tuberculosis (rifampicin) are taken. MENSTRUATING Start within the first five days of menstrual cycle, preferably on the first day At any time during the menstrual cycle, if reasonably sure that the woman is not pregnant If not within the first five days of the menstrual cycle = abstain from sex or use a back-up method for the next two days POSTPARTUM  If breastfeeding, start after six weeks postpartum  If not breastfeeding, can start immediately or at any time within the six weeks postpartum If client missed taking the pills by more than three hours: abstain from sexual intercourse or use a back-up method during the next 48 hours after re-starting the pills If client is breastfeeding and amenorrheic and missed pills more than three hours: take one pill as soon as possible and continue taking pills as usual If client is still covered by LAM: no back-up is needed For questions or problems For warning signs of possible complications o Extremely heavy bleeding (twice as much and/or twice as long previous menses) o Headaches that start or become worse after she started POP o Skin or eyes becoming yellow o Abdominal pain, tenderness or fainting o Symptoms of pregnancy