CONTRACEPTIVES

PROGESTERONE ONLY
PILL
OBJECTIVES
At the end of this presentation we should be able to;
Define Progestin Only Pill
Identify POPs’ mode of action
Show how the commodity works (effectiveness)
Identify indications and contraindications
Identify advantages and disadvantages of Progestin
Only Pill
Cont……
Mention side effects of using Progestin Only Pill
Definition
It is an oral hormonal contraceptive which contains
progestogen only.
Examples are ; Microval, Overette, Microlut and
others.One pill is taken regularly at the same time
everyday without break, regardless of the bleeding
pattern.
MODE OF ACTION
The progestogen only pill has two modes of action;
Thickens cervical mucous thus inhibiting sperm
penetration into the uterus.
Suppresses ovulation in at least half of the cycle
HOW THE COMMODITY WORKS
(EFFECTIVENESS)
There is no delay in return of fertility after
discontinuation
POP does not protect against Sexually Transmitted
Infections
INDICATIONS
POPs are appropriate for any women who request
them provided if they do not have any
contraindications to use progestin only pills.
Breastfeeding mothers
CONTRAINDICATIONS
There are conditions which inhibit the use of progestin
only pill.
If the client is already pregnant
The client is already taking certain medication
Impaired liver fuctions
ADVANTAGES OF POP
Effective and safe
Do not affect breast milk production
Pelvic exam is not required to allow use
Return to fertility is immediate upon discontinuation.
DISADVANTAGES
Bleeding may be irregular, light, more frequent, lasts
longer or stop.
They do not protect against Sexually Transmitted
Infections.
One pill has to be taken at the same time everyday.
SIDE EFFECTS
Changes in bleeding pattern;
-Breakthrough bleeding
-Prolonged bleeding
-Amenorrhea
Breast tenderness
Headache
Dizziness
Mood changes
Con…..
Nausea
Abdominal pain
Weight changes