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Don’t take the emergency contraceptive pill (ipill) too often!

October 19, 2009

Of late advertisers have bombarded the public with ads and television commercials of the ipill (emergency contraceptive pill). This has made a lot of people panic, from the moral guardians of our society, to the Advertising Council of India to doctors and the government as well. So much so that the Drug Controller General of India (DCGI) might change the ipill from an OTC (Over-The-Counter) drug to a prescription drug instead. I think this would be a mistake.

What’s it like in other parts of the world? Well, scores of countries allow the sale of the drug. For example, Estonia, Russia, United Kingdom, USA, Canada, three countries in South America, five in Africa and Asia (China, India, Malaysia, Thailand and Sri Lanka), Israel (only one in the middle east) and Australia and New Zealand. In most of these countries it is freely available over the counter without prescription (although with age restrictions) but in countries like Ireland, Italy, and Romania the buyer needs a medical prescription.

So if the ipill is an OTC drug in India, it’s not something unusual. It stands to reason that the Indian government took the decision to make the ipill an OTC drug. India follows aggressive family planning policies.

The ipill is nothing new. The emergency contraceptive pill has been in the market for some years now, although the hysteria around it started recently, along with the advertising blitzkrieg. Earlier, awareness of the existence of such a pill was low, what with doctors having been hesitant to recommend it to their patients. Apparently they think that it might encourage promiscuous behavior. Well, that is what one study says. Or maybe the ipill is simply not on top of mind with doctors, considering that it is not supposed to be a method of birth control, just an emergency pill. Nor can I imagine people rushing to their doctors after one “accident.” It could be embarrassing and they might fear a moral lecture. Therefore, making it a prescription drug may not work very well. India needs the ipill.

Studies show:

..that emergency contraceptive pills can prevent 75-85% of unintended pregnancies, if used within 72 hrs of unsafe sex. The women who had unsafe sex, had contraceptive failure, or had sexual assault can resort to emergency contraception(EC) to avoid unwanted pregnancy.
Though, legally one can opt for termination of pregnancy in India, but still owing to social reasons, majority of adolescents visit quacks instead of getting it done in medical institutions. Inspite of EC being available over the counter in India, still the rate of teenage and unintended pregnancies are high owing to it being the underused and unknown method. Also, the misconception that EC is an abortifacient and that its use promotes irresponsibility as well as promiscuous lifestyle particularly among adolescents, contribute to its under prescription by health professionals to prevent unintended pregnancies.

The ipill does more good than harm. The ipill is quite safe to use ocassionally, and there are no serious side-effects. Also, the risk of an unwanted pregnancy and attendant complications far outweighs the risk of taking it. So as long as one remembers that it is not a regular birth control pill, all is fine. Unfortunately, reports indicate that people are misusing this pill.

Misleading advertising is the culprit. If a young 23 year old domestic worker wants to buy Kellogg cornflakes as a “health tonic” you can imagine how she is going react to an advert of the ipill. And when it comes to educated people, they might use the ipill once too often, not quite understanding the implications of it, despite having read about the risks. It’s the same reason why people smoke despite knowing the risks and why people eat too much despite knowing that they are overweight. When it comes to contraception, people might be tardy when it comes to practicing it and take the easy way out. Take it the morning after.

The advertising does not emphasise emergency use strongly enough, and it also says that using the ipill can provide “tension-free” sex. This also seems to indicate that the advertisements are encouraging “free” sex, and has given rise to fears that such advertising will encourage promiscuity.

Does the free availability of the ipill and the advertising of it encourage promiscuity? I do not believe so. I doubt whether misleading advertising by itself can actually increase sexual activity in any significant way. Although there have been no studies in India regarding this, studies in other parts of the world have shown that selling the ipill as an OTC drug does not increase promiscuity.

I am sure that contraception by itself has given rise to a world where people can have “tension-free” sex. The ipill is but one kind of contraceptive method, and just by itself cannot possibly impact a society so  much as to change sexual mores.

What needs to be done is to ensure that the advertising is truthful and responsible. The harmful effects of taking this drug on a regular basis need to be well advertised. What people need to know is that the emergency contraceptive pill is strong, “two to five” times stronger than one normal birth control pill. You can now deduce the harm it can do if it is had too often. But I do hope the government doesn’t make it go underground by making it a prescription drug. The ipill gives women control over their own body and that’s important.

(Minal has helped me research this post).

Related Reading: Will the ‘Sex Toy’ condom be banned in India?
Indian youth get their knowledge of sex mostly from friends, porno films and “self-reading.”
The culture vultures hate pre-marital sex

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50 Comments leave one →
  1. October 19, 2009 10:48 pm

    Nita: As India vies to be the country with the most number of AIDS cases (and I imagine, undetected cases of STDs and STIs), which in itself are a good illustration of safe sex and contraception related (absence of) awareness and willingness-to-practise in the population, the morning-after pill is not an unmitigated blessing, as you rightly point out. The point is – will the newly sexually liberated youth in small and big cities care enough about long-term effects while they pursue short-term pleasures?

    You already know my view on contraceptive pills of any kind. I don’t think they liberate women. They liberate men – of any responsibility whatsoever. It is not a fashionable view to hold, I know but as power imbalances go – which is what women in India experience in every sphere of life, not least domestic and sexual circumstances – the morning-after pill does nothing to reduce it.

    True liberation lies in a woman having enough power to refuse to sleep with a man who doesn’t care about the consequences and their effect on her body enough. No glove, no love, as they teach in sex-ed in schools here.

    • October 19, 2009 11:30 pm

      Short term goals? Guys might actually go crazy if you have a prof like mine..he and his lectures(its not Sanskrit, its sex education lectures we attend) ..And yes I should say that there are a few(many?) in college for whom asking a girl out is a big thing- they simply are not from a place where such things enter their head and well if me or someone else was to even ask them what they think of pre marital sex or for that matter what they will do, they stare at me, as if I asked them if Bush is innocent :)

      And wait a sec, the people who are going to be aware of these pills, are the ones who will also have the chance to learn about no glove, no love right?

  2. October 19, 2009 10:51 pm

    I think it was a prescription drug in Tamil Nadu … not sure if it still is…

    Responsible advertising? In the pharma industry?

    Promiscuity is better dealt with the social way than the medical way… People ought to understand that even a profession like prostitution has its own plus and minus points… Any coin always has two sides.

    Destination Infinity

  3. October 19, 2009 11:21 pm

    Leaving aside the moral debate for the moment, although I’m not a doctor, as I understand it, the lack of serious side effects is not universal. Also, there are circumstances where EC may not work as desired. For example, if one is also taking NSAIDs — a type of anti-anflammatory drug. However, I’ve seen no one whether they be advertisers or the moral police talk about side effects, contraindications or drug interactions.

  4. October 19, 2009 11:25 pm

    First of all we have a lesson in our sanskrit text book which says, never stop in enhancing your family line or something like that :P Hmm..sure case to mislead young men with “hunger” as my prof. says :) (and imagine me and a few others with all those facts, figures, debates running at a blog a second speed :P ) …

    Jokes apart, I do wonder how many teenagers will buy it OTC? I mean take even the condom, we see all our med shops advertise it, they put it in front, but how many buy it?(I have seen at max about a couple of people buy it…More so, if you are a resident of the area, I do not think teenagers are going to take the risk.

    There is a confusion here as a teenager I guess, your hormones tell you one thing, people around you another- which do you follow? It depends on both the partners I guess..

    If we are aiming at the so called middle class, then we are going to have a tough job(as far as in my small environment is concerned, maybe Mumbai, delhi, B’lore are different)..Chennai even now can be termed as a conservative city and I can imagine the problem in Villages and small towns..

    So what do we do? have kama advertize it(guess the brand name alone is not enough) and make it a part of religion?(like how the Vatican can support(?) it our priests too can …

    As for the iPill, yes it should be OTC…but as you pointed out, people should know what comes along with it..and besides too much of it can leave in a worse situation than smoking…

  5. shaan permalink
    October 19, 2009 11:52 pm

    Apart from the side effects and ‘promiscuous’ behaviour, ipill may also encourage frequent unsafe sex. If you conduct a survey of people who have achieved ‘sexual liberation’, I bet the majority would have indulged in unsafe sex more than once. In a country like India which has one of the highest number of HIV affected people, it is a prescription for disaster. The selling of iPill must be restricted to married couples or couples who are in long term relationship.

    • October 20, 2009 8:12 am

      And what happens if an unmarried girl who is not in a serious relationship is raped? And anyway, how are you going to prove that you are in a serious relationship?

      • October 20, 2009 10:00 am

        If an unmarried girl who is not in a serious relationship is raped, she always has an option of going to the doctor (with her father, if required) and taking a prescription for the ipill (if it is made prescription only) – that should not be a mammoth task. However, if people start taking this pill very frequently (as in the case of serious relationships) without knowing the side effects, it could do more harm for a substantially large number of people, especially when there are other methods of controlling child birth.

        Destination Infinity

        • October 20, 2009 11:32 am

          Destination Infinity what if the family does to want anybody to now about the rape, as it generally happens in India? In most such cases parents take the girl to a quack, the case is never reported most of the time.

          And what if the girl does not tell anybody at all, but wants to avoid pregnancy? I think she should be able to buy the drug OTC anonymously.

          • October 20, 2009 7:38 pm

            Going to a doctor who is not in the same area as the victim (preferably a female doctor) and requesting for a prescription will keep both the anonymity and rest of the society safe. I do not understand how asking for a prescription (with a genuine reason) is going to be tougher than the task of finding out a quack and spending a fortune on some unsafe medical practice!

            Destination Infinity

  6. October 20, 2009 1:08 am

    Nita, guys…
    It’s not just about pre-marital sex or teenage sex. Unmarried adults and married women may also want to use it, so keeping it OTC with proper guidelines and warnings makes sense.

    I agree with @Shefaly in as much that men be persuaded as well to keep the glove on. It serves a dual purpose: can help keep out unwanted pregnancies and STDs.

    Nita, highlighting side-effects of drugs must be made a legal requirement. Also, if more girls and women started visiting gynaes who respected their freedom and privacy without being judgemental, and gave them accurate medical advice instead, more girls and boys could access good health information, don’t you think?

    I didn’t go to a gynae until I was in my mid-to-late-20s and in another country. That too because it is considered healthy to get a check-up every year. I know things have changed in India, but I don’t know how much…:)

    Tell me, tell me!

  7. October 20, 2009 1:48 am

    The side effects should be advertised I agree with you, but like most drugs with side effects we are not blatantly informed of harmful effects. I have worked in a community packed with Drug Representative..we had one sent to us at least once a week.. More enhances were usually laid on the benefits of the drugs. Obviously if side effects were advertised heavily it may give people no option but look for an alternative which must likely will be to see a “quack” in this situation.. . What comes to mine here is more education, increase awareness.. Around all these issues where people have the option to choose and deicide what’s best for them…You have a fantastic informative blog.. First time visiting and will be back for more…. Nice of you stopping by… Your Wellness.

  8. October 20, 2009 1:57 am

    The i-pill should certainly remain an OTC drug. As you say, it does far more good than harm.

    People should be made aware of the dangers and should be made to understand the risks of over-use by public information campaigns, rather than making it a prescription drug. Especially more so , in a country like India..

  9. October 20, 2009 5:22 am

    I am not a proponent of i-pill abused for safe sex. In India there is large number of undetected cases of STDs. Most contraceptives actually suppress the immune system thus increases the chances of getting infected if the partner is suffering from STD.

    I am leaving out the moral debate here. Whether i-pill encourages promiscuity is like asking if short skirts invites rape. It would be the best alternative to avoid unwanted pregnancies so this needs to be advertised and available as OTC. Advertisement must clearly state that this doesn’t control STDs and also list all the side effects of the pill.

  10. October 20, 2009 6:11 am

    But I do hope the government doesn’t make it go underground by making it a prescription drug. The ipill gives women control over their own body and that’s important.

    I agree Nita. It should remain an OTC drug. The alternative to iPill is abortion, probably by a quack.

  11. October 20, 2009 8:31 am

    Nita,to the best of my knowledge ,no such medicine/pill can be sold without a licence and complete Clarence from the DCGI.
    If this pill is harmful,in such case ,instead of statements and discussions,why is the DCGI not putting a complete ban on it?Even if there is a 1% chance of it’s being harmful,it should be banned forthwith,pending testing and analyses.

    • Nisha permalink
      October 20, 2009 2:12 pm

      No drug is ever completely safe. Even common OTC drugs like aspirin (can cause ulceration of the stomach) and paracetamol (can cause liver toxicity) have side effects. Drugs act by modifying processes in our body, so when we take any drug we have to be aware that it can have both desired and undesired effects.
      Drugs are put on markets only after stringent tests but (takes 10 to 15 years of testing to approve a drug for marketing!), some side effects can occur only in very few people and that becomes observable only when the drug reaches the market and is consumed by a much larger population. We can only minimize the undesired effects (never completely eliminate) by using it in the way it is supposed to be used. For example, aspirin is to be taken only after food or not to take more than a defined quantity of paracetamol. So, having correct information is important. Even while buying an OTC drug, the pharmacist is supposed to advice the patient on the correct usage and side effects. This hardly ever happens in India, because the pharmacist is still considered a lowly “compounder” or shop keeper. Never mind that a BPharm graduate spends 4 years studying about drugs while doctors study about drugs in one subject for just one year (as far as I know). The doctor’s forte is the disease and hardly ever the drug.

      (Sorry for rambling… pet peeve)

  12. October 20, 2009 11:44 am

    ads has to be banned as the liquor and cigerrate ads are banned, and the packet should have big warning labels as in case of cigerrate packs

  13. October 20, 2009 11:59 am

    I say don’t take it at all!
    Never meddle with nature.

  14. October 20, 2009 12:42 pm

    Shefaly, I cannot help but agree with you about true liberation and I very much wish that women can experience this in every society. Some women do, at an individual level. But until society itself changes, some short term measures can help. Call it band aid help if you will.

    DI, true, promiscuity is something that has to be tackled at the societal level, through education.

    Nandita, yes, this can affect some people more than others. I personally feel very uncomfortable with any kind of medication that will fiddle around with my hormones.

    Vishesh, if a teenager suspects that she might be pregnant, then I am sure she will pluck up the courage to buy the ipill. She will certainly not do it in her own neighborhood.

    Shaan, no birth control pill will protect against HIV and other diseases. So for that it is useless. Like Shefaly says it is the man who can do the honours, that is indeed the safest.

    SS, agree with all your points. I wish our advertising council had more teeth! And visiting a gynae just for a check up? India is a long long away from that!

    Fatima, thanks. Like you said the advertising can scare away users. One needs a balanced approach.

    Smitha, ditto. I think the ads of all drugs should simply list out the facts. Nothing more. Nothing less.

  15. October 20, 2009 12:49 pm

    Solilo, yep, I too have my reservations on the same. Perhaps they should make this a warning on every pack of the ipill, or for that matter, all birth control pills. I quite liked the idea of maya/uncommon!

    IHM, making it a prescription drug will be a retrograde step. Unfortunately we have a lot of moral guardians of our society pushing for this.

    sraboneyghose, serious relationship or not, every rape victim needs this pill.

    BK Chowla, this drug is not that harmful. Because every single drug has some side effect or the other and compared to many drugs the side effects of the ipill are mild. It just has to be taken properly.

    maya/uncommon, good idea! Warnings like on cigarette packs.

    25bar, that is an ideal situation isn’t it?

  16. October 20, 2009 6:14 pm

    “What needs to be done is to ensure that the advertising is truthful and responsible”

    Are you kidding?

    If advertising became truthful, they would not be able to sell even a “washing powder”. The field of Advertising today (not only iPill) is full of exaggeration and un-responsible behavior.

    Food for thought:
    http://en.wikipedia.org/wiki/Advertising#Criticism_of_advertising
    and
    http://en.wikipedia.org/wiki/Advertising#Opposition_and_campaigns_against_advertising

    • October 20, 2009 6:54 pm

      Thats true and having worked in the advertising industry myself I know how it is. I have written about 15 posts on the subject of misleading advertising and you can check them out here:
      http://nitawriter.wordpress.com/category/advertising/misleading-ads/
      While some kind of “creative” advertising is unavoidable, with the government failing to take action to protect industry interests, I thing when it co me so advertising of medicines the government needs to follow stringent guidelines. But yeah, I know what you mean. The pharma industry too has big muscle.

  17. rags permalink
    October 20, 2009 10:51 pm

    Except in cases of forced sex it is careless and stupid to indulge in unprotected sex with someone who is not a long term partner. Women should be assertive about their rights and refuse sex with a man who doesn’t want to use a condom. I agree with Shefaly on this, these contraceptive pills only help in men having all the freedom they want and don’t care for their partner’s health. If people have enough awareness about using an OTC the morning after then they should be using a condom in the first place!

  18. October 21, 2009 9:34 am

    Good post Nita, You neatly summed up everything. There should be advertisements that emphasise the limitations and side effects of the drug and also stress on the fact that it for emergency only. The benefits of the condom and the regular pill in comparison to ipill should be highlighted.

  19. October 21, 2009 10:11 am

    and your blog looks good with the new face

  20. October 21, 2009 6:08 pm

    Nita, I agree with Shefaly, pills don’t liberate women they liberate men.
    As far as ipill is concerned, I am against taking any medicine until absolutely necessary. In a country like India people take antibiotics without consulting a doctor. Steroids are regularly misused by quacks and illiterate patients. Most drugs are available over the counter without any prescription and people need to be warned about the side effects.

  21. Lakshmi permalink
    October 21, 2009 10:50 pm

    I believe that taking the ipill is much much better than bringing a child to an unwelcome environment.

  22. October 22, 2009 11:01 am

    I would have to slightly disagree with you… iPill DOES more harm than good.. I myself had to take iPill twice on different occasions; one on condom malfunction and another when I forgot to take my regular contraceptive pill.. On both the occasions, my next menstrual cycle was abrupt with changed dates and severe abdominal cramps.. I just hate it; My husband despises it!!

    I know of a couple of guys, who don’t want to use a condom, so for their own convenience, bring their partner breakfast-in-bed (with iPill broken into eggs or milk..) HORRIBLE!!! :(

    Why can’t condoms be promoted more.. Just because condom advertising shows male-female body and iPill ads shows a lady in distress, one can’t forget the advantage condoms have over iPills any given day!! Pills don’t protect STD’s and other infections..

    I feel, the strangled outlook on condom advertising is a major culprit, but any day, advocating EC Pills is not a good solution!! :(

    • October 24, 2009 11:55 am

      Wow !! .. I must say you have some guts to share your experience and call a spade a spade ..

      I completely agree with you that condom must be promoted more .. It can prevent STDs and it is far better than taking ipills .. Any kind of pill, paracetemol, ibuprofen or contraceptive, is never good for health and if taken excessivly then can damage the body and hence the life cycle ..

  23. October 22, 2009 5:28 pm

    Nisha, thanks for that informative comment.

    rags, true, that is the ideal situation. But often in reality women don’t refuse it, they are not strong enough.

    Charakan, thanks.

    Prerna, I agree with you about not taking drugs unless they are absolutely necessary. But as your yourself have pointed out, the reality is different.

    Laxmi, absolutely!

    rush.me, thanks for sharing that experience. I hope that people will be very careful indeed as drugs tend to react different with different people. About condoms, I guess living in a male dominated society as we do, there are a lot of women who don’t have a choice. For example, the surgical procedure to make men infertile is simpler, but you will see most women go for the more complicated operation.

  24. October 23, 2009 4:17 pm

    I agree with you that the ipill should not be made a prescription drug, and should remain an OTC drug. The ‘moral guardians’ of India are way too concerned with so-called promiscuous behavior.
    But the ipill does seem to have a lot of side effects too. It is always better to use condoms any day.

  25. October 23, 2009 10:07 pm

    It may be hard for us to even judge and answer that question as we are not medical workers and are not aware of the actual scenario of family planning in India by working among the people. A country where abortion is treated as a way of family planning, selling i pills OTC can have dangerous effects. And promiscuous behavior is in my view should not be the concern at all!! The concern should be on the implications of the drug among married couples and mainly the female partner! In a place where condom is still not the main contraceptive and women have to take pills just because their husbands are too shy to buy condoms OTC or do not want to use them, i pills are boon for husbands and bane for wives. Two of my newly married friends had to suffer heavy bleeding and other health problems just because their husbands got this new wonder drug to enjoy the married life better!

  26. vasudev permalink
    October 24, 2009 10:21 pm

    why shud women take any otc or vaginal pills at all? are they slaves of men? they are a liberated tribe!

  27. Bombay wadapav eater permalink
    October 26, 2009 5:32 pm

    In Germany, you need a precription for the normal contraceptive pill so I believe also for the ipill.
    I completely agree with Shefaly’s view – words of wisdom! I think the man is equally responsible. The condom is the best solution for contraception and I have heard of pills for men too. If the woman knows her body well enough, there is something called natural family planning which probably generations followed before the pill or condom ever came. And don’t forget that taking a pill affects the woman’s health and there are so many dangers of DVT, cancer, etc. It is definitely not healthy since all these pills manipulate and what about all the oestrogen, etc. that get into water because of the pills? They screw up the environment. I think the use of not just ipill but the normal contraceptive pill must be discouraged as much as possible.

    • vasudev permalink
      October 27, 2009 2:25 pm

      i agree! in india it is the man choice still as many men do not like sheaths (vibrating or otherwise). as you very rightly pointed out, the long term ill effects of pills are unknown and it is the woman who suffers ultimately for the pleasure of the man. high time women said ‘no’ to pills. you are right. there is always the calendar and if anything goes wrong, there is the dnc (ultimately…though again not a very comfortable option since one has to go under…)

  28. Abdullah K. permalink
    November 2, 2009 3:15 pm

    @ shaan – “The selling of iPill must be restricted to married couples or couples who are in long term relationship.”

    Married couples can consult a doctor, get themselves tested and then go on a prescription oral contraceptive. I don’t think iPill is really targeted at married couples, but rather couples who weren’t smart enough to use condoms before sex.
     

    @ Smitha – “The i-pill should certainly remain an OTC drug. As you say, it does far more good than harm.”

    Exactly. In any case, making drugs prescription only doesn’t change anything anyway. Schedule D and H drugs, which are supposed to be ‘prescription only’ are sold without any by pharmacies in India. Making up more regulations in India is just another way of creating more lawbreakers.
     

    @ ruSh.Me- “I would have to slightly disagree with you… iPill DOES more harm than good.”

    We could say the same for any OTC drug. The Sunday before last, I woke up with a massive headache, which made me pop two Disprin pills and a glass of water. Within a few minutes, I ended up vomiting blood and having to go to hospital ER (it was a Sunday, no clinics were open). I could blame the Disprin for that, but again it is my own fault that I took aspirin on an empty stomach.
     

    @ vasudev – “in india it is the man choice still as many men do not like sheaths (vibrating or otherwise).”

    Men do not like sheaths anywhere in the world. They just wear it when other choices aren’t available. Condom affects a man’s sensation and sexual pleasure more than that of a woman, hence it is usually only the men who are unwilling.

  29. Salo permalink
    November 17, 2011 11:54 am

    is there any drug interaction with amoxicillin and clavulanic acid with i-pill?

  30. arjun permalink
    February 20, 2012 11:37 pm

    how many times we can take to i-pill for unwanted pregnancy? is it risky if we use it for 7 or 8 times?

    • February 21, 2012 8:28 am

      I am quite sure it is Arjun. These pills fiddle around with the hormones, but I guess it is the frequency that is more important. If it is 7-8 times in a year, it seems too much to me and it also shows that the person who is using it is not responsible. The i-pill is meant to be used for accidents, not as a birth control measure.

  31. shiv permalink
    April 14, 2012 11:10 pm

    is it related to infertility? my gf took 3 times in a year. Will she be infertile? But we have decided not to rely on it. But just for the information, i want to know if it will make her infertile?

  32. Vivek S. Khadpekar permalink
    April 16, 2012 6:19 pm

    @Nita:

    As I know of the existence of this post on this blog, I am taking the liberty of using it to draw the attention of readers to something that requires, if they wish, their urgent action:

    http://www.avaaz.org/en/no_prison_for_contraception_global/?cl=1729287234&v=13665

  33. kriya permalink
    July 18, 2012 5:22 pm

    i have taken i pill 4 or 5 times within three months..is it going to harm me.but i am sure that in future i won’t take it..i am really confused and helpless.so please help me.

    • July 18, 2012 5:29 pm

      kriya, this is an emergency pill and should not be taken except in an emergency. If you are sure in the future you are not going to take it, fine. Don’t worry, I highly doubt that any harm has been done if you are young and healthy. Remember these pills mess with your hormones so let your body come back to normal. And it will. And now please go for a more suitable contraceptive method. Ask your doctor.

  34. vasudha permalink
    January 15, 2013 10:07 pm

    i took ipill within 15 minutes after sex due to condom failure.I am in 1st stage of menstrual cycle(10 days after my period start date) ,so will ipill be effective? Is that ipill will harm me in future when I want to get pregnant or on my future baby?

    • January 15, 2013 11:35 pm

      vasudha, no, the pill does not harm if you take it once in a while. just don’t take it regularly. also you should consult a doctor for future contraception.

  35. vasudha permalink
    January 17, 2013 3:02 am

    dear Nita thanks for your reply,I want to know whether the ipill I had taken will be effective?

    • January 17, 2013 9:22 am

      I do not know Vasudha because I am not a doctor. I can only say what they claim. If you have any doubt, even a little, please consult a doc.

  36. riya permalink
    June 22, 2013 1:32 am

    after taking an ipill,I got my periods on
    date..but on 1st day,the flow was heavy while
    the remaining days,the flow was very less…m
    very scared of doctors n unmarried also…my age
    is 22..please tell me something in detail…is it
    the normal side effect of ipill??or a serious
    problem of having less flow in menses??

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