Cerazette Contraceptive Pill

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Three and a half times lucky.

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5 Oct 21st, 2005  (Jan 18th, 2006)

15 Ciao members have rated this review on average: very helpful

Advantages:
Safe and effective for women who suffer from migraines or who can't take oestrogens .

Disadvantages:
None for me so far .  Irregular bleeding for some women .

Recommendable Yes:

Detailed rating:

Side effects

trudyscrumptious

trudyscrumptious

About me:

Hi, my name is Keeley and I draw manga pictures (japanise animation), like rock/indie music and am ...

Member since:21.10.2005

Reviews:6

Members who trust:1

About Cerazette

Cerazette is a progestogen only contraceptive pill. It is unique among progestogen only pills as if you take your pill late you have a 12 hour window as opposed to 3. When used correctly it can be 99% effective in preventing pregnancy. This means that if 100 sexually active women take cerazette for a year then one will become pregnant compared to 80-90 if no contraception is used. However cerazette doesn't protect against STIs so you might need use condoms as well.

How does Cerazette work?

In each packet there are 28 white pills that each contains synthetic progesterone Desogestrel (75 micrograms). This hormone is similar to one your body uses to regulate your natural menstrual cycle. When you take the pill this hormone causes three things happen that stop you from becoming pregnant-

1. Your ovaries don't release an egg (ovum) each month. If there is no egg for the sperm to fertilise then you can't get pregnant. This may not happen in all women taking cerazette.
2. The mucus at your cervix (between your uterus and vagina) becomes thicker making it harder for sperm to enter the uterus.
3. The lining of your uterus becomes thinner making it less likely that a fertilised egg will be able to implant into the lining.

How do you take Cerazette?

You start your first pack of pills on the first day of you period. Then you take a small white pill at the same time every day for 28 days. The next day you start your next pack of pills (this will be the same day of the week as you started your first pack). You then continue the routine each month. You will always take your pill the same time every day. Unlike with combined pills you don't have a pill free work when you take cerazette.

What to do if a pill is missed/taken late

If only one pill is late and it is less than 12 hours late then take the pill straight away and take you next pill at the normal time (this might mean taking more than one pill on the same day) and continue with your pills as usual. You will be protected against pregnancy.

If you have missed more than one or are more than 12 hours late with one pill take the only or last pill missed straight away and discard any other missed pills then take your next pill at the normal time (this might mean taking more than one pill on the same day) and continue with your pills as normal. You will not be protected against pregnancy for 7 days so if you don't want to become pregnant (which I assume is the case if you've chosen to go on the pill) you and your partner will need to use another method of contraception like condoms if you have sex within the next 7 days..

Things that may make Cerazette less effective

Vomiting within two hours of taking your pill or having the runs can affect Cerazette. Some prescribed medications like those for TB or HIV can also make the pill less effective. The doctor or nurse should tell you if any medication they prescribe you will affect your pill and how long you need to use precautions for. Common antibiotics shouldn't affect Cerazette but again the nurse or doctor who gives you the medication can advice you. The herbal remedy St Johns wart can also compromise the pill.

Advantages of taking Cerazette

Some of the advantages of the pill are-

• There are no serious side-effects with the POP.
• It doesn't interfere with sex.
• You can use it if you are breastfeeding.
• It is useful if you cannot take oestrogens, like those found in the combined pill.
• You can use it at any age, but it is especially useful if you are over 35 and you smoke.
• It may help with pre-menstrual tension and painful periods
Disadvantages of taking Cerazette
Some of the disadvantages of the pill are-
• You may not have regular periods while you are taking the POP. Your periods may stop altogether or be irregular, light, or more frequent. This may settle down and is not harmful but you may find it annoying. You may also worry that you are pregnant. If you are in any doubt, see your doctor or nurse. Changing to a different POP may help.
• The POP does not protect you against sexually transmitted infections, so you may need to use condoms as well.
• You have to remember to take the pill at the same time every day.

How to get Cerazette

Unfortunately you will need to go to your doctors or local family planning clinic as Cerazette is a prescription medicine and must be prescribed by a doctor or nurse. I think it is best to go to a family planning clinic as they normally have a slightly better understanding about contraception than some GP's, however many GP's also have a good knowledge on the subject. It's best to go to wherever you feel happier and more at ease. Before you go you may or may not need to make an appointment to see the doctor/nurse. If you do and you'd rather see a woman then say so when you make your appointment. Also before you go to the doctors/clinic it is a good idea to get some leaflets or information on different methods or contraception and have a good read to see which method is best for you so when you go to the doctors/clinic you'll know what you're asking for. Some people are understandably a bit embarrassed about asking for contraception and are worried that the nurse/doctor will ask them personal questions. If you want you can bring a friend you feel comfortable with or your partner with you. The doctor/nurse will be an experienced professional who is used to dealing with peoples contraceptive needs. He/she will try to put you at ease no to embarrass you. They won't pry too far into your private life. They will want to know a bit about your (and your families) medical history, if you are in a stable relationship or are likely to have more than one sexual partner and they will check you weight and blood pressure. They will go through some contraceptive options with you and inform you of their benefits and risk. This is just to make sure you get the best contraceptive method for you. At the end of the consultation you and the nurse/doctor will have decided on the contraceptive method which is best for you and you will leave with your contraception (or a prescription for it) or you will have decided to go think about it some more and come back at a later date. You will normally be offered some free condoms as well. Remember that anything you discuss with your doctor or nurse will be confidential and they can't tell anyone about it (this includes parents). This still applies if you're under 16; you have the same rights as anyone else. If you go on Cerazette you will normally be given 3 months supply to see how you get on. Then you go back to the nurse/doctor and if you are happy with the pill you will normally be given 6 months each time. I think you only get 3 months at a time if you're under 16 but I'm not sure.

Some women can't take Cerazette. Some of the conditions which may mean you should not use the Cerazette are-
• you think you might already be pregnant
• you could not cope with any changes to your periods
You have now or have had in the past:
• a heart attack or stroke (severe arterial disease)
• an active disease of the liver or gall bladder
• breast cancer
• unexplained bleeding from your vagina (for example, between periods or after sex)
• a history of ovarian cysts
• an ectopic pregnancy.

My Story

Before I started taking Cerazette I had been on microgynon 30 (a combined pill) three times. The first time I got it from my GP when I was about 12 to help with heavy/painful periods (I wasn't having sex) for about 3 months. The second time was when I was first sexually active at 15 1/2 for about 6 months. This time I also went to my GP. The third time was at 18 when I went to the family planning clinic near my college.

All three times I was asked for my medical history. This included migraines which I have suffered from as long as I can remember. I had no other medical problems. I also had my blood pressure and weight checked which were normal. Each time the nurse/doctor took this into account (I thought) and prescribed microgynon 30.

I had no problems with this pill apart from a long, painful bleed on my first pill free week and was happy until I talked to an experienced family planning nurse who is a friend of my Mum (who is also a nurse). When I told her which pill I'd been taking she said I should never have been put on it. Because of my migraines I was a risk of extremely severe blackout type migraines at any time. They had put me on an unsuitable pill because it is CHEAP. She recommended I change to a progestogen only pill. Cerazette because unlike other POP's (which have 3) it had a 12 hour window to take your pill (although you should take it as close to your regular time as you can if you want the highest protection against pregnancy).

So I went back to the family planning clinic (it was a different nurse/doctor from before), explained the situation and asked to change to cerazette. They were happy to give me the new pills. The nurse/doctor was surprised that there was no note of migraines on my records as there should have been.

I was apprehensive about cerazette at first. I was worried about getting irregular bleeding but I decided to give it a try. So I started my first pack of cerazette. 4 months on and I'm very happy with cerazette. The only change in my periods is that they are much lighter and quite a bit longer than before, I'm hoping this will stop as I'm only on my third month of cerazette but it isn't a big problem. I haven't had any spotting to speak of and most importantly I HAVEN'T GOT PREGNANT. I'm so happy with my pill I'm getting the contraceptive implant Implanon which has the same form of progestogen (desogestrel) as cerazette. The only difference between the two is that you swallow the pill each day where as the implant releases the hormone directly into your body.

If you are unlucky enough to suffer from migraines like me (or cant take oestrogen containing contraceptives for any other reasons) there is a safe and effective pill that you can use that also gives you a 12 hour window to take your pill. Obviously every woman's body is different and it might not work for you but I am very glad I tried it. However don't just take my word for it ask your GP or even better your local family planning clinic about cerazette.

Some last words of advice

Sexual health is about protecting yourself from sexually transmitted infections and unwanted pregnancy. Sexual health is just as important as the rest of your health. It is often ignored because people are too embarrassed or scared to speak up. If you think you might have an STI then go see a doctor STRAIGHT AWAY or even better use a condom in the first place. Don't die of ignorance (and believe me you can die). Remember it is your right to chose to not have sex if you don't want to and to demand safer sex (using condoms) from your partner if you are having sex. Don't be embarrassed to buy or ask for contraception, you should be proud you are making a responsible and healthy choice. Don't be ashamed of your body or having sex. It belongs to you and it is up to do (or not do) what you like with it. Don't let others make you feel differently. Sex is better when you're not worrying about these things and have them sorted. If you feel worried or even if you don't discuss how you feel about sexual health and your feelings (about all aspects of your relationship) with your partner. If one or both of you feels uncomfortable doing this then you might want to consider if you are ready for a sexual relationship or if you are the right people for each other. When you've done all that it's time to enjoy a healthy, fun and fulfilling sex life. Happy love making.

P.S. If people think this review is a re-post of my review on Microgynon I assure you it isn't. The format is the same and the section on how to get the pill and the last paragraph are more or less the same in both reviews (they are necessary in both) but the content is different in the rest of the article as it is about two different pills. The my storey section may seem similar but it has been re-written for each review. I hope this is satisfactory and if it isn't well I'm sorry you're not happy but that's how it is.
 

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Comments about this review »

duskmaiden 21.10.2005 19:26

Congrats on a good first review. Glad you have found a method that suits you

Louise90 21.10.2005 19:26

Good first review! Welcome to Ciao! Louise. x

Lynzie 21.10.2005 19:24

I have recently had a coil fitted as i hated the pill. Gret review Lynz xx



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