Cilest is a specific brand of combined oral contraceptive pill, commonly known as “the Pill.” Its primary function is to prevent pregnancy. This medication provides a reliable and reversible method of contraception when used correctly.
How Cilesta Works
Cilest contains two synthetic female sex hormones: norgestimate (a progestogen) and ethinylestradiol (an oestrogen). These hormones work to prevent pregnancy primarily by inhibiting the release of an egg from the ovaries (ovulation). Cilest also thickens cervical fluid, creating a barrier that makes it difficult for sperm to enter the womb. Additionally, the hormones alter the womb’s lining, making it less receptive to a fertilized egg.
Uses and Benefits of Cilesta
The primary use for Cilest is effective pregnancy prevention. When taken as directed, it offers reliable protection against unintended pregnancies. Beyond contraception, Cilest provides several non-contraceptive benefits. Users often experience more regular menstrual cycles, reduced menstrual pain, and decreased heavy bleeding. Some find it improves skin conditions like acne. Long-term use may also lower the risk of ovarian and womb cancers.
How to Take Cilesta
Cilest is taken daily for 21 days, followed by a 7-day pill-free interval. Take one pill at the same time each day to maintain consistent hormone levels and ensure effectiveness.
To start Cilest, begin on the first day of your menstrual period for immediate contraceptive protection. Alternatively, you can start up to day five of your period, but use a backup contraception method (like condoms) for the first seven days of pill-taking.
After 21 active pills, you enter the 7-day pill-free period. A withdrawal bleed, similar to a period, is expected. You remain protected against pregnancy during this week if pills were taken correctly. Start your next pack promptly after the 7-day break, even if bleeding continues. If vomiting or severe diarrhea occurs within a few hours of taking a pill, its absorption may be affected; take an extra pill from a spare pack for continued protection.
What to Do If You Miss a Dose
Missing a pill can reduce Cilest’s effectiveness. If you miss one pill or start a new pack one day late, take the missed pill as soon as you remember, even if it means taking two pills on the same day. Continue taking the remaining pills at the usual time; your contraceptive protection is not compromised.
If you miss two or more active pills, your protection against pregnancy is affected. Take the most recently missed pill as soon as you remember, even if it means taking two pills at once. Discard any earlier missed pills. Use a backup contraception method, such as condoms, for the next seven days of active pill taking.
If you missed two or more pills and had unprotected sexual intercourse in the seven days prior, emergency contraception should be considered. If fewer than seven active pills remain in your current pack after missing pills, skip the 7-day pill-free break and start a new pack immediately. Consult a healthcare provider if unsure or concerned about missed doses, especially after unprotected sex.
Potential Side Effects
Like all medications, Cilest can cause side effects. Common side effects include nausea, breast tenderness, and headaches. Other common side effects are mood changes, fluid retention, abdominal discomfort, and spotting or breakthrough bleeding between periods, especially during the first few months. These often lessen as your body adjusts.
More serious, though less common, side effects can occur. There is a slightly increased risk of developing blood clots, including deep vein thrombosis (DVT) in the legs or pulmonary embolism (PE) in the lungs. Blood clots can also occur in the arteries, leading to a heart attack or stroke. The risk is small but higher during the first year of use or when restarting after a break of four weeks or more.
Seek immediate medical attention if you experience unexplained pain or swelling in one leg, sudden severe chest pain, sudden breathlessness, sudden weakness or numbness on one side of the body, or a severe headache different from your usual headaches.
Important Considerations and Warnings
Certain medical conditions or factors make Cilest unsuitable. Individuals with a history of blood clots, certain cancers (like breast or liver cancer), uncontrolled high blood pressure, or severe liver disease should not use Cilest. It is also not recommended for breastfeeding women. Your healthcare provider will assess your medical history to determine if Cilest is appropriate.
Cilest can interact with other medications, reducing its effectiveness or increasing side effects. Examples include certain anti-epileptic drugs, some antibiotics, and herbal remedies like St. John’s Wort. Always inform your doctor or pharmacist about all medications and supplements you are taking.
Smoking while using combined oral contraceptives increases the risk of serious cardiovascular events (blood clots, heart attack, stroke). The risk is higher for women over 35 who smoke. Smoking is advised against for those using hormonal contraception. Regular medical check-ups, including blood pressure monitoring, are important while taking Cilest. This information is for general understanding and does not replace professional medical advice; always consult a healthcare professional for personalized guidance.