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There are 2 main kinds of hormone contraceptive.
The combined pill, “The Pill”, which contains 2 types of female sex hormone an
oestrogen and a progestogen,
- The progestogen-only pill, POP, which doesn’t contain an oestrogen.
• Cerazette is a progestogen-only-pill (POP).
• Cerazette contains a small amount of one type of female sex hormone, the progestogen desogestrel.
• Most POPs work primarily by preventing the sperm cells from entering the womb but they do not always prevent the egg cell from ripening, which is the main way that combined pills work.
• Cerazette is different from most POPs in having a dose that in most cases prevents the
egg cell from ripening. As a result, Cerazette is a highly effective contraceptive.
• In contrast to the combined pill, Cerazette can be used by women who do not tolerate
oestrogens and by women who are breast feeding.
• A disadvantage is that vaginal bleeding may occur at irregular intervals during the use of Cerazette. On the other hand you may not have any bleeding at all.
Before you start Cerazette tell your doctor or Family Planning Nurse, if
• you have ever had breast cancer.
• you have liver cancer, since a possible effect of Cerazette cannot be excluded.
• you have ever had a thrombosis.
• you have diabetes.
• you suffer from epilepsy (see section ‘Other medicines and Cerazette’).
• you have tuberculosis (see section ‘Other medicines and Cerazette’).
• you have high blood pressure.
• you have or have had chloasma (yellowish-brown pigmentation patches on the skin,
particularly of the face); if so, avoid too much exposure to the sun or ultraviolet radiation.
When Cerazette is used in the presence of any of these conditions, you may need to be kept under
close observation. Your doctor can explain what to do.
The active substance is: desogestrel (75 microgram)
The other ingredients are: colloidal anhydrous silica; all-rac-α-tocopherol; maize starch; povidone; stearic acid; hypromellose; macrogol 400; talc; titanium dioxide (E171); lactose monohydrate
Common: may affect up to 1 in 10 women
• mood altered, depressed mood, decreased sexual drive (libido)
• headache
• nausea
• acne
• breast pain; irregular or no menstruation
• increased body weight
Uncommon: may affect up to 1 in 100 women
• infection of the vagina
• difficulties in wearing contact lenses
• vomiting
• hair loss
• painful menstruation, ovarian cyst
• tiredness
Rare: may affect up to 1 in 1,000 women
• rash, hives, painful blue-red skin lumps (erythema nodosum) (these are skin conditions)
Not known (cannot be estimated from the available data)
• allergic reaction
Apart from these side effects, breast secretion or leakage may occur.