Oral hormonal contraceptives should be commenced from

Correct option is C

Ans (c)
Sol. Explanation:
· Oral hormonal contraceptives, specifically combined oral contraceptive pills (COCs), are typically started on the 5th day of the menstrual cycle to ensure immediate contraceptive protection.
· Starting on the 1st day of menstruation is also an option and provides immediate protection, but starting on the 5th day is more common in standard guidelines.
· Starting on the 10th day or 6th day is not standard practice and may leave a gap before contraceptive effectiveness begins.

When oral contraceptive pills are started on the 5th day of menstruation, the 28-pill pack is taken like this:

• Start the first pill on Day 5 of the cycle (Day 1 = first day of bleeding).

• Then take one pill every day continuously for 28 days.

• The pack usually contains:

  • 21 active (hormonal) pills

  • 7 inactive (iron/placebo) pills

After finishing all 28 pills, start the next pack immediately, without any gap, even if menstrual bleeding is still ongoing or has not yet started.