Community Medicine (PSM) · Family Planning and Contraceptives

The Centchroman (Saheli) oral contraceptive pill is unique among oral contraceptives because:

  • A It is the only combined oral contraceptive pill (OCP) approved in India
  • B It is a progesterone-only pill taken daily without a break
  • C It provides contraception for 72 hours after intercourse (post-coital)
  • D It is a non-steroidal, ormeloxifene-based SERM taken weekly (twice weekly for first 3 months, then once weekly)
Correct answer: D. It is a non-steroidal, ormeloxifene-based SERM taken weekly (twice weekly for first 3 months, then once weekly)

Explanation

Centchroman (Saheli, brand name) contains ormeloxifene (60 mg), a selective estrogen receptor modulator (SERM), developed indigenously in India. It is non-steroidal, has no estrogen or progestin, and is taken twice weekly for the first 3 months then once weekly. It acts by preventing implantation and altering endometrial receptivity. Its advantages are a weekly dosing schedule, fewer hormonal side effects, and suitability for lactating women.

Reference: Park's Textbook of Preventive and Social Medicine, 27th ed.

High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP

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