How The Pill Works

• Mala D simulates the natural cycle; ovulation (the release of the egg from the ovary) does not occur due to suppression of the hormone that causes ovulation. Mala D pills are taken starting from the sixth day of menstruation for a period of 21 days. On day 21, a placebo is taken. This mimics progesterone withdrawal and brings on the menstrual cycle; after seven days, Mala D is started again.
  
  

Side Effects

• Some of the side effects of Mala D are similar to those exhibited by most oral hormonal contraceptives. They include acne, breast tenderness, bloating, nausea and mood changes. There may be headache, leg cramps and changes in weight. In some cases, there may be pigmentation on the face. Contact your doctor for advice about these symptoms.
  
  

Serious Side Effects

• The formation of blood clots in the leg or other parts of the body is a serious side effect because these blood clots could separate and migrate to the brain or to the heart. That can result in a heart attack or stroke.
  
  

Dangerous Warning Signs

• The following symptoms usually occur when contraceptive pills are taken for a long period of time. These are dangerous signs that must be treated as a life threatening medical condition. Seek immediate medical attention if you have signs of bloating, severe abdominal pain or severe chest pain and shortness of breath. Other dangerous warning signs include headache, blurred vision, severe leg pain or lump in the breast.
  
  

Considerations

• It's important to have a gynecologist consultation before talking Mala D. If you have the following conditions, you will not be able to take Mala D. Hypertension. The conditions incldue a family history of cervical or breast cancer or a history of liver disease, blood clot or a history of stroke. There might be an episode of spotting or bleeding between periods referred to as breakthrough.