What is Chhaya Tablet?
Chhaya tablet, also known as ormeloxifene or centchroman, is a non-hormonal, non-steroidal oral contraceptive developed in India. It is classified as a Selective Estrogen Receptor Modulator (SERM), acting differently than traditional hormonal birth control by exhibiting both estrogenic and anti-estrogenic effects in various parts of the body. This unique mechanism makes it a suitable option for women who prefer non-hormonal methods, including those who are breastfeeding.
How Does the Chhaya Tablet Work?
Chhaya's contraceptive effect primarily targets the uterus rather than preventing ovulation. Its mechanisms include preventing implantation by affecting the uterine lining and accelerating the movement of the zygote through the fallopian tubes. Some research also suggests it may alter cervical mucus.
Usage and Administration
Chhaya is known for its weekly administration schedule. The pattern of use involves taking a certain number of tablets per week for an initial period, followed by a reduced number of tablets per week thereafter. The administration typically begins on the first day of menstruation.
Benefits of the Chhaya Tablet
Chhaya offers several advantages, especially in India where it's part of the National Family Planning Programme. It is non-hormonal, avoiding side effects associated with synthetic hormones. It is also considered safe for breastfeeding women as it doesn't affect breast milk. The weekly schedule can also be more convenient for some users.
Potential Side Effects
While generally well-tolerated, Chhaya can cause side effects, most commonly related to the menstrual cycle. These include delayed or prolonged periods and amenorrhea, particularly in the early months of use. Temporary ovarian enlargement has been noted in some users, and there is a reported, albeit rare, risk of ectopic pregnancy.
Comparison: Chhaya vs. Combined Hormonal Pills
| Feature | Chhaya (Centchroman) | Combined Hormonal Pills (CHCs) |
|---|---|---|
| Type | Non-hormonal, Non-steroidal (SERM) | Hormonal (Synthetic Estrogen and Progestin) |
| Mechanism | Prevents implantation by affecting the uterine lining and zygote transport; does not inhibit ovulation | Prevents ovulation, thickens cervical mucus, and thins uterine lining |
| Usage | Administered weekly | Administered daily |
| Side Effects | Menstrual irregularities (delayed/prolonged cycles), ovarian enlargement. Less common: nausea, headaches. No weight gain reported. | Weight gain, mood changes, nausea, headaches, breast tenderness, increased risk of blood clots |
| Breastfeeding | Considered safe and does not affect milk quality or quantity | Generally not recommended in the early postpartum period as estrogen can reduce milk supply |
| Availability | Primarily available in India, often free of cost through government programs | Widely available globally |
Conclusion
Chhaya tablet, a non-hormonal weekly contraceptive with centchroman, provides a valuable family planning option, especially in India where it is accessible through public health programs. Its non-steroidal nature and less frequent administration make it an alternative to daily hormonal pills, particularly for breastfeeding mothers. Users should be aware of potential menstrual irregularities. Consulting a healthcare provider is important to determine suitability based on individual health.
Keypoints
- Non-Hormonal Contraceptive: Chhaya, or centchroman, is a non-steroidal oral contraceptive that works without altering a woman's hormonal balance.
- Weekly Administration: The pill is taken on a weekly schedule, offering a convenient alternative to daily pills.
- Prevents Implantation: Its main mechanism is to alter the uterine lining and speed up zygote transport, creating an environment where implantation cannot occur.
- Safe for Breastfeeding: Chhaya is considered a safe option for breastfeeding mothers as it does not interfere with the production or quality of breast milk.
- Causes Menstrual Irregularities: The most common side effects are delayed or prolonged menstrual cycles, particularly during the initial phase of use.
- No Weight Gain: Unlike some hormonal pills, Chhaya is not associated with side effects such as weight gain, nausea, or mood swings.
- Indian Government Initiative: It is provided free of cost in India through the National Family Planning Programme to improve contraceptive access.
Faqs
What is Chhaya tablet used for? Chhaya tablet is primarily used as a non-hormonal oral contraceptive for birth control, particularly for spacing births.
Is Chhaya tablet hormonal? No, Chhaya is a non-hormonal and non-steroidal pill. It contains the active ingredient centchroman, a Selective Estrogen Receptor Modulator (SERM).
How often do you take Chhaya? The administration schedule for Chhaya involves taking the tablet on a weekly basis, with the frequency potentially changing after an initial period.
Can Chhaya tablet be used as emergency contraception? No, Chhaya tablet is a regular contraceptive method and is not designed or approved for use as an emergency contraceptive.
Is Chhaya safe for breastfeeding women? Yes, Chhaya is considered a safe option for breastfeeding women because it does not interfere with the quality or quantity of breast milk.
What happens if I miss a Chhaya pill? If you miss a pill, you should take it as soon as you remember. Depending on when the pill was missed, it may be necessary to use a backup method of contraception for a period of time.
What are the main side effects of Chhaya? The most notable side effect is menstrual irregularities, such as delayed or prolonged periods. Other reported side effects are generally mild and may include headaches or nausea.
What is the effectiveness of Chhaya? With consistent and correct use, Chhaya has demonstrated a high effectiveness rate in preventing pregnancy, though the actual effectiveness can vary depending on individual use.
Does Chhaya cause weight gain? According to studies, Chhaya is not typically associated with side effects like weight gain, nausea, or vomiting, which can occur with some hormonal birth control methods.
How does Chhaya differ from Saheli? Saheli is a brand name for a contraceptive containing the same active ingredient as Chhaya, centchroman. Both are non-hormonal weekly contraceptives developed in India.
