More and more women to prevent unwanted pregnancies or takes hormonal oral contraceptives. Today it is considered to be the most convenient and secure way of contraception, but only if oral contraceptives appoints obstetrician after a preliminary examination.

Why birth control pills should appoint a doctor

Hormonal contraceptives contain female hormones that suppress follicle maturation and ovulation Ovulation - How to determine as accurately as possible? , Constitute an obstacle to the penetration of sperm into the form of a viscous mucus in the canal of the cervix and make the mucous membrane of the uterus unsuitable for the introduction of the embryo.

In order to begin taking oral contraceptives need to be screened and to exclude contraindications for their use. These contraindications include inflammation of the female genital organs, tumor and some other process.

In addition, examining hormones, an obstetrician-gynecologist prescribe contraceptives a woman who is best suited to her age and condition of the reproductive system.

If after taking birth control pills a woman planning a pregnancy

With proper oral contraceptives pregnancy problems do not arise. After the cancellation of birth control pills Birth control pills - do not forget to consult a doctor   woman's menstrual cycle is usually restored immediately or within a few cycles. But it is when used correctly.

When oral contraceptives obstetrician woman explains that after the reception of each year you must take a break (usually three months). This is necessary in order to not suppress the intrinsic function of the ovaries: long supplementation of female hormones causes the ovaries "relax" and produce less of its own natural hormones.

If you take contraceptives for a year, and then to do a three-month break, the ovarian function recovers quickly, but if you take them several years without a break, it can greatly hurt and pregnancy becomes problematic. This is especially important in the case when a woman over 35 years and ovarian function begins to decline, including from aging. To restore normal ovarian function, in this case required special treatment.

What is a rebound effect

Rebound effect was first used to treat infertility in women in the middle of the last century. For this man for several months introduced male sex hormones, which inhibits the production of its own hormones. After the cancellation of such treatment spermatogenesis recovered.

In women, this effect began to be used later, with the advent of the first tablets. It has been observed that in a few months, the primary oral contraceptives, and then canceling them restored ovarian function and pregnancy occurs faster. This effect is used for the treatment of infertility Infertility Treatment - What principles are priority   today: a woman appointed to the control period of three to six months (the duration of the reception depends on the dose of hormones in the pills), then hormones are canceled and it is during this menstrual cycle often pregnancy occurs. However, the rebound effect can not in all cases. Sometimes, if you can not conceive Conception, ovarian cycle, fertilization and genetics of a child It requires completely different treatment.

If the pregnancy while taking birth control pills

Oral contraceptives never 100% guarantee that the pregnancy does not occur. Therefore it is very rare, but there are cases of pregnancy while taking contraceptives. In addition, pregnancy can occur (and it happens very often because of the rebound effect) in the first menstrual cycle after the abolition of contraceptives.

Women in such cases are usually very experienced, will not affect you somehow receive contraceptives at the health of the unborn child. In this respect, they can be absolutely sure, as modern pills contain low doses of synthetic analogues of female sex hormones. In addition, these hormones are synthesized in the body heavily during pregnancy and contribute to its preservation and development, so can not harm the baby.

Birth control pills do not take yourself without a prescription, especially for several years without interruption. With special care to this question we must approach women after age 35, if they are planning a pregnancy in the future.

Galina Romanenko

In March 2012, the United States was filed about 12,000 lawsuits against the company, Bayer HealthCare Pharmaceuticals, Inc., manufacturer of Yasmin and other known hormonal contraceptives are associated with increased risk of thrombosis Thrombosis - the cause of heart attack and stroke   deep vein thrombosis, pulmonary embolism, and gallbladder problems. In addition, Yasmin and other contraceptives containing ethinyl estradiol may cause side effects such as stroke, cerebrovascular accident, heart attack, myocardial infarction, and even death.

Scandals

By the beginning of March this year Bayer's thousands of lawsuits were filed by people who as a result of receiving Yarin faced with serious health problems. Another several thousand lawsuits accuse Bayer that the fourth-generation contraceptive pill containing progestin drospirenone, lead to the development of gallbladder disease. The main "prosecution" in the latter case is drospirenone - new synthetic analog progestin, which is included in an oral contraceptive in combination with estrogen Estrogen - the key to bone health .

The lawsuits said that Bayer has failed to properly inform patients and doctors about what Yasmin and some other birth control pills have a more serious side effects than some others, Bole safe, contraceptives.

The first meetings were to begin in autumn 2011 (by that time been filed set of claims), but the process was postponed indefinitely. In February 2012, representatives of Bayer announced that they reached an agreement with the plaintiffs on 70 lawsuits over violations of cerebral circulation and pulmonary embolism Pulmonary embolism - a dangerous violation . Today, the proceedings are ongoing, and the courts continue to accept claims from women, anyway affected while taking Yasmin.

In 2001, Yasmin was approved by the US to control the quality of food and drugs as contraceptives and medicines for people suffering from premenstrual syndrome (PMS) .  In addition, Yarin prescribed and used for the treatment of moderate acne .  Contraceptives fourth generation from Bayer also used as a remedy for acne and severe PMS .  However, an independent study, which involved nearly one million women showed that contraceptive Bayer significantly less safe than other contraceptives leading manufacturers .  Bayer, despite the lawsuits and proceedings, continues to deny his guilt in the fact that drugs were such side effects .  At the same time, Bayer accused and that their advertising campaign could introduce patients misleading: while promoting Yarin in advertising emphasizes the fact that it helps to get rid of acne and relieve the symptoms of PMS .

Negative effects

Women taking Yasmin, you need to know about the symptoms that cause the most dangerous side effects.

Symptoms associated with the formation of blood clots while taking Yasmin may be:

• Sudden severe headache;
• Unusual swelling or pain in the hands and feet;
• Cutting or squeezing pain in the chest Chest pain is one symptom - a lot of diseases   or coughing up blood;
• Vision problems - such as blurred vision, double vision visible objects, or complete loss of vision;
• Pain in the rear legs.

In addition, since Yasmin has a diuretic effect, it can cause serious problems with the gall bladder. The symptoms of such problems are:

• Pain or discomfort in the upper right abdomen;
• Nausea;
• Diarrhea;
• Bloating;
• Jaundice.

Conflicting research results

The scientists who conducted various studies have come to different results with respect to the risks associated with taking Yasmin and other birth control that type.

According to one study, the report of which was published in 2011, women taking Yasmin and other new contraceptives, the risk of blood clots was twice higher than in those taking contraceptives, which include levonorgestrel.

In 2007, however, two studies were found that women taking Yasmin contraceptives and the like, are at greater risk than those who take pills with levonorgestrel. One recent study showed that women who take contraceptives containing drospirenone (one pill Yasmin contains 3 mg of the substance), the likelihood of blood clots in the 1, 5 times higher than those using other hormonal contraceptives.

Conflict of interest

In March this year, the committee of the Office of Food Inspection and Drug Administration voted to Yasmin and other hormonal contraceptives containing drospirenone, remained in the US market. The ratio was 15 votes to 11, and four of their voted to leave the drug on the market, had a connection with the company Bayer. In the near future, probably will take a second vote, without relating to the interested party committee members.