- Birth control pills - do not forget to consult a doctor
- How to apply
Modern social well-off women prefer to plan pregnancy in advance, which means that the issues of effective contraception is very concerned about many of the fair sex. One of the most popular methods of protection from unwanted pregnancy are birth control pills, which, like other contraceptives, have their advantages and disadvantages.
The story of the birth control pill
The first hormonal contraceptives were slightly more than half a century ago. They had a number of serious side effects, so that the reputation of the contraceptive pill was not up to par. Yet many women appreciated novelty: now they could fully control the possibility of conception, the method proved to be effective, relatively inexpensive and absolutely painless.
Following the first-generation pills were better contraceptives second and then a third generation. The contents of hormones in the pill gradually decreased, and therefore decreased risk of side effects.
Modern oral contraceptives contain several times less hormones than first generation drugs.
Furthermore, there were two phase and three-phase preparations containing various combinations of hormones on different days of the cycle. These drugs most physiological.
Types of oral contraceptives
The pill can be divided into three groups:
- Combined oral contraceptives containing estrogen and progestin (progestin), spread particularly widely. They are single-phase, two-phase and three-phase;
- Mini mi - pill containing a progestin only. Such tablets are used in situations where estrogens for some reason contraindicated (e.g., during lactation);
- Emergency contraceptives. These products contain a large dose of hormones. Unlike most of contraceptives like pills drink after unprotected intercourse.
Despite the fact that in most pharmacies pill without a prescription, physicians strongly recommend not to choose their own products. Oral contraceptives should be prescribed by a doctor and only after passing all examinations and tests. And even in such a situation, the designated drug may not be suitable, so one month after initiation of oral contraceptives in the event of some unpleasant symptoms it is recommended to visit the doctor to decide whether to replace the drug.
Combined oral contraceptives
Combined oral contraceptives (COCs) the most widely distributed. These undeniable advantages include ease of use and high efficiency: if you drink pills correctly, then the likelihood of unintended pregnancy is reduced to zero. In addition, most modern drugs in addition to the contraceptive effect have other positive effects on the female body: improves skin condition is facilitated during menstruation, premenstrual syndrome becomes less pronounced.
Combined contraceptives suppress ovulation
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egg, make the cervix impassable for sperm by thickening mucus
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, Creates an unfavorable environment for sperm and affect on the endometrium, which makes it impossible to attach the egg endometrium. This integrated approach provides the most effective protection against unwanted pregnancy.
Hormones may be the same in each tablet (monophasic preparations, for example, "Janine" "Yasmin" "Marvelon" "Novinet" "Jess", etc.) or vary depending on the day of the cycle when the tablet should be taken ( two- and three-phase contraceptives). Three-phase contraceptives, which include, for example, "Three-regolith", "Three-merci", "Trikvalar" and others, fully mimic hormones in healthy women, and, accordingly, is the most physiological.
However, these drugs are usually less well tolerated than single-phase, so is not for everyone. As for efficacy, it is roughly the same for all combined contraceptives.
Advantages of the method
In addition to high efficiency, combined oral contraceptives have a number of other advantages. If you start to drink tablets until the seventh day of the menstrual cycle
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, The contraceptive effect occurs immediately. In most cases it is advisable to start drinking tablets on the first day of menstruation. The list of contraindications is short enough, and side effects from modern drugs are very weak. Tablets provide protection and does not affect the quality of life in general and on the usefulness of sexual contacts in particular.
This method of contraception regulates the menstrual cycle, menstruation makes less abundant and painful. Combined oral contraceptives prevent the development of an ectopic pregnancy, which is very dangerous. Also, according to some reports, the regular intake of COCs may reduce the risk of cancer of the endometrium and ovaries. After the cancellation of COCs pregnancy occurs very quickly - some drugs as paradoxical as it sounds, even used for the treatment and prevention of infertility.
Some COCs contain protivoandrogennye matter and appointed as a remedy for some gynecological diseases. This group of oral contraceptives includes drugs such as "Diane-35", "Chloe", "Bellona-35." Like other contraceptives, such drugs can be prescribed only by the doctor.
Disadvantages of combined oral contraceptives
Combination oral contraceptives must be taken daily, preferably - in one and the same time. One tablet forgotten - is not a tragedy, it is possible to accept late. But if a woman has forgotten about the two or more pills, the risk of conception is significantly increased. Furthermore, the tablets are less effective when receiving a number of drugs, and, if within several hours after administration of the tablet woman had vomiting or diarrhea. If the package of twenty-eight tablets at once, as soon as the package is over, you need to move on to the next one. If the package twenty-one pill, you should make a week break, and then proceed to the next package. Increasing this increases the risk of interruption of pregnancy.
After graduating from COC fertility returns in different women in different ways: someone becomes pregnant immediately, in other cases, conception is possible only in a few months.
Contraindications for use of COCs
Whatever claimed advertising used combined oral contraceptives can not for everyone. The main contraindications are:
- Estimated pregnancy;
- Liver disease (including tumors);
- Diseases of the cardiovascular system;
- Age older than thirty-five years;
- Malignant breast tumors in the past or in the present;
- Diseases in which requires constant administration of drugs that reduce the contraceptive effect (eg, anticonvulsants).
The side effects of COC
When receiving combined oral contraceptives, the following side effects:
- Increased blood pressure;
- Intermenstrual bleeding;
- Depressed mood, depression;
- Decreased sexual desire;
- Sleep disorders
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- Changes in vaginal secretion, increase the risk of fungal diseases, such as yeast;
- Swelling, weight gain due to water retention in the body;
- Increased appetite, weight gain;
- Breast tenderness;
- Increased risk of thrombosis;
- Visual impairment;
In most cases, side effects are expressed quite weak and do not affect the quality of life. However, in some cases, they can cause drug withdrawal.
The structure of some of the latest generation COCs include special additives that reduce the unpleasant side effects. For example, the drug "Yarin" has a slight diuretic effect, eliminating edema and associated weight gain.
It is believed that birth control pills lead to the emergence of a mustache and beard. However, such means do not comprise a male hormone, and therefore can not cause hirsutism.