In developed countries, the proportion of oral contraceptives for women of childbearing age is about 50%. In our country, only about 2% of women use oral contraceptives for contraception.Worry about effects, fear side effects, don’t know how to take …These puzzles affect women’s choice and use of contraceptives. We have compiled and answered several common questions about birth control pills based on clinical experience.
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1. What to do before taking oral contraceptives?
Those who need to take oral contraceptives for a long time, it is best to hospital gynecological outpatient examination, including the whole body examination, the hearts, lungs, liver, spleen, breast, blood pressure, etc., gynecological examinations, such as uterus and accessories, laboratory tests in addition to blood, urine routine, but also need to check liver, kidney function, blood sugar, blood lipid and so on. Doctors synthesize the situation of different women, determine whether they can take contraceptives, which one, and detailed account of the method of taking medication, precautions and possible side effects. When taking the pill during the abnormal situation, should consult the hospital. More than 1 years of medication, but also to the hospital review.
2. Is there a taboo on oral contraceptives?
In any of the following cases, women are generally not suitable for oral contraceptives, the specific situation should be consulted doctor: 1. Suffering from a thrombus phlebitis or thromboembolism, with a history of deep phlebitis or venous thromboembolism; 2. cerebrovascular or cardiovascular disease; 3. Suffering from hypertension , blood pressure >140/100 mm Hg; 4.Known or suspected breast cancer ; 5. Estrogen-dependent tumors known or suspected; 6. With benign and malignant liver tumor, liver cirrhosis , liver function injury or in viral hepatitis activity period; 7. Suffering from diabetes with kidney, retinopathy and other cardiovascular diseases; 8. Pregnancy , breastfeeding within 6 months after birth, 9. unexplained vaginal bleeding; 10. Smoking daily ≥20, especially age ≥ 35 years old, 11. Severe partialheadache 12. Kidney disease, kidney function injury, 13. Suffering from asthma , depression , 14. are taking rifampicin, barbiturates anti- epilepsy drugs, long-term use of antibiotics or affect the liver enzyme metabolism of drugs.
3. Will the pill affect future pregnancies?
Contraceptives generally do not cause infertility. A large number of data show that most women’s menstruation after the withdrawal of 6-10 weeks after recovery, about 70% of women in the first menstrual cycle to recover ovulation, 3 menstrual cycle of the rate of recovery of ovulation can reach more than 90%. Some women stop the drug, the level of estrogen and progesterone is higher than before the drug level of the reverse jump phenomenon, easier to conceive. Some statistics: 2/3 of the drug users after the withdrawal of 1-2 months after the pregnancy, the fetus did not see abnormalities. Generally take short-acting contraceptives in the first cycle after the withdrawal of ovulation function, the use of long-term contraceptive drug needs 1-3 months.
4. How long is it safe to get pregnant after stopping the pill?
Recently, 5,500 female drug-taking women were observed in the UK, and no significant difference was found between the distortion rate and the rate of miscarriage . However, because of the long-term effects of long term medication on the fetus is not enough to grasp, prudence, it is best to stop the drug six months after pregnancy, so that the mother can have sufficient time to eliminate hormonal interference, and restore their own physiological functions.
5. Does the Pill and other drugs clash?
Some medications may affect the effectiveness of oral contraceptives and need to be noted. For example, anti-TB drug rifampicin can make the main components of oral contraceptives accelerated metabolism, reduce blood concentration of drugs, reduce the efficacy of contraception failure. Antibiotics, ampicillin, vancomycin, tetracycline, compound new Connaught, chloramphenicol, furan, etc. will inhibit intestinal flora, the impact of contraceptives in the intestinal absorption. Antiepileptic drugs such as phenobarbital, phenytoin sodium, carbamazepine, and epilepsy can also affect the effectiveness of the pill.
Use the above drugs during the contraceptive period should consult the doctor, adjust the dosage or switch to other contraceptive methods to ensure efficacy, contraceptive efficacy and safety.
6. Can oral contraceptives make people fat, acne?
Because the older generation of oral contraceptives contained in the selectivity of progesterone is not high, with androgen effect, some women will be fat, acne. The current commonly used in the new generation of oral contraceptives contain a high selectivity of progesterone, the human body lipid metabolism is beneficial, after the general will not be fat and acne. Also, the drugs may be beneficial to the skin, and can be used to treat acne , seborrheic dermatitis , and hairy syndrome to make skin smooth.
7. Is there a mammary gland hyperplasia can take birth control pill?
Taking oral contraceptives can significantly reduce the incidence of benign breast diseases, so there are breast hyperplasia (benign breast disease) of women can take oral contraceptives. Oral contraceptives are also important for the protection of the endometrium and ovary.
8. Does taking contraceptives increase the risk of stroke andmyocardial infarction ?
The incidence of stroke and myocardial infarction increases with age in the general population, and is extremely low in women of childbearing ages. Before 1980, submit a generation of oral contraceptives (higher estrogen levels, women with low progesterone selectivity, especially women over 35 years of age, who are heavily smokers (daily ≥20), have a significant increase in the risk of stroke and myocardial infarction, and for women who do not smoke, have normal blood pressure and are under 35 years of age, Oral contraceptives do not increase risk. The new oral contraceptives have low estrogen levels and high selectivity of progesterone, and are safer for young women who don’t smoke or have a history of hypertension.
9. Is there a family history of hypertension can take the pill?
The older generation of oral contraceptives has a high estrogen content (≥50 μg/day) that can cause elevated blood pressure. The low estrogen content in the new generation of oral contraceptives (20~30 μg/day) has no significant effect on blood pressure. But the greater the age, the greater the risk of cardiovascular disease and the increased risk of cardiovascular disease in severe smokers. Therefore, more than 35 years old, heavy smoking women should not eat contraceptives. More than 20-year-old women with normal blood pressure can consult the doctor and take the pill.
10. Can oral contraceptives increase the risk of venous thrombosis?
The relationship between oral contraceptives and venous thrombosis is associated with estrogen doses. Among women who took 30~35 μg every day, the rate of venous thrombosis was 41,000, compared with 23,000 of young women who did not take the pill. For decades, the incidence of venous thrombosis in compound oral contraceptives has declined markedly, due to the decrease in estrogen doses. During the contraceptive period should pay attention to drink plenty of water and reasonable exercise, there are other risk of thrombosis women should consult the Doctor and regular review.