What hormonal pills help. Hormonal contraceptives and possible pregnancy

The female hormonal preparation is a great discovery in the field of contraception. The intake of hormonal drugs has a blocking effect on the ovulation process, which prevents the egg from maturing and leaving the ovary, respectively, spermatozoa cannot fertilize it, which makes pregnancy impossible. When prescribing hormonal drugs, many women are afraid to use them, fearing that they will harm the body. Is it true or not? What types of hormone-containing drugs are there? How to take preparations of female sex hormones correctly?

Harm or benefit?

You need to know that hormonal drugs are not only pills of female hormones of contraceptive action. In the human body, and the woman is no exception, there are other organs and systems, such as: endocrine glands, central nervous system, genital organs, which also produce hormones. Therefore, the appointment of hormonal drugs is carried out by a doctor in accordance with the required treatment.

If we talk about hormonal drugs that are prescribed to a woman, they contain hormones of the genital organs, and their action does not have to be with the performance of contraceptive functions. There are hormonal agents that, on the contrary, will stimulate conception, and there are those whose action is aimed at normalizing the level of hormones in a woman's body.

The fair sex is afraid to take drugs with female hormones, believing that they accumulate in the body. This is fundamentally not true, because immediately after the drug enters the body, it breaks down into compounds of chemical elements, which are subsequently excreted. So, a contraceptive pill will leave the female body within a day.

The fact that the action of hormonal drugs continues even after stopping their intake, normalizing the work of various organs and systems, does not mean that they accumulate in the body.

Women are also frightened by the fact that, taking hormonal pills, they will quickly gain weight and will not be able to get rid of it. They are also afraid of adverse reactions of the body. You need to understand that there is not a single medicine that would not have side effects. It is for this reason that the intake of any drug must be agreed with the doctor. Any drug should be prescribed after the examination and the results of the tests.

So, when you start taking hormones, there may be such changes: weight changes, swelling of the mammary glands, headache, spotting, not associated with menstruation. This is considered normal and does not require immediate discontinuation of the drug. After a few months, the body adapts to the drug and the symptoms will disappear.

Hormonal contraceptives for women are the most popular hormonal contraceptives. Today you can pick them up for any age of a woman without harm to health.

In addition to the main purpose, a drug containing female hormones makes it possible to cope with many problems, in particular, acne, hair loss, problem skin, chills and others. Preparations with hormones help to cope with the unpleasant symptoms of PMS (sharp pains in the lower abdomen, nausea, cramps, chills, etc.).

Varieties of hormonal drugs

Hormones are drugs that have different effects and have different structures. Until now, there is no single classification of hormone-containing drugs. Depending on the chemical composition, hormones are classified into the following classes:

  • protein and peptide structure;
  • amino acids;
  • steroid nature.

Classification according to the organ principle divides hormonal preparations into the following types:

  • pituitary hormones;
  • stimulating / depressing the thyroid gland;
  • parathyroid hormones;
  • pancreatic hormones and hypoglycemic synthetic components;
  • adrenal hormones and other synthetic analogues;
  • male and female sex hormones;
  • anabolic steroid.

Next, you need to focus on hormonal drugs, which are used more often than others. The leading positions are occupied by steroids (hormones of the adrenal cortex). Such drugs have proven to be highly effective in the treatment of inflammatory processes and swelling. These drugs can cure autoimmune processes and allergies. Steroids act as adjuncts to relieve swelling, redness, even for unknown reasons, they can have a temporary effect, relieving unpleasant symptoms. These drugs include Dexamethasone, Prednisolone, etc. If you stop taking steroids, the disease can progress and, as a result, the condition will worsen dramatically.

Insulin, which is also a hormone, is widely used to treat diabetes. Insulin is a powerful drug that works to lower blood sugar levels to normal levels. If the sugar level remains high, it will lead to such serious diseases as gangrene, myocardial infarction, blindness.

Hormones are also used to treat disorders in the thyroid gland. These are triiodothyronine and levothyroxine sodium. An insufficient amount of hormones in the human body threatens with atherosclerosis, anemia, decreased intelligence, and overweight. Timely treatment helps to avoid these unpleasant consequences. Under no circumstances should thyroid hormones be used uncontrollably. This can lead to serious heart problems.

Taking hormones as a remedy for unwanted pregnancy can be considered the most reliable contraception. Special complexes of female sex hormones are prescribed, which block ovulation and, as a result, conception. With self-administration of hormonal pills in a woman, such unpleasant consequences are possible: the formation of blood clots in the legs, bleeding, liver damage. If the drugs are chosen correctly, a woman can not only prevent an unwanted pregnancy, but also get rid of many problems, in particular, increased oily hair, acne, and a number of gynecological problems.

Despite such a diverse action of hormones, many people consider them far from the safest drugs, and sometimes even harmful.

When should a woman consider taking hormones?

A woman needs to think about taking hormonal drugs when:

  • regular sexual life;
  • under the age of 35;
  • the presence of a permanent sexual partner;
  • irregular menstrual cycle;
  • painful periods, causing a lot of discomfort.

Once again, it must be emphasized that the use of any hormonal contraceptives must be agreed with the doctor. Only a doctor will be able to choose the right hormonal contraceptive, taking into account the woman's age, the presence of diseases, the characteristics of sexual life and other factors.

Rules for taking hormonal drugs

In no case should hormonal drugs be taken when and how you like. When applying, you need to follow simple rules:

  1. Reception at the appointed time.
  2. Don't miss your appointment.
  3. Do not change the dosage prescribed by the doctor.
  4. Do not change the course of treatment on your own (even if the condition improves and unpleasant symptoms disappear).

If, for some reason, the dose was missed, the next time you do not need to take a double dosage. You need to act as indicated in the instructions for each specific drug. Only compliance with the rules for taking hormonal drugs can ensure successful treatment.

Recommendations for taking hormonal drugs can only be given by a doctor, but not medical articles or recommendations from friends. If you start taking hormonal drugs on your own, they can do more harm to the body than good, and the consequences can be the most unpredictable.

If a woman decides to use hormonal contraceptives to protect herself from unwanted pregnancy, it is imperative to consult a gynecologist. It is important to know that there are a number of contraindications to the use of hormonal contraceptives, namely:

  • vascular diseases;
  • cardiac ischemia;
  • vein thrombosis;
  • arterial hypertension;
  • diabetes mellitus in a complex form;
  • the presence of malignant tumors;
  • liver failure in severe form;
  • acute viral hepatitis.

You also need to take into account the fact that the appointment of the drug with the desired concentration of female sex hormones depends on the age of the woman, the presence of bad habits, the presence of concomitant diseases, whether or not pregnancy is planned in the future.

The selection of drugs with hormones for the treatment of the thyroid gland, pancreas, adrenal glands must be selected by an endocrinologist. After the appointment, you must strictly follow the instructions of the doctor.

It can be concluded that the use of hormonal agents properly selected by the doctor will be effective and safe. Therefore, it is imperative to consult a doctor, because what suits one woman, another can cause irreparable harm. Preparations containing female hormones will still benefit if properly administered.

When, over the years, fewer and fewer hormones are produced in a woman's body, female hormones in pills are often prescribed.

Such drugs eliminate many of the symptoms that accompany hormone deficiency.

Hormones are substances that are produced in almost every organ and tissue of the body, so they affect its performance and overall functioning.

The hormonal background determines the following important characteristics:

  • body weight and tendency to gain weight;
  • appetite;
  • sexual function;
  • hair color and structure;
  • skin type;
  • emotional condition;
  • behavior and thinking.

The human body produces both female and male sex hormones. Their number is determined by gender.

Most of them are produced by the endocrine system, which includes the following glands:

  • thyroid;
  • parathyroid;
  • pancreas;
  • thymus.

This system also includes the following authorities:

  • pituitary;
  • hypothalamus;
  • ovaries;
  • adrenals.

The hormones produced by these glands are delivered to various organs through the circulatory system.

Interesting!

Until now, up to 60 types of hormones are known, with the help of which the hormonal background is formed. Deviations from the norm of indicators of female hormones provoke serious complications.

Why Hormonal Imbalance Occurs

Preparations and products containing female hormones are prescribed mainly when in the body. It can be triggered by many negative factors, including the following:

  • genetic predisposition;
  • increased fatigue in a chronic form;
  • sleep disorders;
  • stressful situations;
  • the influence of certain medications;
  • various diseases, in particular, of a viral nature;
  • immune system failures.

This imbalance also occurs against the background of bad habits, including the following:

  • alcohol abuse;
  • smoking;
  • the use of narcotic drugs.

Modern pharmaceutical companies offer female hormones in tablets in a wide range.

They allow you to restore balance in the body, slowing down aging and having a beneficial effect on reproductive function.

Varieties and their features

Both in the female and in the male body, 2 main types of hormones are produced - androgens and estrogens. The first type is this, and the second is female.

However, besides them, female representatives also produce other species that affect the important functions of individual systems. The features of the main ones should be considered in detail.

Interesting!

According to recent studies, fair-haired women have the highest content of hormones that affect reproductive function.

Estrogen

This is the main female hormone produced in the ovaries, affecting sexual characteristics, appearance and cell regeneration.

In this regard, its optimal content in the body ensures the elasticity of the skin and healthy hair. In addition, it protects blood vessels from plaque formation.

Progesterone

The ability of a pregnant woman to endure and give birth to a child depends on progesterone. A decrease in its level during early pregnancy provokes a miscarriage.

Testosterone

It is produced in the adrenal glands of a woman in low content. With elevated testosterone levels, the following symptoms are noted:

  • increased irritability;
  • mood swings;
  • irascibility.

First of all, testosterone affects female sexual behavior.

thyroxine

It is a thyroid hormone responsible for various metabolic processes. Its deficiency is accompanied by the following symptoms:

  • the appearance of excess weight;
  • constant fatigue;
  • skin laxity;
  • drowsiness;
  • memory impairment.

An increase in thyroxin levels leads to the following manifestations:

  • impaired concentration;
  • sleep problems;
  • angina;
  • emergence of feelings of anxiety.

Against this background, as a rule, there is also rapid weight loss and problems with thinking processes.

Somatotropin

It is a growth hormone produced by the pituitary gland. It provides control over muscle tissue and ligaments. Its deficiency slows down growth, and its excess leads to its abnormal performance. Also, violations of the concentration of somatotropin lead to weakness and flabbiness of the muscle mass in a woman.

For reference!

Somatotropin has a positive effect on the female psyche. And its insufficient secretion is one of the main causes of aging.

Insulin

Produced in the pancreas and normalizes blood sugar levels. It is involved in the breakdown of carbohydrates received by the body with food.

When the food contains a lot of sweets, insulin cannot cope with its processing, which provokes the accumulation of sugar. This is bad for blood vessels and provokes fullness and diabetes.

The action of hormones in tablets

Female sex hormones in tablets help eliminate various problems in the body and have the following effects:

  1. They are prolong youth by replenishing sex hormones.
  2. stop developmental processes of obesity.
  3. slow down the rate of wrinkle formation, providing skin elasticity.
  4. Normalize arterial pressure.
  5. Facilitate symptoms of menopause.
  6. Eliminate frequent urination.
  7. Apply in the treatment of chronic cystitis caused by atrophy of the bladder mucosa.

After 50 years, preparations of female sex hormones significantly reduce the risk of developing the following diseases:

  • atherosclerosis;
  • diabetes;
  • osteoporosis.

Also, such drugs are widely used for the prevention of various cardiovascular pathologies and stroke.

Basic drugs

Sex hormone pills for women usually contain estrogen or progesterone, which are considered the most important female hormones.

Estrogen preparations

Estrogen tablets are most often prescribed to restore a normal menstrual cycle and blood pressure.

It is also taken to relieve such frequent manifestations in women over 40 as constant fatigue and headaches.

Indications for the use of this substance may be the following conditions:

  • lack of menstruation;
  • infertility;
  • underdevelopment of the uterus;
  • disorders after removal of the ovaries;
  • osteoporosis during menopause.

Among the hormonal pills with estrogen, the following drugs should be distinguished:

  1. Estrofem: This remedy is prescribed to eliminate the symptoms of menopause. It is not intended for contraception and has a number of side effects, and therefore, with long-term use, it is necessary to undergo an examination at least once every 6 months.
  2. Premarin: this remedy is used for violation of ovarian function and bleeding in the uterus. It is also known as a drug for the normalization of hormonal levels during menopause. In the presence of diabetes, the drug is prescribed with caution.
  3. Tefestrol: indicated in the absence of secondary sexual characteristics and underdevelopment of the organs of the reproductive system.

Due to a number of contraindications and side effects that these drugs have, only a specialist should establish their choice and dosage.

For reference!

Many women tend to believe the myth that hormonal pills lead to fullness and the appearance of hair on the body and face. In fact, if all the instructions are followed and the correct doses are observed, such phenomena are not observed.

Progesterone preparations

The most popular drugs in this group are the following:

  1. Norkolut: prescribed for menstrual irregularities and endometriosis. The drug has a high activity, sometimes included in the composition of drugs for the treatment of adenomyoma.
  2. Pregnin: a remedy for infertility and ovarian failure. It is also widely used in the absence of menstruation or too little discharge.
  3. Postinor: considered one of the most. However, its effect expires 2 days after administration.

In addition to these drugs, combined drugs are often used, which are considered universal. Among them are the following drugs:

  • Ovidon;
  • Rigevidon;
  • Demoulin.

Misuse of these drugs can cause nausea, vomiting, and more serious complications.

The idol of many women - Coco Chanel - argued that youth begins only after 70 years. But some ladies already after 35-40 begin to notice obvious signs of aging: wrinkles, skin aging, deterioration of well-being, development of diseases. There is a means to stop these processes - female hormones in tablets. But what will their use bring - health and youth or cancer and excess weight?

Why take hormone pills?

A modern woman wants to be young, desirable, attractive even when her age has exceeded 40. Old age and its companions - decrepitude, loss of activity, age-related diseases - are now out of fashion. Today, hormone-containing drugs are used to combat them. What problems do they solve? Female hormones in tablets have the following effect:

  • eliminate the deficiency of sex hormones, which means they prolong youth;
  • maintain skin elasticity and firmness, reduce the rate of appearance of wrinkles;
  • prevent the development of obesity;
  • female hormones in tablets after 50 years reduce the risk of developing diabetes, atherosclerosis and osteoporosis (which leads to excessive bone fragility);
  • eliminate diseases caused by atrophy of the vaginal mucosa; itching and dryness in this place;
  • are an element of therapy for chronic cystitis associated with atrophy of the bladder mucosa;
  • relieve the problem of frequent urination to the toilet;
  • normalize blood pressure;
  • tablets - female hormones during menopause significantly alleviate the condition, restore efficiency and well-being (reduce the number of hot flashes, reduce sweating);
  • are a prophylactic against the development of diseases of the cardiovascular system and stroke.

What role do hormones play and what causes their deficiency?

The main sex gland in a woman's body is the ovaries. Nature has assigned them the duty to secrete sex hormones. They retain moisture in the skin, so young girls have smooth, toned skin, their mucous membranes are moisturized, and their eyes radiate a bewitching brilliance.

But after 40 years, the amount of female sex hormones decreases, which becomes noticeable in appearance: the skin becomes dry, wrinkles appear, the look fades. These are signs of approaching old age. To replenish the supply of hormones, the female hormones estrogens in tablets just help.

The most important hormone of "femininity" 2.

  1. Estrogens. They stimulate the formation of bone cells (therefore, their lack turns into brittle bones). Hormones ensure the health of blood vessels, prevent fats from building into their walls (eliminate the risk of heart attack and stroke). Estrogens have a positive effect on the arteries, the brain, and the immune system. These substances improve the condition of the skin, increase sexual desire, ensure the growth of the mammary glands, and are responsible for normal sleep. It is simply impossible to describe all the functions of these hormones, since their number reaches 400! Suffice it to say that they are involved in the work of the heart, kidneys, liver, lungs.
  2. Progesterone. It is necessary for a woman to bear a child, and is also involved in the production of breast milk. The hormone prevents the uterus from overgrowing. A decrease in its amount is accompanied by the appearance of gynecological diseases - endometrial polyps and hyperplasia.

Female hormones estrogens in tablets - menopause is canceled?

To replenish the amount of estrogen, several types of hormonal drugs have been developed. To delay the onset of menopause and all its unpleasant consequences, the doctor may prescribe female hormones in tablets. Names of such drugs:

  • Estrace, Ginodiol, Estradiol benzoate, Estradiol succinal - are taken orally. Appointed for a long term;
  • tableted vaginal preparation - Vagifem. Facilitates the manifestations of menopause;
  • to correct the menstrual cycle (which is important for 40-year-old women), Microfollin, Proginova are prescribed;
  • Estrofeminal, Presomemen. Tablets in shells; effective means that improve the condition of a woman during menopause;
  • Chlortrianisen (used to treat breast cancer), Tefestrol - stimulates the development of the uterus.

Female hormones in tablets after 40 years are prescribed for insufficient ovarian function. They are indicated for primary and secondary menopause, sexual insufficiency, menopausal disorders. Such hormone therapy is necessary for the prevention of osteoporosis, the normalization of high blood pressure and the elimination of spasms of peripheral vessels.

Taking hormonal drugs is prohibited if tumors, venous thrombosis, diabetes, cardiac ischemia, stroke, liver disease (cirrhosis), vaginal bleeding, viral hepatitis, severe headaches of unknown etiology are diagnosed. Treatment of menopausal symptoms with estrogen-containing drugs is not suitable for active smokers.

Progesterone - progestogen deficiency no longer threatens!

The age-related deficiency of the female hormone progestogen today can also be filled with pills. Female hormones during menopause are produced by the ovaries in very small quantities. Therefore, a drug such as Progesterone (and its analogues Geston, Ginlyutin, Lutein, Progestin, Lucorten) will effectively replace the work of the ovaries.

Replacement therapy can also be carried out with the help of Duphaston and Utrozhestan. These funds are shown not only to pregnant women: they are also prescribed after removal of the ovaries, with amenorrhea, cystic-fibrous mastopathy and to mitigate the manifestations of menopause.

It is not recommended to use drugs with gestagens for those who suffer from renal and hepatic insufficiency, hypertension, bronchial asthma, thrombophlebitis or thrombosis. Serious contraindications are diabetes mellitus, migraine and epilepsy.

What can replace hormonal drugs?

Although safe female hormones in tablets have already been developed that can cause a minimum of side effects, not all women agree to such treatment. How, then, to make up for the age-related lack of hormones in order to live a full life during menopause? You can try to balance your diet. It should include seafood, cabbage, soy, rhubarb, legumes. The fruits of mountain ash and sage can supply female hormones to the body.

Pharmacists are developing more and more new drugs that can delay old age and alleviate the condition of women. Why are patients panicky afraid of such treatment? There is a prejudice that taking them can negatively affect the character, increase weight and even provoke cancer. In fact, modern hormonal drugs do not have such a detrimental effect on the body and help bring weight back to normal. But the safety of their use directly depends on how correctly the drug is selected and prescribed.

The word "hormones" causes fear in 60% of modern women. This fact is not surprising: hormone therapy is indeed quite a serious and often not harmless therapeutic measure. The dangers of hormonal drugs are often and much spoken about, while their benefits are rarely remembered. But few people think that hormonal therapy can significantly improve a person's quality of life, and sometimes even support this very life (with diabetes, thyroid diseases, bronchial asthma, etc.).

Are hormone pills harmful?

As a hormone hormone discord, and hormonal agents differ in the degree of positive and negative effects on the body. The ratio of harm and benefit of hormonal drugs is determined by the type of hormone, its concentration, frequency, duration and method of application.

Yes, of course, hormonal drugs do some harm to the body. But, as a rule, they do not cause more damage to health than the disease for which this drug is used. Today, there are diseases that cannot be treated without hormones.

Why are hormonal drugs harmful?

It must be clearly understood that the hormonal drugs of the 21st century cannot be compared with the hormonal drugs of the 20th century. If our mothers associated the phrase “hormonal treatment” with excess weight, edema, unnatural hair growth, then in our time such side effects are minimized. But it is important to understand that the harm from the use of a hormonal drug will be minimal only if it is properly selected.

So, why are hormonal drugs harmful? To answer this question, you just need to read the instructions for use for a particular tool. In the "Side effect" section, as a rule, the whole range of possible (but not mandatory) side effects is indicated, among them are the classic ones: metabolic disorders, weight gain, excessive hair growth, skin rashes, disruption of the gastrointestinal tract, and more.

The harm and benefits of hormonal contraceptives

Hormone therapy in women most often involves treatment with oral contraceptives (OCs), the main purpose of which is contraception, and the therapeutic effect is achieved as a positive side effect. Discussions about the benefits and harms of hormonal contraceptives have been going on for many years.

Some theorists and practitioners of medicine, including alternative medicine, are categorically against the use of hormonal contraceptives in medical practice, since they cause irreparable harm to the female body in the form of: suppression of ovarian function, changes in the natural background of a woman, dangerous side effects.

Another part of the experts claims, and numerous scientific studies confirm that everything written above has nothing to do with modern OK. Huge doses of hormones, which were contained in the hormonal preparations of the first generations, caused serious harm to the female body. Improved OK of the new generation are characterized by a mild effect on due to the maximum cleansing and the minimum quantitative content of the hormone. Against the background of OK reception:

The benefit-to-risk ratio for hormonal contraceptive pills is unambiguously positive.

And to the frequent question of women: “How harmful are hormonal pills?” the following answer can be given: in the absence of contraindications, subject to the correct diagnosis and the correct selection of the drug - practically nothing. The first three months of admission (the period of adaptation to the drug) side effects are possible: nausea, headaches and dizziness, breast engorgement, mood swings, decreased sexual desire.

Today, contraception with the use of hormones occupies a leading position in terms of effectiveness among all methods of protection against unwanted pregnancy. These drugs contain estrogens and progestins - synthetically created female sex hormones.

Medicines produced in tablet form, the main active ingredients of which are hormones used to prevent pregnancy, are called combined oral contraceptives.

Classification

According to the amount of estrogen and progestin, contraceptives are:

  1. Single-phase or monophasic - tablets containing the same amount of hormones are used daily throughout the entire menstrual cycle. The main drugs of the group have the following names: Regulon, Diane-35, Novinet, Logest. Such drugs are more often used by young, nulliparous women up to 24–26 years of age.
  2. Two-phase. Preparations with different content of these hormones. The representative of this group is the drug Anteovin.
  3. Three-phase. Due to the variable amount of hormones, the drugs imitate their quantitative change in the female body. Among the representatives of this group can be distinguished: Triziston, Trikvilar, Tri-regol.

Throughout the menstrual cycle, there are natural fluctuations in the content of various hormones in a woman's body. Imitating them, three-phase contraceptives are the most physiological, monophasic drugs have this ability to the least extent. But this fact does not speak about the advantage of three-phase hormonal agents over others. All contraceptives are selected individually.

According to experts, monophasic tablets are more suitable for young girls in most cases. Women over 27 years of age are mainly prescribed three-phase contraceptives.

One package of single-phase drugs most often contains 21 tablets, much less often there will be 28. And three-phase drugs, on the contrary, always contain 28 tablets of three different colors.

According to the quantitative content of estrogen, calculated for daily intake, the drugs are divided into:

  1. Highly dosed.
  2. Low-dose.
  3. Microdosed.

Operating principle

The progestogenic component of the drugs has the main effect of contraceptive pills.

The composition of any contraceptive includes exogenous estrogen. Its main goal is to make up for its deficiency that occurs when taking drugs. The predominant formation of estrogen in the body of a woman is carried out in the ovaries. Combined oral contraceptives block its synthesis by stopping the growth and maturation of follicles. The fundamental principle of the action of estrogen is to control the course of the menstrual cycle and over the physiological reproduction of cells of the uterine mucosa, which is clinically manifested by the absence of intermenstrual bleeding.

The principle of action of contraceptive pills is the same, regardless of the quantitative value of hormones:

  1. They stop the development and release of the egg from the follicle.
  2. They impede the movement of spermatozoa due to the strong viscosity of cervical secretions.
  3. They act on the mucous layer of the uterus, preventing the fixation of the embryo.
  4. Slow down the movement of sperm through the fallopian tubes.

All these mechanisms of influence on the conception and further development of a fertilized egg elevate combined oral contraceptives to the rank of the most effective drugs for preventing pregnancy.

Help doctor

Different groups of drugs contain different doses of hormones, which determines their specific drug effects and side effects. Therefore, the personal selection of contraceptives is the task of a gynecologist.

You can not buy, use combined oral contraceptives on your own without a doctor's appointment and consultation!

To select a specific drug, the doctor prescribes the necessary list of examinations in order to assess risk factors and identify contraindications for taking different groups of contraceptives:

  1. Examination by an obstetrician-gynecologist. A study on the cellular and microbial components of smears taken from the walls of the vagina and cervix. Examination for neoplastic and infectious diseases.
  2. Instrumental examination of the pelvic organs using ultrasound (ultrasound). The examination is performed twice in the period after menstruation and before the next one within one cycle. When it is performed, the doctor monitors the growth and differentiation of cells of the mucous membrane of the uterine wall, the processes of growth of follicles and ovulation. In parallel, concomitant anatomical and functional pathology of the pelvic organs is excluded.
  3. Examination of the mammary glands. It can be performed by a gynecologist and mammologist.
  4. Examination of the mammary glands using ultrasound (ultrasound) to exclude tumor formations. According to the indications, the appointment of a mammogram.
  5. According to indications, it is possible to prescribe laboratory tests to control the content of hormones in the blood.

Only after the studies have been carried out strictly individually, the doctor can choose a certain preparation of a combined oral contraceptive for a woman.

Scheme for the selection of drugs:

  1. Questionnaire about past and chronic diseases. Collection of information about family diseases. Gynecological examination data. Using the universal eligibility criteria of the World Health Organization, identifying for a given woman the acceptability of different types of contraception.
  2. The choice of a drug of a certain group of combined oral contraceptives, based on their properties and the required therapeutic effects.
  3. In terms of three to four months, monitoring the health of a woman with the determination of her general condition. Control of the action of hormonal contraceptives. Determination of drug tolerance.
  4. In the event of side effects or individual intolerance to the components of drugs, replacement or cancellation of the contraceptive.
  5. Registration of a woman during the period of use of combined oral contraceptives. Scheduled gynecological appointment once every six months.

Symptoms, the appearance of which should alert a woman:

  1. Heaviness and intense pain in the legs.
  2. Unbearable pain in the abdomen and chest.
  3. The appearance of weakness and malaise for one month or more.
  4. Hearing loss.
  5. Speech and vision impairment.

If you experience these symptoms, seek medical advice immediately. They may be a manifestation of individual intolerance to the components of drugs or symptoms of the disease, the occurrence of which could be triggered by the use of combined oral contraceptives.

How to take birth control pills?

Oral contraceptives are available in packs of 21 and 28 tablets. Using arrows or indicating the days of the week on the blister, manufacturers determine the order in which they are taken. Birth control pills start working from the first week of taking them.

How to take birth control pills containing 21 capsules? To achieve the contraceptive effect of drugs, they must be used one tablet daily. You need to start taking birth control pills from the first day of your menstrual cycle. At the end of their reception, a pause is made for seven days. After it, a newly acquired pack of contraceptive is started. During this week there is a reaction similar to menstruation. During the break, the contraceptive effect of the drugs is preserved, so additional protection measures are not required.

It is imperative to start taking birth control pills containing 28 pills from the first day of the cycle, but they are used without a seven-day interval. After finishing one package, immediately proceed to a new one. A menstrual-like reaction occurs between the 21st and 28th day of the cycle.

At the end of the year of taking oral contraceptives, it is necessary to pause their use for three to four months to resume the hormone-producing function of the ovaries. During this period, in order to protect against unplanned pregnancy, it is necessary to use other contraceptive measures.

Remember that combined oral contraceptives are incompatible with a number of other groups of drugs.

They do not match:

  1. Anticonvulsants.
  2. Antibacterial drugs.
  3. Medicines needed to treat lung diseases.

The combined use of these groups of drugs initiates the appearance of side effects and leads to a decrease in contraceptive properties. This is the time to look for extra precautions.

Each time doctors prescribe drugs for the treatment of extragenital pathologies, it is necessary to warn about taking combined oral contraceptives.

Studies have proven the absence of harmful effects on the course of pregnancy and the fetus when using drugs before conception. At the first assumption of the presence of pregnancy, it is necessary to interrupt the use of contraceptives. Episodic use of drugs in the early stages of pregnancy is not scary either. Also, their reception is not a reason for its interruption.

At the end of taking oral contraceptives, adequate work of the endocrine-reproductive system resumes in a short time. Short-term use of drugs leads to stimulation of the growth and maturation of eggs by increasing the sensitivity of the receptors of the hypothalamus-pituitary-ovarian system. Within a year of not using oral contraceptives, more than 80% of women become pregnant. This fact corresponds to the level of fertility in the population.

Menstruation appears after stopping oral contraceptives within a period equal to the recovery time of the uterine mucosa. A small number of women develop amenorrhea (absence of menstruation) lasting up to six months. If this situation occurs, you should consult a doctor.

What to do if you miss an appointment?

In the case of a forgotten drunk one tablet, the host must take it immediately. The next dose of contraceptives should be taken at your normal time, even if you need to take two tablets a day. If the delay in taking the drug is less than 12 hours, there is no need to use other contraceptive measures. If the time is exceeded, it is possible to use another type of contraception before the next menstruation.

How to take birth control pills if two pills are missed? It is necessary to immediately take them as soon as they remembered this. The next day you need to take the next two tablets. Against the background of excessive intake of blood hormones, bleeding may occur. The contraceptive effect of drugs is reduced, which requires the use of other methods of contraception.

If you skip more pills, you should think about giving up this method of contraception. This is the time when they begin to select and use other methods of contraception.