Hormonal contraception - the most reliable method to date to prevent an unwanted pregnancy. Hormonal contraceptives usually produced in tablet form, so they are sometimes referred to as oral contraceptives (medicine taken by mouth).
There are injections and longer-lasting (ie extended) action, but few of the women fit and gynecologists recommend to choose exactly the tablet.
Operating principle
A woman is born with a huge stock of follicles, which mature egg. And follicles and eggs stored in the ovaries, where the hormones are produced, "responsible" for menstruation and ovulation. Ovulation - one of the stages of the menstrual cycle when the egg matures and released from the ovary, whereupon it is able to fertilize.
Hormonal contraceptives inhibit ovulation (egg does not mature at all), respectively the sperm to fertilize nothing.
Composition
There are so-called combined oral contraceptives (COC), which consist of estrogen and progestogen components and products containing only progestin. Most used combined estrogen-gestogennye drugs.
Doctors distinguish between single- and multi-phase (two- and three-phase) a combination of drugs.
Monophase contain only one dose of hormones at all tablets. It - Novinet, marvelon, regulon, Silest, regividon, Femoden.
Multiphase formulations are designed so that the dose of estrogen and progestogen is changed every 10 days - it is more physiological, besides they have reduced side effects. Drugs such as trikvilar, triziston, triregol, trimersi It is already in the three-phase preparations, but we must remember that they are contraindicated in women who are diagnosed with ovarian cysts.
Also, oral contraceptives Depending on the dose of estrogen divided into vysokodozirovannye, and low-dose mikrodozirovannye. Compared to the first drug dose of hormones decreased by about 8 times. Researchers are seeking to develop preparations with the lowest possible content of hormones.
ATTENTION!
Hormonal drugs are taken only on prescription. In order to choose the right hormonal contraceptive Is needed as a result of a blood test on the ovarian hormones (FSH, estradiol and testosterone) in the middle of the menstrual cycle. The doctor is required to take into consideration the woman's age, the presence of certain diseases. It is important to know whether a woman is giving birth, she is like a regular sex life. We must also take into account such factors as female hirsutism, acne, severe nausea and vomiting, dramatically changed any weight during pregnancy, to see whether the swelling before menstruation. This all speaks of a woman hypersensitivity to estrogen or progestogens.
If a woman for the first time began to take hormones birth control pills , In the first month of reception, about the middle of the menstrual cycle, you need more time to consult with and make inekologa ultrasound to determine how to respond to the action of the egg product.
The most appoint a birth control pills it is impossible. We must remember that these pills have a certain, albeit a negligible impact on female hormones. Take them exactly as instructed. In case you forgot or were not able to take a pill, there are special instructions that must be strictly observed.
ATTENTION!
Because of certain drugs, such as analgesics, tranquilizers, antibiotics, and so on. G., The effectiveness of the drug can be reduced. Sometimes it happens that a woman's body reacts to the hormonal contraceptive frequent vomiting (side effects). It is ill-timed and pills, may also affect the action of drugs.
The positive side effects of hormonal contraceptives
Modern oral contraceptives can regulate the menstrual cycle and often serve as a remedy for various forms of violations of the cycle (dysmenorrhea). Help them and other violations of menstruation, for example, if they come irregularly, too intense or too painful. Eliminates the effects of PMS (premenstrual syndrome). During reception hormonal contraceptives the amount of menstrual blood is reduced, which is important for women prone to iron deficiency anemia.
Studies have shown that combined oral contraceptives can protect women from inflammatory diseases of the pelvic organs, even from malignant tumors of the ovaries and endometrium from endometriosis, and arterial atherosclerosis. These drugs reduce the risk probability of ectopic pregnancy, as well as increase the bone density of the spine. It is noticed that all oral hormonal contraceptives have a positive effect on acne, hair loss and other diseases caused by an excess of male hormones.
It must be remembered that serious gynecological diseases birth control pills It does not cure!
ATTENTION!
There are contraindications:
1. Hypertension
2. Diabetes
3. Varicose Veins
4. Cases thromboembolism not only women but also family history
5. Coronary heart disease
6. Malignant neoplasms
7. Severe liver damage
8. Acute viral hepatitis
It so happens that women taking hormonal contraceptives Complain of depression, weight gain, increased appetite, decreased libido. This is the side effects of these drugs, and they are only in the first months of the administration. Pass, usually without additional treatment.
Oksana Herasymenko
Pregnancy and Gynecology
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