Pros and cons of hormonal contraception. Location orientation. Contraceptive pills cause obesity

The main plus of this means of contraception is that the condom also protects against genital infections, does not side effects(of course, if there is no allergy to latex) and has a fairly high performance. The biggest disadvantage is that it can break, which happens quite often. Doctors estimate the effectiveness of this method of contraception at 75%.

Intrauterine device

contraceptive is introduced into the uterine cavity and prevents the attachment of a fertilized egg. Some intrauterine devices (IUDs), for example, with a silver or copper-containing coating, they also have a depressing effect on spermatozoa, and hormone-releasing spirals completely suppress ovulation. Many modern spirals can last from 5 to 10 years. Only a doctor can insert an IUD, this is done during or immediately after the end of menstruation or shortly after childbirth. The main disadvantages of this contraceptives: spiral can cause bloody issues between periods, and they themselves can become more painful and plentiful. Spirals (with the exception of hormonal ones) do not protect against ectopic pregnancy. In addition, the installation intrauterine device most often contraindicated in the presence of inflammatory diseases cervix or pelvic organs, many doctors do not recommend using it for young girls who have not given birth because of the risk of developing endometritis.

Hormonal contraception

This method of contraception is based on the suppression of ovulation with the help of hormones (this may be taking oral contraceptives- OK, the use of a hormonal, or rather a hormone-containing intrauterine device or an intravaginal ring, a hormonal patch, hormonal capsules and implants that are implanted under the skin for up to several years). We will tell you more about them next time. Efficiency hormonal ways contraception is quite high - from 95% to 100%, in addition, they can prevent the development of some gynecological diseases. The main guarantee of their effectiveness and maximum safety for health is the competent selection and use of the drug under the supervision of a physician. The main disadvantages are a significant number of side effects, the most common of which are weight gain, headache and dizziness, nausea, spotting between periods, increased blood clotting (which is why hormonal contraception is not recommended).

Chemical means of contraception

These are various spermicides in the form of suppositories, creams, foams, tablets, active substance which prevents the advancement of spermatozoa and at the same time destroys them. The main disadvantages (and inconveniences) of spermicides must be administered in advance, about 15 minutes before sexual intercourse, they usually act for no more than an hour, with repeated sexual intercourse, they must be re-introduced. In addition, the efficiency chemicals contraception is significantly reduced due to their misuse(for example, active substance some are destroyed by contact with soap). Their frequent use can cause a violation of the microflora of the vagina. Doctors usually recommend this method of contraception as an addition to a condom.

Coitus interruptus and douching

Extremely unreliable, though not expensive, methods of contraception. Most doctors do not even consider them a method of contraception: due to low efficiency. Spermatozoa are also contained in the lubricant released during intercourse. And if they are distinguished by good mobility, then in fallopian tubes may appear as early as one and a half minutes after intercourse. In addition, douching and similar "folk" methods like using a lemon slice are dangerous because they can cause chemical irritation, disruption of the microflora, and in some cases, a burn of the vaginal mucosa.

About new methods of contraception - in the program on women's health

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Hormonal contraceptives are ideal couples who are not going to have children anytime soon. Since these remedies do not protect against genital infections, this method is only suitable for people who trust each other.

Oral contraceptives are an excellent solution for women who have a pronounced premenstrual syndrome. The pains in the lower abdomen will go away, the mood will even out, the monthly periods will be reduced to one or two days. Other positive moment in taking oral drugs in this group is breast augmentation. In this case, the breast can increase by one or two sizes and become elastic. Also, hormonal preparations will put the skin in order and help get rid of acne and excessive hairiness.

Reviews

I started taking Qlaira on day 1 of my cycle. These are my first COCs. How many days do you need to use additional protection so that there is no chance of getting pregnant? And, is it possible for a partner to ejaculate in the vagina while taking this drug?

I take hormonal Yarina and lost my scheme. Now I have blood discharge ............... but before that I had an endometrial polyp removed ........

Is it possible to get pregnant while taking pills?

I'm just in the stage of selecting contraceptives. So my gynecologist sent me to the full Exploratory survey: momologist, blood test, ultrasound. This is a smart choice, IMHO!

Dear girls and women, I am a doctor myself and I can tell you for sure: oral contraceptives are suitable for absolutely everyone, provided that they are correctly selected, both at 17 and at 45 years old. They also do not lead to infertility, and by the way, the effect of their intake on weight gain has not been scientifically proven. Such contraception will protect you from pregnancy, even if you have different partners, but it will not save you from sexually transmitted infections. That is why the condition for their use is the presence permanent partner.

If you do not have a permanent partner, you should not get involved in hormonal drugs. I was prescribed hormonal pills at the age of 17. You can give birth ... I already have a daughter.

They took blood from me for hormones in order to find the right pills.

How to choose the right contraceptive? As far as I know, our gynecologist advises everyone the same. I understand that this is wrong ... After all, we are all different and we should probably take some tests so that we can accurately advise one or another contraceptive.

Wow, what chic pluses contraceptives have! Breast lift and augmentation without surgery! Maybe start using it? What if sex life not regular, is it possible to drink these pills? I don't have a permanent partner now, although under New Year may appear. Therefore, I would like to indulge in pleasures with him in full and without fear of becoming pregnant. I'm just 25 years old. Or will it be too early? I know that contraceptives are also prescribed for very young girls. Can I give birth later?

Contraception

There are currently many various means contraception - from traditional barrier to hormonal. Each of them has its supporters, because people are very individual, and what suits one may not suit another at all.

Some contraceptives are more convenient and safe, while others have fewer benefits. Hormonal contraception in recent times is becoming more and more popular, but there are always those who are sure of its harm. Today we will talk about the pros and cons of oral contraceptive methods.

Composition of contraceptive pills and their mechanism of action

Ethinylestradiol (EE) is a component of estrogen that acts by suppressing follicle-stimulating hormone (FSH). The latter stimulates the development of follicles in the ovaries. EE also inhibits development and growth dominant follicle(that is, one that has reached maturity and is ready for fertilization). The same component of estrogen prevents menstrual bleeding and inhibits the action of progestogen (the hormone responsible for pregnancy).

How can hormonal contraception be divided?

All oral contraceptives can be divided into two groups. The first contains estrogen and progestogen, and the other only progestogen. Estrogen and progestogen are known as two-component tablets (which come in monophasic, biphasic, and triphasic) as well as patches.
Monophasic tablets contain the same amount of both estrogens and progestins, for example, Regulon. Biphasic - this is in which the dose of estrogens and progestogens is variable, that is, when one or the other component is contained in each next pill more than twice (for example, Anteovin). At the same time, three-phase hormonal preparations are those in which three consecutive tablets contain various doses two components (for example, Three-minute).

The last two types of drugs literally imitate the natural menstrual cycle (in the second phase, mainly due to progestins). The package contains 21 tablets. You need to start taking them from day one. menstrual bleeding for 21 days, then take a 7 day break. On the eighth day after the break, you need to start drinking new packaging consisting of 21 tablets. There are also packs of 28 tablets, 7 of which are "pacifiers" and are taken so that women do not interrupt the procedure for taking the pills.

The effectiveness of this contraception depends on the regularity of taking the pills, but a 12-hour shift is also allowed (if you forget to take a pill), which, however, should not occur regularly. Recently, it has become “fashionable” to create 24 + 4 pills (that is, a total of 28 pills, including 4 placebos). The duration of the break has been reduced from 7 to 4 days on the grounds that this allegedly prevents the strong fluctuations in hormones that occur after a long, seven-day break. Depending on the gestagen, these tablets can be divided into 4 generations.

1st generation - ethinylestradiol + chlormadinone - no longer used (many side effects).
II generation - ethinylestradiol + levonorgestrel or norethisterone (drugs such as Minisiston, Stediril, Trinovum).
III generation - ethinylestradiol + gestodene or norelgestromate or desogestrel or cyproterone (these are drugs Regulon, Logest, Minulet, Silest, Marvelon, Diane-35).
IV generation - ethinylestradiol + dienogest or dropperinone (Janine, Yasmin, Yasminelle).
Hormone patches became widely available in the early 2000s. They must be worn for three weeks on the selected area of ​​the body, except for the chest, and then take a week off (for example, Evra). Since 2008, the NovaRing vaginal ring containing estrogen and progestogen has become available for sale. The ring must also be worn in the vagina for 21 days, after which a seven-day break should be taken.

The advantage of NuvaRing is, in particular, that there is no load on digestive system and there is no risk of forgetting to take a pill. Progestogen-only birth control pills are available as mini-pills, subcutaneous implants, or intramuscular injections(injections). Read. Mini-drank (mini-pills) is a form of oral contraception that is based only on gestagens (for example, Charozetta). They are taken without interruption, but strictly regularly, at the same time, so that the shift in acceptance is not more than 3 hours.

Tablets based on a single gestagen have been developed, including for women with epilepsy, since estrogens contribute to seizures. These contraceptives can be used as early as 6 weeks after childbirth, as well as during breastfeeding. As a minus of their use, the absence of bleeding or irregular periods is considered.
The most common progestogen injections are Depo or an extended version of Depo-Provera (medroxyprogesterone acetate). Injections are carried out very rarely - once every 12 weeks. It can be done even while breastfeeding. The disadvantages that women complain about are the same - irregular bleeding or lack of it. Subcutaneous implants as contraception are not yet available in our country. However, they are already actively used in the USA, France, the Czech Republic, Slovakia, Sweden, and England.

The implants are inserted subcutaneously into the forearm and last for 5 years. Progestogenic contraceptives also include the so-called "pills after sex" - Postinor. It contains a high dose of levonorgestrel, which must be delivered to the body within 12 hours of intercourse. The tablets cause changes in the endometrium, thereby preventing the implantation of the embryo. We recommend reading.

What are the negative effects of oral contraception?

Analyzing the instructions of some hormonal contraceptives, we may see warnings about a number of side effects. We propose to consider them in order from the most common to the most rare:
- headaches and dizziness;
- mood swings;
- nausea, vomiting and bloating;
- pain and swelling of the breasts;
- pain and cramps in the abdomen;
- bleeding and spotting between periods;
- weakening of libido. It will be interesting to read, ;
- hypertension / hypotension (increase / decrease in pressure);
- deep vein thrombosis, thrombophlebitis, pulmonary embolism;
- changes in the composition of mucus and vaginal infections;
- weight gain - due to water retention and increased appetite;
— benign changes in the chest;
- inflammation of the endometrium;
- problems with vision (blood clots in the vessels of the retina);
- hearing impairment;
- impaired glucose tolerance, insulin resistance;
- an increase in the level of triglycerides in the blood;
- cholestasis (stagnation of bile);
- primary liver adenoma or cancer.

Manufacturers of hormonal contraceptives, however, provide information that further predisposes to side effects. Blood clotting disorders and blood clots are more common when a woman smokes, has reached old age, suffers from congenital or acquired thrombophilia, obesity, hypertension, hyperlipidemia, after surgery or injuries associated with a long period of immobility, is in postpartum period or after an abortion in the second trimester of pregnancy.
On the pathological changes the liver is affected by a long period of contraceptive use. Some of these side effects, such as reduced libido or headaches, disappear spontaneously after the first months of taking hormone pills. If side effects persist or worsen, you should see a gynecologist to change the type of pill or method of contraception. For teenagers, it will be useful to read.

Compensating for the cons: Pros of hormonal contraception

They are usually not remembered, which generates discontent among the supporters of this method of contraception. The benefits of this type of birth control include:
— high efficiency and the associated maximum self-confidence;
moderately rapid return of fertility after discontinuation;
- ease of use;
- reduction in the incidence of ovarian and endometrial cancer;
- reduction in the incidence of inflammation of the appendages and other acute inflammatory processes in the pelvis;
- reducing the risk of ectopic pregnancy;
- decrease in the frequency of education benign tumors in the chest;
- limiting the frequency of occurrence functional cysts ovaries;
- prevention of endometriosis;
- relief or elimination PMS symptoms;
- elimination of pain during menstruation;
- decrease in the amount of bleeding;
- regulation menstrual cycle;
- reduction in the incidence of anemia in women with iron deficiency;
– improvement of the condition of the skin and hair;
- fraction increase good cholesterol;
- normalization of body weight.
- decrease in morbidity colorectal cancer(oncology of the rectum).

There are many myths and conjectures about the benefits and harms of hormones. Let's talk about how hormones in tablets that you buy at a pharmacy affect the human body.

Effects on the body of injections, creams and gels with estrogens

It is similar to the effect that is acquired from the application of a patch. That is, estrogens from creams, gels, injections do not pass through gastrointestinal tract, which means that they do not reach the liver, being absorbed into the blood immediately. From this, their effect on the body is different, softer.

True, a significant disadvantage of these methods is that the level of estrogen in the body fluctuates. When you receive oral hormones it is more permanent. This is due to the fact that they are absorbed into the blood faster than with oral administration. But they are also excreted from the body faster. This means that they affect the functions of organs weaker than oral preparations with estrogen.

The impact on the body of non-oral drugs with estrogens has such a feature. At first, they sharply increase the concentration of estrogens in the blood, then their effect fades, and then estrogens are excreted from the body. That is, the level of estrogen in the body with this method is unstable.

Especially when compared to oral preparations, which provide a relatively stable level of estrogen in the body. In order to influence the estrogen level in the body correctly, the endocrinologist must not only correctly calculate the dosage of drugs, but he can also prescribe combined method receiving estrogen. That is, use oral preparations with estrogens, and creams, gels, patches, injections - by choice.

When Progesterone Is Unwanted

Such an appointment is not necessary and even dangerous when a woman is overweight or has no uterus due to its surgical removal. Moreover, the form of release of the hormone is not important - you should not use either oral preparations with progesterones, or creams, injections or hormonal patches with this hormone.

If a woman with overweight does this, her appetite will increase even more, the body's resistance to insulin will increase, and the production of growth hormone will slow down.

In the case when a woman is overweight more than 10 kg, it is better for her to take estrogens without the participation of progesterone, which will stimulate the accumulation of fats.

Is there bleeding due to progestin and progesterone?

Progestin and progesterone are found in hormonal drugs that a doctor prescribes after menopause. This allows the woman to maintain function reproductive system organism.

Crinon and pometrium contain optimal doses natural progesterone

Progesterone of androgenic origin is found in Aigestine, Micronor, as well as the contraceptive preparations Nekon and Ovkon, as well as Modicon.

Progesterone of gastogenic origin is found in cyclin, provera, amen; orthocepte, degene, myrcet; ortho cyclene.

When taking estrogen after menopause, it is important to supplement its effects with progesterone. Thus, a woman can avoid layers on inner bottom uterus due to estrogen exposure. These layers can be dangerous because tumors can develop in their place - benign or malignant.

Progestin in birth control pills helps a woman in reproductive age avoid unplanned pregnancy. Progestin (or progesterone) prevents ovulation from occurring, which means that pregnancy will not occur. With the help of progestin, the uterus (her upper layer) becomes much thinner, impenetrable mucus forms on her neck, and sperm cannot penetrate it.

Progestin and excess weight

Progestin or progesterone can be used to normalize weight. These hormones can help control (reduce) appetite, and a woman does not recover as quickly, the process of fat deposition is inhibited.

Before using progestin preparations for this spruce, check with your doctor about dosages. The form of release of preparations with progestins (patch, tablets, cream, injection), the concentration and type of hormones, as well as whether there are supplements with estrogen in the complex are important.

Does progestin have side effects?

Yes, and he's not alone. If progestin is not secreted by the body but is taken in from the outside, especially after menopause, it can be dangerous for a woman. Its side effects may be as follows.

• strong and constant desire there is
• Swelling of the legs
• Increased irritability and mood swings
• Headaches that alternate with abdominal pain
• Weakness
• Excessive fullness
• Great tenderness of the breasts, especially the nipples, pain at the slightest touch
• Decreased sensation in other parts of the body

If you have already inadvertently taken progestins and experienced them negative impact, it is worth checking the body for hormonal balance. To neutralize the effects of progestins on organs and systems, you need to check what drugs you are taking and coordinate their doses.

Progestin and estrogen must be balanced, as should progestin and androgens. Their doses and ratios will help to calculate the endocrinologist.

It is important to know before taking progestins that their dose in hormonal preparations can be high or low. It depends on how hormonal drugs affect the woman's body.

Hormonal preparations such as desogestrel and norgestimate contain a high concentration of progestins and a lower concentration of androgens. That is, their use is unlikely to lead to backlash skin in the form of acne and redness. But high level progestins will provoke the appearance of body fat, especially in the waist and hips, as well as the abdomen. These drugs can also cause depression, mood swings, and increased appetite.

Hormonal preparations such as Depo-Provera or Nor-Plant, or other oral contraceptives, contain progestin without any additives. From this, they become more dangerous, because by taking them, a woman risks getting the maximum side effects from taking progesterones without exposure to estrogens. In this case, you can ask the doctor for an additional prescription of hormones with estrogen in the composition.

Poor tolerance to progestins

Even if a woman takes progestins in their natural form, the body may respond to them with poor susceptibility. Therefore, before taking these drugs, you should consult with your doctor, making tests for hormone tolerance. Because the side effects poor tolerance progestins may be headache, decreased sexual attraction, bowel dysfunction, pain in the nipples at the slightest touch, bloating.

Then, according to research, you can take estrogens instead of progestins. If the condition of a woman with progestin intolerance is accompanied by bleeding, then you need to do additional tests and endometrial biopsy. it good prevention uterine cancer and a decrease in the likelihood of bleeding, if the dose of estrogens is correctly calculated. But do not forget about the biopsy of the endometrium and constant consultations with the gynecologist - if necessary, once a month.

Can there be bleeding while taking progestin?

Yes they can. Especially if you first took a progestin and then stopped taking it. After that, menstruation appears. At this time, the uterine (inner) layer is shed and exits the body. Thus, cancer prevention occurs in a woman, because it is on the inner layer of the uterus (endometrium) that cancerous tumors can form.

This condition is not very convenient for those women who are in the period of menopause, because they have already weaned from tampons and bleeding, but here they come again. And then women take progestins not intermittently, like contraceptives, but constantly. Thus, removing the possibility of bleeding.

Estrogens for oral use

If there is little estrogen in the body natural origin(that is, those that the body produces itself), people take hormones from a pharmacy. It is worth knowing that estrogens in the form of 17-beta estradiols from hormonal pharmaceutical preparations give us the opportunity to get estrogen, by chemical composition similar to natural, secreted by the ovaries.

What is the difference between hormones in tablets and those that we get from hormonal patches? The first first enter the liver and it processes them. This is good because at a low concentration in the blood of HDL, oral preparations with estrogen hormones in the composition will stimulate its production in the body. The reason is that estrogens are able to stimulate the secretion of HDL in vivo.

The disadvantages of oral pills are that with wrong dosage and rash choices because of them can jump arterial pressure, the level of estrone hormones will increase, and triglycerides will be produced more than normal.

This can lead to the formation of kidney stones and gallbladder. Therefore, before using drugs with estrogens, it is imperative to conduct an examination for the condition of the kidneys and bile, as well as the level of cholesterol in the blood.

If you take estrogens from patches, gels or creams, estradiol does not stimulate the production of HDL as much, just keeping it on normal level. It matters when HDL level in the body is high or close to it.

If there is a lot of cholesterol in the body (in particular, bad cholesterol), and at the same time the HDL level is too low, then hormonal preparations with estrogen in the composition will help normalize the level of cholesterol (lower it), and increase the concentration of HDL.

Because of this, the heart will begin to work normally, the vessels will be more elastic, their walls will become stronger, and the risk of blood clots will decrease.

So, if your cholesterol level is high, oral contraceptives with estrogens are more suitable for you, and if you have low cholesterol, patches and gels are more suitable.

Such a patch, as a rule, contains the hormones estrogens, and their most striking representative is 17-beta-estradiol. It is good because it is easily absorbed by the skin and through the blood enters immediately into the bloodstream, bypassing the gastrointestinal tract and liver. It looks like the one natural process before the onset of menopause, when the ovaries produce estrogens, which immediately enter the bloodstream.

The downside of this method of delivering estrogens to the body is that they are partially destroyed if not processed by the liver. This means that they do not affect the body as intensely as natural hormones estrogen.

Estrogen patches with estradiol in the composition can affect the body in different ways, since they different concentration hormones. It depends on how many days you attach the patch to the skin. It may be 5 days, or it may be 7-8 days. To find out what dose of estradiol through the patch is right for you, consult with your doctor so as not to exceed the dose.

At the same time, it must be borne in mind that each organism is individual, the metabolism of each woman takes place with different speed, which means that hormones will also be absorbed at different rates. The type of patch also depends on this.

The disadvantages of the patch are also that it can cause allergic reaction body in the form of a rash on the skin. It is important to check whether the body reacts to them before using the estrogen patch. allergic rash or redness.

Benefits of estrogen patches for obese people

What are the benefits of patches that contain estradiol (a hormone from the estrogen group)? Their mass.

Estradiol patches

They are able to normalize the level of estrogen in the blood, in particular, the hormone estradiol. The way it enters the blood through the patch is similar to that delivered by estradiol. naturally when it is produced by the ovaries. This is good for those women who have increased blood pressure and who have a headache during their menstrual period.

When estradiol enters the body through the patch, it makes it possible to normalize glucose levels and neutralize the body's resistance to insulin. The patch with estradiol as its supplier helps better than oral pills.

Estradiol patch good for those women who have high estrone levels as it does not increase it. This is due to the fact that the substances of the patch are absorbed into the blood immediately, bypassing the liver.

Because the substances in the patch do not pass through the liver, they may interact normally with other medications.

Triglycerides in the body do not increase through the patch with estradiol. They do not conflict with oral medications that contain estrogen.

Estradiol from the patch remains in the body at the same concentration, its level does not rise much, even if there is a lot of cholesterol in the body. And oral preparations with estradiol can increase its level.

Taking progestins: in what form?

Progestins, like any other hormones, can enter your body in the form of oral tablets, in the form of creams, injections, gels and other preparations. The form in which a woman takes progestins depends on their effect on her hormonal balance, and hence her well-being. The form in which to choose progestin depends on the characteristics of the organism.

You need to consult with your doctor to choose the best form of taking progestins for you. And also whether additional hormones in the form of estrogens or androgens are needed to increase the effect of taking progestins.

There are also combined hormonal agents, which affect the body in a complex way. For example, activella, which contains beta-estradiol and norethindrone. A ratio of 1: 0.5 is optimal to enable a woman to feel better and normalize hormonal balance. Moreover, at optimal ratio hormones in the preparation of a woman reduces the risk of bleeding from the uterus.

How to avoid weight gain due to hormones?

if you accept contraceptives, they should contain approximately 1 mg of the hormone norethindrone or substances similar in composition and up to 50 μg of estradiol. This will make it possible to avoid an increase in appetite and then extra kilos will not be gained. If there is more progestin in contraceptives (see the composition on the package), then the appetite, on the contrary, will increase, and the weight will increase.

Taking combination drugs

If the drug contains a combination of hormones: estradiol and norgestimate, it affects the body in doses and in stages. Estrogens and progestins enter the blood through the liver in more beneficial ratios than if a woman were taking progestin alone or estrogen alone. First, the body takes only estradiol (three days), then progestins with estradiol (also three days), then again one estradiol. So the drugs alternate, providing the woman's body with good hormonal support.

Thus, a woman significantly reduces the risk of bleeding, and the effect of hormones on the body is enhanced. Nerve receptors accept them better.

When you receive combined drugs there are also disadvantages. If a woman suffers from excess weight, depression, nervous breakdowns, she develops diabetes, has insulin resistance, suffers from migraines, has a tendency to form kidney stones and gallbladder, progestin is best taken in pure form and not combined. Otherwise, the body may not tolerate its daily fluctuations with phased assimilation, and unpleasant symptoms(e.g. headaches) may get worse.

Another way to deliver progestins to the body

In order to deliver progestins to the body in a different way and mitigate their effect on the body, there are forms in the form intrauterine systems. it good way delivery of progestins to the body under the condition of excess weight and strong apatite, which in this case do not increase. Progestins in this case play the role of intrauterine contraceptives.

During menopause, you should not use such methods, since contraception is no longer your goal.

Good representatives of intrauterine progestin providers are mirena and progestasert. They make it possible to ensure the supply of progestins in the inner layer uterus, the rest enter the blood. Due to the small amount of progestins in the blood, the skin will not react with a rash and redness, so this method of contraception is safer than oral forms of hormones.

Cycling progestin intake

If you take progestins for more than six months, 80% of patients stop bleeding altogether. That is, the opportunity to conceive is neutralized. But in 20% of patients, on the contrary, bleeding can occur at any time. This is the effect of progestins on the body. Then it will take additional consultation doctor and changing the regularity of taking progestins.

With regard to the studies that have been carried out to determine optimal cycle taking progestin, they found that by taking progestin cyclically, taking a break every month or every three months, a woman significantly reduces the risk of endometrial cancer of the uterus - its inner layer.

Progestogen phase

According to international studies, progestogen taken every day without interruption or at intervals of several days once every 3 months helps protect the uterus from cancer. But it is important at the same time how long a woman takes progestogen.

In the course of laboratory experiments, it was found that those who take progestogen for only a week, in 4% of cases, are at risk of developing cystic hyperplasia. Therefore, you should take the drug only as prescribed by the doctor and for the time indicated in the instructions. An indicator that you are taking the progestogen incorrectly is bleeding while taking it, not after.

How longer woman takes progestin, the thinner the layer of her uterus becomes, and the bleeding becomes more scanty and does not last as long.

For those who are against bleeding

If a woman does not want her period to continue, you need to take a combination of progestin and estrogen prescribed by your doctor. Moreover, the reception phase should be long, constant, daily. You don't need to take breaks. Doctors call this a permanent combination therapy. An example of a drug with a ratio of progestin and estradiol is activella. It contains norethindrone and beta-estradiol in ratios that do not increase appetite or cause a woman to panic about losing weight control.

Why you need to track the composition of drugs

As a result of experiments controlling the intake of drugs with progestin, it was found that small portions of norethidron in such drugs can reduce food cravings much more than in drugs without it.

Those women who take progestins constantly, but do not include estrogens in their hormonal menu, then have problems with excessive irritability, depressed mood, and pressure drops. Progesterone in its pure form may not allow the hormone estrogen to fully influence brain receptors, this increases appetite, loses weight control, and increases the level of bad cholesterol in the blood.

If your blood cholesterol levels were high before, taking pure progestin daily can raise it even more, leading to problems with blood clots, vascular and heart disease.

Pure progestins taken without interruption can aggravate the situation with increased level blood sugar. This is especially dangerous for women with diabetes or for those whose body does not perceive insulin.

Therefore, it is very important to take into account all the features of your body and consult with your doctor in advance regarding the doses and cycles of taking progestins.

Non-prescription progesterone preparations

Are they dangerous or, on the contrary, harmless, since they are sold without a prescription? As a result of experiments in one of the plants, scientists found a molecule that, in its effect, is similar to the effect of progesterone. There were also substances similar to natural estrogen in the composition of this plant. This plant is yams (wild potatoes), as well as soybeans, some legumes.

The properties of these plants are used in some creams that are advertised as sources of pure progesterone. They are suggested to be used without a doctor's prescription. Isn't it dangerous?

Creams with these ingredients are different from the formula that makes up the chemical hormone estrogen or progestin. This means that their impact on the body will be different. Endometrial cancer, according to scientific data, these drugs will not be able to prevent, because they are too weak for this.

To have this effect, the contents of soy or yam extract creams must be chemically processed into laboratory conditions. Human body, getting them natural ingredients, phytosterols, will not be able to process progestins and estrogen in the same way as in the laboratory - that is, to make a medicine from them to prevent cancer.

Over-the-counter creams and obesity

Patients who are offered phytosterol creams instead of real progestins and estrogens may think that they act on the body naturally, without side effects. In fact, this is not so. Such drugs, without the effect of real hormones, for the most part contribute to weight gain. But they are advertised as a medicine for weight loss.

In addition, the real doses of progesterone, which are greatly overestimated, may be indicated in the composition of the preparations. Taking such vaginal creams can lead to excessive bleeding, high cholesterol levels, increased appetite, and weight gain that is difficult to control.

So, the effect of an over-the-counter drug can be completely opposite to what a woman expected.

Be sure to visit your gynecologist and show him the hormonal drug that you bought without a prescription in order to avoid health-threatening consequences. If you have already started taking this drug and have symptoms such as weight gain, headaches, hypersensitivity mammary glands means you accept higher doses progestin and don't know about it.

Based on these symptoms, you should understand that you need to change either the drug itself, or its doses, or the frequency of its use.

If after taking hormonal drug emerged strong and frequent discharge that have changed color to darker and brighter, it means that you are taking a lot of progesterone and too little estrogen, which are in the composition of the drug. You may not find out about this from the manufacturer, so be careful and watch your body - it will tell you when to stop.

Birth control pills: to accept or not to accept? The pros and cons of birth control pills have been discussed for decades.

Some women drink them without hesitation and consulting a gynecologist, and their girlfriends make scary eyes: “What are you, this is harmful!”. Let's search for the truth together and identify the disadvantages and advantages of oral contraceptives (OC).

1. The joys of sex will be available to you in the fullness of sensations - without barriers and "rubber bands".

2. Birth control pills are not only the function of "anti-pregnancy." They are useful to many girls for other purposes. Doctors prescribe them with menstrual irregularities, with problems with infertility and ovulation.

3. OK give the body a rest(namely, the ovaries, in regular time self-producing the right hormones). Back from medicinal leave, the ovaries are ready to work at full strength, working twice as much as usual. Therefore, in the first months after the abolition of pills, the probability of becoming pregnant is extremely high.

4. The advantages of birth control pills include an almost one hundred percent guarantee of the impossibility of conception. This is one of the most reliable methods of contraception. The egg does not come out, the ovaries do not work at full capacity, ovulation does not occur. Among other things, under the influence of pills, the mucus thickens on the way to the cervix, and spermatozoa cannot overcome this “quagmire”.

5. Birth control pills can be taken even by girls who have never had sex. But there are also contraindications, which the gynecologist will definitely warn about (smoking, vein diseases). Therefore, consultation is necessary.

6. They are in general fix your hormonal background , preventing the occurrence of many unpleasant diseases(various cysts, ovarian cancer).

7. The cycle becomes regular and precise, like a clock. If earlier you waited for menstruation, like the weather by the sea, playing it safe and wearing dark clothes, now this problem will not exist. The cycle is exactly 28 days, and not a minute more.

8. Many admit that drawing pains and cramps in the abdomen during menstruation after taking OK became less. The discharge itself is more meager and lasts less days. Girls become less nervous and anxious, for which husbands should also thank birth control pills.

1) OK are prohibited both and . Still, they are hormonal, and the baby is completely useless. But they produce special pills with micro-doses. Doctors do not have a unanimous opinion about them, but the instructions say that with HB they can be used without harm to the baby.

2) Tablets do not protect against infections! Any sexually transmitted diseases will be "welcome to visit you" if at the time of contact there was no barrier protection. Therefore, if you are not sure about a partner, you need to play it safe. In the case of a long and faithful family life you don't have to worry about that.

3) One of the significant drawbacks of birth control pills is the chance to get better. The fear of getting fat while taking OK is not without meaning. Really, they increase appetite. You will have to restrain yourself - or come to terms with the new rounded outlines.

4) Someone assures that OK - in rare cases- lower libido (dull sexual desire).

5) Strict course. Mode, as in the army. Don't forget about OK. Skip one pill - and that's it, this month, wait for replenishment in the family. At the pills sequence numbers, the order must be observed. A sort of duty, "a tax on life."

Every day (except during menstruation), at exactly 21:20 (for example), you should put a pill in your mouth. The answers “I forgot”, “the goods from the pharmacy disappeared”, “mixed up” are not accepted.

6) The first month the body gets used to hormone pills and additional protection is required. There are no guarantees. During this period, there may be discomfort and smearing discharge. This is the adaptation of the body to the new hormonal level.

7) Requires a break every six months. You can not take pills for 10 years in a row.

8) Birth control pills do not mix well with antibiotics and some other drugs. Also, alcohol (in large doses) reduces their effectiveness. A glass of wine will not hurt in any way, but a bottle ... It is better not to combine or use additional barrier methods.

9) Some complain that hair starts to fall out more after taking OK. This is one of the possible side effects but they are all exceptions. Someone will have a stomach ache, someone will have a head, and a third will have a chest swell. In fact, you just need to choose the right birth control pills.

Only a gynecologist who is well versed in hormones can help with this. He will ask you to donate blood and find out in what doses certain substances are in it. female hormones. And choose for you ideal remedy contraception.