Choosing Oral Contraceptives

Birth control pills, or contraceptive pills are man-made synthetic forms of hormones. The hormones are similar to those produced in a woman’s body – estrogen and progesterone. The method has been used since the 1960s. It is highly reliable and widely used in Europe (60% to 70% of women). In Russia, the method is extremely unpopular – women do not trust it. Only 4% of Russian women use it.

What Is the Reason?

Distrust of the birth control pills is based on the side effects caused by the first such pills. Among them were weight gain, hair growing on face and breast, high blood pressure. The side effects were caused by excessive amount of the hormones containing in the pills.

The modern pills do not only have such side effects but on the contrary can treat acne, painful and irregular periods, excessive hair on feet and face.

What Are the Main Kinds of the Pills?

  • Progestine-only pills or mini-pill (Microlut, Exluton) that have only one kind of hormones
  • Combined pills or the pill that combine the two types of hormones

The progestin-only pills are always monophasic. This means they contain the same dose of one hormone in them. The combined pills may be monophasic and multiphasic. This means doses of hormones vary in them during the course.

The modern hormonal contraceptives are very effective (98%) but only if you take them regularly. The maximum delay in taking combined pills is 12 hour and progestine-only pills 3 hours.

Contraindications for Hormonal Contraceptives

  • Vulvar and breast cancer
  • Vascular brain disorders
  • Migraines
  • Venous thromboembolism
  • Abnormal vaginal bleeding
  • Diabetes
  • Epilepsy
  • Gall-bladder disease
  • Liver disease
  • Smoking
  • Age over 40

Keep in mind, self-care is unacceptable! Only a Gynecologist can decide whether the hormonal contraception method is right for you or what drug is the best. Lab tests and blood pressure check are done preliminarily.