Contraceptive pills belong to the group of oral contraceptives containing synthetic analogues of female sex hormones, the action of which is aimed at suppressing ovulation.. Contraceptive pills differ in composition, mechanism of action and method of administration.. Which contraceptive pills are better for a patient to take, only a doctor can determine.
Classification of contraceptive pillsAmong the existing methods of contraception, contraceptive pills are the simplest, most affordable and effective way to prevent unwanted pregnancy. It should be noted that hormone therapy is used not only for contraception.. So, birth control pills can be prescribed to restore the menstrual cycle, normalize the hormonal background in a woman's body.. There are the following groups of birth control pills:.
Combined estrogen-progestin contraceptives (monophasic, multiphasic);
Progestogen-only contraceptives (mini-pill);
Emergency contraceptives.
Combined birth control pills (COCs) contain two types of hormones - estrogen and progestin.. The mechanism of action of any combined contraceptive drugs is based on:.
Suppression of ovulation, which prevents the development and release of the egg;
Changes in the structure of the uterine mucosa (endometrium), which prevents the fertilized egg from attaching to the uterine wall;
Thickening of the cervical mucus, which is a natural barrier to the penetration of sperm into the cervix, and also prevents the penetration of bacteria;
Decreased sperm activity.
Monophasic contraceptives contain stable doses of hormones in each pill, while multiphasic contraceptives contain a variable ratio of components (estrogen and progestogen). The dose of estrogen in this type of pill is always stable, the dosage of progestogen increases with each next pill..
Mini-pill or progestogen contraceptives do not contain estrogen. They contain only the hormone progestin, which blocks the onset of ovulation.. This method is less effective than traditional combination drugs.. In general, progestogen drugs are prescribed to patients who are contraindicated in taking estrogen..
Emergency contraceptives prevent unplanned pregnancy after unprotected intercourse. The contraceptive must be used within a certain period of time after intercourse (usually 72 hours). This method of contraception is less reliable than taking regular combined birth control pills..
When choosing which birth control pills to take, you should pay attention to the side effects that are characteristic of each type of pill:.
Combination birth control pills can cause nausea, vomiting, dizziness, high blood pressure, breast tenderness.
When taking progestogenic drugs, patients may experience severe pain and abdominal cramps, fatigue and headache, insomnia.
Taking emergency contraceptives can lead to menstrual irregularities, nausea, vomiting, dizziness.
Which contraceptive pill is better to take? In order to choose which contraceptive pills are best to take, you need to contact a gynecologist who, after an initial examination and examination, will be able to prescribe drugs, taking into account the characteristics of the patient's body. It is strictly forbidden to choose for yourself which contraceptive pills are better to take.. There are a number of contraindications for taking each group of contraceptives..
Combined contraceptives are contraindicated in malignant tumors of the mammary glands (breast cancer), breastfeeding, liver and cardiovascular diseases (thrombosis, strokes, heart attacks), diabetes, high blood pressure, pregnancy or suspected pregnancy.
Progestogenic contraceptives are contraindicated in the same diseases, but they are allowed during breastfeeding.
Emergency contraceptives are contraindicated in patients with chronic menstrual irregularities..
What are the best birth control pills? Regardless of the type of contraceptive drug, it can only be started in consultation with the attending physician, who can advise which are the best contraceptive pills for each patient. Given the fact that the mechanism of action of all hormonal contraceptives is almost the same, the best contraceptive pills in each individual case will be those that cause the least side effects and show maximum effectiveness..
As a rule, any birth control pills (except emergency contraceptives) are started from the first day of the cycle.. The blister contains 21 or 28 tablets (in this case 21 + 7). Tablets should be taken every day at a strictly defined time.. During the reception, the patient should carefully monitor the changes occurring in the body. Normal symptoms during the first cycle of taking hormonal contraceptives are:.
Slight breast enlargement, increased sensitivity;
Headaches, dizziness.
You should stop taking the drugs and consult a doctor immediately if you experience the following symptoms:.
Hearing, vision impairment;
Rash, itchy skin;
Sudden pressure drops;
Menstrual irregularity;
Suspicion of pregnancy.
These symptoms in most cases indicate individual intolerance to the drug.. It is almost impossible to immediately determine which are the best birth control pills for a patient..
The choice of birth control pills: which is better, reviews, recommendations of doctors. When choosing birth control pills, which ones are better, reviews from other patients about the effectiveness of the drug may turn out to be uninformative due to the individual characteristics of each organism..
Doctors do not recommend choosing birth control pills, which are better, reviews of which patients can find on the Internet. To choose oral contraceptives, you need to contact a gynecologist who will select the drug, taking into account the physiology of the body, chronic diseases and predisposition to them.
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