Gynecologists explain the factors to be taken into account before choosing the method
The oral pill is the contraceptive method of choice for most American women, but its use remains surrounded by myths and doubts. Does continuous use of the pill lead to infertility? Can I take the same medicine as my friend? How do I know if I need to change my contraceptive pill? These and other recurring questions were answered by gynecologists Erica Mantelli, Fernanda Pepicelli and Domingos Mantelli. Check below:
What to take into consideration before choosing the pill as a method?
The contraceptive has become an ally for women who wish to stop menstruation, treat hormonal problems or avoid an unwanted pregnancy . But before opting for the pill, the woman should clear up any doubts about the other contraceptive methods available to, along with the gynecologist, decide on the best contraceptive method for her. “The main thing is the consultation with the gynecologist who will perform a careful clinical examination, with the patient’s history, her complaints related to the cycle, as well as previous diseases, family history and the complete physical examination,” explains gynecologist Fernanda Pepicelli of the clinic MEDPRIMUS.
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Can the same pill that serves my friend help me?
Many women end up opting to take the contraceptive that the friend takes without undergoing a medical evaluation, but this self-medication can be dangerous . “If this woman has a contraindication and take the pill, it can have very serious consequences. The side effects are different from person to person, ” warns Domingos Mantelli. There are pills with high, medium, low and very low dosage and the indication will depend on the purpose of the treatment: if it is for the prevention of pregnancy , for the treatment of polycystic ovary, to reduce acne or to interrupt the menstrual flow.
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But it is not just the dosage that differentiates one pill from the other. The most commonly used are estrogen and progesterone hormones, which can vary the type and amount of these present in the medicine. The most important thing is to make an individual choice. Some contraceptives, for example, are appropriate for the breastfeeding period because they do not pass into the baby and do not reduce the amount of milk.
What side effects may indicate poor adaptation to the pill?
During the pause of the medication occurs a decrease of the estrogen, which contributes to the appearance of the headache, for example. In some cases, it is necessary to change the contraceptive to avoid the discomfort. ” Women who are predisposed to migraine may opt for the pills that contain progesterone and without pause . In addition, some anti-inflammatories prescribed days before menstruation may decrease symptoms, “suggests gynecologist Erica Mantelli. It is worth remembering that pills with lower hormone levels are less associated with migraine.
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Other symptoms that may indicate that the woman is not adapting well to the medicine are blood leakage, irregular cycle, nausea, vomiting, diarrhea, cramps and bloating. The time the pill is taken – as long as it stays the same – does not influence its effectiveness, but can have effects on the reaction of the organism. According to Domingos Mantelli, the morning is the most recommended period , because at night it can block the production of melatonin, worsen the quality and stages of sleep, decrease the production of the GH hormone and increase the accumulation of fat.
What are the consequences of forgetting to take the pill?
Did you sleep outside and forgot to take the pill carton? This is very common among women, but should not become a routine. The main consequences are a decrease in the effectiveness of the drug, which can lead to an unwanted pregnancy , and changes in the menstrual cycle , causing bleeding in the middle of the pack, up to twice a month and longer.
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Doctors Domingos Mantelli and Fernanda Pepicelli recommend that the person associate the use of the pill with a habit to which he is already accustomed. “I always advise the patient to take the contraceptive at a time when the routine is followed daily. For example, take the contraceptive before brushing the teeth in the morning,” says the gynecologist. Going to the cell phone’s alarm also works;but for this, the contraceptive must always be accessible.
What is the difference between the cartons of 21, 24 and 28 tablets?
The difference lies in the goal of treatment that goes beyond the prevention of gestation . Continuous-use pills, for example, are preferred for women who are unwilling or unable to menstruate because of some clinical condition. There are other 28 tablets in which the last pills are placebo, that is, do not contain hormones, so the woman does not forget and menstrue without having to pause . In the case of cartons containing 21 tablets, the person must take for 21 days, stop by seven and return to use in the eighth; already in those that are of 24, one must stop during four days and return in the fifth.
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What are the risks associated with using the contraceptive pill?
Some women who have genetically inherited changes associated with smoking and contraceptive use are at increased risk of developing thrombosis. That is why it is important to identify them and prevent more serious complications. “Specific tests to try to detect which women have this increased risk are available on the market, including those released by covenants. These tests associated with the patient’s history and physical examination make it safer for patients and their physicians to avoid more serious problems such as strokes “, points out Fernanda Pepicelli.
Can the pill continuously be used to harm a woman’s fertility?
According to Domingos Mantelli, it is true that the woman who takes the pill for many years may have a little more difficulty getting pregnant because some of these hormones can be contained in the fat cells. “Up to a year of trying to get pregnant after the break is normal. Above all, she should seek help because she may have some infertility problem,” she says.
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How should you exchange one pill for another?
The exchange of one pill for another must be made in the period in which the woman should start the same card , but there being a substitution for the new drug. It is important to know that the risk of pregnancy exists, so that in the first month, you should associate your consumption with a barrier method such as a condom.