It’s easy to turn into the corner drugstore and buy a box of birth control pills. But really start taking the pill, not so simple. According to the survey, the pill is the most used form of contraception abroad, but women in China have all kinds of concerns about the pill and the use rate is low. So, how do you take the pill to be the safest?
How does the pill work?
There are many parts to conception, and the pill is a barrier in these parts to achieve contraceptive effect. Either they inhibit ovulation and prevent sperm from encountering the egg, or they change the cervical mucus so that sperm cannot penetrate easily, or they slow down the way the fallopian tubes move and hinder the movement of the fertilized egg, or they change the lining of the uterus and prevent the fertilized egg from being laid.
Which type of contraceptive do you take, “maid, nurse or parent”?
Short-acting pills may be a small maid, containing a small amount of progestin, which can inhibit ovulation and make the egg miss the appointment this month; long-acting pills are a responsible nurse, containing more progestin, which is temporarily stored in the fatty tissue and slowly released, making the egg miss the appointment every month; emergency contraceptives are a regretful parent, too late to prevent the sperm and egg from meeting and falling in love, so they simply take the bottom of the barrel and make the endometrium shed and bleed The pill is a regretful parent, too late to stop the sperm and egg from meeting and falling in love, and simply kills the problem by making the uterine lining shed and bleed, preventing the fertilized egg from getting laid. Other birth control pills are basically the same routine, in short, let the sperm and egg break up on the right.
Tips:Commonly used oral contraceptive pill dosage form safety trade name
How to take it
The success rate of short-acting contraceptive pill is 99%. If you miss one tablet, you should take one tablet within 12 hours. If you miss more than two tablets, you should use external contraceptive methods at the same time. Mafloquine, Eusemide and Daing-35 should be taken from the 1st day of menstruation, and 1 tablet should be taken every day for 21 days.
Take 1 white tablet daily for 21 days starting from day 1 of menstruation and 1 red tablet for 7 days starting from day 22 of menstruation. Tretinoin starts on the 1st day of menstruation with a brown tablet for 6 days, then a white tablet for 5 days, and finally a yellow tablet for 10 days. Take 1 tablet daily for 21 days. The success rate of long-acting contraceptive pills is 98%. It is necessary to strictly exclude contraindications to taking the pills and to go to the hospital for regular check-ups during the period of taking levonorgestrel ethinyl estradiol tablets and compound ethinyl estradiol long-acting contraceptive pills, when you start taking them, you can take one tablet on the 5th day and one tablet on the 25th day of your menstrual period.
The success rate of emergency contraceptive pills is 97%. Yutin, Huiting 72 hours to take the first tablet, after 12 hours to take the second tablet Jin Yutin 72 hours to take 1 tablet after Tingnuo 72 hours or less, fasting or 2 hours after eating 1 tablet by mouth, fasting 1 to 2 hours after taking the pill about contraceptives, you ask me to answer.
1Q：Will the drug contraception leave some kind of long-term hidden danger to the body?
A: The most popular form of contraception used by Western women is the pill. A large number of foreign studies have shown that long-term use of the pill is safe, effective, has few side effects, and can treat gynecological diseases. In addition, studies have found that the pill has a preventive effect on ovarian cancer and endometrial cancer, and the incidence of rectal and colon cancer in women who use the pill has decreased by 20% to 50%. For perimenopausal women, the use of birth control pills can not only relieve the symptoms of perimenopausal syndrome, but also replenish the right amount of estrogen, which can help the metabolism of calcium and phosphorus in the body and prevent the occurrence of osteoporosis.
2Q: Can emergency contraceptive pills be used frequently?
A: The progestin content of one emergency contraceptive pill is equivalent to the dose of six regular contraceptive pills, causing the progestin content in the body to increase at once to more than six times the normal level, and then to drop sharply. When the progesterone drops, the endometrium sheds and bleeds without the support of progesterone, thus making it impossible for the fertilized egg to be laid. Emergency contraceptive pills have high doses and side effects, and are only a temporary remedy, not a regular contraceptive method, and should be used at most once a month and not more than three times a year.
3Q: Is it reliable to use birth control pills to treat acne on the face?
A: Birth control pills are used to treat acne and make the skin delicate, mainly through the anti-androgen effect of birth control pills. It is best to consult your doctor before using it. Using the pill as prescribed by your doctor will not affect your body, but can regulate your menstruation and play a multi-functional role.
4Q: I heard that the pill can treat gynecological diseases, is this true?
A: It is true. The pill plays an important role in solving some gynecological problems, such as the treatment of dysfunctional uterine bleeding, endometriosis, polycystic ovary syndrome, premature ovarian failure, etc. It is also effective in adjusting menstrual disorders and relieving dysmenorrhea.
5Q: I took the pill to become fat, why ah?
A: Longer time taking short-acting oral contraceptives, a few women will gain weight, the reason is that the progestin component of the pill has a weak androgenic effect, some women are more sensitive to it, resulting in an increase in anabolic body and weight gain. However, this weight gain does not lead to obesity and does not affect health.
Tips:Don’t borrow birth control pills
It is very important: Do not lend or borrow your birth control pills from others. Because different brands of birth control pills contain different ingredients, if you suddenly take another brand, your body needs to adjust itself to the new hormone levels and you may feel uncomfortable.
If you can’t always remember to take the pill, you have other options – subcutaneous implants
Implanted on the 7th day of menstruation, the implantation site can be chosen from the upper arm, forearm, groin, scapula and buttocks. The incision is small and can be done in 5 minutes in a hospital outpatient clinic. The hormones in the implant can be released into the blood at a relatively constant rate, and can be used for contraception for 5 years with a success rate of 99.6%.
Microspheres and microcapsules delayed-release contraceptive injections
The drug is wrapped into a balloon with absorbable material and injected under the skin to slowly release the contraceptive, and the wrapped material can be degraded and absorbed in the body without having to be removed. In China, we currently use compounded megestrol microcapsules, which are injected once a month and have a success rate of over 99%.
Delayed-release vaginal contraceptive ring
The contraceptive hormone is put on the ring and put into the vagina, the vaginal mucous membrane epithelium can absorb the drug directly and produce the contraceptive effect. The vaginal contraceptive ring currently used in China is a silicone vaginal contraceptive ring, which is inserted on the 5th day of menstruation and is valid for 1 year, with a success rate of 98.6%.
Contraceptive patch
Similar to Band-Aid, it can be released into the blood in a certain amount and proportion through the skin to achieve the purpose of contraception. Domestic application of the United States production of ovthoEvra, weekly patch 1, used for 3 weeks, stop using 1 week when there is menstrual bleeding. The contraceptive effect is similar to that of the short-acting oral contraceptive pill.
Together, they may make the pill ineffective
1, rifampin: can speed up the metabolism of the pill and reduce the concentration of the drug in the blood.
2, sleeping pills: will also speed up the metabolism of the contraceptive pill.
3, antibiotics: can inhibit the bacterial flora in the intestine, thus affecting the absorption of the contraceptive pill.
4, often drink alcohol, smoking: can also increase the metabolism of the drug, so that the role of the contraceptive pill decreases.
These people should not take the pill
1, women with chronic diseases, such as hepatitis, nephritis, heart disease, hypertension, diabetes.
2, women with hyperthyroidism.
3, women with benign breast tumors, uterine fibroids.
4.Women who have suffered or are suffering from vascular embolic diseases.
5.Women with chronic headache, especially migraine and vascular headache.
6.Women who have unexplained vaginal bleeding or scanty menstruation.
How do I stop taking the pill when I’m ready to get pregnant?
The accepted opinion is that it is safe to stop taking the pill for six months and then get pregnant, during which time other non-drug contraceptive methods should be used. However, oral contraceptives are now so advanced that the time to prepare for pregnancy can be shortened and pregnancy can occur after a normal menstrual cycle has occurred after stopping the pill. However, when you stop taking the pill, you should take a full cycle of the pill as prescribed, and not stop taking the pill midway, as this can cause irregular bleeding and affect ovulation.