China is a big country in terms of abortion, and in recent years the total number of abortions in China has remained high, and the current situation of abortion in China is characterized by the youthfulness of the abortion population, the high proportion of abortions among women who are not pregnant or have not yet had children, and the short intervals between frequent abortions. In recent years, the proportion of unmarried and infertile women who have had abortions has increased significantly, and according to a statistical data, about 61.3% of unmarried and infertile women have a lucky chance of not using contraception, 37.6% know about contraceptive methods but don’t want to use them, 24.0% don’t use contraceptives for fear of trouble, and 16.3% are worried about adverse reactions or harm to their bodies. Although abortion is not subject to legal restrictions in China, no matter whether it is surgical abortion or medication abortion, the postoperative period may cause certain negative impacts on women’s physical and mental health, and the impact on future fertility is not to be ignored. The report of the 2017 International Conference on Women’s Health held in Berlin, Germany this year shows that about 100 million women aged 15 to 49 are using short-acting oral contraceptives worldwide. The rate of contraceptive use is as high as 40% or more in some countries, but in some Asian countries it is very low, with only 1.5% of Chinese women using the pill. During my outpatient visits, I have found that most Chinese women have low acceptance of birth control pills, but are eager to take emergency contraceptives. Many women talk about hormones and would rather risk an abortion than take oral contraceptives. So why are Chinese women so squeamish about oral contraceptives? Myth 1: Fear of fat With the renewal of contraceptive pills, “fat” has become the history of contraceptive pills. In the 1960s and 1970s, the first generation, the second generation of oral contraceptives due to the high content of estrogen and progesterone, and estrogen will prompt the body to water and sodium retention, progesterone and endogenous androgenic activity, to promote the synthesis of body proteins, so the use of a long time may indeed cause metabolic weight gain. However, with the continuous innovation of contraceptives, the third generation oral contraceptives currently on the market contain only 1/5 of the estrogen content as in the past, and the dosage of progesterone has been reduced to less than 3 mg from 10 mg in the early days. The new progestin not only has no affinity for androgen receptors, but also has a strong anti-androgen effect, so long-term use of oral contraceptives will not lead to fat. Now the new fourth generation of oral contraceptives even contains drospirenone ingredients, can discharge sodium and potassium, offsetting the effect of estrogen sodium storage, reduce the occurrence of edema. Myth 2: affecting health Many people are worried that eating short-acting oral contraceptives will cause endocrine disruption, affecting health and even cancer. As mentioned above, the third and fourth generations of oral contraceptives have reduced the content of estrogen to 1/5 in the past, and such a small dose of estrogen is close to the body’s own secretion of the dose. Instead of causing cancer risk, it can prevent endometrial and ovarian cancers because it inhibits endometrial hyperplasia and ovulation. In addition, in clinical practice, oral contraceptives are often used in the treatment of menstrual disorders, heavy menstruation, dysmenorrhea, and acne, so not only does it not affect your health, but it also has many benefits. Myth 3: Reduce female fertility Contraceptive pills act on the body’s contraceptive effect is short-acting, far from the Qing dynasty drama “musk” like the legend, so there is no “one eat will become a thousand years of hate” effect. It is a box of contraceptive effect of one month, want to get pregnant after stopping to take the next month will be able to implement the pregnancy program, rather than the popular folk saying that you need to stop the drug 3-6 months before you can get pregnant. In addition, oral contraceptives prevent ectopic pregnancy and pelvic inflammatory disease (PID) caused by infection of the lower reproductive tract, which is also beneficial to the protection of female fertility. It is reported that there are 40-60 million abortions worldwide each year, and China accounts for 1/5-1/3 of the total. 56% of married women who fail to use contraception in China use condoms, while 71% of unmarried women who fail to use contraception, not including a large number of men and women who seek “zero barrier”. In recent years, research has shown that condoms, despite their significant advantages in preventing sexually transmitted diseases, are still prone to contraceptive failure in terms of method of use. Studies show that the pill is 10-15 times more reliable than condoms, with an overall contraceptive effect of 99%. The immediate and long-term complications due to abortion after contraceptive failure, such as bleeding, infection, damage to the uterus, postoperative infertility and amenorrhea, etc. are the real culprits that jeopardize women’s health. So the majority of male compatriots, love her, why not give her the pill?