The problems of spontaneous miscarriage and abortion that come with advanced childbearing and advanced second pregnancy have plagued numerous women. After a spontaneous miscarriage or abortion, many people are concerned about when they can try to conceive again. Today, we recommend a “gynecological holy pill” – the compound short-acting oral contraceptive pill.
The compound short-acting oral contraceptive pill is a gynecological pill that deserves its name. The name suggests that it is only a contraceptive, but in the clinical practice of obstetrics and gynecology, its use has gone far beyond contraception, and its various effects are far beyond the word “contraception”.
In addition to contraception, what are some of the effects of the compounded short-acting contraceptive pill?
1. Menstrual regulation.
It is easy and convenient to deal with menstrual disorders and excessive menstruation in adolescent and childbearing women, unlike the three photos and double photos, which must be taken in order. In clinical practice, obstetricians and gynecologists often prescribe birth control pills to some 14 or 15 year old girls to eat, the mother is very incomprehensible, in fact, the reason is here, there are so easy to take, effective and good choice of drugs, why must choose those with the trouble of drugs. Of course, the exception is when there is heavy bleeding, that is necessary in the first cycle with estrogen to stop the bleeding.
2, descending Kaohsiung.
Specifically refers to the compound short-acting oral contraceptives in the daing-35, which contains cyproterone has a very good control of women’s hirsutism, acne (is acne) and other high androgen performance role, commonly used in the treatment of polycystic ovary syndrome.
3. Protection of fertility potential.
Embodied in two aspects, on the one hand, the contraceptive mechanism of the compound short-acting contraceptive pill is to inhibit ovulation, that is to say, ovulation will not occur during the taking of the pill, although I am not sure that the non-ovulatory follicles are not atretic, but at least one can guess that part of the follicles are reserved down; on the other hand, the exogenous estrogen and progesterone make the cervical mucus plug become firm, reducing the probability of pelvic inflammatory disease occurring through retrograde vaginal infection, to a certain extent reduces the risk of tubal contraception; third, its contraceptive effect reduces the probability of abortion due to unintended pregnancy, thus avoiding secondary infertility due to abortion. The above mechanism is only conjecture, and in fact there are indeed clinical studies suggesting that women taking the compound short-acting contraceptive pill for contraception have a lower probability of infertility than women of the same age who take other forms of contraception.
4, reduce the incidence of gynecological malignancies.
There are clinical studies have confirmed that the compound short-acting oral contraceptive pill can reduce the incidence of endometrial cancer and ovarian cancer. The mechanism should be similar to the protection mechanism of pregnancy on endometrial cancer and ovarian cancer. The ovary does not ovulate, the ovarian cortex is less repeatedly broken, the cortical cell division and proliferation are not active, and the incidence of ovarian cancer is reduced; the endometrial hyperplasia is reasonably controlled, the hyperplastic endometrium is rapidly transformed to the secretory state, and the incidence of endometrial cancer is reduced.
5.Treatment of endometriosis.
Relieving dysmenorrhea, compounded short-acting contraceptive pills are also the first-line drugs for treating dysmenorrhea and endometriosis. It should be the first choice especially for adolescent girls with endometriosis and dysmenorrhea.
Regarding fertility protection after abortion.
Young women who still have fertility requirements are advised to routinely take short-acting oral contraceptives after abortions, medical abortions, cleanings, and induced abortions, no matter what the cause.
The purpose of using the pill is not only for contraception, but of course also for contraception in the meantime. Contraception is also a very important thing. Having just had an endometrial injury, the risk of another pregnancy may increase on the one hand for miscarriage and on the other hand for placental adhesions, placental implantation, etc. Many young girls do not pay attention to protect themselves, just after the abortion, less than a month pregnant again (the promised ban on intercourse for a month, but the results are not held back), it is really sad.
The main purpose of the medication is as follows.
1, can help endometrial repair, so that the endometrium becomes smooth (the ecological increase of the endometrium quickly to the secretory state transformation).
2, perhaps to make the residual little tissue, in the process of endometrial proliferation become crisp and loose, easier to shed (sometimes encounter abortion or other reasons to clear the uterus after surgery, the first menstrual volume is particularly large, and after taking short-acting oral contraceptives, you can avoid this problem);.
3, inhibition of ovulation, also a reserve of ovarian function.
4. enhancing the resistance of the reproductive tract, the cervical mucus plug is rapidly formed and becomes firm under the action of hormones, reducing the risk of retrograde transvaginal infection and the risk of pelvic infection after abortion.
Usage of the compounded short-acting oral contraceptive pill
Take one tablet daily for 21 days and stop for 7 days (21 days + 7 days = 28 days per cycle) for 3 cycles starting on the day of delivery of the pregnancy or the cleansing procedure. If you have a long-term need for contraception, you can use this method for a long time, and there is no limit of 3 cycles, you only need to review the liver function every year, if there is an elevated transaminase, stop the pill for one cycle can be quickly recovered, after the liver function is recovered, you can still use it again.
What are the compounded short-acting oral contraceptives?
The most commonly used ones are: Mafloquine, Eusemide, Meclizine, and Daing-35. Each has its own special characteristics. Mafolone and Mecinlab are siblings with identical ingredients, only the content of ethinyl estradiol is different, Mecinlab has lower content of ethinyl estradiol and therefore has less side effects and is more expensive. Since Mafolone is the cheapest and most widely used, it has been tested in practice and has the most complete clinical data, while Mecinlab has the same advantages as Mafolone because it has the same ingredients. Ustekin is a newcomer and is rapidly gaining popularity among women because of its non-weight gain advantage, but it is more expensive. Daimler-35 is known for its anti-androgenic effect and is especially suitable for women with high androgenic manifestations such as hirsutism and acne, as well as women with increased androgen levels in polycystic ovary syndrome.
When can I get pregnant?
There is no such thing as how long it takes to stop taking the medication. For women who have missed a dose, or who have not taken the medication as required, an unwanted pregnancy may occur, and it can be determined as early as possible when the next cycle comes. The incidence of other birth defects does not increase significantly.
For women who have just had a miscarriage, or a miscarriage and are eager to go back on the pill, this should be an excellent option for you. In fact, this method is appropriate for young women who are temporarily unfit to conceive after surgery or treatment for various reasons, as long as they still have fertility requirements and as long as there are no clear contraindications to the drug. There are so many rumors and anxieties about the pill on the market, but they are all just clouds, and the pros and cons are obvious, just because we don’t want to lean forward and look at them!