1, I do not intend to take the pill contraception, why do I need to take the compound oral contraceptive pill? The most original role of the compound oral contraceptive pill is contraception, but in addition there are other roles, for example: for patients with polycystic ovary syndrome, long-term use of the compound oral contraceptive pill can correct menstrual disorders and symptoms of hyperandrogenism, acne, oily skin; endometriosis patients taking the drug can treat cyclic dysmenorrhea, and delay the increase in ovarian chocolate cysts; abnormal uterine bleeding patients taking the drug Patients with abnormal uterine bleeding can stop bleeding and resume normal menstrual cycle after taking the drug. 2. Hormones? Isn’t that terrible? I am afraid that people are afraid of the following manifestations: obesity, full-moon face, buffalo back, skin streaks, stomach ulcers, osteoporosis and so on. However, what we call compound oral contraceptives are mainly estrogen and progestin, which are sex hormones and different from the hormone effects that people think of, such as maintaining secondary sex characteristics and fertility. And the dose of hormones in the drug is low, similar to the amount of normal hormones in the body, designed to simulate the natural state and rhythm of the human body, so there will be no side effects mentioned above, but can prevent osteoporosis. 3.Can adolescent women use the drug? Of course they can. If adolescent women have indications for medication, such as polycystic ovary syndrome, early intervention can correct abnormal hormone levels in the body, which is more conducive to future health management. Without intervention, the condition may develop and worsen. In addition, adolescent women are sensitive and fragile, and symptoms such as hirsutism, acne and menstrual disorders have a negative impact on their psychology, which can easily breed depression, low self-esteem and frustration, which are not conducive to the building of a healthy personality. 4, I have polycystic ovary syndrome, the doctor said I have to use medication for a long time, I am worried that long-term use of drugs will have side effects The use of drugs is to weigh the benefits of treatment or side effects to bring you more harm. Irregular menstruation in polycystic ovary syndrome can increase the risk of endometrial cancer, and endocrine disruption may lead to diabetes, hyperlipidemia, cardiovascular disease, etc. With the medication, menstruation is regular, endocrine disorders are corrected, androgen levels are reduced, and symptoms such as hirsutism, acne, and oily skin are improved. The side effects may be a little nausea, vomiting and other gastrointestinal reactions in the early stage in a few people, and a few people may have the appearance of melasma, but most of them can disappear after stopping the drug. In this way, I believe you should be able to make the right choice. 5. Won’t long-term use of the drug do any harm to me? The most common adverse reaction is a little irregular vaginal bleeding, which often occurs after a missed dose or irregular dosing time; by fixing the dosing time (e.g. after dinner) and replacing the dose when missed, bleeding can be avoided to the greatest extent. Early reactions such as nausea, vomiting, dizziness, etc. can occur at the beginning of the medication, and a few women may gain weight because of improved appetite and fluid retention. The above adverse reactions can be controlled by adjusting the time of taking the medication, regular diet and moderate exercise, and most of the symptoms can gradually disappear as the time of taking the medication increases. 6.What about irregular bleeding after medication? If irregular spotting bleeding is excluded from vaginal, cervical and endometrial lesions and is determined to be caused by taking the medication, there is no need to worry. The bleeding is small and does not cause anemia. Most of them are caused by the fluctuation of the hormone level in the body due to the irregular time of taking the medication and different intervals. In patients who have been taking medication for a long time, such symptoms can disappear if the medication is taken regularly. 7.What can I do if I miss a dose? Patients who do not have the habit of taking medication are advised to take the medication with them and set an alarm clock to take the medication. If you miss one tablet, you should take it as soon as possible and take the next one at the scheduled time; if you miss two tablets, you should take one tablet every 12 hours until it is finished, and then take the rest of the tablets. If you miss more, it is recommended to consult …… 8, I heard that taking the pill will be fat? Most people do not become fat after long-term use of the pill, but the initial water and sodium retention caused by progesterone will lead to a mild increase in weight, the drug does not affect fat metabolism, and can basically return to normal weight after long-term use of the pill. Another reason is that the appetite becomes better after taking the pill, and some patients unknowingly increase the amount of food they eat, which may lead to obesity as a concomitant phenomenon, not because the pill directly causes obesity. Therefore, in taking the pill, pay attention to a balanced diet, moderate exercise, in order to maintain weight oh. 9, take the pill face spots? The pill uses estrogen to simulate a state similar to pregnancy, so that the brain thinks that it is a pregnancy period and the ovaries stop ovulating to achieve the effect of contraception. However, like pregnancy, the estrogen and progestin taken also have a melanocyte stimulating effect, causing melanin to increase, resulting in darkening of the nipples, areola, abdominal white line, and vulva. During pregnancy, pigmentation on the cheek and cheek area and involving the periorbital area, forehead, upper lip and nose, with more obvious edges and butterfly-shaped brown spots, is called pregnancy chloasma, which can fade on its own after delivery. The hormone content of compound oral contraceptives is much lower than that of pregnancy, so chloasma will not appear in general, and even if a little chloasma appears, it can fade away on its own after stopping the medication. Of course, try to avoid sun exposure during the pill is also one of the measures to prevent the appearance of melasma. 10, I am afraid that taking the pill will reduce fertility Long-term use of compound oral contraceptives will not only not reduce fertility, but will protect the fertility of women. Through effective contraception, reduce unintended pregnancy, reduce abortion, and can effectively prevent ectopic pregnancy, and reduce the occurrence of endometrial cancer and ovarian cancer. However, it is worth reminding that after the age of 35, natural fertility gradually decreases with age. 11.Will pregnancy after taking the pill cause any adverse effects on the baby? Compound oral contraceptives contain small doses of hormones, fast metabolism, no ovulation during regular use, to resume ovulation, the role of drugs no longer exist, so taking modern compound short-acting oral contraceptives, you can prepare for pregnancy after stopping the drug, without waiting for 3 to 6 months, and does not increase the incidence of fetal and neonatal malformations. 12.Will long-term use of the pill produce dependence? Will there be amenorrhea after stopping the medication? There is no such thing as “dependence”. If menstruation does not occur after stopping the medication, it means that the hormone level in the body is still disturbed. The medication only replenishes the hormone levels produced by the body, or mimics the normal hormone secretion pattern in the body, and does not cause amenorrhea, but rather treats it. Most patients can have menstruation naturally after stopping the medication. 13. Does it increase the risk of reproductive tumors? It is now clear that long-term use of combined oral contraceptives can reduce the risk of ovarian cancer and endometrial cancer, and has a protective effect on the female uterus and ovaries. As for breast cancer, some studies have shown that taking combined oral contraceptives may slightly increase its incidence, but this increase in risk is actually very small, even working night shifts increases the risk of breast cancer by 1.4-1.5 times, so regular breast examinations are necessary regardless of whether or not you take the pill. In addition, although taking medication does not directly affect cervical cancer, it can indirectly lead to an increased incidence of cervical cancer due to changes in sexual behavior, so the time interval between cervical cancer screening should be shortened. In other words, those who take medication are more likely to find physical abnormalities because of regular review, thus early prevention and early diagnosis and early treatment are possible. 14.Risk of cardiovascular disease and blood clots? Some patients worry whether the risk of blood clots and cardiovascular diseases will increase after taking medication. In fact, the relationship between the above diseases and medication is inconclusive, and the majority of them can be avoided by regular follow-up monitoring during medication. Studies have found that the pill is safe for young, non-smokers, while for smokers, the pill amplifies the cardio-vascular damaging effects of smoking. Birth control pills also have a slight blood pressure raising effect, so they should be used with caution in patients with hypertension. In terms of thrombotic events, the incidence is actually very low, and the incidence of intravenous thrombotic events of new contraceptives has been significantly reduced. 15.How to take? The traditional method of taking the pill: (21 tablets) 1 tablet per day from the 1st to 5th day of menstruation, 21 days after taking one package, 7 days after stopping the pill, then start taking the next package. (28 tablets) Take 1 tablet per day from the 1st to 5th day of menstruation for 28 days to complete one pack, stop for 2 days, and then start the next pack. Continuous dosing: No need to stop for 7 days, take one pack and start the next pack. This method of administration can reduce menstrual flow and relieve dysmenorrhea, especially chronic pelvic pain caused by endometriosis. Of course, the usage may change for each patient, and it is most correct to take the medication as prescribed by your physician.