Contraceptive pill: what are, for sure, the best rating

Flavor pill necessary together with a gynecologist. Oral contraceptives are different in composition, the content of hormones and method of application. Therefore, the appointment of tablets doctor should focus on the health of the woman, her hormones, the presence of gynecological and endocrinological diseases.

What are birth control pills

The main purpose of oral contraceptives - protection against unwanted pregnancy. If all the rules of the percentage of their efficiency exceeds 99%. Also prescribe hormone pills to women who need to stabilize the hormones, the ovaries and endometrium give time to rest.

Before the appointment of oral contraception doctor should establish the diagnosis, identify the causes that led to the development of problems.

How Do pill

The sale can be found combined and progestin-only funds. Choose the form of the drug should be a gynecologist, focusing on the state of health of the patient, her hormones, age. This is because the principle of operation of any contraceptive pills directly linked to their views.

The structure of combined contraceptives include estrogen and progestin. They are considered the most physiological. When used COCs braked process of pituitary hormones, estrogen and progestogen in fact enter the body from outside. Under the influence of these substances inhibited maturation process follicles in the ovaries. Due to this not ovulate.

When the pill, contraception for women not only blocked ovulation. The active substance preparations affect on the endometrium. Slimy layer does not increase due to the fact that the process of blood supply to the inner layer of the uterus is deteriorated. Even if ovulation occurs, the embryo can not attach.

Under the action of a progestin, which is part of contraceptive preparations thickened mucus in the cervical canal. With this sperm can not penetrate into the uterine cavity.

How effective are birth control pills

The effectiveness of contraceptives valued at Pearl Index. Modern hormone pills it is the lowest - 0, -1.26. This index shows the number of unwanted pregnancies that occur in women over 1 year of oral contraceptive use.

Reference! In accordance with the Pearl Index of 1,000 women, who are protected throughout the year COCs pregnancy occurs in no more than 12.

Conception can occur in violation of the rules of hormonal agents or wrong selection contraceptive. For example, the probability of pregnancy is increased if the laboring woman will use mikrodozirovannye means for women younger than 20 years.

How old can take control

Contraceptives can take even the young girls who have a menstrual cycle became regular. But doctors advise to start taking them no earlier than one year after menarche. This time is necessary to hormones returned to normal. If monthly the girl began in 13 years, with 14 years allowed the reception of modern contraceptives.

While some doctors are advised to abandon the use of oral contraceptives and 17 years. Such a recommendation by the fact that before this age of puberty process continues. It can be broken, if you start taking hormonal before hormones established.

Up to what age can take birth control pills

Hormonal agents is recommended to use a long time. Doctors are allowed to take them up to the appearance of pre-menopausal changes in the body. But after the 40 years, the use of COCs should be coordinated with the gynecologist. They can be used if the following conditions are:

• ovulation occurs periodically;
• menstrual cycle characteristics change (duration is shortened or lengthened);
• There are no contraindications.

If a woman with periodic ovulation appear dysfunctional bleeding increases heavy menstrual period, there are signs of approaching menopause, the contraceptive drugs can not be accepted. Therefore patients assigned hormone replacement therapy if necessary.

Important! Contraceptive new generation of tablets can drink even up to 50 years. They cropped menopausal symptoms, their reception is cancer prevention mucous layer of the uterus and ovaries.

Indications for use of oral contraceptives

Birth control pills are used to prevent unintended pregnancy. But this is not the only indication for the use of hormonal contraceptives. They are prescribed to patients who have:

• hormonal imbalance;
• endometriosis;
• inflammatory diseases of the uterus and appendages;
• uterine fibroids;
• menstrual disruptions (violation of regularity, the emergence of severe pain, gain abundant selection).

At the use of hormonal pills is stabilized, the endometrium does not grow. This reduces the amount of discharge, are pain, menstrual duration is reduced.

Contraindications to the hormonal contraceptive tablets

The list of diseases and conditions for which use is not recommended, even those birth control pills, which are recognized as the best, is extensive. Contraindications to the use of COCs divided into absolute and relative.

You may not use hormonal contraceptives to patients who have:

• stroke;
• coronary heart disease;
• congenital thrombophlebitis;
• pulmonary embolism in history;
• arterial hypertension (pressure rises above 160/100 mm. Hg. v).;
• increased risk of thromboembolism and venous thrombosis;
• transferred major surgery;
• heart disease complicated - the transferred infective endocarditis, atrial fibrillation, hypertension in the pulmonary circulation;
• deep vein thrombosis;
• liver disease - cirrhosis, viral hepatitis in the acute form, cancer, chronic
• non-viral hepatitis;
• migraine with neurological focal symptoms;
• diabetes, with the proviso that the patient is suffering from the disease for over 20 years;
• diabetic angiopathy;
• breastfeeding in the first 6 weeks after delivery;
• pregnancy;
• breast cancer.

For relative contraindications, which do not recommend contraceptives for women include:

• hyperlipidemia;
• hypertension, in which the figures are not larger than 160/100 mm. Hg. Article .;
• cholelithiasis with periodic exacerbations;
• cholestasis, which occurred earlier in patients receiving COCs or pregnancy;
• systemic sclerosis;
• lupus erythematosus;
• headaches caused by circulatory disorders;
• breast cancer history;
• epilepsy and other diseases in which required reception antiepileptics, barbiturates or drugs.

Taking the pill in these cases can only be in therapy for a gynecologist appointment. The doctor should assess the risk and to warn women about the possible consequences.

What are birth control pills

The structure of combined contraceptives include estrogen and progesterone. The progestin-only preparations contain only progestin, they are also known as mini-pill. Determine the identity of the assigned funds can be on the composition specified in the instructions.

Comment! Depending on their age, existing illnesses and the reasons why the chosen hormone contraceptives, gynecologist may advise combined oral means or progestin drugs.

Combination oral contraceptives (COCs)

The best birth control pills are considered to be combined means. They contain one of these groups of substances:

• estrogens - ethinyl estradiol or mestranol;
• progestins - norgestimate, levonorgestrel, norgestrel, norethindrone, ethynodiol diacetate, norethindrone acetate, drospirenone, desogestrel.

Divided all COCs on:

• monophasic;
• biphasic;
• three-phase.

Flavor hormonal desirable considering hormonal levels. Among the many options is better to give preference to modern contraceptive pills - they contain a minimally effective concentration of hormones.

monophasic

The first contraceptive that were produced were single-phase products. The composition of each tablet includes the same number of hormones, but their concentration is low. When used monophasic funds in the female body for 21 days received the same amount of estrogen and progestogen.

biphasic

The package of two-phase oral contraceptive pills are of two kinds. Some of them need to be taken during the first half of the cycle, while others - in the second. In tablets for the first phase of the cycle contains more estrogen, and for the second - progesterone. For the convenience of the women on the blister pack applied numbering, and the tablets are painted in different colors.

Three-phase

Simulate the monthly physiological fluctuations in hormone levels can, if taken three-phase birth control pills. They are divided into three types, each of which is painted in a different color.

Minipill

As part of the mini-pill only contains progestogen agent group. They are considered the safest birth control pills. They can be taken if there are contraindications to the use of funds estrogensoderzhaschih, breastfeeding, hypersensitive COCs.

Classification of combination contraceptives on the content of hormones

Doctors have identified a number of groups of birth control pills, depending on the concentration of hormones in the composition. They may be:

• mikrodozirovannymi;
• low-dose;
• vysokodozirovannymi.

Comment! The gynecologist selects the formulation according to the age of the woman, and the presence of hormonal diseases.

Mikrodozirovannye control pills

Mikrodozirovannye drugs most commonly prescribed to young girls who have not given birth. Also, they can use the non-smoking women aged 35 years.

In their composition contains from 15 to 20 .mu.g of estrogen. The probability of side effects when administered minimal. But some patients are not suitable due to insufficient hormone levels.

Low-dose birth control pills

The most popular low-dose agents. They are suitable for the prevention of pregnancy and treatment for women of all ages. These contraceptive pills prescribed as the girl who does not fit mikrodozirovannye drugs.

As part of the low-dose oral contraceptive containing 30 micrograms of estrogen.

Vysokodozirovannye

Vysokodozirovannye start taking money without consulting a gynecologist is prohibited. The flight control pills are used only for therapeutic purposes with hormonal disorders.

Vysokodozirovannye means comprise at least 35 ug of estrogen.

What is better to choose the contraceptive pill

Say which hormonal agents are the best, impossible. Choose birth control pills need individually. For every woman will be the best tool that blocks ovulation and can be easily transferred.

We can distinguish groups of drugs that are suitable for parous and nulliparous patients.

What birth control pills are better for women giving birth

Parous women younger than 35 years, gynecologists recommend to pay attention to low-dose combined pills. They prescribed three-phase preparations of the last generation. Call such birth control pills can not be cheap, but the probability of side effects when administered minimal.

Your doctor may prescribe:

• Silest;
• Marvelon;
• Femoden;
• Trikvalar.

The doctor may not advise a particular drug, but to offer a woman to choose their own means from a list of tablets.

For young nulliparous women

In order to prevent unwanted pregnancies girls gynecologist may recommend taking birth control pills safe. They are assigned:

• mikrodozirovannye either low-dose drugs;
• mini-pill.

Warning! Progestin agents are considered to be less effective.

Your doctor may recommend:

• Jess;
• Janine;
• Mersilon;
• Jess Plus;
• Belarus;
• Mikroginon;
• regulon;
• Novinet;
• Yarin;
• silhouette;
• Lindinet.

This is not a complete list of tablets allowed young girls. It is important that they picked up a gynecologist, taking into account the state of health of the patient.

Among the mini-pill such popular tablets: Laktinet, Mikrolyut, Ekslyuton and others. It is composed of different progestins, it must be considered when choosing the most suitable means.

How to choose a contraceptive pill based on the phenotype

Analyzes on hormones before prescribing contraceptives are not always appointed. The doctor can conduct a survey to gather history and in the absence of contraindications, endocrine, gynecological diseases assign COCs. Doctor can navigate on the phenotype (appearance) of the patient.

The phenotype can be:

• estrogen;
• balanced;
• progesterone.

Depending on the look you can guess what a woman's hormones.

The predominance of estrogen

The predominance of estrogen in the body evidenced by such signs:

• medium or low rise;
• developed chest;
• female pubic hair distribution type;
• pronounced PMS with increased nervousness, mood swings;
• the duration of the menstrual cycle for more than 28 days;
• abundant whites.

Such pregnancies pass without complications. The doctor may give a list with the names of the contraceptive pill, which will include such tools:

• rigevidon;
• Silest;
• trikvilar;
• Mikroginon;
• Miniziston-20;
• Three-regolith;
• Triziston.

It is the safest drugs for women with estrogen phenotype.

balanced type

To identify patients related to a balanced phenotype can be on such grounds:

• feminine voice;
• average height;
• no problems with hair and skin;
• pubic hair grow in the shape of a triangle, downward;
• breasts moderately;
• menstruation moderate, lasting up to 5 days.

Pregnancy in the majority of patients belonging to a balanced phenotype occurs without complications.

The gynecologist may prescribe such drugs:

• Triziston;
• regulon;
• Miniziston;
• Novinet;
• Three merci;
• Femoden;
• Mersilon;
• Marvelon;
• Logest;
• Lindinet-20, 30.

Such as the contraceptive pill Mersilon, Novinet, regulon to increase the risk of thrombosis and have a toxic effect on the liver.

The predominance of androgens and progestogens

To determine the phenotype of progesterone in which the body of a woman increased content of androgens can be on such criteria:

• higher growth medium;
• the predominance of the boys' traits;
• pubic hair form a triangle, the apex directed upwards;
• oily skin, predisposition to acne, acne;
• menstruation scarce, short-lived;
• cycle less than 28 days.

In women, progesterone type of pregnancy occurs more often pronounced toxicosis. Therefore patients gynecologists prescribe:

• Yarin;
• Jess;
• Belarus;
• Diane-35;
• Janine;
• Klayru;
• Chloe.

Attention! If the phenotype is expressed softly, it is better to pass tests to check hormonal levels before the start of COC use.

How to take the pill

Regardless of the type of selected medications to prevent the onset of unwanted pregnancy is necessary to take them on a chart. Tablets need to drink every day, avoiding gaps. Monophasic means you can drink out of order, two and three-phase tablets should be taken by the scheme recommended by the manufacturer.

When to drink contraceptive tablets

Start taking COCs must be from 1 day monthly. You do not have to be used in carrying out this recommendation additional protection techniques.

The best time to drink contraceptive tablets

Contraceptives tablets should preferably be taken so that the break was 24 hours between tablets use. Reduce the likelihood of developing gastrointestinal disorders work, the emergence of diarrheal illness can be, if you drink a preparation for the night.

In the absence of nausea and other problems of the digestive system, you can use the tablet at any other time.

How to take the pill for the first time

The first birth control pills to drink on day 1 of a new cycle. It needs to be washed down with water. When you start taking the pills it is important to monitor their health. When side effects should consult a gynecologist.

How long can you take birth control pills

COCs are designed for prolonged use. At the use of hormones is important for at least 1 time per year undergo a gynecological examination. The doctor after examining the woman say, can I continue to use hormonal contraception.

How much can you drink the pill without a break

At the beginning of the use of COCs before the age of 30 years can take pills continuously for 10 years. Women older than 30 is recommended to take them continuously for 5-7 years.

How to switch to other birth control pills

To change the hormonal contraceptives gynecologists advise to adhere to these rules:

• when changing a low-dose of the drug to another must be selected to start drinking pills after 4/7 day break;
• go to the mini-pill to COCs can be 1 day of the next menstruation;
• to go to the break vysokodozirovannyh do on low-dose agents.

If the tablets are recommended to change a gynecologist, he will tell you how to do it.

When people start acting contraceptive pill

Subject to the rules of use of hormonal drugs they begin to act immediately. But in the first 7 days, the body gets used to the drug, so the egg and fertilize it the risk of release is maintained during this period.

When you can not protect themselves when taking contraceptives

If the first pill to drink in 1 day cycle, in addition do not have to be protected. But if the partners do not wait for the end of menstruation, it is better in the first few days extra to put on a condom.

At a later reception early (no later than 5-10 day cycle), it is necessary for a week in addition to use other methods of contraception.

Possible side effects

In 10-20% of patients are at risk of adverse effects in patients receiving COCs. Among the common disorders emit:

• headache;
• hypertension;
• violation of the digestive tract works;
• breast tenderness;
• psycho-emotional changes;
• the emergence of intermenstrual bleeding.

Comment! After 3-4 months of regular intake of contraceptive medication side effects are. If they persist, you should cancel the COC or choose another drug.

Among the most dangerous complications doctors distinguish pulmonary vein or deep vein thrombosis, located in the lower extremities.

Rating of birth control pills

The list of the most popular HEC includes such drugs:

• Jess;
• Yasmin;
• Silest;
• silhouette;
• trikvilar;
• Laktinet;
• Klayra;
• Jeanine.

But to pick their own birth control pills without evaluating hormonal, gynecological check is impossible.

What is the cost of birth control pills

Cost of hormonal methods differ. If necessary, you can ask your doctor to choose the cheap birth control pills. The sale can be found in oral contraceptives such price categories:

• less than 300 rubles. - Three-regolith;
• 400-500 rub. - regulon Novinet, Miniziston, Lindinet;
• 500-800 rub. - Dietsiklen, Leia, Midian, silhouette, Trikvilar, Belarus, Femoden;
• 800-1200 rubles. - Logest, Janine, Jess, Yarina, Klayra, Diane-35.

The most expensive drug, costing 1,400 rubles. include Mersilon, Charozettu.

Reviews of birth control pills

opinion gynecologists

conclusion

Gynecologists can recommend the pill for all women who have no contraindications to the use of hormonal contraception. But you must choose oral agents individually, focusing on the state of the patient's health, age, hormones and causes the destination COCs.