How to choose the contraceptive pill: independent selection of tablets, table

To pick up the pill with minimal side effects, it is difficult to do without the help of a specialist. However, there are special instructions and tables, allowing to independently determine the appropriate form of oral contraception.

Types of oral contraceptives

The classification of these drugs is quite complicated. This is because such COC (combined oral contraceptives) designed for patients of different age groups and having a certain disease of the reproductive system. There is a group of ordinary oral contraceptives, which are prescribed to women of childbearing age without gynecological and endocrine diseases.

Important! The mechanism of action of the majority of COCs is based on the inhibition of ovulation and the egg output.

For these reasons, fertilization can not occur. In addition, hormonal drugs alter the structure and thickness of the inner endometrium - endometrium, whereby the fertilized egg can not attach and start growth.

But that's not all. Hormones contribute to thickening of mucus secreted by glands of the cervix. This additional protection against unwanted pregnancy. Such a way, oral contraceptives are the most reliable and give an error in the region of 0.1-1 100.

Have developed a table of contraceptive experts to help choose the right medicine based on a variety of factors. But first, you need to know their main types. COCs are:

• single-phase;
• biphasic;
• Multiphase.

The most simple - single phase. Each tablet contains equally stable dose of estrogen and progestogen. Their method is simple and does not differ from the day of the cycle.

Two-phase and three-phase pill in the composition have a different concentration of hormones. Their method is much more complicated. Scheme physician can choose based on the duration and cycle characteristics.

Such drugs should be taken strictly, without gaps, so as not to harm the body and do not reduce the protection against unintended pregnancy.

To choose the right kind of COC, and take into account the dosage of hormones in preparation. There mikrodozirovannye, low-dose, and srednedozirovannye vysokodozirovannye containing one or more kinds of hormones. First suitable for young and active women of childbearing age, the latest - selects only an expert in the presence of abnormalities.

Indications and contraindications to

Despite the fact that modern contraceptives have maximum efficiency and minimal side effects, they can not take everyone. There is a list of contraindications, which prohibits use this remedy and require matching other. It diseases and conditions such as:

• pregnancy;
• malignant tumors of breast and other organs;
• hypertension;
• liver disease.

Questionable COCs in the following situations:

• varices and risk of thrombosis;
• diabetes;
• breast;
• smoking;
• epilepsy;
• hepatitis;
• cholecystitis.

A narrower list of contraindications can be found and read in the instructions on the chosen contraceptive.

How to choose the right contraceptive pill

You have to understand what is right or wrong selection of oral contraceptives - the risk to women's health and future pregnancy planning. They have a lot and minuses and pluses, which in special cases may play a negative role in the reproductive system.

The most correct step - to turn to the good expert, but if for any reason a woman can not do that, you can choose the type of hormonal protect yourself. To start that need Priya note.

In the selection of contraceptives, pay attention to the following information:

• age;
• the presence or absence of pregnancy, abortion;
• the severity of PMS;
• the intensity of menstrual flow;
• pathological conditions of the reproductive system (cysts, uterine fibroids);
• frequency of inflammatory processes.

In addition, in order to avoid any risk, a woman needs:

• do a pelvic ultrasound, breast;
• hand over a smear on onkotsitologiyu from the cervix;
• pass general and biochemical blood test.

If all indicators are normal, no complaints and pathologies, we can pick up low-dose birth control pills. Typically, this single-phase pills - the most easy to use and quite effective.

Warning! If there is any deviation from the norm, to pick their own birth control pills is prohibited.

How to choose their own birth control pills

Sometimes experienced enough to look at a woman to determine its phenotype and find the right COCs. The table below summarizes the phenotypes of which are repelled in selecting tablets.

To determine their phenotype, a woman needs to evaluate the appearance and condition of items in the table. The most important points are the "PIP" and "appearance". It recommended to choose a contraceptive after determining estrogen dependent phenotype, balanced or androgen dependent.

For the first table selected by phenotype following preparations:

• "Novinet";
• "Regividon";
• "Lindinet";
• "Mersilon";
• "Mikroginon".

In these preparations increased dose of progestogen.

For the second phenotype can choose:

• "Three-Mercy";
• "Regividon";
• "Logest".

For the third phenotype can choose:

• "Yarina";
• "Jess";
• "Janine";
• "Diane-35".

With a lack of estrogen are suitable:

• "Diane-35";
• "Triziston";
• "Chloe."

In each case, take into account age-based indicators and the presence or absence of pregnancy. So, for the young and nulliparous women to 25 years with estrogen phenotype can choose "Miniziston-20." If the phenotype prevail androgens, such women is more appropriate "Yasmin".

Table hormonal contraceptives

To maximize choose the right drug and not get lost in their diversity, there is a table selection of hormonal contraceptives. More precisely, the two of them. In one described contraceptives mikrodozirovannogo type, the second - low-dose. They contain the names of drugs with a dose of hormones for the young, giving birth and mature women with no abnormalities of the reproductive system.

Table 1: mikrodozirovannye pill.

Table 2: low-dose birth control pills.

How do you know that do not fit the pill

The body for admission dose of synthetic hormones react differently. Doctors warn that the first 2-3 months there is an accustoming and adaptation of the reproductive system to the action of COCs. The patient at this time may feel nausea, unpleasant abdominal discomfort, frequent headaches, not intensive. Often there are not abundant spotting. All this is considered the norm in the adaptation period.

To control the reaction of the body and monitor the status of the ovaries and endometrium of the uterus, can be 1 time per month to be surveyed on an ultrasound.

Important! Understand that the tool is not suitable, it is possible for deterioration that persists for several weeks.

Can manifest pressure surges, heavy reddish-brown discharge, headaches. In this case, drug overturned and pick another either completely abandon COCs.

If you are unable to pick up contraceptives correctly:

• The patient feels good;
• stop bleeding in the middle of the menstrual cycle;
• improves skin and hair.

Another indicator of a harmonious selection of the drug is to normalize the emotional state.

Sell ​​if the pill without prescription

To date, buy birth control pills without a doctor's prescription can only narrow the list. This is due to the frequent failure of contraceptive use without professional advice. Basically group such preparations contain COC with ethinylestradiol and desogestrel in a low dose.

What birth control pills without a prescription

The most popular contraceptive methods, such as "Yasmin", "Janine" and "Jess" will not buy without a prescription. Analyzing the offers of pharmacies, you can make a list of birth control pills without prescriptions provided in the free market:

• "Regulon";
• "Novinet";
• "Eskapel";
• "Postinor".

conclusion

Independently choose the pill is possible, though difficult due to lack of expertise. It is therefore recommended to see a doctor, which you can prepare in advance: to pass the necessary analyzes clearly paint cycle and analyze their own state on the eve of and during menstruation. In this case, the selection of contraceptive methods is the most deliberate and correct.