TOP 3 types of effective and safe contraception

When it comes to mod­ern hor­mon­al con­tra­cep­tion, it is dif­fi­cult to make the right choice on your own. In fact, you need to con­sult a spe­cial­ist in this mat­ter. Gyne­col­o­gist, can­di­date of med­ical sci­ences Dmit­ry Lub­nin will help to under­stand such issues that relate to impor­tant aspects of health.

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Effec­tive and safe?

Mod­ern con­tra­cep­tives divid­ed accord­ing to the method of intro­duc­tion into the body. To date, reme­dies are rep­re­sent­ed by pills (the largest group), trans­der­mal patch­es, vagi­nal ring, intrauter­ine device con­tain­ing hor­mones, drugs implant­ed under the skin.



READ ALSO Hor­mon­al con­tra­cep­tion: myths and truth

one to three

Accord­ing to the ratio of hor­mones, con­tra­cep­tives are monopha­sic, tripha­sic and con­tain­ing one com­po­nent (gesta­gen). In monopha­sic (rep­re­sent­ed by tablets, a patch and a vagi­nal ring), the con­cen­tra­tion of admin­is­tered hor­mones does not change through­out the cycle. In three-phase (rep­re­sent­ed by tablets), the amount of hor­mones changes, sim­u­lat­ing the phas­es of the men­stru­al cycle. Prepa­ra­tions with one com­po­nent (con­tained in tablets and an intrauter­ine device) are used only for lac­ta­tion. Which one to choose, the patient must decide togeth­er with the doc­tor.

New drugs (most­ly monopha­sic) are con­stant­ly appear­ing on the mar­ket, to which spe­cial prop­er­ties are attrib­uted, noth­ing rad­i­cal­ly new has hap­pened. There is no point in chas­ing the lat­est inno­va­tions.



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Indeed, there is a point of view that the repro­duc­tive sys­tem must rest in order to remem­ber how to work. Oth­er­wise, the woman will not be able to get preg­nant. This myth is based on the illit­er­a­cy of doc­tors who do not under­stand the mech­a­nism of action of con­tra­cep­tives. If you are not sure about the ter­rain, you will walk care­ful­ly, tak­ing small steps. Gyne­col­o­gists do the same. They want to assign, then can­cel, in order to make sure that “noth­ing is bro­ken”.

In fact, a healthy repro­duc­tive sys­tem does not care how much it is sup­pressed — a year or five years. When the drug is dis­con­tin­ued, the woman will imme­di­ate­ly return to her men­stru­al cycle.

Con­verse­ly, inter­rup­tions in recep­tion pull the sys­tem, which can respond to this with var­i­ous fail­ures. For exam­ple, a woman may begin to lose her hair.

It is no coin­ci­dence that in Europe the so-called pro­longed con­tra­cep­tive reg­i­mens were invent­ed and used, they are tak­en with­out a break for men­stru­a­tion.



Climax and drugs

Con­tra­cep­tives are tak­en before menopause. As you know, this time is often accom­pa­nied by a vio­la­tion of the men­stru­al cycle. Long delays alter­nate with heavy bleed­ing, due to which women fall into curet­tage. The use of a three-phase prepa­ra­tion helps to pre­vent such sit­u­a­tions. As for the onset of menopause, this is a genet­i­cal­ly deter­mined phe­nom­e­non asso­ci­at­ed with the ovu­la­to­ry reserve of the ovaries. And you can’t move it away. When women while tak­ing con­tra­cep­tives, men­stru­a­tion does not occur, we do a hor­mone test, make sure that she has entered menopause, stop the drug and, if nec­es­sary, pre­scribe HRT (hor­mone replace­ment ther­a­py). For HRT, drugs with a cer­tain type of estro­gen are used, in dif­fer­ent com­bi­na­tions and dos­es.

Author: pop­u­lar­doc­tor

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