What are the best contraceptive pills? Let's figure it out.
Most women claim that oral contraceptives are new and do not trust them. In fact, this was first discussed a hundred years ago, at the beginning of the 20th century. The first hormone experiment was conducted by an Austrian doctor named Haberland. Thanks to his research, such unnatural female hormones, such as estrogen and progesterone, were invented in the 30s of the XX century. And the American Pincus, in 1960, produced the first hormonal birth control pill, which was called "Ewed."
Large doses of hormones
The first such tablets contained huge doses of hormones and were not reliable, so scientists continued to develop improved versions. As a result, hormonal dosages decreased, proportions improved, and the reliability of oral contraceptives increased. Nowadays, hormonal contraception is considered the most reliable way to not get pregnant, its effectiveness is proven, which reaches 99.9%.
In addition to conventional contraception, most drugs have therapeutic effects that allow you to restore hormonal balance. And therefore, some gynecologists advise them for diseases of the female genital organs, as well as for metabolic disorders. The competent use of hormonal agents improves the appearance: eliminates acne and acne, copes with oily skin and hair. Choosing a good birth control pill is not so difficult right now.
Birth control groups
Despite the wide range of contraceptives presented in the pharmacy, hormonal oral contraceptives take first place. But, unfortunately, not everyone is aware of the side effects and contraindications to them, as well as the rules of admission and that they are forbidden to take for a long time. The selection of suitable oral contraceptives should only occur after a visit to the doctor and diagnosis. All birth control pills are divided into two categories: combined contraceptives (COCs) and mini-pills.
Combined oral contraceptives contain substances such as: ethinyl estradiol (an analogue of estrogen), progestogen. Also, COCs, depending on various variants of hormone content, are divided into: two-phase, three-phase and monophasic birth control pills. What is better to take after childbirth, we learn further.
The key point in the structure of COC action is the blocking of ovulation due to the inhibition of the occurrence of LH and FSH in the pituitary gland. Along with this, ovarian activity is blocked. In addition, “glandular regression” occurs in the uterus, which makes it impossible to attach a fertilized egg. Changes also occur in the cervical canal, its mucus thickens, which contributes to the disruption of the movement of sperm inside, into the uterus. Thus, COCs are divided into three types according to the quantitative content of active elements. Consider the good birth control pills that every woman can buy.
Microdosed oral contraceptives
The dose of hormones in these drugs is small, so they are shown to young girls under the age of 25 years, they are also suitable for those who first thought about the need for birth control drugs. Examples of drugs: “Klayra”, “Zoely” and the rest monophasic - “Logest”, “Dimia”, “Minisiston”, “Jess”, “Mercilon”, “Lindinet”, “Novinet”. Are there any good birth control pills for young girls?
Low-dose oral contraceptives
Such pills are indicated for both young and mature women. They are also prescribed by women who, when using microdosed contraceptives, have spotting hemorrhages between menstruation. In addition, studies by manufacturers state that a group of low-dose drugs has an antiandrogenic effect - hair growth in unwanted places is stopped, acne is eliminated, the skin is oily, and seborrhea decreases. The contraceptive list includes: “Yarina”, “Regulon”, “Chloe”, “Diana”, “Three-Merci”, “Silhouette”, “Janine”, “Femoden”, “Silest”, “Miniziston”, “Belara” "," Marvelon "," Demoulins. " Good birth control pills don't end there.
High Dose Oral Contraceptives
The dose of hormones in these contraceptives is very high, so they are taken for the treatment of gynecological diseases, such as endometriosis, or for the treatment of hormonal disorders. They are used exclusively according to the doctor’s testimony.
Good non-hormonal birth control pills should be selected by your doctor.
Mini drank
About these drugs, we can say that he has only progestogen in his composition. The device of its work lies in the local impact on the peripheral areas of the genital system. Mini-pills have an effect on the amount of cervical mucus and its content. Thus, in the middle of the cycle, the volume of this mucus decreases, but its viscosity remains quite high in each of the phases of the menstrual cycle, which delays the free movement of sperm. Changes also appear in the biochemical and morphological structures of the endometrium, which cause inappropriate conditions for implantation. In almost all women, ovulation is frozen. Mini-drank preparations include: “Desogestrel” (“Charozetta”, “Lactinet”), “Linestrenol” (“Microlut”, “Orgametril”, “Exluton”).
How to choose good birth control pills?
The question often arises which tablets are better and more effective. These questions cannot be independently dealt with, much less ask your friends or listen to the advice of a pharmacist. In order to find good birth control drugs, you need to visit a doctor. The doctor will collect an anamnesis, separately examine family diseases, identify existing or previous diseases in the past, because all this can be a contraindication to the use of a certain drug. After this, the gynecologist will conduct an examination in which he will evaluate:
- skin (petechiae, symptoms of hyperandrogenism, the presence of hypertrichosis, telangiectasia);
- measure blood pressure and weight;
- palpates the mammary glands
- conduct tests for blood sugar, liver enzymes, blood coagulation, hormones;
- ultrasound examination of organs in the pelvis and mammary glands;
- mammography;
- smear examination.
In addition, a woman will need to visit an ophthalmologist, because prolonged use of oral contraceptives may increase the risk of developing glaucoma and other eye diseases. For the correct prescription of drugs that will be suitable for the patient, her constitutional biological type should be taken into account:
- height;
- mammary gland;
- the presence of pubic hair;
- skin condition;
- menstruation and premenstrual symptoms;
- violation of the cycle or lack of menstruation;
- chronic diseases.
There are 3 types.
The prevalence of estrogen
These are women of medium or short stature, seemingly very feminine. They have dry hair and skin, prolonged menstruation with great blood loss, a cycle of more than 4 weeks. Women with this phenotype typically have high- or medium-dose oral contraceptives. For example: Milvane, Triziston, Rigevidon.
Balanced type
Women are of average height, feminine, the mammary glands are medium in size and sufficiently developed, the skin and hair are of normal fat content, there are no premenstrual symptoms, menstruation lasts 5 days every 4 weeks. Such women are more suited to second-generation drugs: Silest, Lindenet-30, Marvelon, and Femoden.
The prevalence of androgens
These types of women are tall, their appearance is more reminiscent of the male, underdeveloped mammary glands, oily skin and hair, discomfort and frustration on the eve of menstruation with pain in the abdomen and lumbar region. Menstruation is not plentiful, lasts less than 5 days, a short cycle. In this case, the doctor prescribes hormonal tablets with an antiandrogen component: “Yarina”, “Zhanin”, “Jess”, “Diane-35”.
Now consider the good non-hormonal birth control pills.
Non-hormonal drugs
To date, women of reproductive age are increasingly using chemical protection against pregnancy provided by non-hormonal drugs. They are not tablets as such. They need to be taken not inside, like traditional hormonal contraceptives, but injected directly into the vagina. Examples:
- "Farmateks" is one of the most popular because of its low cost, which is combined with high efficiency. Effective after 10 minutes after ingestion, does not lose its properties for several hours.
- Ginotex is a pill that has an annular shape. Introduced inside no later than 5 minutes before intercourse. The tablet works for 4 hours.
- "Erotex" - are non-hormonal contraceptive suppositories, active after 10 minutes, work 3 hours.
- "Contratex" - the same principle, active for 4 hours.
The best pills for women under 35
Before buying any drug, you need to consult a doctor. Because, choosing contraceptive drugs, you need to pay attention to the smallest nuances, for example, the age of a woman, the frequency of sexual intercourse and the number of partners, the general condition of the body. The best oral contraceptives that have no side effects and are suitable for nulliparous young women are microdosed contraceptives, in which the hormone content is minimal. These are drugs: Logest, Movinet, Yarina, Jess, Mercilon.
If drugs with small doses of hormones do not help, then it is necessary to use low-dose drugs: Belarus, Regulon, Zhanin, Silest, Mikroginon, Femoden. All of them are suitable for young women under 35 years old.
What are the best birth control pills for adult women?
Preparations for women after 35
Women who are of the late reproductive period, who have had sex and previously gave birth, are recommended medium-dose oral contraceptives. They are able to give good protection and maintain a normal cycle of menstruation. One of the best contraceptives without side effects for women over 35 is: Triziston, Trikvilar, Chloe, Femulen, Marvelon, Tri-Regol.
Good birth control pills for high birth hormones can only be taken for treatment, and only as directed by a doctor. Also, such funds can be used in cases where medium-dose drugs can not cope with their task. High hormone medications are suitable for women who have several children and belong to the late reproductive period.
Reviews of good birth control pills are presented at the end of the article.
How to correctly use hormonal oral contraceptives?
Typically, birth control pill blisters contain 21 tablets. Only a few are the exception, for example, “Jess,” because this is a new generation of drugs, they contain 24 tablets, and their doctors often prescribe young girls. And for women after 35 years, the gynecologist can advise the drug “Klayra” (also a new generation), which contains 28 tablets. How to use contraceptives? You need to drink tablets every day, it is very important to do this at the same time, the start of use is the first menstrual day. In order not to forget to take another pill, it is best to put them in the place where the woman most often looks (on the kitchen table, in the cosmetic bag, in the bathroom, along with the magnet on the refrigerator).
Every day at the same hour it is necessary to drink one tablet until the blister is over. After it is supposed to make a suspension within a week. During the break, bleeding similar to menstruation will begin.
After the end of 7 days, start taking oral contraceptives again, and it does not matter if the menstruation has ended or not. If vomiting occurs, take another pill. If you suddenly missed taking the pill, then you need to take it as soon as possible. And in these cases, it is necessary to be protected additionally during the day.
If the drugs have not been used previously, it is necessary to protect themselves additionally for the first two weeks. Hemorrhages between periods are not considered a reason to stop taking the drug. Typically, such bleeding is observed in the first few months and speaks of tuning the body to hormones that are synthesized in the ovaries. Which contraceptive pill is better to choose after 35 years, the doctor should tell.
Reception of combined hormonal drugs after surgical termination of pregnancy must begin on the day of its conduct or a month later, during the first menstruation.
The contraceptive effect of contraceptives may become less with the simultaneous use of other drugs. So before starting treatment for any disease, talk with your doctor about taking contraceptives and carefully read the instructions for use of the drugs that you prescribed. If these are drugs that reduce the effect of contraceptives, additionally use other methods of protection.
The best birth control pill after giving birth is mini-drank.
Standard blisters contain 28 tablets. They must be drunk without interruption for 7 days. Mini-drinks are suitable for women who are breastfeeding. If a woman gives preference to artificial feeding, then low-dose COCs are suitable for her. The best birth control pills are Regulon, Minisiston, Belara. You need to know that the contraceptive effect will begin to act only after two weeks of taking a contraceptive.
Reviews of good birth control pills
Reviews about the pills are mostly positive.
Everyone is concerned about the question of whether it is possible to become pregnant when taking birth control pills. Of course, this situation is no exception, but still the probability is very small. An unwanted pregnancy occurs if contraceptive rules have been violated. Also, people in the comments write that it is necessary to take into account the possible appearance of vomiting in case of various poisonings or the simultaneous administration with drugs that can reduce the contraceptive effect. And if pregnancy occurred while taking birth control pills, and it is desired, then there is no indication to stop it. You just need to finish taking birth control pills.