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Sunday, 8 December 2013

Oral Contraception - The Good, Bad and Ugly of The progestogen Only Pill

The Oral Contraception Pill normally is prescribed by your doctor to reduce the heavy period blood for woman as well as in treating of period pain, or for contraceptive purpose ( 21 days on and 7 days off). Oral contraception is the dominant method of contraception for women in the world wide, in Canada there is more than 43% of sexually active women use it. It is defined as medications taken by mouth to prevent unwanted pregnancy.

Type of Contraception
1. The combined oral contraceptive pill contains estrogen and a progestogen
2. The progestogen-only pill contains only progestogen.

The progestogen-only pill
The progestogen-only pill contains only synthesis progestogen, and is also taken once per day. This type of pill contains no estrogen also known as the progesterone-like pill or progestins, it helps to maintain milk production for breastfeeding mother and to thicken the cervical mucus, thereby preventing sperm from entering the uterus. It must be taken at a certain time every 24 hours for effectively. The progestogen-only pill can be affected by any episodes of diarrhea or vomiting.

1. Types of Progesterone medicines
a) Injecting medicine
Type of progesterone medication injected in the women body every three months, such as Depo Provera. It is good for women who want to have long term contraception, it may work well for some women but study shows that it causes bone loss and sometimes osteoporosis.

b) Implant medicine
The other type of progesterone like medicine such as Implanon is implanted into the fat of a non dominant arm and last about 3 years. It may not cause bone loss as Depo Provera, but it causes male like pattern such as excessive hair growth and deepening the voice.

c) Progesterone-like pills
i) Progesterone like pill in treating excessive menstruation
If a woman does not have progesterone irregularity, her doctor may prescribe this type of medicine for her. It helps to complete shredding of the endometrium and stops the abnormal bleeding. Besides all the good thing of this type of progesterone like pill, it also has it side effects, such as elevating level of cholesterol.

ii) Other types
Other types of progesterone like medicines, such as Provera, Duphaston, they helps to relieve of menstrual cramp with no long term serious side effects by creating the pregnancy-like state but their short term side effects including spotting and bleeding.

Symptoms and risks
1. Breast tenderness
Due to the absence of estrogen and high amount of progesterone hormone in the body, that can cause breast tenderness.

2. Weight gain
Since the pill creates a pregnancy state, it can cause weight gain such as you are pregnant.

3. Psychaitric Disorders
There are reported that women who have taken the progesterone only pill can increased the risk of developing of depression, anxiety, personality disorders, irritability , etc.

4. Menstrual Changes
Taking progesterone only pill can change your period. You may experience irregular bleeding, period with shorter and lighter bleeding, etc.

5. Digestive Problems
The progesterone pill can also cause heartburn, diarrhea or vomiting due to persistent amount of synthesis progesterone in the body.

6. Etc.

The Good, Bad and Ugly of The progestogen Only Pill
1. The good
a. It doesn’t interrupt sex.
As we mentioned in the last article - women who take the contraceptive pill are in danger of permanently lost their interest in sex because the oral contraceptive pill inhibits testosterone, the hormone that drives sexual desire even after if they stop the pill.

b. It is an ideal contraceptive pill for breast feeding women
Due to the Pills containing estrogen,, it can cross into breast milk, causing harmful to the health of baby, while crossing over of progesterone does not affect the baby health.

c. It is ideal for women who can not take oral contraceptive pill due to breastfeeding, diabetic or have a history of high blood pressure, cardiovascular disorders, etc.

d. You can use it if you smoke and are 35 and over.
Women who is taking the pill and smoking,may be in danger in developing of blood clots, heart attack, and stroke, etc. while progesterone does not. Women who are over 35 of age may be at risk of blood clot, if taken the the pill, according to the Department of Health and Human Services.

e. It may helps to release premenstrual symptoms and painful period
Since the progesterone only pill decrease the levels of FSH that prevents the increase in estradiol levels, leading to inhibition of follicular development and the absence of a LH surge, thus preventing ovulation.

f. You are protected against infectious reproductive diseases
Since it affects the mucus around the cervix, making it harder for sperm to enter the uterus, it also reduces the risk of sexual transmitting disease such as HPV.

g. Etc.

2. The bad
a. Ovarian cyst
Increased risk of functional ovarian cyst due to suppress of ovulation as a result of inhibition of follicular development and the absence of a LH surge.

b. Etopic pregancy
An ectopic pregnancy occurs when a fertilized egg implanted somewhere else other than inside the uterus. The low levels of estrogen increase the risk of its function in transporting the fertilized egg from the Fallopain tuble to the uterus.

c. Pregnancy
The risk of pregnancy for women taking the progesterone is 2-3%.

d. Increased risk of breast
In 2 studies of use of estrogen, progestins, and progesterone from France, researchers found that sharp contrast between natural progesterone and the use of progestins. In conjunction with a transdermal estradiol gel, there was no increase in rates of breast cancer in the women using natural progesterone. Additionally, a recent review of progestins, progesterone, and breast cancer risk looked at over 100 references and found that only the synthetic progestins, particularly when given continuously, increased breast cancer risk.

e. Etc.

3. The ugly
a. Feeling hungry
That is why the reason the progesterone only pill makes gaining weight.
b. Irregular periods or they may stop
You lost the projection of when the period will arrive.
c. heartburn, diarrhea or vomiting
d. Nervous disorder, such as depression, anxiety, personality disorders,
e. Weight gain
f. Etc.
d. Etc.

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