Conception Prevention

Hormonal Contraceptives in High-Risk Constellations

Age, obesity (overweight), diabetes mellitus, epilepsy, hypertension (high blood pressure), headaches/migraines, surgery, and smoking are the main risks that, individually or in various combinations, can make the choice of safe contraception (birth control) difficult for health reasons. This is particularly true for combined oral contraceptives (COCs; contraceptives containing an estrogen and a progestin). WHO has … Hormonal Contraceptives in High-Risk Constellations

Birth Control Pill: First Prescription

Combined hormonal contraceptives (CHCs), consisting of an estrogen-progestin combination, are usually used for hormonal contraception. In the so-called “micropill,” the estrogen component is 15-35 μg of ethinyl estradiol (EE) or estradiovalerate. Ultra-low-dose pills contain as little as 20 µg of ethinyl estradiol or estradiol valerate. The mini-pills are progestogen-only preparations. They contain either desogestrel or … Birth Control Pill: First Prescription

Birth Control pill: Contraindications

If there are absolute contraindications to hormonal contraception described below, the prescription or use of hormonal contraceptives is strictly not recommended.If there are relative contraindications, it is necessary to consider whether hormonal contraception, is useful. For example, “duration of hormonal contraceptive use” is a relative contraindication:Women taking oral contraceptives for ten years have a 17% … Birth Control pill: Contraindications

Risk of Depression due to Hormonal Contraception

The relationship between changes in mood and drive, or depressiveness, and the use of hormonal contraceptives has long been discussed and studied. Estrogens are thought to have more of an antidepressant effect, while progestins are more likely to have a mood-dampening effect. Danish authors published a large, population-based, prospective cohort study that for the first … Risk of Depression due to Hormonal Contraception

Etonogestrel Implant for Birth Control

The etonogestrel implant (synonym: contraceptive rod) is an implanted hormonal contraceptive (contraceptive) that is implanted subcutaneously and is based on the action of etonogestrel, which belongs to the progestins (hormone). The use of the implant is useful for women who wish to use contraception (contraception) for several years. Implantation of the etonogestrel preparation provides safe … Etonogestrel Implant for Birth Control

Hormonal Contraceptives: Obesity

Daily practice issues are: Are Hormonal contraceptives (birth control pills) associated with weight gain? Hormonal contraceptives safe in obesity (overweight)? The emergency contraceptives in obesity safe? Body weight Combined oral contraceptives (COCs; contraceptives containing estrogen and progestin) and progestin monocontraceptives have no significant effect on body weight or body mass index (BMI; body mass index). … Hormonal Contraceptives: Obesity

Hormonal Contraceptives: Efficacy with Drugs

Hormonal contraceptives (birth control pills) can increase or decrease the efficacy or bioavailability of medications by affecting The uptake (absorption disorders) of metabolism Intestinal mucosa (shortened intestinal passage e.g. diarrhea, vomiting, drugs). Liver (enzyme induction or enzyme inhibition bes. CYP P450 by drugs). Knowledge of these actions or interactions have a special weight from the … Hormonal Contraceptives: Efficacy with Drugs

Hormonal Contraceptives in the Breastfeeding Period

Many breastfeeding women are uncertain about the effects of hormonal contraceptives (contraceptives) and the extent to which there are risks to the baby. Combined hormonal contraceptives (contraceptives containing estrogens and progestins). May possibly interfere with milk production, especially at the beginning of the breastfeeding phase (data controversial) Pass <1% of maternal dose to the child. … Hormonal Contraceptives in the Breastfeeding Period