Database of diseases - Contraception

CHAPTER VI; ANTICONCEPTIVE HORMONAL PILL      


Hormonal pill only on prescription!

If you look at the recipes that go to the pharmacy, it would turn out that tablets are usually prescribed by gynecologists. This does not mean, however, that the pill can not be prescribed by an internist or a family doctor: of course, he can do it. This is most often the case in those countries where family medicine is more developed, and doctors less suspicious - and less ideologically - refer to contraception.



It is important that the prescription of the pill for the first time is preceded by a breast examination, an in-depth interview - that is, a thorough conversation conducted by a doctor - and a basic gynecological examination.

The aim is to exclude more serious gynecological diseases, carry out preventive cytological examination and make sure that the woman is not pregnant. The purpose of the preliminary tests and conversations is also to determine what preparation the patient can take. Pills containing the lowest doses of hormones are proposed primarily to young women, with a low body weight, and those who have not yet given birth. Older women who have had childbirth better tolerate preparations containing more hormones. Of course, this is not a rule: it is never certain whether the chosen preparation will be the right one for a given patient.


First one package - for a test

Therefore, when a physician orders a pill for the first time, he usually only writes down one package - somehow to the test - and proposes a return visit after a month. The idea is that the woman, when taking tablets, observes how the body responds to them, whether there are any adverse symptoms, how under the influence of pills changes her mental and physical well-being.


The most common side effects of hormone pills are spotting, nausea and headaches.

In this case, the doctor usually records the continued use of the pill. And no wonder: these minor symptoms usually go away after two - three months, when the body has already got used to the pill. However, it may turn out that during the first month of taking the tablets there will be increased complaints: vomiting, migraine conditions, intense bleeding or other symptoms of drug intolerance. Then the doctor may suggest to the patient to change the preparation for another, or even change the method of contraception.


How to use the first hormonal pills?

Dosing a hormone pill is a precise procedure. The first pack: the first pellet should be swallowed on the first day of the monthly cycle (ie on the first day of bleeding). For example, if the period appears on Monday, it will be the dragee marked on the package "Mon. "For 21 days, follow the direction of the arrows one by one, preferably at the same time of the day, after taking all 21 you need to take a 7-day break. During these 7 days without a pill you will have a period of bleeding.


Table of contents of the entire Guide:
CHAPTER III; NATURAL METHODS IN ANTICONCEPTION
CHAPTER IV; PREZERVATIVES AND OTHER MECHANICAL ANTICONE METHODS
CHAPTER V; PLEMNIKOBÓJCZE - SPERMICYDY
CHAPTER VI; ANTICONCEPTIVE HORMONAL PILL
CHAPTER VII; INTERNAL WASHER - "SPIRALA"
CHAPTER VIII; ANTICONCEPTION AFTER RELATIONSHIP
CHAPTER IX; ANTICONCEPTION FROM THE PARTY PARTY
CHAPTER IX ANTICONE AND CHILD PLANNED



The first cycle with the tablet is usually shorter than the next.

As we know, the pack contains 21 tablets.Because we start to take pills on the first day of the cycle, and after finishing each package, we take 7 days break, during which the bleeding occurs, in this first cycle with the tablet we shorten the period between bleeds. The next cycles will be longer: 21 days with a tablet, 7 days break (with a short bleeding) and the next 21 days with tablets from a new package. The cycles with the tablet will thus resemble regular, non-protic cycles with length.


During the first and all subsequent cycles with the pill, there is an important rule of hormonal contraception: one tablet on one day, at one time.

It's good to write in the notebook the date you took the first tablet from the pack. It's best to get used to taking pills each time in the same situation, for example, just after brushing your teeth. This makes it easier to avoid the mistake of leaving one tablet. It is convenient to take the pill in the evening. In some women, the pill slightly increases appetite, so it is better to sleep this time, instead of usinglessly overeat. Other ladies may feel nausea at first, but it's better to sleep this disease.


It is important that after 7 days without the tablet start a new pack, regardless of whether the bleeding is over or is still in progress.

With this scheme in mind, the first pellet from each new package is always taken on the same day of the week. For example, if the first packet dragee is swallowed on Monday, the first day of the break and taking the first packet from each new pack will also fall on Monday.


Apparently, it seems that there is nothing simpler than the rule: 1 pill every day for 21 days, then 7 days break, after them 21 pills from the next pack, again 7 days break, and so on and on.

And yet there are sometimes mistakes. Not every man lives with a calendar in his hand.


There are also special cases: women who travel far and far, crossing time zones, can easily skip one pill than others.

Regular taking of the pill is necessary to ensure a contraceptive effect. The use of a pill according to the above principles ensures contraceptive effect from the first to the last (28) day of the cycle, including a 7-day break (from the first pack from the first pack). If you forget to swallow the dragee at the usual time, count how many hours it is late. If less than 12 hours, there is no reason for concern. Swallow the forgotten dragee and take the next dragee at the usual time.

 

How to increase the effectiveness of the hormone pill?

1. Take the pill at the same time. Record the date of taking the first tablet from the package. Check with the calendar in hand, whether you missed it.

2. Always start packaging on Sunday. Thanks to this, during the weekend you will not have any bleeding. If the first pack starts on a different day than Sunday, you can add a few tablets. Consult a doctor.

3. Do not put your pills off hastily for a couple of weeks.

4. If you are ill and your doctor prescribes you medicines, always be sure that you take a pill and check that new medicines do not affect its effectiveness.

5. If mild discomfort occurs, do not stop taking your pills overnight. Contact a doctor.

 

Author dr. n med. Grzegorz Południewski, Olena Skwiecińska
Excerpt from the book - "How to avoid pregnancy - A contraceptive guide"

Table of contents of the entire Guide:
CHAPTER III; NATURAL METHODS IN ANTICONCEPTION
CHAPTER IV; PREZERVATIVES AND OTHER MECHANICAL ANTICONE METHODS
CHAPTER V; PLEMNIKOBÓJCZE - SPERMICYDY
CHAPTER VI; ANTICONCEPTIVE HORMONAL PILL
CHAPTER VII; INTERNAL WASHER - "SPIRALA"
CHAPTER VIII; ANTICONCEPTION AFTER RELATIONSHIP
CHAPTER IX; ANTICONCEPTION FROM THE PARTY PARTY
CHAPTER IX ANTICONE AND CHILD PLANNED