Drugs from this group: Logest, Regulon, Novinet, Jeannine, Jess, Yasmin, Rigevidon, Lindinet, Marvelon, Three-Mercy, Three-regolith, Diane-35, Chloe
Combined oral contraceptives (COC) ? is the pill that contains two types of female hormones: estrogen and progestin.?These hormones are similar to the hormones that are produced in healthy women not using any contraception.
Like other hormones, combined oral contraceptives blocking ovulation (the release of the female reproductive cells) and make the cervix impenetrable to sperm.?Due to the fact that in the COC are two types of hormones, they are considered more reliable than birth control pills that contain only progestin (see above minipill).
Combined oral contraceptives must be taken every day, preferably at the time.?Drugs from the group COC issued in the form of packages containing 21 or 28 tablets.
Preparations with 21 tablets per pack to take 1 tablet every day.?After the 1 pack to make a break for 7 days and then have to start taking the pill from a new package.
Preparations with 28 tablets per pack to take 1 tablet every day.?After the 1 package should immediately, without interruption, to start taking pills from a new package.
Efficiency
?Combined contraceptives are highly effective.?When properly used, they reduce the risk of pregnancy up to the tenth of a percent.?However, numerous errors that are possible when taking these pills daily and reduce their effectiveness.?For this reason, the practical risk of pregnancy when using COCs as a primary contraceptive method is about 5% per year.
Advantages
- Combined oral contraceptives stabilize the menstrual cycle and make a regular monthly
- Regular intake of combined contraceptive pill reduces blood loss and pain during menstruation
- Ability to conceive a child is restored within a few months after taking the tablets
- COCs reduce the risk of mastitis, ovarian cysts, ovarian cancer, uterine cancer, inflammatory diseases of the female reproductive organs.?The protective effect of the combined oral cancer and ovarian cancer and uterine stored for 10-15 years after their admission.
- COCs are used in the treatment of many gynecological diseases (eg, endometriosis, irregular vaginal bleeding, etc.)
Limitations?
- Combined oral contraceptives do not protect against sexually transmitted infections
- The most important disadvantage of this type of combined contraceptive pill is the need for daily administration of the drug and the associated probability of error.?COC is advisable to take at a certain time.?Skipping 2 pills can reduce the protection against pregnancy and requires additional methods of contraception for at least the next 7 days.?
- After the start of combined oral contraceptives may cause irregular vaginal bleeding, headaches, feelings of tension in the breasts, depression.
- After the end of COCs may be in breach of a regular menstrual cycle (an earlier start, or, conversely, the delay period).
Combined oral contraceptives are recommended as the primary method of contraception for young, non-smoking women who have regular sex without the risk of contracting sexually transmitted diseases and without concomitant diseases (see When you can not take hormonal contraceptives? ), in which hormonal contraceptives banned. COCs may use young couples for whom it is important to avoid getting pregnant at the moment, but who want a child in the future.To protect against pregnancy COC may also be used by women who are prescribed as treatment of certain gynecological diseases.Detailed answers to questions related to the safe and effective use of COCs as a primary contraceptive method presented in the paper pill .
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