birth control pills


Used for 50 years, well-known safe method of contraception,

The most widely used method of contraception in developed countries,

It can be used without interruption from the first period to menopause,

Those who have not given birth can use it safely,

Even breastfeeding mothers can safely use it 6 months after birth.,

REDUCES Ovarian Cancer, Intrauterine Cancer and Colon Cancer,

Ovarian cysts and myomas in the uterus are observed less,




It is used to regulate and delay menstrual bleeding.

DISEASES SUCH AS ENDOMETRIOSIS, POLYCYSTIC ovaries, bone loss and rheumatoid arthritis can be observed less frequently.

Birth control pills are safe methods of contraception that were introduced in the 1960s, are preferred by more than 100 million women today, and whose effects have been studied as well as aspirin. In most developed countries, it is the most preferred method by women. In our country, usage rates have reached only 8%.

Birth control pills contain synthetics of the hormones estrogen and progesterone secreted from the ovaries.

Since the estrogen dose was too high in the pills used 50 years ago, coagulation and embolism cases were encountered and the estrogen dose was reduced to a safe dose. Today, we use pills containing very low doses of estrogen. Despite the low dose, they have a very high protection against pregnancy. Birth control pills prevent ovulation and prevent pregnancy by suppressing the hormones secreted from the pituitary. The low doses of hormones in today’s pills are sufficient to suppress ovulation. Therefore, they can be used safely at young ages and in those who have not given birth. When used without forgetting even for a day, the rate of conception is one in a thousand. Since they are excreted from the body in 24 hours, if they are forgotten or not taken even for a day, the rate of conception increases 30 times and reaches 3%. Especially when the first pills are forgotten or started later than 7 days, the risk of pregnancy will increase. In short, pregnancy rates increase even when being infertile, not with new pills, is forgotten.

Synthetic progesterones used in birth control pills were produced from the male hormones testosterone 50 years ago, and they had an androgen effect, albeit to some extent. A new generation of synthetic progesterones are used in today’s pills. They show antiandrogenic effects. Because; They are used in the treatment of acne, pimples and hair growth. The antiandrogen feature has a positive effect on the lipid-cholesterol balance in the blood, even in women over the age of 40, They ensure safe use until menopause. . However, the antiandrogen effect may be exerted in some women. can reduce libido.

When the estrogen and progesterones in birth control pills are taken regularly, the inner layer of the uterus will swell and shed regularly, and menstrual bleeding will be regular. Since this swelling and shedding will be less menstrual bleeding will decreaseand using this method Anemia (iron deficiency anemia) will be less common in women.It is also considered normal for the bleeding to decrease to a few drops.

Birth control pills prevent pregnancy by temporarily suppressing ovulation. in the treatment of menstrual painIt has made them a very good option.

Some newly produced birth control pills are mostly used after ovulation (about 10 days before menstruation). PMS complaints(premenstrual breast tension, headache, swelling, etc.) seems to be the most appropriate treatment.

Birth control pills suppress ovulation, may occur with the failure of the egg cyst (follicle) to crack in some women, which may require an operation, albeit rare, It reduces the formation of simple cysts by 70-80%.

Suppressing ovulation for many years will reduce abnormal mitosis (cell division) from the ovaries, and ovarian cancer (the probability of being seen in a woman 1/70%) will be reduced by 50-60% in those who use birth control pills for at least 5 years. Protection from ovarian cancer continues until 20-25 years after stopping the pill.

Synthetic estrogen and progesterone in each pill will reduce intrauterine cancer (1/100th probability in a woman) by 50%, by reducing the abnormal cell division that only estrogen does in the inner layer of the uterus. Protection from uterine cancer will be 30% in the first year of use and will continue until 20-25 years after stopping the pill.

20-30% of colon cancerThere are strong studies showing that it protects

Commonly observed in the reproductive age in the society, increasing the risk of menstrual pain, bleeding irregularity and infertility, endometriosis reduces the associated complaints. It delays the progression of the disease.

In most of the young girls, it is seen with the signs of menstrual delay, weight gain and hair growth. polycystic ovary syndrome,The most effective treatment method today is the birth control pill.

Intrauterine tumors (fibroids)It has been reported that it is 30% less common in those who use birth control pills. Rheumatoid arthritis and osteoporosis (bone loss),less visible in birth control pill users.

Who Can Use Birth Control Pills?

From the first period to menopause,all women of reproductive age without a breakThey can use birth control pills. Breastfeeding women 6 months after giving birthThey can safely start the birth control pill.

Obese women, hepatitis carriers, goiter patients, those with varicose veinsbirth control pills they can use it safely . The World Health Organization constantly updates the criteria that show who can use the pills.

Who Cannot Use Birth Control Pills?

The World Health Organization, as with all other methods of contraception, has specified the criteria for which birth control pills are suitable. These criteria are updated approximately every 3 years, with the gathering of many experts from all over the world and the statistical studies of the last 50 years. According to the latest updates, the group of women who are not suitable to use birth control pills has decreased considerably. Only women who are over 35 years old, smoke more than 6 cigarettes a day, have blood pressure above 160/100 mm/Hg, have symptoms in kidney and eye vessels, and have diabetes for more than 20 years cannot use birth control pills.

In recent updates, birth control pills are not recommended for those with familial thrombophilia (Factor V Leiden mutation, platelet S and C deficiency). In simpler terms, those who have a family history of blood clots (embolism) and thrombosis cannot use birth control pills. Birth control pills should not be recommended for those with antiphospholipid antibodies.

Those with migraine can use birth control pills,however, they cannot use it if there is a pre-migraine aura (different emotional state, sensitivity to light, feeling of heaviness, etc.).

Birth control pills are not recommended for those with proven early stage findings of cervical cancer, defined as CIN, if they are found to be carriers of the HPV virus.

Interaction of Birth Control Pills with Other Drugs

Contrary to the old opinions, birth control pills such as alphacillin and tetracycline Can be used with antibiotics. They cannot be used together with rifampicin, which is used only in tuberculosis. women with epilepsy, Valproic acidIf they are using antiepileptic containing antiepileptic drugs, they can use birth control pills safely. . Antidepressants, thyroid medicationsalong with the birth control pill they can be used safely.

When Should Birth Control Pills Be Started?

The first day of menstrual bleeding is suitable for starting birth control pills. When started in this way, it will protect from pregnancy from the first month. After uterine evacuation (abortion) within the first 5 days can be started. It should be noted that ovulation may begin 10 days after abortion and there may be a risk of pregnancy. Non-breastfeeding women After a month They can start the birth control pill. Birth control pills if there is no suspicion of sexual intercourse or pregnancy during the month It can also be started outside of the menstrual cycle.

How Should Birth Control Pills Be Used?

The majority of birth control pills are used by taking one pill every day for 21 days, then starting a new box after a 7-day break. 3-4 days after the pill is finished, there will be withdrawal bleeding, which is less than normal menstrual bleeding. Pills due to less nausea preferably with dinner should be taken. But they can be taken at any time of the day. When the day’s pill is taken by following the arrows and days on the box, the probability of forgetting and skipping the pill is less. Reminder alarms can be used.

When the pill is forgotten one day, the forgotten pill should be taken as soon as it is remembered, then the pill that should be taken that day should be taken on time. It should be noted that the effect of the pill will decrease with vomiting and diarrhea.

In developed countries, it is common to use birth control pills for 3 months without a break, and to take a break for only 1 week after 3 months. In this way, women see only 4 withdrawal bleeds in 1 year. It has been widely used in women who do not want to see bleeding during their holidays, who have severe menstrual pain and bleeding, and who have complaints of tension in the chest before menstruation.

What are the side effects of birth control pills?

Some women using birth control pills nausea, chest tightness, headache, and bloody discharge observable. Findings are usually in the first 3 months will disappear. Those who use birth control pills sunspots increase in summer.Contrary to previous opinions, birth control pills do not have a significant effect on body weight, other reasons for weight gainhas been stated.

Which Birth Control Pills Should We Prefer?

Low-dose pills should be recommended for those who are first starting birth control pills. Most pills today, however, contain low doses of hormones. As the estrogen dose increases, nausea and chest tightness will increase. As the dose of progesterone increases compared to estrogen, bleeding between pills will decrease. In those who use pills containing 20 micrograms of estrogen, the dose of 30 micrograms of estrogen can be increased when the breakthrough bleeding is greatly reduced. Pills containing new generation progesterone are recommended for those with acne, acne and hair growth. Elderly women are recommended birth control pills containing third and later generation progesterone, which have a positive effect on lipid and cholesterol levels, such as aspirin. Some progesterone-containing pills are recommended for those with premenstrual syndrome (PMS). It should be noted that as the anti-androgen effect increases, libido (sexual desire) will decrease.


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