They contain a mixture of synthetic estrogen and progesterone
hormones in different concentrations. Now how do they work? Simple, they
prevent ovulation from happening all together and as a backup plan,
they make implantation harder in the uterus, so yeah its quite an
effective contraceptive. It also has some nice bonus benefits such as reduction of heavy
menstrual flow and some women actually use the daily pills for this
benefit. It also has been said to reduce the risk of cervical and
ovarian cancers and its use is generally independent of intercourse. On the flip side, it may cause some weight gain and for the oral
pills which is the most readily available, affordable and used, it may
be hard to keep up with the daily schedule thus leading to missed pills.
While on the subject of missed pills, here is what to do if that
happens : if one or two days maximum were missed, simply continue taking
the pills the moment you remember and you are good. However, if it is
more than two days missed, still take the tablet immediately and
continue however u will need to use barrier protection for the next
seven days. Lastly, if u miss a pill within the last week of the pill Callender,
you continue once you remember but however, you will commence the next
sachet immediately and skip the pill free period for that month in
addition to using barrier protection for the next seven days. Warning: people who have preexisting conditions that can predispose
them to thromboembolic crisis (formation of clots within the vessels)
should avoid combined hormonal contraceptives. Conditions like
prolonged bed stay, recent stroke, any form of vascular disease
including hypertension, and also females above 35 years who smoke are
not advised to use this either. Also as a pre operative precaution,
hormonal contraceptives should also be stopped.
Other forms of combined hormonal contraceptives have essentially the
same side effect profile and a few more advantages because they have
higher levels of compliance which means chances of forgetting to take
them are significantly reduced.
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