Tuesday, June 23, 2020

Oral contraceptives are actually not that scary

"Contraceptive pills?! Doctor, is it safe?" As soon as the doctor told to take oral contraceptive pills, many patients immediately blurted out the problem. In everyone's mind, oral contraceptives are hormones, which can cause weight gain, breast cancer, and cause various adverse reactions. However, is this really the case?

In fact, compound oral contraceptives (COC) are currently one of the most widely used high-efficiency contraceptive methods worldwide, but the use rate of women of childbearing age in China is very low, one of the main reasons comes from the fear of hormone drugs. Insufficient understanding or prejudice. Here, we answer some common questions about compound oral contraceptives, eliminate everyone's concerns, and correct related misunderstandings.

1. Will compound oral contraceptives cause menstrual disorders?

COC will not cause menstrual disorders, and it is often used clinically to adjust the menstrual cycle. Occasionally, drip bleeding occurs, which generally does not affect life. If you take oral contraceptives correctly and regularly, you still have abnormal uterine bleeding for a long time, and you need to seek further medical attention to rule out other factors.

2. Will compound oral contraceptives cause obesity and acne?

Current research shows that all types of COC have a certain therapeutic effect on acne, which is an ideal choice for female acne patients with contraceptive requirements. Although a few people take weight gains after taking the compound oral contraceptives, they are not really "obesity." It is just because of water and sodium retention. In layman's terms, the excess water in the body fails to be excreted, resulting in weight gain, not because of the growth of fat tissue. The latest generation of oral contraceptives containing drospirenone can effectively prevent weight gain due to fluid retention, such as Yosemite.

3. Will compound oral contraceptives cause tumors in the female reproductive system?

COC can reduce the risk of ovarian cancer and endometrial cancer. Although it may slightly increase the risk of cervical cancer, it is not the main factor. As we all know, the occurrence of cervical cancer is mainly related to HPV (human papillomavirus) infection, and COC only increases the risk of cervical cancer in women infected with HPV. For women infected with HPV, regular physical examinations are required every year. Therefore, during the COC, annual cervical cancer screening can be used to minimize this risk.

4. Will misuse of the compound oral contraceptive cause fetal malformation? How long can I get pregnant after stopping the medicine?

Using COC during pregnancy or mistaking COC during pregnancy does not increase the risk of fetal congenital malformations and will not cause neonatal teratogenesis.

The impact of COC on fertility is reversible and can be restored after stopping the medication. Therefore, you can get pregnant after stopping COC without waiting for 3 to 6 months.

5. Can compound oral contraceptives be used for breast hyperplasia and uterine fibroids?

For women with a family history of breast cancer, benign breast disease (eg, breast hyperplasia) or uterine fibroids, according to the WHO "Medical Standards for Selection of Contraceptive Methods", they belong to category 1 and can use compound oral contraceptives without restriction.

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