Contraception of women who are breastfeeding
Today, even special ones are producedContraceptive pills for breastfeeding women: they use only synthetic progestins. These drugs make it possible to prevent the development of unwanted pregnancy in the body if it has not yet had time to recover from the previous birth and bearing a child. However, any of these drugs should be taken daily, preferably at the same time: the maximum break in taking the drug should not be more than 36 hours. Depending on the composition of the drug, some contraceptive pills must be taken without a break for 28 days in a row. The optimal contraceptive drugs that are prescribed to patients regardless of age are pills that do not contain estrogens - mini-pills. Accordingly, after 40 years, contraceptive pills can be prescribed even to patients who have a long history of smoking or cardiovascular disease, for which the appointment of estrogens is categorically undesirable. The main effect of this type of contraceptive drugs is on the motor skills of the muscles of the internal genital organs and changes in the characteristics of the cervical mucus: the speed of passage of the egg is accelerated several times, and the mucus becomes very viscous and thick, and therefore spermatozoa are not able to penetrate the fallopian tubes and the uterine cavity, which interferes with fertilization. The effectiveness of such contraceptives for older women or nursing mothers is slightly lower than the effectiveness of oral combined contraceptives, but this method of preventing pregnancy is more humane than terminating an unplanned pregnancy. The likelihood of side effects of contraceptives depends directly on the composition of the drug. It is higher when prescribing combined pills than when using monophasic drugs devoid of an estrogen component: there is a risk of thrombosis, including pulmonary embolism. That is why they should be prescribed only by a qualified gynecologist. It is also important to remember that if there is a break longer than 36 hours, the risk of side effects of birth control pills increases: dysfunctional bleeding from the genital tract is possible, and one cannot hope for reliable prevention of pregnancy. To prevent bleeding, it is necessary to continue taking pills from the previously started package until it is finished, while pregnancy can be prevented by using mechanical barrier contraception (condoms).
Contraceptive pills currently in use
At the moment, the most popular drugs, which are positively reviewed by both gynecologists and patients, are:
- Jess - oral combinationa contraceptive that contains the minimum possible amount of estrogens. That is why the drug causes a minimum number of complications, and vascular effects very rarely develop even with prolonged use. The drug does not cause fluid retention in the body and does not provoke edema, so the threat of weight gain is very insignificant. Jess tablets can be used by women of any age and used to eliminate acne, seborrhea and hirsutism. They are taken for 28 days in a row.
- Novinet is a combined contraceptive withthe lowest content of estrogen, which is released in blisters of 21 tablets. That is why when taking this drug, it is important to take a break of 7 days, during which menstruation should occur. The advantage of this drug is the possibility of its use by nursing mothers: it significantly increases milk production, which can be useful for women who want to maintain natural breastfeeding. Similar effects are also possessed by the drugs Klayra and Lindinet, which most naturally reproduce the hormonal background of the woman's body.
- Janine is a single-phase combineda contraceptive that can simultaneously affect ovulation, change the properties of cervical mucus and the condition of the uterine mucosa. The drug must be taken for 21 days, after which it is necessary to take a break. The contraceptive Yarina has a similar effect.
- Regulon is a contraceptivea combination drug that helps not only prevent unwanted pregnancy, but also has a therapeutic effect in case of significant changes in the hormonal profile and menstrual cycle disorders. In the drug Regulon, the number of estrogens and progestins is slightly higher than in other drugs from the same pharmacological group. For the convenience of the patient, the tablets are marked according to the days of the menstrual cycle.
Conclusions about contraceptive pills
Today, you can choose similar drugs forall representatives of the fair sex, regardless of age, but only a qualified gynecologist can explain how to choose birth control pills and select the best remedy for a particular woman. In certain cases, a thorough laboratory and instrumental examination is carried out before this: it is important to detect possible contraindications to their use in time. If necessary, you can take good birth control pills even after 40 years: in modern conditions, the age of menopause is steadily increasing, so such drugs are in demand even in this age group. When used by patients of this age group, contraceptives help prevent the development of complications of menopause in the future, including osteoporosis. It is better not to choose hormonal drugs on your own, such attempts cannot be called good. This is how you can answer the question of which birth control pills are best used to achieve good results.
