Author:Sa Jie (Attending Physician of Obstetrics and Gynecology)
Last week, Sajie gave everyone a popular science male contraceptive injection, and many sisters were eager to try it, and they said that they wanted to give their husbands a "shot" (finally coming!). Male contraceptive needles or will be mass-produced, one needle will work for thirteen years! So that you can no longer worry about the problem of contraception. There are also many men who say that they are eager to try it and feel itchy in their hearts.
In fact, with the development of science and technology and medicine, contraception, Sajie feels that it will definitely become more and more convenient, more and more simple, this is not, and here comes a new news:
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Take it once and you can manage oral contraceptives for weeks! All have been sponsored by Bill Gates, the next step will be to enter the human test, want to use oral short-acting contraceptives for contraception, and worry all day about missing the sisters who forgot to take, your blessings are behind
Sajie once wrote an article to discourage some people who are prejudiced against oral short-acting contraceptives, because someone once said under the article of Sajie: Women who take contraceptives all day are not good people.
At that time, this sentence simply made Sister Sa angry, fortunately, she only dared to type on the Internet, if in front of me, Sister Sa really wanted to scold him so much that he couldn't open his mouth!
What age is this, their heads are backward and can't keep up with the times, then they will willingly degenerate into the dregs of society, and they have to run out and shame people's eyes, why does nature have to survive the fittest, it is because this bad gene needs to be eliminated!
Whether a person is a good person in the end is related to his personality, what kind of education he is, the level of his appearance, his height or the economic level of his family have nothing to do with it, and it has nothing to do with taking a small pill!
People who say such things should really be glad that they were born a little earlier, otherwise there are so many contraceptive methods now, they may not have the opportunity to come to this world if they are not careful!
At present, women who choose oral combination short-acting contraceptives for contraception can be said to be many, because Sajie will basically be asked questions about this aspect every day, such as: Sister, why did this contraceptive pill eat contraception?
Although oral combination short-acting contraceptives have several mechanisms of action, the most important reason is that after taking them, it can inhibit the peak of luteinizing hormone (LH) secretion during menstruation, so that the body does not ovulate.
Everyone thinks, no ovulation, where does the pregnancy come from? It is difficult for a woman to cook without rice!
Another potential contraceptive mechanism is to inhibit gonadotropin secretion during the follicular phase of the menstrual cycle, thereby preventing the follicle from maturing.
Mechanisms associated with progesterone include affecting the endometrium to make it unsuitable for implantation, and altering cervical mucus to detrimental sperm penetration.
Image source: Stand Cool Helo
First, so many short-acting contraceptives, which one do I choose?
Almost all combination oral contraceptives contain estrogen in ethinyl estradiol. The current standard is generally 30-35 μg of ethinyl estradiol, but many new combination oral short-acting contraceptives now contain only 20 μg.
In fact, as long as there is nothing uncomfortable eating and good compliance, the contraceptive effect of 20 μg of drugs can be similar to the effect of standard doses of drugs.
Especially for perimenopausal women with menopausal symptoms (hot flashes), these low doses are a good choice because not only contraception can be achieved, but also can help control bleeding.
There are several types of combined contraceptives, such as single-phase pills with only one color, and bi-phases of two colors, or even three-photo of three colors. Each tablet of a monophasic hormone active contains the same dose of estrogen and progesterone.
Dual or triple photos contain different doses of the hormone (usually progesterone) throughout the cycle.
There are no proven advantages of multiphase regimens, but the dosage forms are different, so we generally recommend starting with monophasic drugs.
Second, if I want to eat, how should I eat it?
Although we may sometimes recommend starting to take it on the first day of menstruation in order to maintain the original regularity of menstruation, this is not always the case, and we can start taking short-acting contraceptives at any time during the menstrual cycle.
As long as pregnancy is reasonably excluded, that is, it is determined that there is no pregnancy, then you can start taking it on the day you get your prescription.
Of course, there is another option is the Sunday start method, that is, starting the medication on the first Sunday after the start of menstruation, so that you will be more likely to remember the time and try to avoid missing and forgetting to take it.
As we've said before, in addition to contraception, oral combination short-acting contraceptives have some other benefits, such as acne, hirsutism, menorrhagia, dysmenorrhea, pelvic pain, and premenstrual syndrome (PMS).
Moreover, current research suggests that estrogen-progestin contraceptives can also reduce the risk of ovarian and endometrial cancers.
However, it should be calm that not everyone can casually buy short-acting contraceptives to eat, such as women with these conditions:
Breast cancer;
Cirrhosis of the liver;
history of stroke;
Venous thromboembolism;
Known coagulation mutations;
Known ischemic heart disease;
Aura migraines of any age;
Hepatocellular adenoma or malignant tumor of the liver;
systemic lupus erythematosus (positive or unknown antiphospholipid antibodies);
Age greater than or equal to 35 years old, daily smoking greater than or equal to 15 cigarettes;
hypertension (systolic ≥160 mmHg or diastolic ≥100 mmHg) with complications of valvular heart disease (pulmonary hypertension, risk of atrial fibrillation, history of subacute bacterial endocarditis);
Multiple risk factors for arterial cardiovascular disease (e.g., older age, smoking, diabetes, and hypertension).
We do not recommend women with or suspected conditions to choose oral combination short-acting contraceptives, and other safer contraceptive methods, such as condoms or birth control rings, can be considered.
It should be said that some women may have heard that women over the age of 40 can not take short-acting contraceptives for contraception, in fact, the US FDA used to set the upper age limit of OC use to 35 years old for smokers and 40 years for non-smokers, but in 1989, all age limit reference values for healthy non-smoking women using OC were removed.
Therefore, at present, we believe that healthy non-smoking women before menopause, if you want to choose, you can still use oral combination short-acting contraceptives, of course, you need to do a good job of related physical examinations Oh ~ Some people have come up with "feminism" to speak, thinking that contraception is a cruelty to women, and Sister Sa feels that this view really cannot be agreed.
If controlling one's reproductive rights is a mutilation of women, then what is the flow of medicine and abortion? Isn't it true that women protect themselves to avoid mutilation? This idea is ridiculous!
You know, there are some things that we must understand after we have suffered losses.
For example, relying on others never expects to be more reliable. What really belongs to oneself, the initiative must be firmly in one's own hands.
And some losses, we really don't have to eat.
* This article is reprinted with permission from the WeChat public account Doctor Girl Zhengchuan.