Let’s omit the fundamental concepts about this group of contraceptives including https://pillintrip.com/medicine/desirett (they are described in the last article) and move on to the essentials.
What worries women more and more often when deciding on the long-term use of oral contraceptives? Weight gain. But gynecologists are worried about thrombotic complications when using this method. Let’s sort it out in order, reassuring you and us.
To begin with, the balance of risk and benefit has been confirmed by a large number of studies, but still the word “hormones” still manages to instill fear in a woman.
First, the “terrible” estrogens lower the concentration of cholesterol and reduce the content of atherogenic lipoproteins. Secondly, the 21st century is in the yard, and now there are no high-dose combined oral contraceptives. The currently used drugs contain a small amount of those same estrogens and are metabolically neutral, that is, your figure is safe.
Thirdly, if we are talking about thrombotic complications, then the risks (with the correct selection of the drug) are not higher than with smoking, long flights, extensive operations and in the postpartum period. There is also a nocebo effect (occurs if a drug without pharmacological action causes a negative reaction in the patient).
There are several large groups of drugs, and depending on your complaints / established diagnosis / desired result, the gynecologist can choose the ideal one.
What is needed for the appointment of COC
No hormone tests. Yes! We do not need to know the baseline in order to prescribe oral contraceptives. And you need:
1. Interview you. Thoroughly, meticulously, in detail and with passion! There are questionnaires for a more convenient conversation, but you can simply collect an anamnesis of your life and diseases.
❗ Please, coming to the doctor, trust him, tell about the past illnesses, about the diagnoses, the drugs taken and bad habits. We can only help if you see the full picture.
You also need to measure blood pressure (we are alarmed not only by hypertensive conditions, but hypotension, that is, a decrease in pressure).
2. Inspect. This includes a gynecological examination on a chair and an examination of the mammary glands (with an ultrasound of the mammary glands for women under 35 or mammography if you are older).
3. Assign a coagulogram (to assess blood clotting) and a biochemical blood test (the level of glucose, lipoproteins, cholesterol, bilirubin and liver enzymes is important there).
Take a smear for oncocytology from the cervix and examination for STIs.