Hello everyone, I am Sun Yi, and everyone calls me Jojo. I am a master of medicine, an attending doctor of obstetrics and gynecology in Shanghai 3A Hospital, and a multi-platform We Media native. I am committed to sharing popular science knowledge on women’s health.
Today, let’s talk about oral short-acting contraceptives.
Oral contraceptive is a reliable contraceptive method. Theoretically, the success rate of contraception is 99.9%. Considering compliance and missed taking, the actual failure rate is 2% ~ 3%.
However, there are still many sisters who wonder whether they are suitable for taking short-acting contraceptives. In fact, this worry is not totally without reason. Short-acting contraceptives are not suitable for everyone.
I will now classify all kinds of people and share them with you. Women who want to choose this contraceptive method can take their seats accordingly.
Women who smoke for a long time and are older than 35 years old
According to AGOG (American Association of Obstetricians and Gynecologists) guidelines and WHO (World Health Organization) guidelines, such women have a high risk of thrombotic diseases, and oral cycle combination of short-acting contraceptives may add to the risk.
Therefore, it is not recommended that such women take short-acting contraceptives orally.
Women with high blood pressure
On this point, the guidelines of the American Association of Obstetricians and Gynecologists and the World Health Organization are slightly different.
The former points out that no matter how much blood pressure is, as long as it is well controlled and has little fluctuation, short-acting contraceptives can be taken orally. However, WHO believes that if the blood pressure is between 140 ~ 159 mmHg/90 ~ 99 mmHg, the risks often outweigh the benefits and such drugs cannot be taken orally.
If blood pressure is not well controlled, U.S. Guidelines do not recommend oral administration of such drugs, while WHO believes that oral administration of such drugs is not allowed only when systolic blood pressure is 160 mmHg or diastolic blood pressure is 100 mmHg.
Women with a history of stroke, ischemic heart disease or venous thrombosis
Oral short-acting contraceptives are not recommended, especially for women who have suffered attacks within half a year, and such drugs should be avoided.
Women with diabetes
U.S. Guidelines believe that short-acting contraceptives can be taken orally if there are no other cardiovascular risk factors and organ damage caused by diabetes.
WHO guidelines point out that if there is no organ damage and the history of diabetes is less than 20 years, the benefits of oral short-acting contraceptives outweigh the risks, so they can be used as contraceptives.
Most experts in China also believe that if blood sugar is well controlled, diabetic women without other complications can take it orally.
Women with hypercholesterolemia
If LDL cholesterol is less than 160 mg/dl and there is no other cardiovascular disease or risk, short-acting contraceptives can be taken orally.
Women with cardiovascular risk factors
Hypertension, diabetes, obesity, smoking, high cholesterol, poor lifestyle and lack of exercise are all high-risk factors for cardiovascular diseases.
WHO guidelines point out that the risk ratio usually depends on the presence or absence of other cardiovascular risk factors. AGOG guidelines do not specify whether periodic short-acting contraceptives are suitable.
Jojo personally suggested that such women had better use other methods of contraception.
Women with migraine headaches
Current research data suggest that women with a history of migraine and taking oral contraceptives have an increased risk of cerebral thromboembolism. Therefore, women over 35 years old with migraine are not suitable for taking short-acting contraceptives.
The consensus of obstetricians and gynecologists in Europe and the United States also believes that migraine women of any age with aura or focal symptoms are not recommended to choose short-acting contraceptives for contraception.
Women with breast cancer
Although short-acting contraceptives do not increase our risk of breast cancer.However, it is still recommended that women who currently suffer from breast cancer or have suffered from breast cancer in the past,Do not choose such drugs for contraception..
However, if there is only a family history of breast cancer or ovarian cancer, that is, blood relatives have suffered from breast cancer or ovarian cancer, short-acting contraceptives can be taken orally.
Women with systemic lupus erythematosus
Some studies have shown that hormone therapy may increase the probability of systemic lupus erythematosus.
Short-acting contraceptives contain estrogen, so patients with systemic lupus erythematosus with a history of thrombosis or positive antiphospholipid antibodies should avoid using such drugs.
Not only that, this kind of patients take short-acting contraceptives orally, and the risk of thromboembolism is much higher than that of normal people.
A breast-feeding woman
Because drug ingredients may be secreted into milk, short-acting contraceptives are not recommended as contraceptive methods for nursing mothers.
CDC (Centers for Disease Control and Prevention) also recommends that such drugs should not be taken orally for at least 30 days after delivery.
Sisters can refer to the suggestions listed above and avoid stepping on those minefields where oral contraceptives are used according to their own conditions.
As an obstetrician and gynecologist, I am often asked by some friends about various questions about pregnancy preparation, pregnancy and women’s health care. I will write the answers and suggestions to these common questions and share them with you in popular science articles that are easy to understand.
For example:
Knowledge of preparing for pregnancy
- How to improve the probability of conception? How do you need to make any preparations before pregnancy?
Knowledge during pregnancy
- How to feed, clothe, live and travel healthily during pregnancy? What are the precautions for prenatal inspection? Should some what be prepared in the prenatal inspection package?
Knowledge of postpartum recovery
-
How recovers quickly and healthily after giving birth?
Health Knowledge of Women’s Maintenance
- How to relieve dysmenorrhea? How to deal with premature ovarian failure and menopause? How should busy white-collar workers adjust their menstruation?
All of the above, I will slowly talk about in the future. Pay attention to my WeChat public number Dr. Jojo, and welcome everyone to ask me questions backstage in the public number. I hope I can give you some little help, and I wish all the fairies can become healthy and beautiful!