About all

Lo lo birth control reviews: Lo Loestrin Fe User Reviews for Birth Control

Lo Loestrin Fe User Reviews for Birth Control

Print

Save

Lo Loestrin Fe
has an average rating of 5.7 out of 10 from a total of 1419 reviews
for the
treatment of Birth Control.
42% of reviewers reported a positive experience, while 37% reported a negative experience.

Lo Loestrin Fe rating summary

5.7/10 average rating

1419 ratings from 1499 user reviews.

Compare all 268 medications used in the treatment of Birth Control.

1018%
915%
810%
76%
64%
56%
44%
37%
210%
120%

Reviews for Lo Loestrin Fe

Are you taking this medicine?

  • Add your review
  • Learn more about Lo Loestrin Fe

Reviews may be edited to correct grammar/spelling or to remove inappropriate language and content. Reviews that appear to be created by parties with a vested interest are not published. This information is not intended to endorse any particular medication. While these reviews may be helpful, they are not a substitute for the expertise, knowledge, and judgement of healthcare professionals.

Learn more about Birth Control

  • Antibiotics and Birth Control Pill Interactions: Fact or Fallacy?
  • Birth Control and Alcohol: Do They Interact?
  • Birth Control Guide
  • Birth Control Pills – Breakthrough Bleeding
  • Birth Control Pills – Periods
  • Emergency Contraception: What You Need to Know
  • Grapefruit and Birth Control Pills: Your Questions Answered
  • Hormonal Birth Control Methods (Non-Pill Options)
  • Missed your birth control pill? Here’s what to do
  • Non-hormonal Birth Control Methods
  • Permanent Birth Control Methods
Medicine.

com guides (external)

  • Contraception (Birth Control) Guide

More about Lo Loestrin Fe (ethinyl estradiol / norethindrone)

  • Check interactions
  • Compare alternatives
  • Pricing & coupons
  • Drug images
  • Side effects
  • Dosage information
  • During pregnancy
  • Support group
  • FDA approval history
  • Drug class: contraceptives
  • En español

Patient resources

  • Drug Information
  • Lo Loestrin Fe birth control
Other brands

Junel Fe 1/20, Loestrin 21 1/20, Junel Fe 24, Blisovi Fe 1/20, … +41 more

Professional resources

  • Prescribing Information

Related treatment guides

  • Birth Control

Effectiveness, Ease of Use, and Satisfaction

Show ratings & reviews for

3.5 Overall Rating

Share Your Experience

Effectiveness

Tooltip icon

See more

Ease of Use

Tooltip icon

See more

Satisfaction

Tooltip icon

See more

Most voted positive review

30 People found this comment helpful

Don’t be scared by all these reviews. Happy people don’t write reviews lol. I have been taking this for 3 months with the biggest issue being breakthrough bleeding/spotting. It’s tolerable and otherwise side effects have been OK. I gained maybe two pounds and I think it was all in my boobs.

Most voted negative review

21 People found this comment helpful

At first, I loved this form of birth control, I was actually loosing weight. Small break through bleeding, no acne, no cramping, great libido, everything was fine for me. Well I ran out of the 5 samples I received from my doctor and I recently switched to the generic form of lo-loestrin due to insurance and costs. It’s been about 4 months and I’m miserable, I hate myself, I get sad or mad about th…

Read more

Shared reviews and ratings

SORT BY Condition: Premenstrual Disorder with a State of Unhappiness

Overall rating 4.0

EffectivenessEase of UseSatisfaction

While my periods were very short with little cramping, I got a lot of hormonal acne after the second month, sore nipples and breast. I also cry a lot now about absolutely everything. Somewhat lowered my sex drive, anyways I’m switching brands solely because of the hormonal acne, it’s painful big ones no thanks!

1

ShapeCreated with Sketch.thumb_up copy 5Created with Sketch.Report this post

Fill 3Created with Sketch. Condition: Birth Control

Overall rating 5.0

EffectivenessEase of UseSatisfaction

I have PCOS and other complications but this birth control has actually made me lose weight. Quickly at that. Less acne as well. Ive been a bit moody but its hard to say if thats from the bc. My period dragged out a little longer but significantly less bleeding and less painful. Overall great compared to others Ive used.

1

ShapeCreated with Sketch.thumb_up copy 5Created with Sketch.Report this post

Fill 3Created with Sketch. Condition: Abnormally Long or Heavy Periods

Overall rating 5. 0

EffectivenessEase of UseSatisfaction

I have been taking Lo Loestrin for 6 months now due to very heavy periods (I have adenomyosis and am in perimenopause), and so far it has been excellent. I went from heavy periods (2 days taking advil every few hours), to light spotting. It’s almost scary how I almost don’t have a period anymore, it has been amazing. I have no side effects except a light headache for a few days during my period and I think I’ve gained a few pounds (3 lbs). No other side effects, and I’ve tried everything (IUD, other pills) and this is the only one that’s worked! Read More Read Less

ShapeCreated with Sketch. 1

thumb_up copy 5Created with Sketch.Report this post

Fill 3Created with Sketch. Condition: Birth Control

Overall rating 5.0

EffectivenessEase of UseSatisfaction

I’m starting off by saying that our bodies are different. What works for one may not work for you and there is only one way to find it… by trying it yourself. Do not take every review to heart because your experience could be different. Now, when I first started taking loestrin fe 1/20, I was 17 and was on it for a few years. The only problem I had long effect was back acne and it was cystic. It would only flare up around the time I had a period. You must remember, the first two to three months of starting birth control can be rough before your body gets used to it. You’ll have break through bleeding, acne, etc. Now I hopped off of BC for some time and ended up having my daughter and was then put on Junel which is similar to Loestrin. Won’t go on about that bc we are reviewing loestrin here. Fast forward to being off loestein for about 4 years, I just now started it again. Im going on 4 months and had break through bleeding within the first three months. The Third month was only a day of bleeding. Mind you I’m also skipping my periods with this birth control. This time around, I’m not dealing with any acne like I did before. Bodies change as we grow so this may be why, who knows! My mood is fine, however. It prevents pregnancy great and I’m happy to use it. I do want to mention I never seen this pill cause weight gain. The years I was on ir prior, I mentioned the same weight without working out the entire time.Read More Read Less

1

ShapeCreated with Sketch.thumb_up copy 5Created with Sketch.Report this post

Fill 3Created with Sketch. Condition: Birth Control

Overall rating 5.0

EffectivenessEase of UseSatisfaction

I’ve been on Lo Loestrin Fe since I was 17 (I’m 24 now) & the only time I’ve ever had problems with it was when I first started taking it. I had a pretty painful heavy flow a few weeks after starting it. But now it’s great, my periods are so light I don’t even have to wear tampons on my period anymore. & I only get painful period cramps a few times out of the year!

1

ShapeCreated with Sketch. thumb_up copy 5Created with Sketch.Report this post

Fill 3Created with Sketch. Condition: Birth Control

Overall rating 1.0

EffectivenessEase of UseSatisfaction

I wanted to start on birth control for the first time and my doctor recommend to start on a low dosage. I started this medication a week ago and had to stop immediately. My sex drive was low, I was having extreme anxiety and headaches that wouldn’t let me fall asleep. I’m just got off the pill as of 2 days ago and I’m still having these massive headaches, fatigue and dizziness. Hopefully I get well soon.

ShapeCreated with Sketch.thumb_up copy 5Created with Sketch.Report this post

Fill 3Created with Sketch. Condition: Abnormally Long or Heavy Periods

Overall rating 4.3

EffectivenessEase of UseSatisfaction

Lolo helped with heavy bleeding with close to no side effects, I even kept my sex drive which doesn’t happen to me a lot on BC. I would have been extremely happy with this pill if not for this ONE side effect : severe vaginal itching that lasted for the whole year I was on it. Drs tested me and it wasn’t any type of infection. The itching went away a week after I stopped taking this pill.

1

ShapeCreated with Sketch.thumb_up copy 5Created with Sketch.Report this post

Fill 3Created with Sketch. Condition: Absence of Menstrual Periods

Overall rating 4.3

EffectivenessEase of UseSatisfaction

I have been on this BC for at least 8years now. It has worked great in protecting against pregnancy. My only concern is that I haven’t had a period since I’ve been on the pill. My gyno reassured me that it’s normal and wouldn’t mess with my fertility but I am unsure of that. Stresses me a little as I will soon be trying out for kids. I did however stop the pill for 1 month about 4 years ago and I got a crazy heavy period that lasted 8 days. .. forgot how to handle it after years of not having a period. Read More Read Less

ShapeCreated with Sketch.thumb_up copy 5Created with Sketch.Report this post

Fill 3Created with Sketch. Condition: Endometriosis

Overall rating 2.0

EffectivenessEase of UseSatisfaction

I am 19 and been taking this pill for about two weeks. I’ve been on multiple different birth controls since 14 due to endometriosis and painful periods. This has been the worst birth control. Within the two weeks I’ve been very emotional and cry to just about anything. Also got acne like crazyyyyy! I’ve never had acne.

1

ShapeCreated with Sketch.thumb_up copy 5Created with Sketch.Report this post

Fill 3Created with Sketch. Condition: Acne

Overall rating 1.7

EffectivenessEase of UseSatisfaction

i started taking lolo to help with my acne, but it’s only gotten worse. on top of that, i smell (especially down there), i’m more depressed than usual, hungry more often, i’m sleeping all day, and get nasty headaches that don’t go away. definitely quitting it.

1

ShapeCreated with Sketch.thumb_up copy 5Created with Sketch.Report this post

Fill 3Created with Sketch. Condition: Birth Control

Overall rating 5.0

EffectivenessEase of UseSatisfaction

Like many, I was hesitant about starting Lo Loestrin Fe, in part due to the negative reviews online. I started it for birth control purposes only and I am happy to report a positive experience thus far, with no negative side effects. My boobs are slightly fuller (I didn’t change cup size though) and I remember my dreams most nights now. My mood and energy levels are consistent with what they are like off birth control (no issues). My advice is to make decisions based on what is best for you. There is no one size fits all when it comes to medication. Read More Read Less

1

ShapeCreated with Sketch.thumb_up copy 5Created with Sketch.Report this post

Fill 3Created with Sketch. Condition: Abnormally Long or Heavy Periods

Overall rating 4.0

EffectivenessEase of UseSatisfaction

Taking lo loestrin 3 months for perri menopause with periods that I had twice a month. Very heavy. I now only have my period once a month TG. Have not been in it very long however I did take it years ago for several years and it was great. Hoping it will stop periods soon. Im 50 and have had some hair thinning and as im taking this I notice my hair coming in thicker and longer.. Will track this over time.

1

ShapeCreated with Sketch.thumb_up copy 5Created with Sketch.Report this post

Fill 3Created with Sketch. Condition: Endometriosis

Overall rating 4.3

EffectivenessEase of UseSatisfaction

I started this medication as an add on to Mirena IUD to treat endometriosis and painful periods. After taking for nearly 3 years, i’ve not had a period since, my pain has lightened more and more over time and it’s been the easiest to take continuous birth control i’ve tried. I do have acne cyclicly and i do still ovulate, but it has also suppressed PMDD symptoms.

ShapeCreated with Sketch.thumb_up copy 5Created with Sketch.Report this post

Fill 3Created with Sketch. Condition: Other

Overall rating 1.7

EffectivenessEase of UseSatisfaction

Ive been taking this birth control for almost 2 years now. It was originally prescribed to me when I was 16 and I had a period that was a full month of extremely heavy bleeding where I would be dizzy from blood loss at times. This pill helped and was wonderful for pain for about a year and then my periods became increasingly irregular and now I have not had my period in about 4 months. I am not pregnant and there are no signs of it coming but I do still have pain every day.

1

ShapeCreated with Sketch.thumb_up copy 5Created with Sketch.Report this post

Fill 3Created with Sketch. Condition: Painful Periods

Overall rating 1.3

EffectivenessEase of UseSatisfaction

Effectiveness: The medication had one purpose, which was to ease menstrual cramping. It did the exact opposite. Cramps around the clock, minutes-long “episodes” as I’ve started to call them, all month long, multiple times a day. On am actual period they are constant and worse than the debilitating mess which occured before taking them.
On top of this, I’ve lost all pleasure drive, have random and disruptive headaches, and am almost always hungry despite being constantly nauseated.
Ease of use: It’s a pill. Hard to punch out, at that. But how difficult can a pill be?
Satisfaction: I’m told to just keep sticking with it until this stops, but I can’t do this for another three months until my follow-up. The one singular thing I needed medication for, is now constant and much worse. Trust your body- if it’s harming you, stop taking this pill. The side effects are WAY more common and severe than the packaging impresses on you.Read More Read Less

1

ShapeCreated with Sketch.thumb_up copy 5Created with Sketch.Report this post

Fill 3Created with Sketch. Condition: Painful Periods

Overall rating 4.7

EffectivenessEase of UseSatisfaction

I first want to clarify that all bodies are different and will react different to birth control — that being said, I’ve been on Lo Loestrin Fe for about 8 years and it’s been smooth riding until recently. I used to have extremely heavy and painful periods (only lasted about 3 days tho). Lo was the first pill I was put on and it completely got rid of my period (for all 8 years). I gained about 10 pounds but it could’ve been in combination I started the pill same time I started college. I did end up losing weight and maintained it. Now, why did I stop taking lo? Within the last 2.5 years i’ve been having crazy cystic hormonal breakouts around my chin; I never had acne like this before. Given i’m in my mid-20s now I figured my hormones have changed. I’ve tried every skin and diet solution under the sun and finally decided it was time to try a new hormonal birth control to level out my body again. Read More Read Less

ShapeCreated with Sketch.thumb_up copy 5Created with Sketch.Report this post

Fill 3Created with Sketch. Condition: Disease of Ovaries with Cysts

Overall rating 1.0

EffectivenessEase of UseSatisfaction

I wish the had a 0 star! DO NOT TAKE THIS BIRTH CONTROL! This has been the BIGGEST mistake of my life. I took this pill for 4 months because I had really bad cramps and the recommended it. Little did I know it was going to take me on a ride to a place I never wanted to visit. Everyone’s body is different. But wow I have been very emotional, mood swings , panic attacks, bad thoughts, headaches and had my period twice a month. At first I was I didn’t want to believe that it was the pill. Till 5 days ago I had the worse experience of my life. I had the worse panic attack. With everything under the book. Please do your research. And don’t make the same mistake I did. Read More Read Less

ShapeCreated with Sketch. 1

thumb_up copy 5Created with Sketch.Report this post

Fill 3Created with Sketch. Condition: Birth Control

Overall rating 2.0

EffectivenessEase of UseSatisfaction

I gained about 20 pounds since switching from Marvelon to Lo Loestrin. I have also have been having headaches but not sure if that’s connected. Going back to Marvelon!

1

ShapeCreated with Sketch.thumb_up copy 5Created with Sketch.Report this post

Fill 3Created with Sketch. Condition: Acne

Overall rating 2.0

EffectivenessEase of UseSatisfaction

I started taking this a little bit ago and it is the worst. I’ve gained so much weight and my appetite increased so much. My acne is horrible. I’m severely exhausted and depressed. I hâte the way my body looks bc of the weight I gained. And ever since I started taking it I’ve had a non stop period. I’m sick of this and want to go off so bad. I’ve been on two other birth controls and I would go back to them in a heart beat.

1

ShapeCreated with Sketch.thumb_up copy 5Created with Sketch.Report this post

Fill 3Created with Sketch. Condition: Birth Control

Overall rating 2.7

EffectivenessEase of UseSatisfaction

This pill completely stopped my periods which is a plus, however it came with a lot of down falls I didn’t figure out until I narrowed it down to this being the only change that has happened. I have gotten extremely ill every month for the past 3 months out of the 9 months I’ve been on it. Illnesses varying from RANDOM uncontrollable panic attacks that last anywhere from 20 minutes to 6 hours (hospitalization from fainting due to a heart rate of 127 for 6 hours) even Xanax prescription wouldnt work; I’ve been getting UTI’s every other week, one lasted so long despite antibiotics it turned into a kidney infection; I have close to no libido, which is a downfall on my relationship.
If you have ANY major stressors that have happened or is in progress ie college or clinical study… avoid this pill as much as possible. Read More Read Less

1

ShapeCreated with Sketch.thumb_up copy 5Created with Sketch.Report this post

Fill 3Created with Sketch.

IMPORTANT INFORMATION ABOUT USER-GENERATED CONTENT ON WEBMD

The opinions expressed in WebMD User-generated content areas like communities, reviews, ratings, or blogs are solely those of the User, who may or may not have medical or scientific training. These opinions do not represent the opinions of WebMD. User-generated content areas are not reviewed by a WebMD physician or any member of the WebMD editorial staff for accuracy, balance, objectivity, or any other reason except for compliance with our Terms and Conditions.

Read More

The best birth control pills without side effects

Publication date: 10/21/2021

THERE ARE CONTRAINDICATIONS. POSSIBLE SIDE EFFECTS. A SPECIALIST’S CONSULTATION IS REQUIRED.Classic condomsTasteful condomsContraceptive pillsThin condoms

Author of the article

Galkina Polina Mikhailovna,

Gynecologist-endocrinologist

All author s

Article content

  • Contraceptives
  • Contraceptive suppositories
  • How do birth control pills work?
  • What is the best birth control pill for men
  • Sources

Unwanted pregnancy is a serious problem for women. But thanks to the development of modern medicine, it is quite solvable. Today, a sufficient number of methods are offered, with a high degree of probability capable of protecting against conception. After consulting a gynecologist, a woman can only choose the most suitable one.

Contraceptives

Oral contraceptives are one of the most popular birth control methods. All of them are divided into 2 groups:

  1. Combined oral contraceptives (COCs) – contain hormones (one of the progestogens and ethinyl estradiol). Their action causes inhibition of ovulation as a result of blocking substances formed in the pituitary gland that regulate the functioning of the reproductive system.
  2. Mini-pill – Progestogen only. These funds are distinguished by local effects on the peripheral zones of the genital organs. Their intake causes morphological and biochemical changes in the endometrium and makes it impossible for a fertilized egg to attach. Representatives of this group: Orgametril, Charozetta.

COCs contain different amounts of active substances. And depending on their content, the products are:

  • microdosed – contain a low level of hormones.
  • Recommended for women under 25 and those who have never used COCs before. Preparations: Zoeli, Dimia;
  • low-dose – prescribed for young and middle-aged women who have already given birth, as well as for those in whom microdose contraceptives cause spotting. They are suitable for women over 40. Representatives of the group: Diana, Jeanine;
  • high-dose – characterized by a high content of female hormones. They are used as part of the complex therapy of certain gynecological pathologies and to restore the hormonal background. These include: Non-ovlon, Triquilar.

It is highly undesirable to choose the drug yourself. This should be done by a gynecologist. The doctor selects a remedy based on a number of factors – the presence of diseases, the individual characteristics of the patient (taking into account body weight, height, the nature of the course of menstruation), examination data.

Patients are usually asked to find the best birth control pills without side effects. Unfortunately, there are no drugs that do not cause any unwanted reactions. They don’t always show up. But a woman should know that the drug can provoke:

  • headache, dizziness;
  • soreness of the chest;
  • nausea;
  • swelling.

It should also be remembered that oral contraceptives should not be used during breastfeeding, diseases of the kidneys, liver and cardiovascular system (CVS), oncology.

If there are contraindications, other contraceptives are selected.

All products of Jeanine

21 review

All products of Diane-35

5 reviews

All products of Charosetta

5 reviews

All products of Triquilar

5 reviews

Contraceptive suppositories

having sex regularly. Their action is short-lived, so suppositories are used before each intimacy. Also, candles are administered for safety net in case of violation of the intake of contraceptive pills.

An important advantage of contraceptive suppositories is the absence of hormones. They contain benzalkonium chloride or nonoxynol. These substances destroy sperm and thus prevent fertilization.

The drugs do not have a negative effect on the reproductive system and do not cause serious complications. Their components do not penetrate into the blood and milk. Therefore, they can be used by nursing mothers. An additional effect of drugs with benzalkonium is protection against genital infections.

The disadvantage of this type of contraception is the lack of reliability. According to research, it is about 96%. For comparison, condoms are effective in 98% of cases.

The best representatives of the group include Pharmatex, Gynecotex, Patentex Oval N.

All products Pharmatex

5 reviews

How do contraceptive pills work?

Preparations in this group do not contain hormones. Their active ingredient is mifepristone, a synthetic substance. Its contraceptive action lies in the ability to inhibit ovulation and at the same time prevent the movement of sperm.

This prevents fertilization of the egg. Additionally, the substance stimulates the contraction of the myometrium.

Pharmacies offer:

  • Genale;
  • Gynestril;
  • Ginepristone

How to take birth control pills?

Mifepristone products are emergency contraceptives. They can be used within 3 days after the act. The sooner you take the pill, the more effective it will be.

Funds are used if:

  • oral contraceptive intake was disturbed;
  • failed barrier methods of protection;
  • incorrectly calculated the day of ovulation;
  • no protective measures were used.

The use of drugs may be accompanied by undesirable reactions: dizziness, headache, bloody discharge. They are not used during lactation, with liver and kidney failure, in old age.

Do not use monthly, frequent use can be harmful to health.

If a woman cannot take contraceptives for some reason, a man should take care of preventing an unwanted pregnancy.

All goods Ginepristone

5 reviews

Contraceptive pills for men which are better

The choice of contraceptive methods for the stronger sex is not so small. Not everyone likes condoms and not everyone is allowed to have a sterilization operation. But today in pharmacies there are many funds for men that reliably protect against conception.

Hormonal contraceptives are used for this purpose. They contain large doses of antiandrogens and androgens. Once in the male body, the tablets cause a decrease in the number of spermatozoa in the seminal fluid, up to their complete absence. Fertility after discontinuation of the drug is restored. The most famous drug in this group is Cyproterone-Teva.

Hormonal drugs have side effects (weight gain, decreased sex drive, acne) and should not be given to men with cardiovascular (CV) and endocrine disorders.

Use any of the drugs after consulting your doctor. The specialist will select a reliable contraceptive that will not harm your health.

Sources

  1. Combined pill, NHS
  2. Oral Contraceptive Pills, Louisiana State University Health Sciences Center, New Orleans, USA
  3. Estrogen and Progestin (Oral Contraceptives), US National Institutes of Health

Share mega tip

Like this article? Tell mom, dad, grandma and aunt Galya from the third entrance

Copy link

hormonal and non-hormonal, which is better, price

Getting Acquainted: Hormonal Contraceptives

  • Types of OK and their mechanism of action
  • How to choose oral contraceptives?
  • Positive effects of birth control pills
  • Cons, side effects and contraindications of oral contraceptives
  • How are oral contraceptives taken?
  • There is no need to remind a modern woman about the importance of contraception. We already know that contraceptives can not only protect against unwanted pregnancy, but also prevent sexual infections, and in some cases solve additional problems (getting rid of acne, reducing the manifestations of hirsutism, and much more). But do we know everything about the drugs to which we are ready to entrust our health?

    The World Health Association (WHO) has a clear understanding of what activities should be carried out in family planning. WHO pays special attention to unplanned pregnancies, compliance with the control of the appearance of a child in a couple’s life and the reduction of turnover 1 .

    The top three most popular contraceptives for women are hormonal contraceptives.
    (contraceptive pills), condoms and IUDs (intrauterine device).

    Women are more or less familiar with the principle of action of condoms. The spiral is placed exclusively in the gynecologist’s office after a preliminary consultation and analysis. Contraceptive pills, women often “prescribe” themselves, without the participation of a doctor. This is facilitated not only by the availability of contraceptives in pharmacies, but also by the apparent safety. Indeed, in recent years, the method of hormonal contraception has been significantly improved: doses of hormones have decreased, reliability has increased, new varieties (mini-drank) have appeared.

    Hormonal contraceptive drug must be prescribed by a doctor
    . But a woman still needs to understand what kind of drugs they are, what negative and positive effects they have, what they can and cannot do.

    Getting to know: hormonal contraceptives

    What are the requirements for contraceptive pills for women? The main objective is direct prescription and minimizing the risk of pregnancy, up to 99%. Naturally, the drug must be safe for the entire female body, including the reproductive system. Accessibility is also an important factor. Similar requirements are met by most modern hormonal drugs.

    In Europe, hormonal contraception is used by about half of all women of reproductive age. In Russia, the figures are much lower and make up 10-15% of women, in large cities about 35% 2 .

    However, cases of pregnancy while taking contraceptive pills happen. The main reasons are associated with improper use of drugs or neglect of instructions for use:

    • missing or expired medication;
    • combination with drugs that reduce the contraceptive effect;
    • inability to assimilate the drug, for example, in case of poisoning and vomiting;
    • irrational choice of oral contraceptives (contraceptive pills may have a different scheme and method of action).

    If an unwanted pregnancy occurs, oral contraceptives (OCs) should be discontinued. Not all, but some drugs can have a negative effect on the fetus from the first days of life.

    Types of OCs and their mechanism of action

    Combined oral contraceptives (COCs)

    They are called combined due to the fact that they contain 2 types of hormones at once – progestin (progesterone) and estrogen (both are female sex hormones, but perform different functions) 3 .

    Not everyone knows, but when taken correctly, COCs are considered a more reliable means of contraception than a condom. True, unlike the latter, oral contraceptives do not protect against genital infections.

    The main task of progestin is to suppress the functions of the pituitary gland (a piece of the brain responsible for the production of hormones), which leads to a stop in ovulation. As a result, the follicles (in which eggs develop) do not grow, and the body does not produce enough estrogen, which is necessary for the female body. That is why the preparations contain estrogen, which is an auxiliary agent, normalizes the menstruation cycle and other important processes in the body 4 .

    Additional tasks and capabilities of KOC 4 :

    • changes in the structure of the endometrium (the lining of the uterus) to prevent the egg from being fixed;
    • thickening of cervical mucus, which creates a barrier to spermatozoa and reduces their activity;
    • control of the menstrual cycle, thanks to the COC, you can regulate the arrival of menstruation;
    • treatment and prevention of many diseases associated with menstrual irregularities.

    It is worth clarifying that oral contraceptives are precisely contraceptives. The main task always remains the prevention of unwanted pregnancy, and not the treatment of various hormonal diseases. For this, there are many specialized drugs.

    A doctor may prescribe a COC as a drug, but only in a supportive or prophylactic role. It is strictly not recommended to purchase COCs for the treatment of certain diseases on your own, without the consent of a doctor.

    Minipill

    They are considered analogous to COCs, but contain only mini-doses of progestin, without estrogen, for which they got their original name. There is another entertaining name for such drugs – pure progestin oral contraceptives or abbreviated POC.

    Mini-pills are considered less effective than combined contraceptives, but because of the minimal progestin content, they are safer.

    The use of mini-pills has its own logic and sometimes they are deliberately replaced by COCs:

    • the absence of estrogen allows them to be taken by women with certain specific diseases;
    • mini pills can be used during breastfeeding.

    How to choose oral contraceptives?

    The use of birth control pills can have many nuances, and we have listed just a few of them above. Before prescribing a particular drug, a woman’s history (survey) is collected and a possible tendency to diseases from the risk group is determined. Contraindications must also be taken into account.

    Among the general criteria, doctors may look for the following signs:

    • if there is excessive hair growth on the body;
    • whether there are signs of androgen excess;
    • what condition is the skin in;
    • what is the condition of the mammary glands;
    • whether there are diseases of the pelvic organs.

    Oral contraceptives contain different dosages of hormones. Therefore, the most important criterion when choosing a drug will be the tendency of the woman herself to the predominance of estrogens or androgens.

    Positive effects of birth control pills

    Oral contraceptives have a number of undeniable advantages:

    • almost 100% protection against unwanted pregnancy;
    • can be taken at any reproductive age;
    • the ability to bear children is not lost and is fully restored some time after the drug is discontinued;
    • has some cosmetic effect: the manifestations of acne and seborrhea are reduced, the severity of hirsutism (excessive growth of body hair) is reduced.

    Modern types of COCs are an effective prevention of diseases associated with menstrual irregularities and reduce the risk of developing the following diseases 2 :

    • ovarian cancer;
    • iron deficiency anemia;
    • uterine fibroids
      ;
    • benign diseases of the mammary gland;
    • Endometriosis
      and many others.

    Cons, side effects and contraindications of oral contraceptives

    It must be remembered that taking hormonal drugs is still an interference with the natural processes of hormone production. Women’s health is a very delicate mechanism that requires delicate handling. The constant supply of hormones from the outside can change the function of the ovaries. Ovulation suppression
    , dysfunction of the uterus, the production of eggs – these are the real consequences of their intake. Such changes can lead to bleeding, dark discharge in the middle of the cycle, and increase the risk of cancer during menopause.
    .

    Against the background of taking COCs, headaches and migraines often occur. Do not start taking hormonal drugs for women who smoke, or 4 weeks before surgery. A history of acute mononucleosis, sickle cell anemia are also relative contraindications, as is the presence of breast cancer in the past (even if it is in remission) 1 .

    Regarding diseases, it is worth explaining. There are a number of diseases in which the use of OK can lead to disastrous consequences. The list of such diseases, with absolute contraindications for taking OK, includes:

    • thrombosis and angina pectoris;
    • strokes and ischemic diseases, even past ones;
    • migraine;
    • diabetes with complications;
    • pancreatitis;
    • various liver diseases;
    • high degree of obesity.

    A complete list of contraindications can be found in the instructions for a single drug.

    How oral contraceptives are taken

    To achieve the effect already in the current month, OK can be used from the first day of the next menstrual cycle. If it was decided to start taking later (from the second to the sixth day of the cycle), then contraceptive pills are combined for another 1-2 weeks with other methods of contraception (condoms). After the 6th day of the cycle, it is no longer possible to wait for a quick result – it is necessary to continue to be protected for a month, since the result of a contraceptive pill in a woman will not be guaranteed in the current cycle, and she may become pregnant.

    To achieve a stable and high-quality effect, it is necessary to strictly adhere to the schedule of administration described in the specific instructions for the drug.

    The duration of administration depends on the number of tablets in the blister. Preparations of 28 pieces per pack should be taken daily, without interruption. When the blister contains 21 pieces, the drug must be taken for 21 days in a row, and then wait 7 days and start a new package.

    An important point: if the rules for taking OK are violated and menstruation does not occur after 7 days (provided that the intake starts from the 1st day of the cycle), it is necessary to endure the break and make sure that pregnancy has not occurred.