Indications you should know before taking the contraceptive pill

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If you are going to start taking the birth control pill, you need to inform yourself beforehand, don’t you think? In addition to its multiple uses, you should know how it works and whether or not you can take it according to your age, among many other things. To do this, we remind you that it is best to go to your gynecologist, as it will be the specialist who can best indicate you.

Having the premises of everything that surrounds you before starting is key, as you well know. For this reason, in this article we spoke with the gynecologist to give us some indications that you should know before taking the contraceptive pillReady? Let’s start!

How does the contraceptive pill work in your body?

  • We must remember that the contraceptive pill is a medicine and, as such, it has adverse effects, contraindications. Gynecologist tell us that the contraceptive tries to give the same hormones that the ovary makes in its synthetic version, so that the ovary becomes inactive, stop working and get paralyzed. “We artificially make the hormonal cycle”, as the gynecologist tells us well.
  • The bleeding occurs because we thicken the endometrium, but instead of having the ovaries stimulate that endometrium, we actually stimulate it with synthetic hormones. Therefore, “this bleeding is maintained but not because the ovaries work better, but because we stop or replace the ovarian function “, according to gynecologist.
  • The question that arises after seeing this function is, if after several years of taking the pill, you will be able to change the bleeding pattern. The birth control pill has synthetic estrogen and progesterone. In the first part of the cycle there are estrogens, in such a way that a part of the endometrium thickens, while in the second part of the cycle progesterone prevents the endometrium from thickening further, leaving it as it is. When progesterone goes down, what we have in the endometrium goes down: if it is very fat there will be a lot of menstruation, if it is thinner there will be less menstruation.
  • The classic combined hormonal contraceptive has both estrogen and progestin, which makes the endometrium less thick. In the pill break that is done at the end, the hormonal drop causes progesterone to drop and the endometrium to flake off. There are women for whom the contraceptive removes their period because in the long term the endometrium thickens less and less until there comes a time when the period does not go down. “There is no endometrium to expel and, if it is very fine, nothing is going to be expulsed. It is not that the period has stayed inside or anything like that,” says gynecologist. In these cases, it usually happens that everything recovers and returns to its normal state, but if the period has disappeared after three months, it is necessary to investigate why. This has happened with tests or analytics, such as hormone analysis.

Why take the contraceptive pill? 

  1. The contraceptive serves as a treatment for some pathologies such as endometriosis or intense dysmenorrhea. But it is not the only solution, “it is not so important how you bleed, but why you bleed the way you bleed,” says the gynecologist, “because it can be caused by other reasons, such as hypothyroidism, stress…” In these cases, what it is better to treat the problem, because if everything is resolved with the contraceptive, you will only be treating the “tip of the iceberg”. It is necessary to look at the cause of why the bleeding is as it is. You should not take the contraceptive pill as if they were candy, you have to look a little further.
  2. In addition, you should know that there is currently no age limitation when it comes to taking the contraceptive pill, but there are relative contraindications, such as being over 35 and a smoker. Two relative contraindications together cannot occur when taking a contraceptive pill.

Can the birth control pill increase or cause depression?

  • It is interesting to know that birth control pills are capable of producing depression, although these symptoms are often largely ignored. Why does this occur? Gynecologist tell us: the natural hormonal cyclicity in which there are estrogens and then progestogens not only serves to have the period, it has an effect on all systems including the brain.
  • Estrogens are neural activators, which makes us feel more active in the first part of the cycle; while progestogens have a neutral inhibitory effect, that is why we are calmer, although many women may feel less calm in this part of the cycle because progesterone remains “short”, that is, “there is not enough and that neural inhibitory effect is not exerted “.
  • It is what the gynecologist calls “the healthy cyclical alternation.” ”Women are cyclical, and the objective of this is in case a pregnancy occurs. From ovulation onwards, you feel calmer so as not to attack the pregnancy, and so with everything”, according to gynecologist.

Despite having all this information about the contraceptive pill, we repeat that the ideal is to go to your gynecologist in case of any doubt.

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