Oral Contraceptives: Proper Use and Guidelines

Today we discuss this fairly common method. Oral contraceptives are often used not only to prevent unwanted pregnancy but also to address hormonal cycle disorders.

Statistics show that more than 50% of women do not use oral contraceptives for their primary purpose. Many use them to regulate their menstrual cycle or alleviate menstrual pain—often even on a doctor’s recommendation.

Let’s explore this phenomenon in more detail and understand how safe this type of pill is.

Oral Contraceptives: Their Composition and Effects

Since sex hormones affect the female body on many levels, oral contraceptives can not only prevent unwanted pregnancy but also normalize hormone levels and relieve menstrual pain.

The two main types of oral contraceptives—progestin-only (mini-pills) and combined (COCs)—act through their synthetic hormone analogs. Progestin-only contraceptives contain progestogens, while combined oral contraceptives contain both progestogens and synthetic estrogens.

Effect on Menstruation

When using these types of contraceptives, traditional menstrual bleeding is replaced by two other types of discharge: breakthrough bleeding and withdrawal bleeding.

The first type is more common with progestin-only contraceptives. Breakthrough bleeding occurs irregularly with these pills—something to keep in mind if you are concerned about being caught off guard. Women taking combined oral contraceptives may also experience breakthrough bleeding, but usually only if they miss a pill.

However, those who prefer COCs more frequently encounter the second type: withdrawal bleeding. This typically happens when discontinuing the medication or taking a long break. This type of bleeding is relatively easy to manage—simply resume taking the pills.

If you experience irregular periods, your doctor is more likely to prescribe COCs. They stabilize the cycle by introducing the necessary hormones into your bloodstream.

If you are taking oral contraceptives, you should know that withdrawal bleeding is not mandatory. Although it is expected with some types of these medications. Daily intake of COCs is quite normal if you take a break approximately every three months.

How Oral Contraceptives Affect Menstrual Pain

Combined oral contraceptives alleviate menstrual pain by reducing the level of prostaglandins. What are prostaglandins? They are substances produced enzymatically in the body that cause uterine contractions during menstruation, leading to the shedding of the endometrium, or the inner lining of the uterus.

This is a natural phenomenon, but it can sometimes cause pain due to strong spasms. It also leads to the narrowing of blood vessels that supply the endometrium, resulting in a lack of oxygen in the tissues.

COCs act on the body by lowering prostaglandin levels. As a result, spasms are reduced, thereby relieving pain symptoms.

How to Choose Oral Contraceptives for Yourself

All oral contraceptives work through synthetic hormones. However, they have slightly different effects and are not universal. There are many varieties. Monophasic, biphasic, and triphasic pills differ in their synthetic content and serve different purposes.

First and foremost, you should definitely consult your doctor. The Selin app will help you document all symptoms in detail. With this data, your therapist can assess your situation accurately and prescribe the most suitable pills for your case.

This applies to any contraceptive methods in general. Whether it’s IUDs, vaginal rings, or injections, you need to schedule a consultation with your doctor. They can determine the optimal option for you.

Conclusion

With the Selin app, it’s never been easier to take care of women’s health. Don’t take risks—rely on facts and read our blog! This will keep you informed about all current trends in healthcare and healthy living!

Also, check out our article on what a good gynecologist should never do at an appointment.