How to take the progestin-only pill?

This is an automatically translated article.

The article was professionally consulted by Specialist Doctor II Pham Thi Tuyet Mai - Obstetrician and Gynecologist - Department of Obstetrics and Gynecology - Vinmec Hai Phong International General Hospital.

Using birth control pills helps reduce the risk of unwanted pregnancy. Especially for women after giving birth, whose body has not fully recovered and is not healthy enough to get pregnant again too soon, the use of contraception is very important.
The progestin-only pill is a temporary, effective method of contraception that does not affect a woman's lactation after childbirth.

1. What is the progestin-only pill?


Is a type of birth control pill that only contains progestin, without estrogen, because it only has progestin, so the side effects are less than the combination type. The mechanism of action of this type of birth control pill is to inhibit ovulation, atrophy the uterine lining which is not favorable for conception, in addition, this drug also makes the mucus between the uterus and vagina more abundant. , which is denser, hinders the movement of sperm, thereby reducing the possibility of pregnancy.

Thuốc tránh thai chỉ có progestin có ít tác dụng phụ hơn các loại thuốc phối hợp
Thuốc tránh thai chỉ có progestin có ít tác dụng phụ hơn các loại thuốc phối hợp

Indications for the use of progestin-only contraceptives for almost all women include:
Women with contraindications to taking estrogen-containing contraceptives Especially also indicated for women who are breast-feeding without affecting their fertility. Lactation. Absolute contraindications:
Pregnant women Having breast cancer. Some relative contraindications include:
People with deep vein occlusions Cirrhosis, severe liver dysfunction, liver tumors Treated breast cancer, after 5 years without recurrence Having systemic lupus erythematosus or is in a state of severe thrombocytopenia.

2. How to take the progestin-only pill


2.1 When to start using birth control If after giving birth: Use as soon as milk is available. If menstruating: Take the pill after the 5th day of your period, but need to use another method of contraception within the next 48 hours. After miscarriage, abortion: Use within 7 days afterwards. Or you can use it at any time, but make sure you are not pregnant and must use another method of contraception for the next 48 hours. 2.2 How to take the pill Like other birth control pills, this drug also needs to be used on time and regularly to be effective.
Take 1 tablet per day, at a fixed time, in the direction of the arrow on the blister pack. If taking the pill 3 hours later than the previous days, after taking the pill, use another method of contraception within the next 2 days, and the following days take 1 pill as usual. Use the next pack as soon as the previous pack is finished, do not stop between packs.

3. How to handle problems when using birth control pills


3.1 Forgot to take a pill Take one pill as soon as you remember and continue taking one pill a day as usual. Use another backup method of contraception for the next 2 days, if there is a high risk of pregnancy, use emergency contraception. 3.2 Vomiting after taking the medicine If 2 hours after taking the medicine, take another pill. If vomiting occurs within 24 hours, continue taking the medication on schedule. If vomiting 2 days in a row or more, take the medicine again and do the same as in the case of forgetting the medicine. 3.3 Menstrual disorders When using progestin-only contraceptives, there may be some problems related to menstruation such as: Amenorrhea, irregular menstruation, heavy menstrual bleeding or excessive bleeding each cycle.
This condition occurs in many women taking oral contraceptives, it can go away after a few months of using the pill, but if it persists, it needs to be monitored for treatment instructions or if it does not improve, you can use another type of pill. other birth control pills.

Cần có biện pháp xử lý kịp thời nếu bị nôn sau khi uống thuốc tránh thai
Cần có biện pháp xử lý kịp thời nếu bị nôn sau khi uống thuốc tránh thai

3.4 Some other problems In addition to the above common problems, you may also experience the following:
Headache: If related to the use of oral contraceptives, pain relievers (paracetamol, ibuprofen) can be used. ...) relieve headaches; If it's serious, it's necessary to examine the whole body; In case of migraine with blurred vision, the drug should be stopped and switched to non-hormonal methods of contraception. Breast engorgement: If breastfeeding, you still take the medicine regularly and need to be monitored to check for blocked milk ducts; If you're not breastfeeding, you can reduce breast engorgement with a warm or cold compress. Nausea, dizziness: Should take the drug with meals or before going to bed. Suspected pregnancy: There is no temporary method of contraception that can guarantee a 100% pregnancy-free rate, so even when using the drug as directed, pregnancy should be confirmed when pregnancy is suspected, and Stop taking the medicine as soon as it is certain that you are pregnant. Birth control pills do not prevent sexually transmitted diseases, so proactively use extra condoms when you or your partner has a sexually transmitted disease Using birth control pills is a simple and effective method of pregnancy. high efficiency. The progestin-only pill is widely prescribed, with fewer cardiovascular side effects than the combination. However, using progestin-only birth control pills can cause some side effects, especially related to menstruation, if prolonged, you need to go to a medical facility for advice and remedy.

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