Broadfield tablets: types, action, how to take, side effects, can you buy without a prescription?

They relate to hormonal agents that are often used by women, while such contraceptives are not devoid of shortcomings. They can not only increase the risk of thrombosis, diabetes and increased pressure, but also have their own contraindications. About this in more detail in the article below. Read further.

What are the types of contraceptives?

Birth control tablets are mainly divided into such types:

• One -component - contain one active substance: Gestagen (analogue of progesterone).
• Two -component - In addition to gestagen, they contain estrogen or estrogen substances.

Gestagen is responsible for the contraceptive effect of hormonal tablets.

One -component contraceptive tablets: who is prescribed?

One -component contraceptive tabletsthe so-called mini-tablets contain one active substance- gestagen (for example, deogestrel, Drospirenon, levonorgestrel). They are accepted daily within 28 days. The problem for some women when using them may be menstruation delay or irregular bleeding.

Such drugs are intended for women who cannot take estrogens. The undoubted advantage of one -component tablets is that they can be used by nursing women and in high doses as emergency contraception (“tablet after”).

Combined contraceptive tablets: Types

Adding estrogen to two -component tablets allows you to better control uterine bleeding, and also has a beneficial effect on the body with estrogens (for example, a decrease in acne, hirsutism). Substances with estrogenic activity contained in combined contraceptives, most often are ethinyl estradiol or estradiol.

Combined birth control pills can be divided into the following types:

Single -phase - In this case, several types of packaging are available, but all tablets have the same content of the active substance, that is, hormone. The most common options:

• 21 table. -After which it should be done 7-DN. a break, and then take pills from a new package.
• 21 table. Plus 7 table. A placebo - this means that you drink one tablet every day, without interrupting to develop a habit.
• 24 Table. Plus 4 table. placebo - accepted as indicated above.

Two -phase - tablets of two types, two colors that differ in the content of hormones. Compatible with subsequent phases of the cycle.

Three -phase - In the package there are 21 tablets of three colors, these are three types of tablets with different hormones content. Each type is designed to make the concentration of hormones in the natural cycle of a woman as much as possible.

How do contraceptives work?

The main mechanism of action of contraceptive tablets is a violation of the woman’s natural menstrual cycle, namely, blocking ovulation.

• The delivery of gestagenes causes the maturation of the Graf follicle in the second phase of the cycle. The body receives a false message that a woman became pregnant.
• During the use of pills, there is no normal menstruation, but it starts artificially when the drug is stopped for several days or when using placebo tablets.

Huroculating tablets not only block ovulation, but also condensate cervical mucus, which becomes a sticky and less permeable, which complicates the progress of spermatozoa. Such pills also change the endometrium (the mucous membrane of the uterus), which makes it thin and it is poorly blood -snapping, which prevents the embryo implantation.

How to take contraceptives?

The doctor may prescribe contraceptives 3 months in advance, after which the woman should return to the control visit. During use, the doctor will ask how the body reacted to the accepted pills. If nothing causes objections, it can write out the recipe for the next 6 months of using the drug. How to take contraceptives?

• It is best to drink the first pill on the 1st day of menstruation.
• Then - one table. Every day at the same time.
• When the packaging of 21 tablets. It is exhausted, there is 7-dn. A pause during which menstruation begins.
• Bleeding usually occurs between 2 and 4 days. After stopping the use of pills.
• After 7 days, regardless of whether you had menstruation or not, start taking another pack.

Contraceptive protection is also valid within 7-d. breaks After using packaging.

What to do if you forgot to drink a contraceptive tablet?

If you missed the use of contraceptive tablets, follow the instructions on the leaf of the lodge. There are different recommendations for different compositions. Therefore, save the leaflet and, if you miss the dose, read the information contained in it. In case of doubt, you can also contact a gynecologist.

• A good way to prevent missed pills is to install a daily reminder of the need for admission on the phone.
• It is very important that this be at the same time and that the break between the techniques of each dose is no more than 24 hours.

In the case of a blast of contraceptives, the general rules can be observed:

• If 12 hours have passed from the moment of passing the hormon -containing pill., The missed tablet should be drunk as soon as possible, and the next one at the allotted time (regardless of the break).
• In other cases, you may need to contact a gynecologist to make sure that you did not conceive the baby (if the woman had sex and did not drink the drug).

Also, when missing the next pill, it is advisable to use other methods of contraception, for example, a condom.

What is the effectiveness of contraceptives?

The effectiveness of the contraceptive method is determined perl indexwho expresses the number of pregnancies per 100 women using this contraceptive method within 1 year. The lower the perl index, the more effective the method.

• With perfect use, the perl index for two -component tablets is from 0 to 1.26.
• Piluses with a higher estrogen content are more effective.
• For one -component tablets with a gestagen, the perl index is 0.14.

It should be emphasized that the contraceptive efficiency of hormonal tablets depends on various factors, among which mainly:

• The degree of observance of regular pills.
• Interaction with other drugs used - they can change metabolism in the liver.
• The effectiveness of contraceptive tablets can be reduced due to: vitamin C, paracetamol, laxative, anti -epileptic drugs used in the treatment of HIV, barbiturates, some anti -inflammatory drugs, St. John's wort.
• Violations of bacterial flora - as a result of prolonged administration of antibiotics.
• Vomiting or diarrhea.

The pills with the lowest doses of hormones, although safer, are slightly less effective in terms of contraception. They require more compliance with the rules of admission and mandatory recommendations.

Broadfield tablets: Can I buy without a recipe?

All contraceptive tablets are released only according to the recipe. To obtain a recipe, you should consult a gynecologist, which should first of all conduct the main tests: an anamnesis, gynecological examination, vaginal ultrasound, palpation of the breast, cytology and examination for blood coagulation, as well as liver parameters. The gynecologist should ask if a woman has thrombosis or not. Checks should be carried out regularly at least once a year, and cytology - every 3 years.

Birth control tablets: side effects

The gestagenes used in hormonal contraception have different profiles of non -contrinding action, so it is important that the choice of contraceptive tablets is as safe as possible for each particular woman.

Possible side effects:

• Nausea and vomiting (usually at the beginning of the reception)
• Bleeding and bloody discharge
• Headaches (most often arise in women who previously suffered from such ailments)
• Increased appetite and weight gain (more often in the case of drugs containing estrogen)
• Changes in the color of the skin
• Discomfort or intolerance when wearing contact lenses
• Flatulence
• Water delay in the body
• The soreness of the mammary glands
• Libido decrease
• Mood changes, such as depression, crying, poor health

Side effects when using contraceptive tablets can be the result of improper selection of pills. Therefore, in the event of their appearance, a woman should visit a gynecologist and talk about manifestations in her body - you can change the drug to another.

Side effects from contraceptive tablets are most often manifested at the beginning of their use (up to 3-4 months). After this time, the body should get used to. If you experience nausea, breast soreness, headaches or irregular bloody discharge at the beginning of taking tablets, as well as excessive accumulation of fluid in the case of taking pills with estrogen, then these symptoms are within normal limits.

Be sure to consult a doctor when such side effects appear as:

• Very severe headaches
• Chest pain
• Dyspnea
• Increasing blood pressure
• Leg swelling
• Pain in the legs
• Changing for the worse vision

Birth control tablets can affect your general health. Often mentioned an increased risk of thrombotic diseases. Studies show that in some cases the use of such pills, it is 6 times higher than in women who do not take hormonal contraceptives. The risk of heart attack and vascular diseases increases, especially in smoking women over 35 years old. Reception of contraceptive tablets is associated with a slight increase in the risk of developing breast cancer and cervical cancer (especially in a group of women infected with HPV).

It is worth knowing: At the same time, the use of contraceptive tablets can also reduce the likelihood of developing egg cancer.

Two -component tablets containing the estrogen component can increase the concentration of poor cholesterol and triglycerides, and older drugs contribute to the development of diabetes.

Contraindications: contraindications

Although currently available contraceptives cause significantly less side effects than those used in the past, not every woman can accept them. Absolute contraindications to the use of such drugs are:

• Pregnancy (hormonal tablets interfere with the correct development of the fetus)
• Inexplicable vaginal bleeding
• Estrogen-dependent tumors
• Cardiovascular diseases, such as: thrombosis, coronary heart disease, stagnation disorders and fibrinolysis, preceding hemorrhages into the brain
• Valve heart defects (mainly)
• Hypertension
• Migraines requiring the treatment of ergotamin
• Liver disease
• Smoking and age older than 35 years
• Severe hypercholesterolemia and hyperthyglyceridemia

Relative contraindications to the use of contraceptive tablets are:

• Migraine
• Meager menstruation or amenorrhea
• Remission of estrogen-dependent neoplasms
• High blood pressure
• Cherpate cell anemia
• System lupus
• Mitral valve prolapse
• History diabetes, gestational diabetes, mechanical jaundice during pregnancy
• Gall bladder disease
• Smoking

Hyperlipidemia is also a relative contraindication to admission.

Contraceptive tablets and pregnancy

Reception of contraceptives does not affect how you will try to have a child later. When you stop taking such a drug, your fertility will return almost immediately. It is even believed that the release of hormones after the cessation of taking tablets is so strong that it contributes to pregnancy. In addition, it is worth mentioning that when taking oral contraceptives, favorable changes occur in the mucus of the cervix, which to some extent prevents infections, such as adnexitis, which in the future can lead to infertility.

Although the use of contraceptive tablets is completely reversible, some doctors recommend waiting 3 months after trying to conceive a child from the moment of stopping the pills. At this time, it is worth providing for the body a sufficient supply of important ingredients necessary for the development of pregnancy, such as folic acid, omega-acid or vitamin D.