![]() If you have concerns or questions about the pill, or about side effects of the pill, speak to your GP or pharmacist. Rates of cancer of the ovary, uterus and bowel appear to be lower in women who take the pill. It’s therefore important to have regular cervical screening. There may also be a slightly increased risk of other cancers, including cervical cancer. The risk of breast cancer appears to increase slightly, so regular self-checking of the breasts is advised, and if any changes are noticed, it’s important to see a doctor. Taking the pill appears to increase the risk of some types of cancer but may protect against others- overall, the risk of cancer is reduced in women who take the pill. Ask your GP or pharmacist if you’re not sure. If possible, it’s better to take a pill with lower risk ingredients. Pills containing certain progesterones have a higher risk. It’s also important to be aware that some pills have a higher clotting risk than others.Unexplained shortness of breath or rapid heart rate.Sharp chest pain which is worse on taking a deep breath.These conditions can be serious, and potentially life-threatening. Depending on where a clot forms in the body, it can lead to a stroke, heart attack, DVT (deep vein thrombosis) or pulmonary embolism (a clot in the lung).Clotting risk is further increased by smoking, obesity, long haul flights, major surgery, immobility and certain medical conditions such as lupus and cancer- an alternative form of birth control should be discussed with your doctor.Women who take the pill have a slightly higher risk of developing a blood clot.Other frequent side effects that cause women to. Patients who have a history of nausea and vomiting with the use of emergency contraceptives should be pretreated with antiemetics. Tell your doctor immediately if you think you may be pregnant or your menstrual bleeding is heavy and prolonged. Nonsteroidal anti-inflammatory drugs and estrogens have only short-term benefits in alleviating heavy menses in women who use progestin-only contraceptives. Physicians should not prescribe progestin-only contraceptives for women who are concerned about breakthrough bleeding.īreakthrough bleeding associated with continuous contraceptive methods can be alleviated by a three- or four-day hormone-free interval. There are no significant differences among formulations. Physicians should not recommend any combination oral contraceptive over another for decreasing weight gain, headache, breast tenderness, breakthrough bleeding, mood disturbances, acne, or nausea. Women can also be assessed for medical eligibility before and during the use of hormonal contraceptives. Patient education should be encouraged to decrease the chance of unanticipated adverse effects. There is insufficient evidence of any effect of hormonal contraceptives on breast milk quantity and quality. If acne develops or worsens with progestin-only contraceptives, the patient should be switched to a combination method if she is medically eligible. Studies of adverse sexual effects in women using hormonal contraceptives are inconsistent, and the pharmacologic basis for these symptoms is unclear. ![]() If significant abnormal bleeding persists beyond three months, other methods can be considered, and the patient may need to be evaluated for other causes. Breakthrough bleeding is common in the first months of combined oral contraceptive use. There are no significant differences among various combined oral contraceptives in terms of breast tenderness, mood changes, and nausea. ![]() Switching combined oral contraceptives is not effective in treating headaches, nor is the use of multivitamins or diuretics. Long-acting injectable depot medroxyprogesterone acetate is the only hormonal contraceptive that is consistently associated with weight gain other hormonal methods are unlikely to increase weight independent of lifestyle choices. Often, physicians only need to reassure patients that these symptoms will likely resolve within three to five months. Adverse effects of hormonal contraceptives usually diminish with continued use of the same method.
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