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Contraception

The Benefits of The Birth Control Pill


Author:

Albert Thomas, MD

Mount Sinai Medical Center

Medically Reviewed On: November 01, 2001

Numerous studies have also confirmed that no overall risk of heart attack (myocardial infarction) or stroke is increased in OCP users -- unless they are smokers. Pill users occasionally experience higher rates of blood clots (thrombophlebitis), though pregnant women usually get them at a higher rate. The annual risk of blood clotting will be 50 percent lower in OCP users than in the pregnant patient who carries to term. Still, if you have a history of blood clots, you should not use OCPs.

Who Should Take the Pill?
The ideal candidate is any healthy, sexually active female-there is no age limit for Pill use. Currently available OCPs contain lower doses of the hormone estrogen compared with previous OCP formulations. If you are interested in reversible contraception and are willing to take a pill daily, then the birth control pill may be the ideal choice.

There are few women who would not be considered good candidates for the Pill. Patients who should not use combination pills under any condition are smokers older than the age of 35, those with a history of spontaneous estrogen-induced blood clotting, those with an estrogen-dependent malignancy, and those who are already pregnant.

Medical Conditions
Women with certain medical conditions may still be acceptable candidates for this form of contraception, since an unintended pregnancy often leads to a worsening of chronic diseases. Low-dose combination OCPs can be safely used if you have either diabetes or hypertension (high blood pressure), as long as you are willing to be monitored by your doctor and take the medications he/she has prescribed.

Women who are not allowed to take estrogen for medical reasons, or experience estrogen-induced headaches or severe breast tenderness, should not take the regular Pill, as estrogen is a main constituent present in combination OCPs. These women may elect to use mini-pills, which contain only progesterone.

Side Effects
Although not life-threatening in nature, the annoyances of breakthrough vaginal or menstrual bleeding, nausea, breast tenderness, and bloating can have a dramatic impact on how you feel about taking the Pill.

Weight gain is the number one concern expressed by patients. Some newer Pills studied do not cause significant weight gain in the first year of use. Some women have attributed weight gain to feeling hungrier and eating more while using the Pill. Raise your awareness to help avoid the temptation to eat more by teaching yourself to count calories. A consultation with a nutritionist and exercise trainer can help modify eating behaviors.

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