Contraceptive methods have multiplied throughout the ages, from isolation and external ejaculation, to the use of safety or counting periods in a woman’s menstrual cycle, to modern methods that have evolved significantly and have achieved their goal by up to one hundred per cent.
The increased awareness and general culture of husbands and the desire to organize the reproductive process have compounded the family’s desire to search for and use the best contraceptive methods, either immediately after marriage or to an appropriate time period between each child and the next.
On this topic, we will focus our discussion in detail on birth control pills in particular, as it is the first method chosen by most doctors and most successful in preventing pregnancy, and many questions revolve around it about the safest, least complications and easiest to use and also some rumors about the damages of some of them and their withdrawal from the market. And trading.
Contraindications
Your “health” met Dr. Intisar Ragheb Al-Taylouni, a consultant and head of the Obstetrics and Gynecology Department at King Abdulaziz Hospital in Jeddah, to shed light on this issue from his long experience in this field.
For women, the final barriers are a surgical procedure, which is called the process of connecting tubes, a process that is performed either by opening the abdomen or by laparoscopy, and in which the fallopian tubes are attached to both sides of the uterus, which connects the fertilized egg to the uterus after the vaccination has occurred, and the binding is either using the so-called stapler Either cut a piece of the tube. In both cases the prohibition is final and the tube cannot be returned to its initial state. Despite this, there is less than 1 in 10,000 for a failure in the process, and pregnancy may occur in it.
As for temporary contraindications, it is the most famous of which comes in the forefront of birth control pills, and we will talk about them in detail in terms of their strength and their ability to prevent pregnancy.
Contraceptive pills
These pills (Contraceptive pills) are among the best types of contraception, as the rate of preventing pregnancy is 100%, if used in the correct way and not forgetting, or taking any medications that may conflict with it and lead to its weakness and consequently to its failure.
These pills contain two hormones, the "ethanyle estradiol" estrogen, which is found in all types of birth control pills on the market. It will be either 20, 30, 35, or 50 mg, depending on the type of pill. Another hormone is progesterone, which differs from one type of these pills to another.
Each company puts a kind of this hormone, and its focus is mostly equal. The focus may be different in the first 11 pills than in the last 10 pills in the same package. This group of birth control pills is classified as a combined oral contraceptive pill because it is a combination of two types of hormones.
The method of work
These pills prevent pregnancy in one of two ways, the first of which depends on the estrogen hormone that stops or reduces the ovulation hormone from the pituitary gland, which is the hormone «FSH» responsible for enlarging the egg in the ovary, and thus stopping its secretion leads to stopping the growth of the egg, and thus to stopping ovulation .
As for the second method, it depends on what the progesterone hormone causes, which leads to stopping the secretion of the hormone «LH», which is the hormone responsible for the bursting of the egg sac, and therefore the end result is to prevent or stop ovulation and thus not to get pregnant.
Their uses
The question sometimes arises: Can any woman use these pills?
And Dr. Intissar Al-Taylouni answers that any woman who wants to use birth control pills should first consult a gynecologist and obstetrician to give her advice on using these pills, as it is preferable not to use these pills with women over the age of 40 or who are overweight, or smokers , Or those with a history of a previous stroke. Likewise, those with liver disease, high blood pressure, and diabetes. All of these cases or health problems may get worse if the aforementioned pill is used, and in these cases it is necessary to describe another type or another method of contraception.
How to use the pill
Women start taking these pills from the fifth day of the cycle, regardless of whether the cycle is continuous for them or has stopped. The package contains 21 tablets, which are taken in twenty-one days, after which the woman waits until the next cycle is reached, and then begins using a new package from the fifth day, and so on.
side effects
Dr. Intissar Al-Taylouni summarizes the most important side effects that can occur as a result of using birth control pills in the flow of some blood during non-session days, in the form of s of blood. This can be overcome by describing a type of pill that has a greater concentration of estrogen for two or three months, then returning to the previous concentration. Mild headache and mild depression can also occur.
As for the serious side effects that can occur but with a very small percentage of no more than 10 to 20 in every 100,000 women, they develop blood clots in the leg or thigh, and of course this percentage increases when these pills are used by women who have risk factors such as weight gain, smoking, and who She is over 35 years old, or has suffered a previous stroke.
This has proven that women return to fertilization once they leave the grain, and that 50% return to their fertility in the first six months, while the other 50% return during the first year.
Small grains
"Mini pill" is a single-hormone pill. Dr. Al-Taylouni says that it contains one type of the hormone, which is the hormone progesterone, and it prevents pregnancy by affecting this hormone on the cervix to change its environment, and thus prevent sperm from penetrating and reaching the egg.
It also has an impact on the endometrium and thus makes it very light that does not allow the embryo to adhere to it. These pills are preferred for breastfeeding women, as they prevent pregnancy without affecting breastfeeding or reducing milk. As for contraception in this way, it does not exceed 95%, and there is a failure rate that may reach 5%.
As for the side effects of this type of pills, it is the occurrence of an imbalance and irregularity in the cycle, and these pills can cause a complete interruption of the cycle throughout the period of its use. However, the side effects here are much less than the first type.
In the same type there are hormonal injections that contain one hormone, progesterone, and they can be given every 3 or 6 months depending on the required concentration, and their side effects are just like pills because they have the same hormone.
Helix contraception
There are two types of intrautrine contraceptive devise on the market: copper and hormonal.
The copper IUD is a plastic IUD coated with copper, placed inside the uterus, which can be left for 3 to 5 years depending on its type, preventing it from getting pregnant due to the copper material in it that kills sperm and thus preventing it from reaching the egg. The presence of the IUD in the womb as a foreign body makes the uterus in a state of consecutive contractions, and thus the embryo attachment to the uterus in the event of vaccination is difficult due to the disorder and contractions of the uterus. On the other hand, the presence of the IUD as a foreign body in the womb leads to a type of inflammation inside the womb that works to prevent pregnancy as well.
As for the hormonal IUD, it is the same as the previous IUD, in addition to the presence of a small device that secretes the hormone progesterone continuously throughout the life of the IUD (3 years). This IUD prevents pregnancy in the way we mentioned earlier in addition to the hormone progesterone that also prevents pregnancy.
Rumors are issued from time to time about a drug that its use is not safe and that it was withdrawn from the market, and is being followed by confusion among users of this drug and questions arise regarding the available natives. This is what actually happened when the recent rumor against one of the most popular and most prescribed birth control pills by gynecologists, "Jasmine", that it causes a blood clot in its users.
As a health information center, we received a set of these questions and up to the moment of editing this article, so we had to investigate the truth of this rumor or not, so we made contact with the Saudi Food and Drug Authority in the Kingdom of Saudi Arabia, and we requested clarification of this rumor.
Rumors about the drug "jasmine" is it available or is it withdrawn from the market?
And the deputy head of the Food and Drug General Authority for Medicines Affairs Dr. Saleh Abdullah Bawazeer replied that it was a "false rumor" and stressed that the "jasmine" pills were not taken from the market, and they were as they were still available and disposed of from pharmacies. He added that the possibility raised about the complications such as a clot of the legs does not belong to these pills alone, as it is a side effect of the third generation group of birth control pills, which occur with a specific and small percentage.
For his part, Mr. Lutfi, media advisor to the company, Bayer Health Care in Saudi Arabia, stated that “Jasmine” has not been withdrawn from the Saudi market according to the Saudi Food and Drug Authority or from any of the markets where the drug is registered in the world, and stated that the US Food and Drug Administration (FDA) It met in the presence of 26 of its members on 8-12-2011 regarding the drug "jasmine" and recommendations were issued by the safety and security committees and the reproductive health committees of the US Food and Drug Administration for the safe use of the drug jasmine, based on many studies that reported the safety of the drug "jasmine" ».
Finally, Dr. Triumph Taylouni, in his capacity as a consultant in obstetrics and gynecology, did not stop prescribing the drug "jasmine", as it is the first option among the drugs he prescribes to prevent pregnancy.
