Menopause usually begins when a woman turns 45 to 55 years old. However, for the first time, symptoms of menopause may occur before 45 years. Read more about what menopause is, menopause, when it comes and what effects and symptoms of menopause exist, you can read in the article: the stages of menopause (menopause), the code comes postmenopause, what are the main symptoms and signs of menopause.
What can be the main signs, symptoms of menopause (menopause)?
The most important symptoms of menopause started are the irregular monthly cycle and the cessation of menstruation. However, these symptoms are not observed in women who continue to drink contraceptive pills.
Despite this, a woman can easily identify the symptoms of the approaching menopause, even if she drinks these drugs. Such symptoms can be hot flashes, increased sweating (especially at night) and sleep disturbance. In addition, a woman can change her mood several times a day.
The above symptoms can occur only from time to time, especially when there is a week-long break between taking birth control pills and there is a shortage of hormones in the body. Such symptoms may be either quite mild or it may not be at all if you use birth control during menopause.
What effect do contraceptive drugs give for menopause (menopause)?
With the onset of menopause, a woman's performance of female sex hormones diminishes, as a result of which she throws a woman into a fever, she suffers from a sharp change in mood, excessive sweating and other symptoms.
As is known, the composition of contraceptive pills includes female sex hormones. Only they are able to compensate for the lack of hormones in this period. Acceptance of these pills will lead to the fact that the body will not lack hormones and will function according to the previous scheme.
For example, when one plate of pills ends and a week-long break begins, the woman begins to have her period. In this situation, this is not about normal menstruation, but about "withdrawal bleeding." This discharge of blood was provoked by the fact that the woman stopped drinking hormone-containing drugs. Often, a woman can confuse this discharge with a normal menstruation, even without suspecting that she has had menopause.
The experience of using hormonal drugs to relieve menopause symptoms has been used for over a decade in modern medicine and gives a lot of positive results. With the help of hormonal drugs, and as a preparation for taking hormonal contraceptive pills, doctors successfully prevent the development of many endocrine diseases, a whole list of cardiovascular diseases. Plus in taking birth control pills can be called the fact that they contribute to the preservation of normal levels of calcium in the female body.
Acceptance of hormonal drugs for menopause helps prevent the development of heart attack, stroke, osteoporosis, protect the female body during menopause from hair loss and deterioration of the skin. Hormonal drugs for menopause help prevent the formation of tumors in the uterus and reduce the risk of depression, irritability and imbalance of the nervous system, which occurs due to hormonal changes in the body during menopause. We should not forget about the rules for taking birth control pills during menopause, more about this is written in the article: how oral contraceptives work, the basic rules for the effective use of birth control pills for treating hot flashes during menopause and other symptoms of menopause.
How can hormonal birth control pills and drugs help me with menopause?
Most often during menopause, when menopause occurs, gynecologists prescribe hormones such as Divitren, Kliogest, Divina, Cyclo-Proginova, Vagifem, Oswestin, Trisequens, Klinonorm and Grandaksin. The right choice of hormonal drugs during menopause can only be done by an experienced doctor based on the available test results.
When, in what cases you need to start taking hormonal drugs during menopause (menopause)?
Some of the gynecologists insist that their patients, who are on the menopausal basis, prepare in advance for the restructuring of the body associated with menopause. Most often, the gynecologist, in preparation for the onset of menopause in a woman, prescribes such contraceptive pills as Yarin and Zhanin, Diane and Marvelon, and sometimes use a drug like Tri-regol.
Some gynecologists advise you to start taking birth control pills after the age of 30. So the doctor prepares the woman's body for a gradual process of hormonal adjustment. In some cases, taking birth control pills before menopause, shortly before the onset of menopause, may contribute to an easier hormonal adjustment process. Also, some doctors believe that the use of hormonal contraceptives (oral, contraceptive pills) can protect the female body from the appearance of diseases of the endocrine system, which are most often formed during premenopause. Taking birth control pills can save the body from a large loss of calcium and diseases of the heart and blood vessels. Correctly choose hormonal contraceptive pills to eliminate the symptoms of menopause can only the attending physician, who previously usually conducts a number of necessary tests. And about what are the effective oral contraceptives can be found in the article: what contraceptive pills, hormonal OK, just for me.
When do I need to switch from birth control pills to hormonal drugs during menopause?
Only a gynecologist can prescribe the exact date of the transition process from taking birth control pills during menopause to consuming hormonal drugs that are designed to eliminate and alleviate the symptoms and complications of menopause in a woman. The choice of a specific medicine from the entire list of hormonal drugs can only be correctly made by your gynecologist, based on the characteristics of a woman’s health.
Is it dangerous to drink birth control pills for women aged 35-40?
Specialists cautiously prescribed birth control pills for women over 35 years old. This is mainly due to the fact that such dragee leads to thickening of the blood. Therefore, the likelihood that blood clots form in blood vessels increases significantly. These blood clots can get into the heart vessels and trigger a heart attack, and if they fall into the brain vessels, they will trigger a stroke. These are two extremely dangerous states that can lead to death.
However, if a woman drinks these dragees for many years and they suit her, then further oral contraceptives can be taken. But only under certain rules. Women who are over 35 years old (and older) who drink contraceptive drugs should stop smoking. In addition, women can drink dragees if they do not suffer from varicose veins or overweight, if blood pressure is normal, and the diet consists of a large amount of plant foods and a small amount of animal fat. A mandatory factor is the annual visit to the gynecologist.
How does a woman know that menopause has come, that the menopause has already come?
Unfortunately, most of the symptoms of menopause in women do not show up if she drinks contraceptive drugs. However, a woman will be able to know whether menopause has come or not. To do this, she must pass a special analysis on the content of follicle-stimulating hormone in the blood (FGS).
If the indicator is high, then menopause has not yet begun, while a low indicator indicates the beginning of menopause. Gynecologists pay special attention to the emergence of symptoms such as hot flashes during menopause and ways to deal with them, more about which can be found in the article: how to cope with hot flashes during menopause, what effective treatment of hot flashes during menopause exists.
FGS and menopause (menopause)
FGS is a follicle-stimulating hormone that is needed to produce the amount of estrogen necessary for the body. This hormone is produced by the pituitary gland in a woman’s body. Low levels of FGS in the blood do not give 100% result of the fact that the woman has already started menopause. Sometimes it happens that the menstrual cycle resumes after the woman stops taking birth control pills. At the same time, the FGS index is low. This indicates that menopause has not yet begun and a woman can become a mother. Although this happens extremely rarely in women aged 45-50 years.
When is it better to take an analysis on FGS?
The results of tests on FGS can affect the use of birth control pills. Therefore, it is worth doing tests at a time when most of the hormones are already out of the body.
If in a box there are 28 dragees, then the test is passed on the 27-28 day of the dragee.
If in a box there are 21 dragees, then the analysis should be submitted for a 6-7 day week break.
What tests need to pass for the selection of hormonal agents during menopause?
To the doctor was able to prescribe hormonal drugs that can help a woman during menopause, it is necessary to conduct a whole range of various tests. Proper administration of drugs begins with a patient’s blood test for the level of sex hormones, an analysis such as densitometry (an analysis used to diagnose osteoporosis), a breast and gynecological examination.
Pregnancy and menopause
Already a year later, after the onset of menopause, getting pregnant becomes almost impossible. Therefore, there is no need to take birth control pills.
Should I refuse to take contraceptive drugs during menopause (menopause)?
Taking contraceptive drugs greatly simplifies the process of menopause, making it barely noticeable.
The bottom line is that contraceptive drugs containing certain doses of hormones, aimed at suppressing the work of the ovaries. With the advent of menopause, this is no longer relevant, since the ovaries no longer function.
It turns out that taking estrogen in the form of contraceptive drugs, the dosage of which exceeds the number needed for a woman during menopause, does not make sense.
Does a woman need estrogen during menopause (menopause)?
An additional dose of the hormone helps to reduce hot flashes, helps to cope with insomnia and mood swings, as well as increase sexual desire. So, an extra dose of estrogen does not harm a woman, but it is worth taking a hormone only when there really is a need for it.
1 If a woman no longer uses contraceptive drugs, she showed signs of menopause and she feels well - there is no need to take estrogen-containing drugs.
2 If the signs of menopause interfere with the daily life of a woman, then she should start hormone therapy with estrogen.
The value of contraception during menopause
Doctors divide the climacteric period into 2 main stages, when the use of contraceptives is necessary - this is menopause and menopause. The onset of climacteric or premenopause is characterized by the appearance of irregular menses, which bring a certain level of anxiety to women who actively live sexually.
During the premenopausal period, ovulation processes in the ovaries do not occur after each menstrual cycle. But there are many cases registered in medicine when the egg still has time to mature during the course of one of the menstrual cycles, which is the cause of an unplanned pregnancy. Therefore, in order to avoid such a situation, and not to resort to abortion, you should regularly be protected during menopause with the most reliable methods of contraception.
It is important to know! That contraception in menopause by scheduling regular basal temperature measurements is an unreliable method. This is due to the fact that with the onset of the premenopausal period, the ovulation process can be easily overlooked due to the jumps in body temperature that occur on the background of the hormonal changes in the body.
With the onset of climacteric, most women begin to treat surgical abortion procedures at ease. They are confident that the threat to health during abortions becomes minimal due to the fact that they will no longer give birth. This is a mistaken opinion, since the very threats to health simply change their direction and the nature of the manifestation, which can make itself felt by the development of the following pathologies:
- endocrine disorders in the uterus,
- development of malignant neoplasms, such as cervical cancer,
- breast cancer,
- endometrial cancer.
This is due to the fact that the artificial way of interrupting an unplanned pregnancy is the hardest shock for an organism that is in the phase of already difficult changes. The immune system of the body in this period is very weak, so the risks of the formation of malignant neoplasms and other equally serious pathological processes are very high, especially after such interventions.
What is the use of contraceptives?
Contraception during menopause has a positive effect on the regulation of hormonal balance. All the active components of these drugs have a certain concentration, considering which, the doctor prescribes the use of a specific contraceptive during menopause.
With the onset of menopause, certain changes occur in the woman's body, manifested by symptoms such as:
- bouts of hot flashes,
- mucous surfaces of the intimate areas become thinner, and dryness appears, causing unpleasant discomfort in the vaginal area,
- psycho-emotional balance is disturbed with the appearance of attacks of aggression, nervousness and tearfulness,
- the cardiovascular system is broken,
- AD acquires a discontinuous nature,
- metabolic disorders, accompanied by an active set of extra pounds,
- leaching of calcium from bone tissue, leading to osteoporosis and osteochondrosis.
These factors may occur in each woman to one degree or another. And if you take into account the fact that menstrual flow may appear even within a couple of years, the menopause can be an aid to the development of disorders in various body systems.
Contraceptives help to alleviate the manifest menopausal symptoms, and warn of possible exacerbations of existing pathologies. These drugs act on the ovaries with overwhelming force, providing the body with preparation for the normal cessation of the functioning of the sex glands. In addition, the composition of medicinal substances contains estrogens, due to the scarce content of which is so painful during menopause.
In the period of menopause, a woman's body requires a certain level of missing hormones to ensure normal functioning. Considering this factor, doctors make conclusions about the need to use certain contraceptive drugs containing the required amount of estrogen.
Attention! Those contraceptives that can be used at reproductive age to prevent unplanned pregnancies are not suitable for protecting the body of a mature woman entering menopause, because the hormone content of these drugs is too high.
With the onset of premenopausal period, experts recommend taking pills with low doses of hormonal substances, which include:
- Lindinet 30containing 30 µg of ethinyl estradiol and 75 µg of gestodene, which is a monophasic preparation,
- Janin, which contains 30 μg of ethinyl estradiol and 2 mg of dienogest, is also a monophasic drug that has an additional cosmetic effect,
- Jesscontaining 20 mcg of ethinyl estradiol and 3 mg of drospirenone,
- Rigevidon, which contains 30 mcg of ethinyl estradiol and 150 mcg of levonogestrel,
- Siluet, having in its composition 30 mcg of ethinyl estradiol and 2 mg of dienogest, this drug is a complete analogue of the drug Jeanine,
- Marvelonconsisting of 30 micrograms of ethinyl estradiol and 150 μg of desogestrel.
In addition, contraceptives may be prescribed, consisting mainly of progestin, for example, such as Norplant or Depo-Ver. In addition to alleviating menopausal symptoms, they prevent the exacerbation and development of existing tumors localized in the mammary glands or genitals. А также способствуют регулярному отхождению менструальноподобных выделений.
Start taking oral contraceptives should be under the supervision of specialists, especially in menopause, when the body's response to taking medications are unpredictable. Let us consider in more detail some contraceptive drugs and their effects on the female body.
In the premenopausal period, this drug is very often prescribed to prevent unplanned pregnancy, as well as to alleviate the menopausal symptoms, by entering the body with the necessary hormonal substances that make up this drug. The use of the drug Janine will help to normalize the hormones and the menstrual cycle.
Due to the cosmetic effect that the drug Janine is capable of having during the onset of menopause, you can get rid of skin problems that appear during the hormonal hormone disorder at the time of the body's restructuring, that is, Janine will help eliminate acne on the skin and bring it back to normal.
This drug can be prescribed for use with the onset of menopause, not only to prevent pregnancy, but also to eliminate various kinds of menstrual disorders, such as:
- abundant or too meager blood discharge,
- uterine hemorrhages,
- menstruation soreness and others.
To prevent fertilization of the egg, Rigevidon should be started on the 5th day from the first day of the onset of menstruation, according to the following scheme: 1 tablet per day for three weeks, preferably at the same time of day, not allowing a break between two doses for more than 34 hours .
If one pill of Rigevidon is missed, then with the next intake, Rigevidon must be taken in a double dose. After a three-week course of contraceptive use, it is necessary to give the body a rest for one week, and then start a new course again.
Contraindications to receive OK
Oral contraceptives should be prescribed only by a medical specialist after a preliminary examination and carrying out the necessary examinations of a woman’s body, since these drugs have a number of contraindications that can cause severe adverse body reactions.
It is strictly forbidden to use oral contraceptives in the presence of the following factors:
- Smoking. This process helps to slow down blood flow, and hormonal drugs can cause blood clots, which will adversely affect the cardiovascular system,
- The development of diabetes. When taking hormone-containing drugs, the functionality of the already not the best working capacity of the vascular system is disrupted,
- Violations of the cardiovascular system, which include the development of thrombosis, heart attack and stroke,
- Impaired liver function.
In the presence of these factors with the onset of menopause, it is recommended to use non-hormonal means of contraceptive protection of the body.
Use of non-hormonal contraceptives
Non-hormonal contraceptive methods include:
- Such effective contraceptives as condoms. Using these contraceptives will help not only prevent the occurrence of unwanted pregnancy, but also protect the woman's body from possible sexually transmitted diseases transmitted through sexual contact. The only drawback of this method of contraception is the fact that condoms do not alleviate the manifestation of menopausal symptoms, but instead act as a preventive measure against cancer of the cervix,
- The most common way to prevent fertilization of an egg is to install Navy. For mature women entering menopause, the intrauterine device is an excellent contraceptive that contributes not only to the prevention of pregnancy, but also to the development of a number of pathologies. Usually installed Mirena Navy. With Miren, a reduction in blood loss during menstruation is achieved, prevention of inflammation in the genitals and iron-deficiency anemia are prevented. Contraception with Miren also contributes to the reduction of vegetative-vascular symptoms during menopause. But the cost of such contraception is very high.
- Vaginal candles. They are quite effective contraceptives, but their use may contribute to the violation of the vaginal microflora.
- Surgical sterilization is to bandaging the fallopian tubes by conducting surgery. This method of contraception is irreversible and has a number of contraindications similar to taking oral contraceptives.
The use of contraceptive methods is a guarantee of full sexual life without the occurrence of unwanted pregnancy. But what to do if suddenly there was unprotected sexual intercourse? What methods can be applied?
Contraception after unprotected intercourse
For emergency (or post-coital) contraception after unprotected sexual contact has occurred, it is recommended to take a drug such as Postinor.
The postinor is accepted according to the following scheme: within 72 hours after the act of action it is necessary to take the first pill, and after 12 hours it is necessary to drink the second one. In order for the result of the action of the drug Postinor to be as effective as possible, it should be taken as soon as possible after the end of sexual intercourse.
Important! If within 2.5-3 hours after the first or second postinor tablet has been drunk, ejection has occurred, then another pill of this drug must be taken.
A postinor is not recommended as a permanent contraceptive method of protection, and it is also undesirable to reappoint it during one menstruation cycle.
Contraceptive hormonal drugs, which are used in the menopausal period, help not only to improve well-being and prevent pregnancy, but also contribute to the toning of the skin, muscle fibers and bone system, as well as contribute to the removal of inflammatory processes.
Some women when taking hormonal contraceptives feel the extension of their physiological youth and beauty. Taking birth control pills after menopause is not necessary, since the functions of the ovaries completely quench, and the occurrence of pregnancy will be impossible.
Interesting video on the topic:
Birth control pills for menopause after age 50
50 years, this is not the end of menopause. At this age, women already experience menopause symptoms, but menstruation is most often still present. They may be irregular, painful, scanty or, on the contrary, abundant, but they exist, which means that there is a risk of becoming pregnant.
Few women at this age are eager to have a child, and therefore, to avoid unwanted conception, and hence abortion, you should remember about protection. Today, there are many methods to prevent pregnancy, but for women in menopause, the best solution to this issue are contraceptive drugs, consider why:
- Prevent conception. This is an important aspect at this age. The body is already worn out, it is tired, and carrying a child after the age of 50 can adversely affect health. It is also dangerous at this age to have abortions, because the tissues have already weakened, the vessels have thinned, which means there is a high risk of bleeding and infection.
- Stability of menstruation. When using contraceptive drugs, a woman always knows when the next menstruation comes. It is very convenient during the period of menopause, because you can easily track failures and violations, as well as notice the complete absence of menstruation or suspicious bleeding.
- Reducing the symptoms of menopause. Contraceptive medicines contain estrogen, the female sex hormone, which is associated with the unpleasant symptoms of menopause. Small doses of the hormone make it much easier to tolerate menopause.
Important! In menopause, contraception is not suitable for young girls. To pick up the medicine should be a specialist.
When do I need to start taking contraceptives?
The use of contraceptive pills for menopause should begin after 40 years. As soon as the lady realizes that she no longer wants to have children, measures should be taken to prevent conception. It is necessary to understand that pregnancy after 40 is already difficult and unnecessary, and termination of pregnancy at this age is fraught with the development of various gynecological and even oncological diseases.
Many gynecologists advise to take OK and as a prevention of menopausal manifestations. They believe that it is necessary to prepare the body for menopause in advance, and oral contraceptives perfectly help in this. Application of OK after 40 years prolongs the work of the ovaries, prevents the development of endocrine and cardiovascular diseases, is the prevention of breast cancer and osteoparosis.
At the age of 50 years and older, when the menopause already clearly makes itself felt, it is important to make the right transition from oral contraception to hormone therapy. This can only help an experienced gynecologist, because before using HRT, you must undergo a full examination, eliminate contraindications and select an individual treatment schedule.
You should know that OK is needed only during the premenopause, when the possibility of conception is still preserved. After the ovarian function has completely disappeared, such doses of hormones that are present in contraceptive drugs are no longer needed by the female body. Moreover, the uncontrolled intake of oral contraceptives in menostasis can result in the development of tumors of various kinds, including malignant ones.
Attention! OC therapy should be monitored by a gynecologist throughout. It is very important not to miss the moment when contraceptive pills become a threat to health.
The effect of contraceptive during menopause
Whether it is possible to drink birth control pills during menopause, this question is often asked by women entering into hormonal changes. Doctors answer, each case is individual, and medicine for all simply does not exist. However, despite this, in the absence of contraindications, regular use of OK during menopause has the following effect:
- Eliminate tides
- Maintains the normal state of the vaginal mucosa,
- Stabilizes emotional background
- Interferes with the development of mental disorders
- Prevents sudden weightless weight gain,
- Is the prevention of bone demineralization,
- It prevents the development of cardiovascular diseases.
Due to the fact that OK blocks the work of the ovaries and supplies the body with a certain amount of sex hormones, women often simply do not feel the onset of menopause. The body works in the usual way, there are no failures of organs and systems, and the hormonal background is stable. But, despite all these advantages, it is important to remember that at every age the amount of hormones needed by the body is different. Therefore, the doctor in climacteries should select the OK, and therapy should be strictly controlled not only by regular gynecologist examinations, but also by complete screening of the body, including tests, ultrasound and other hardware examinations.
Contraindications to use
Birth control pills during menopause can not be taken if:
- The lady smokes. Smoking destroys blood vessels and adversely affects the composition of the blood, which makes the use of birth control pills impossible.
- The patient has diabetes mellitus of any type. In this case, OK will only aggravate the disruption of the cardiovascular system without it.
- The patient was diagnosed with heart disease. OK can increase blood viscosity, which, in combination with heart disease, will only aggravate the disease.
- The patient is overweight. Contraceptives contribute to an increase in body fat, which can lead to the development of a serious stage of obesity.
- The patient is diagnosed with liver disease. Against the background of metabolic disorders, hormones suffer, and birth control pills in this case can significantly aggravate this failure.
Why is contraception important for menopause?
With the advent of menopause, the ovaries release a small amount of hormones — estrogens and progestins. The female body responds to this, in the pituitary gland the follicle-stimulating and luteinizing hormones, which activate the sex glands, are synthesized in an increased amount.
As a result, hormone instability is characteristic of the first stage of the climacteric period, due to which the basal temperature fluctuates. A woman, regularly measuring basal temperature, may not notice ovulation. The result - the onset of unwanted pregnancy.
Not every woman is ready to give birth after 40 years. Many older women have a bunch of chronic diseases, fear that they will not have time to grow up and learn a late-born heir. The risk of having a child with serious pathologies is also high. Therefore, late pregnant women in most cases go to an abortion. But one should not think that abortion in old age is not as dangerous as in fertile years.
In menopause, medical or surgical disposal of the fetus is a strong hormonal stress for an organism undergoing a hormonal adjustment. Endocrine and gynecological pathologies, malignant tumors of the uterus and mammary glands are provoked by abortion.
Therefore, the need for contraception persists until the second stage of menopause, when patients over the age of 50 years do not have one month of age, patients up to 50 years old do not have 2 years.
Features of contraception in premenopause
Unaware women believe that with the appearance of menopausal symptoms, the use of contraceptive drugs becomes useless. In fact, during the premenopausal period, the ovaries function, even if not completely.
For several years after menstrual irregularities may conceive. Therefore, taking birth control pills for menopause is necessary, subject to continued intimate life. Contraceptives for menopause are also useful because they weaken the manifestations of hormonal adjustment.
It is unacceptable to take drugs without testing and consultation of the attending physician. In some elderly patients, uterine bleeding is hidden under the guise of unstable menstrual flow, requiring immediate examination and treatment.
At the premenopausal stage, drugs are taken with a low concentration of hormones:
When is it recommended to take birth control pills during menopause?
Some gynecologists advise patients to prepare in advance for hormonal climacteric transformations. To prepare the body for the onset of menopause in women over 35 years old, the doctor may prescribe the following birth control pills:
Reception OK after 35 years allows the female body to prepare for the age hormonal restructuring, contributes to the easy flow of the upcoming menopause. Many gynecologists believe that hormonal contraceptive pills can reduce the risk of developing endocrine gland abnormalities, which often occur during premenopause. The use of birth control pills for menopause allows you to save in the bone tissue the optimal amount of calcium, prevents heart disease and the vascular system.
Selection of contraceptive pills for menopause is done only by a medical specialist. And only the doctor decides when the patient should switch from OK to hormonal medications that help to ease menopausal syndrome, suitable for treating hot flashes, preventing complications.
Types of contraceptive drugs
Contraceptives are divided into types of content in the composition of hormones. Drugs are hormonal and non-hormonal.
Use of non-hormonal contraceptives external. Means are inserted into the vagina before the planned intimate bond. During sexual contact, the active substances of the drug have a spermicidal effect, that is, destroy the shell of spermatozoa. Vaginal contraceptives are sold in the form of dissolving tablets, suppositories, creams. The most popular drugs are:
Using vaginal contraceptives is often not worth it, as they can disrupt the microflora of the genital tract.
Hormonal remedies are:
- combined - based on estrogen and progestin,
- progestins containing progestins only.
Combined contraceptives (KOK) are available monophasic, two-phase, three-phase. As part of monophasic pills, hormones are in the same concentration. Two-phase agents include tablets of two types, differing in the concentration of progestins with an equal amount of estrogen. In three-phase agents, tablets differ in the concentration of both estrogen and progestin.
Progestin-based progestin-based contraceptives (OGKs). Estrogen in the composition is not. These drugs are called mini-pili.
Прежде чем начать гормональную терапию, нужно проконсультироваться с гинекологом. А в ходе приема необходимо раз в 6 месяцев приходить на обследование в гинекологический кабинет.
Как действуют комбинированные и некомбинированные контрацептивы
Все типы КОК имеют одинаковый принцип действия – препятствуют овуляции. Taking the pill causes an increase in blood levels of estrogen and progestins. Because of this, the synthesis of follicle-stimulating and luteinizing hormones that control the course of the menstrual cycle is lost. As a result, the cycle passes without the follicular and luteal phase, ovulation is absent.
Progestins contained in COCs alter the consistency of the mucous secretions of the uterine cervix. The mucus is compacted, which is why sperm cells cannot move to the egg cell. Conception becomes almost impossible.
Progestins also inhibit the increase in the endometrium - the mucous membrane of the uterine cavity. Even if fertilization happens, the fertilized egg will not attach to too thin endometrium.
After the arrival of menopause in the female body due to estrogen deficiency increases the concentration of androgens - male hormones. This adversely affects the appearance: the skin becomes fat, there is a male-type hair growth. Combined contraceptives with menopause have antiandrogenic effects, as they include estrogens.
The action of progestin pill during menopause after 45 years of age is aimed at:
- an obstacle to ovulation (with an increase in progesterone, the synthesis of FSH and LH in the pituitary gland changes, as a result, there is no menstruation and ovulation in the cycle),
- an obstacle to the increase of the endometrium (so that the egg cannot penetrate into the mucous tissues),
- increase in the density of mucus secreted by the uterine neck,
- decrease in fallopian tubes contractility.
From the above it follows that hormonal OK provide double protection against unwanted conception. Even if the egg is fertilized, it will not be able to implant in the uterine wall.
General recommendations for contraception during menopause
In order to avoid problems with menopause after 50 years, it is important to be properly protected, contraception should take into account the following points:
- Self-medication is not allowed.
- Before taking the pills, you need to take a test for hormones, during the reception you should periodically go and see the observant gynecologist.
- Do not accept OK for obesity and bad habits.
- In some cases, taking birth control pills with menopause after 50 years, as the woman's reproductive ability.
- Some drugs are optimal for premenopausal, other means - for menopause.
- It is necessary to comply with the dosage recommended by the doctor, do not exceed the course.
- When taking it is important to monitor the response of the body.
Contraceptive pills - the best way to prevent menopause. The choice of oral contraceptive is carried out by a medical specialist. The patient should tell the doctor about all the features of taking birth control pills and menopause to avoid complications.
What can be contraindications for taking birth control pills for menopause?
Endometriosis can be contraindications to the use of many types of hormonal contraceptives for menopause (menopause) (the process of tissue proliferation in different organs, which are similar in structure to the endometrium of the uterus (uterine mucosa)). Also, some of the contraindications for taking hormonal contraceptive pills are thrombophlebitis, post infarction, after a stroke in women, with the development of cancer or in case of serious liver diseases.
Other types of contraception during menopause
In addition to contraceptive with menopause, you can use alternative types of contraceptives. If marvelone or similar drugs can not be taken, then the solution may be:
- Condoms Perform several functions at once: protect against sexually transmitted diseases and prevent the occurrence of pregnancy. Considered the most practical contraceptive.
- Intrauterine device. Many people mistakenly believe that the Navy prevents conception. In fact, the intrauterine device does not affect the movement of spermatozoa, but only prevents the fertilized egg from infiltrating the uterine lining. Therefore, there are a number of contraindications for use of the Navy.
- Candles. Reviews indicate that suppositories for menopause are considered to be good contraceptives, but permanent use is excluded due to the negative impact on the vaginal flora. And if the vaginal mucosa weakens, the effect of bacteria on the female reproductive system increases.
- Sterilization. Reliable protective method, which is the tubal ligation. It is undesirable to do this operation if there are some diseases.
- Patches. Their action does not interfere with forgetfulness or digestive disorders. But patches have their own cycle of use, which cannot be broken. In addition, you must take a break, you can not smoke.
A common minus of all the listed funds is the lack of impact on the symptoms of menopause. But you need to choose them as carefully and carefully as birth control pills.
When do I need to switch from OK to hormones?
According to WHO recommendations, contraceptives are necessary before the onset of the second stage of menopause - menopause, but on condition that there are no menstruations for more than a year. After that, it is necessary to switch to hormonal preparations, but only if the symptoms of menostases are strongly pronounced.
It is worth remembering that after 50 years, the body no longer needs such an amount of hormones that are contained in contraceptives. In this case, doctors prescribe hormonal biphasic and three-phase preparations, but only after examination and testing.
Choosing the right birth control pills
You can not take into account only reviews of friends and girlfriends. The fact is that each organism is individual, therefore one and the same preparation may be the same, but it can be useless and even harmful for other women.
For example, is it possible to continue taking Clire during menopause? This drug is considered an effective agent in prepopause, after which the volume of hormones is considered high for the body. Some doctors advise to continue taking this drug for a year after the cessation of menstruation, and then switch to synthetic hormones, if necessary.
In this case, you can resort to Yarin with menopause. The drug is a low-dose monophasic oral combined estrogen-progestin contraceptive drug. But before using it, you need to go through:
- Breast ultrasound,
- Pelvic ultrasound,
- blood chemistry,
- cytology from the cervix,
- other laboratory tests.
General recommendations for contraception during menopause
To prevent the formation of blood clots, it is necessary to make a coagulogram, and with the results visit the gynecologist. If you take the analysis for FGS, then it is carried out at a certain time, when hormones from OK are practically removed from the body. In any case, remember the following:
- self-medication can harm
- systematic visits to the attending physician are a guarantee of health,
- bad habits, diseases and excess weight make taking OK impossible,
- Marvelone and similar drugs are suitable for premenopause,
- even after 50 years, there is still a chance of conception,
- important to respond to changes in the body
- you must follow the rules for taking pills,
- natural phytoestrogens will be useful if hormone therapy is not possible.
Why need contraception before menopause
When menopause begins, the ovaries produce a smaller amount of sex hormones - progesterone and estrogen. The body of the ladies trying to fix the situation. To this end, the pituitary gland synthesizes more hormones stimulating the work of the ovaries: follicle-stimulating hormone (FSH) and luteinizing hormone (LH).
Thus, the beginning of the climacteric period is characterized by an unstable hormonal background, which leads to jumps in the basal temperature. Therefore, even with daily basal temperature measurements, a woman can skip ovulation. This will lead to an unplanned pregnancy.
Few ladies want to give birth after 40 years. Some by this time already had grandchildren, as well as chronic diseases. Often, women are afraid that they will not have time to put a late child on their feet or that he will have health problems. Therefore, make abortions. There is an opinion that if in the future laboring is no longer planned, then abortion is not dangerous. This is a big misconception. The threat even increases, only it has a different character.
In menopausal age, artificial termination of pregnancy is a huge hormonal shock for an organism that is already experiencing permanent hormonal imbalances. Abortion can provoke a serious endocrine disorder, gynecological disease, as well as the development of a malignant neoplasm on the cervix or uterine cavity, or mammary glands.
Types of birth control pills
The main criterion by which contraceptive pills are divided into groups is the content of hormones.
Allocate non-hormonal and hormonal drugs. The first group of pills is not taken by mouth, but is inserted into the vagina immediately before sexual intercourse. The most popular means of this group include: Pharmatex, Gynecotex and Benatex.
A manufacturer called Pharmatex, in addition to tablets, produces vaginal suppositories, creams and tampons. With everyday use of non-hormonal birth control pills in a woman the vaginal microflora is disturbed. Therefore, gynecologists do not advise to use such contraceptives often.
Hormonal contraceptive pills are divided into:
- Combined oral contraceptives (COCs), which contain estrogens and progestogens, are artificial analogues of the sex hormone progesterone. They are monophasic, biphasic and three-phase. In the package of monophasic drugs, all tablets contain the same amount of hormones. The biphasic agent has 2 types of pills in the box, which differ in the different amount of progesterone. The number of estrogen in all tablets is unchanged. As a part of three-phase tablets a different amount of estrogen and progesterone.
- Progestin oral contraceptives (OGK) are composed of only progesterone analogues. In other words, these drugs are available without estrogen. They are also called mini-drank.
In all types of drugs, combined contraceptives, regardless of phase, the same principle of action - they suppress ovulation. After taking a pill, a woman's blood level increases in estrogen and progesterone. As a result, the synthesis of pituitary hormones FSH and LH, which are responsible for changing the phases of the menstrual cycle, is disturbed. As a result, a woman's cycle occurs without alternating phases, and accordingly, the onset of ovulation.
Under the influence of progestogens contained in the COC, the consistency of mucus in the cervix changes. It becomes more viscous, and thus prevents the sperm from moving to the egg. The likelihood of fertilization becomes very low.
In addition, gestagens slow down the growth of endometrial cells - the inner layer of the uterus. If the egg is still fertilized, then it will not be able to penetrate the thin and not ready for implantation endometrium.
Tablets have anti-androgenic effect due to their constituent estrogens. During menopause, against the background of low estrogen levels, the amount of androgens increases.
Even the most "scary" menopause can be defeated at home! Just do not forget two or three times a day.
Progestin oral contraceptives prevent unwanted pregnancies through such mechanisms:
- Suppress ovulation. Increased progesterone levels affect the pituitary production of FSH and LH. The lady stops monthly, and accordingly, there will be no ovulation.
- Prevent the growth of the endometrium to the required thickness to secure a fertilized egg.
- Increase the viscosity of mucus in the cervix.
- Violate the contractility of the fallopian tubes.
Thus, mini-pili provide comprehensive protection for the lady. Even when ovulation occurs, fertilization of the egg and its implantation is almost impossible.
Numerous medical studies conducted in different countries have shown that the use of combined oral contraceptives has the following advantages:
- High degree of protection against unplanned pregnancy.
- Reduce the risk of diseases that are a complication of menopause - osteoporosis, atherosclerosis, etc.
- Reduce the likelihood of developing tumors in the uterus and ovaries.
After 40 years, when the level of sex hormones begins to gradually decline, prevent dryness of the mucous organs of the urogenital system. Also, a beneficial effect on the appearance of the ladies - the condition of the skin, nails and hair.
Combination drugs are contraindicated in such cases:
- Vascular problems are thrombosis, thromboembolism and severe hypertension.
- After a heart attack.
- Strokes or violations of the coronary and cerebral circulation.
- Serious disorders in the liver.
- The presence of malignant tumors.
- Diabetes mellitus in severe form.
- The woman smokes intensely.
The doctor will prescribe such contraceptives no earlier than six weeks after giving birth.
Women over the age of forty are often prescribed the following drugs:
- monophasic - Yarin, Zhanine, Logest and Femoden,
- biphasic - Anteovin,
- three-phase - Tri-Mersey and Triquilar.
Preparations have different regimens.
The most common - for 21 days a woman drinks pills, and then takes a break for 7 days, during which there are discharge similar to menstruation. Three-phase tablets drink without interruption.
Progestin oral contraceptives
The peculiarity of the action of such means has the following advantages:
- Do not increase the likelihood of deterioration of blood vessels.
- Do not affect the metabolism.
- Easily tolerated by the female body.
Mini-pills have a high degree of protection against pregnancy, but they do not have anti-androgenic effect. They can be taken by women who are contraindicated in COCs.
The most popular drugs of this group are: Charozetta, Microlut and Exluton. All funds are taken continuously. After one pack is finished, the woman begins the next pack without interruption.
The composition of hormonal contraceptive pills include analogues of female sex hormones. Therefore, a woman after the onset of forty years, taking such funds, not only is protected from unplanned pregnancy, but at the same time has a positive effect on your hormones and prevents the development of dangerous diseases.
In addition, it is a convenient method of contraception. A woman drinks pills according to the scheme, but not before sexual intercourse. During intimacy, nothing affects the feelings of both partners. Modern means are easily transferred by women, but they must be selected by a gynecologist. We wish you good health!
Share your experience using contraceptive pills for menopause.
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Contraceptive pills for menopause. What you need to know?
Hormonal birth control pills are used by women of all ages. In particular, they are taken in perimenopause, that is, at that stage of reproductive life that precedes menopause.
Women do not reach menopause until a year has passed since the last menstruation.
Already in perimenopause can appear typical signs of menopause. The most common of these are hot flashes, irregular menstrual cycles and sleep problems. Using hormonal contraceptives helps to mask these and other symptoms, but sometimes birth control pills cause side effects that women may confuse with the effects of hormonal imbalance.
The current article provides answers to the most common questions about the connection of birth control pills with menopause symptoms.
Why do birth control pills affect menopause symptoms?
Birth control pills contain synthetic progesterone and estrogen
Menopause occurs due to decreased levels of estrogen and progesterone. These are the two main female hormones that are responsible for the flow of the menstrual cycle. They also provide and support pregnancy.
Contraceptive pills contain synthetic forms of one or both hormones. Combination pills include both estrogen and progesterone, so their use helps the body not to notice the natural changes in hormonal levels, which often alarm women during menopause.
As a result, the symptoms characteristic of menopause may not be observed at all or appear much weaker if a woman takes birth control pills. One of these symptoms is a violation of the menstrual cycle, which often occurs in women in perimenopause.
Однако женщины, которые принимают мини-пили, то есть таблетки, содержащие только синтетический прогестерон, могут сталкиваться с нерегулярными менструальными кровотечениями и приливами жара на ранних стадиях климакса.
Будут ли возникать симптомы менопаузы при приёме противозачаточных таблеток?
Hormones in combination pills help women achieve hormonal balance, and this prevents many of the symptoms of menopause.
However, it is important to understand that hormonal contraception can cause side effects, and some of these effects are very similar to the symptoms of menopause. These include the following:
- mood swings
- decrease in sexual desire
- change in appetite.
Women can also observe menstrual irregularities or so-called breakthrough bleeding. This is especially common with those taking mini-pili.
How to distinguish the symptoms of menopause from the side effects of hormonal contraceptives?
It may take several months for the body to regain its natural hormones after taking the pill.
It is difficult to determine what caused this or that symptom - synthetic hormones or changes in the levels of natural hormones in the body.
One of the ways to check is to stop taking birth control pills to restore the natural hormonal levels. It usually takes some time before artificial hormones are released from the body, and the woman's menstrual cycle is restored.
If the symptoms do not disappear after stopping the pill, and the woman continues to observe menstrual irregularities, then most likely the cause of the symptoms is menopause and changes caused by it. If the condition of the woman improves, it is highly likely that the problems were associated with taking pills.
In order to make final conclusions about the nature of the symptoms, it is necessary to wait several months after discontinuation of the pill. During this period, hormonal background can come to its natural state.
How to understand that menopause has come?
If a woman regularly takes hormonal contraceptives, then it will be difficult for her to know the time of entry into menopause. Sometimes when taking pills, menstrual cycles continue even after menopause due to artificial hormones entering the body.
The average age at which women enter menopause is 51 years. Some doctors recommend that women stop taking pills at that age to learn about reaching menopause.
It should be noted that if a woman at that age stops taking birth control pills, then she needs to use other contraceptives until menopause is confirmed.
What to expect from menopause?
You can talk about menopause only if the menstrual cycles are no longer observed. The period of time before menopause, when the woman begins to show symptoms, is called perimenopause. It can begin 15 years before the last menstruation.
The signs that indicate the achievement of menopause include the following:
Menopause can increase the risk of developing certain medical conditions, such as heart disease, osteoporosis, and even some types of cancer. That is why it is important for women to regularly talk about their problems to the doctor as before entering menopause, and after achieving it.
What treatments are available?
Herbal Supplements, such as the Oslinica Biennial Oil, help ease menopausal symptoms.
Every woman experiences menopause in her own way. Symptoms of menopause cause significant discomfort in some women and practically do not manifest in others.
Currently, hormone replacement therapy (HRT) is one of the most effective treatments for the symptoms of menopause, which involves taking artificial estrogen and progesterone to support hormonal levels.
HRT can reduce or prevent symptoms associated with a decrease in estrogen levels. This type of treatment does not provide contraception, so for women who need medical support, birth control pills may be the best option.
However, it is far from being necessary in every case to take pharmacological products. Some women manage to relieve menopause symptoms with home therapeutic strategies that may include the following:
- reduced caffeine intake,
- use of ice packs to control hot flashes,
- regular exercise
- intake of herbal supplements, such as black cohosh, red clover, Chinese angelica, ginseng, intoxicating pepper, two-year-old donkey,
- wearing multiple layers of clothing that are easily removed
- the use of vaginal lubricants during sex,
- maintaining an active social life
- effective stress management
- limited alcohol intake.
Climax is a natural process through which each woman once passes. Taking birth control pills helps mask the particular symptoms of menopause, which makes it difficult for some women to understand that their reproductive life has come to an end.
Many women, when approaching menopause, can safely take birth control pills, especially if they do not have a history of the following medical conditions:
- estrogen dependent cancers,
- high blood pressure
- heart disease
Birth control pills during perimenopause can be an effective method of contraception.
In the best case, women experiencing menopause, it is necessary to discuss the specifics of their condition with a doctor who is able to offer the best ways to manage symptoms and correct pharmacological products.
Body restructuring and hormones
The transition period begins 5–6 years before menopause. Hormonal changes are often manifested by pain and tension in the mammary glands, acyclic uterine bleeding, nausea, migraine attacks.
As the progression of estrogen deficiency progresses, hot flashes, excessive sweating, sleep disturbances, unreasonable pain in muscles and joints, crawls on the skin, discomfort in the vagina, and frequent urination - all lead women to seek help from specialists.
Ideally, in order to calculate the dosage and duration of therapy, the gynecologist needs to know exactly when the woman has menopause. Menopause is the last menstruation in a woman’s life, i.e., a certain “point”. Doctors determine this point retrospectively: if there was no menstruation for 12 months, then this was the last one.
But sometimes the point of menopause is impossible to determine. This happens, for example, if a woman continues to take oral contraceptives. On these drugs, full menstruation may stop in women with active ovaries. At the same time, against the background of COC, menstrual-like reactions can consistently come over several years with the ovaries completely turned off.
COC or menopausal hormone therapy?
Despite the fact that COCs "hide" the onset of menopause, their benefits are estrogen, due to which the woman does not experience tides and other pleasures of menopause. Unfortunately, the use of COCs in women aged 40+ is fraught with a high risk of thrombosis, stroke and heart attack.
From the point of view of health, the best alternative to COC in menopause is menopausal hormone therapy (tablets with lower dosages of estrogen without a contraceptive effect). However, the question arises: how do you know when you can definitely not protect yourself?
Yes, fertility decreases with age, but this does not mean that contraception during the transition period is not needed. Pregnancy may occur and not develop. Also increases the likelihood of developmental malformations and chromosomal abnormalities. Such plots leave “scars” not only on the uterus, but also in the soul. Moreover, for many people, life after 40 is just beginning. A new (often young!) Partner may well appear, sexual relations are played with new colors.
Loss of fertility and age
To say "you definitely can’t get pregnant anymore" is almost impossible. In accordance with WHO recommendations, such a bold conclusion is valid only after 59 years. Up to this age, spontaneous pregnancy can occur, although very rarely.
According to modern concepts, reliable contraception should be used for at least 2 years after the last menstruation before the age of 50 years, or for 1 year after menopause over the age of 50 years.
Given the difficulty in defining menopause, the North American Menopause Society (NAMS), as an option, suggests the use of hormonal contraception by women until they reach the average postmenopausal age.
The average age of postmenopause in the United States is 55 years (in Russia, 52 years), so women can continue to protect themselves with pills until that age, and then switch to menopausal hormone therapy 1.
Tests for getting pregnant
However, you can assess the situation and more precisely. To this end, modern clinical guidelines 2 suggest that the use of combined hormonal contraceptives be abolished for 2 weeks, then twice with an interval of 7-14 days to determine the level of FSH (follicle-stimulating hormone). If the level of FSH is more than 25-30 IU / l, you can safely switch to drugs without a contraceptive effect. It is believed that with a steady increase in FSH to such values, the ovaries have exhausted the reserve and pregnancy is impossible.
The second method involves the abolition of contraceptives for 1-2 months. If independent menstruation does not come or the level of FSH invariably stays at more than 30 IU / l, it can be argued that menopause has come.
Both options do not seem very acceptable, because they force the patient to remain “in a hanging state” for some time without reliable contraception or in the arms of hot flushes and autonomic disorders. That is why many Russian experts propose to monitor the level of FSH, without abolishing KOC.
In this, of course, it makes sense, given that, while taking KOK, the level of FSH should be below ordinary. That is, if, on a background of COC use, twice-measured FSH level is above 30 IU / L, it is best to switch to menopausal hormone therapy.
However, there are no absolutely reliable laboratory tests confirming the final loss of fertility!
Even such a sensitive marker. As an antimuller hormone (AMH, produced in the ovary, it is responsible for triggering the growth of follicles), it does not give a 100% answer to the question whether contraception is also needed.
It is much easier to solve all these problems for women who use the Mirena intrauterine system, which allocates levonorgestrel. On the one hand, this IUD provides very reliable contraception, the other does not contain estrogens. Therefore, the system can not be removed (and not worry about pregnancy), and when menopausal symptoms appear, simply add an estrogenic component in the form of tablets, patches or gels - and thus alleviate the unpleasant symptoms.
Products on topic: Klayra, Zoeli, Mirena
1 Rebecca H. Allen, MD, MPH, and Carrie A. Cwiak, MD, MPH. Contraception for midlife women // Menopause, Vol. 23, No. 1, 2016.
2 Menopause and menopause in women. Clinical guidelines. 2016
What happens while taking birth control pills?
During menopause, the level of female sex hormones decreases, which causes hot flashes, sweating, mood swings and other symptoms of menopause. Contraceptive pills contain female hormones that compensate for the lack of their own hormones during menopause. Thus, the body "does not notice" that the hormones become less and continues to work in the old mode.
So, for example, in the 7-day break between the packages still come “monthly”. The word "monthly" is purposely quoted. Because, in fact, it withdrawal bleedingcaused by discontinuation of hormones. Women often confuse this withdrawal bleeding with a real menstruation and do not even suspect that they already have menopause.
What are the symptoms say about the approach of menopause?
The main symptom of an approaching menopause (menstrual irregularity and cessation of menstruation) is absent in women taking birth control pills. If you drink contraceptives, you can recognize the approach of menopause by the following symptoms:
- Hot flashes
- Increased sweating at night
- Mood Changes
The symptoms described above may appear only occasionally, during the 7-day break between the packages, when hormones from outside are temporarily not supplied to the body. These signs may be very weak, or be absent altogether while taking oral contraceptives.
How safe is it to take birth control pills after 35-40 years old?
Oral contraceptives are prescribed with caution to women over 35 years old. First of all, this is due to the fact that birth control pills thicken the blood, increasing the risk of blood clots in blood vessels. Such clots, getting into the blood vessels of the heart, cause a heart attack, the blood vessels of the brain - a stroke. These are dangerous conditions that can cause death.
However, if you have been taking oral contraceptives for a long time and are satisfied with them, then if the following conditions are met, you can continue to take birth control pills after 35 years:
- If you do not smoke
- If you have normal blood pressure (no hypertension)
- If you do not have excess weight
- If you eat right: your diet contains large amounts of plant foods and small amounts of animal fats.
- If you do not suffer from varicose veins
- If you are taking birth control pills containing small doses of hormones
- If you regularly (at least once a year) visit a gynecologist
Contraceptive use for menopause
By the age of menopause, women have time to accumulate a bunch of diseases, so they are forced to take medicines on an ongoing basis. But one of the groups of drugs, many cease to be considered mandatory to use - contraceptives. And they are surprised when the gynecologist insists on their admission. So do you need birth control pills for menopause, what effect do they have on the body?
Why contraceptive menopause?
Climax specialists are divided into two stages. The initial (premenopause) is characterized by a rare replacement of the functional layer of the inner lining of the uterus, that is, the appearance of menstruation. At this age they are not regular, which is normal.
But it is an additional concern if a woman leads a sex life. In premenopause, not every monthly period occurs after ovulation, but still, in some cycles, the egg cell can be matured. Therefore, pregnancy cannot be ruled out.
And if a woman is not going to have a child who would be younger than her grandchildren, you will have to make efforts to avoid her. This is the main reason linking menopause and birth control pills.
It should be said that the measurement of the basal temperature, which many expect, wishing to prevent pregnancy, is very unreliable in this period. Even if you build a schedule, tracking it daily, it is very easy to miss the moment of ovulation. Premenopause is characterized by an unstable hormonal background, which makes possible a basal temperature jump.
Many women are too easy to abortion in menopausal age. They believe that if you still do not have to give birth, the health hazard during the operation is minimal. This is not true, the threat simply acquires a different character.
Premenopausal abortion can be a provocateur for gynecological disease, a serious endocrine disorder or the appearance of a cervical cancer of the cervix, endometrium, and mammary gland. After all, an artificial interruption is a heavy and unexpected hormonal shock for an organism that is already experiencing a difficult time. His defenses in this period are weakened.
Another useful feature of contraceptives
Contraceptive pills used in menopause have an effect on hormonal balance. They all contain these substances in a certain concentration. But in the premenopausal period, noticeable changes occur in the hormonal sphere.
In addition to the extinction of fertility, that is, the attenuation of ovarian activity, a woman is plagued by many unpleasant symptoms of her new condition:
- Thinning and drying mucous genital organs,
- Increased emotionality with flashes of irritability, despondency,
- Disruption of the heart,
- Unreasonable occurrence of excess weight
- A significant portion of calcium is lost from bone tissue.
These signs are more or less manifested in all. And if you consider that rare menstruation can attend for several years, the transition period can lead to severe disorders in many body systems.
Contraceptives in menopause can smooth out the signs, making it calmer, avoiding complications. The drugs suppress ovarian function, preparing the body for its natural extinction. On the other hand, they contain estrogen, the loss of which accounts for the severe course of menopause.
Гормон на данном этапе нужен в определенном количестве, потому и таблетки должны выбираться с учетом этого.
В пременопаузе назначают средства с малым количеством гормонов:
А также содержащие только гестагены Депо-Провера, Норплант. In addition to eliminating severe manifestations of menopause, they interfere with the development of existing tumors of the reproductive organs and mammary glands, and make menstrual-like bleeding regular. This type of contraceptive for menopause will help with strong hair loss due to an increase in the amount of male hormones.
Acceptance of birth control pills should be accompanied by constant medical supervision. Sometimes a rebuilding organism gives an unpredictable reaction to their use, forcing it to stop.
When hormonal contraception is contraindicated
Contraceptive pills are not vitamins, they cannot be used according to their own purpose. Hormonal contraceptives for menopause should be prescribed by a gynecologist after an appropriate examination, since there are many conditions for their safe use, there are adverse reactions.
An absolute ban on their protection exists for those who
- It smokes. Habit badly affects the vessels, constricting them, slowing blood flow. Hormones can lead to the formation of its clots, that is, disruption of the heart,
- Has insulin-dependent diabetes mellitus. The disease does not change the work of the vessels for the better, contraceptives will increase this symptom,
- Acquired cardiovascular diseases, including heart attack, stroke, thrombosis. Hormones increase blood viscosity, which can trigger their development,
- Has a significant amount of excess weight. Hormones are able to add fat,
- Suffering from liver failure, which affects the metabolism and hormonal status.
We recommend reading the article on how to distinguish between pregnancy and menopause. You will learn about the composition of hormones in the body in these conditions, the effectiveness of using a pregnancy test in the absence of menstruation.
What to do when it is impossible to receive OK?
Contraceptives after menopause may not be hormonal. Among those that are common to us, can be called:
Condoms In addition to protection against the penetration of sperm, they prevent the infection of sexually transmitted infections and human papillomavirus, contributing to the occurrence of cervical cancer,
- Navy. They have only local effects, well protect from conception. But, too, have contraindications that many women have for menopause,
- Candles. Panatex, Erotex will prevent pregnancy, but can disrupt the vaginal flora if used frequently. The mucous membrane of the vagina and so is weaker, more susceptible to the effects of pathogenic bacteria,
- Sterilization. Ligation of the fallopian tubes during laparoscopic surgery is reliable and irreversible as a protective method, but doctors avoid doing it for diseases that interfere with and receive OK,
- Contraceptive patches. And they contain hormones, but the advantage is that in case of failures in digestion or forgetfulness, which will interfere with the contraceptive effect of the pills, these remedies are just as effective. True, they have no less contraindications.
Contraceptive pills, used for menopause, will not only help you to feel better and prevent unwanted conception, but will also keep your skin, muscles, bone system in a tonus, will remove the risk of tumors. Some women are convinced that youth is prolonged with them.
What birth control pills to take in 50 years
According to the laws of nature, the main female mission is to perform the maternal function. Childbirth is what most women on the planet who have a maternal instinct aspire to. The optimal age for the birth of a baby is from 19 to 33 years. After thirty-five years, the probability of getting pregnant and making a healthy baby gradually decreases. And by the age of fifty, the reproductive function of a woman is almost completely completed.
At the age of 50, most women have either gone through menopause or are at the stage of its active development. At this time, the hormonal background is changing dramatically, the production of female sex hormones is decreasing, and certain deterioration in health is observed.
Women usually know that menopause is a normal process and cannot be avoided. Therefore, they take this phenomenon for granted, while not hurrying to see a gynecologist. But experienced doctors, on the contrary, emphasize that during preparation for menopause, a woman should visit a gynecologist. He will not only be able to determine his general state of health, but he will also be able to advise on issues such as:
- Hygiene rules
- How to reduce the unpleasant symptoms of menopause,
- How to support hormones,
- What could be an intimate life,
- What contraceptives can be 50 years old and others.
A doctor's appointment will not take much time, but it will allow a woman to warn against possible complications of women's health at this age.
Contraception after 50 years
Watching the changes associated with menopause in their bodies, many women refuse to have an intimate life or, on the contrary, become too careless. Both behaviors are wrong. Denying yourself in the enjoyment of intimacy with her husband or a loved one after fifty should not be. Moreover, it is believed that such abstinence is harmful to health and mental state. In addition, the lack of endorphins, which are released into the bloodstream during sexual intercourse, is one of the causes of rapid aging, skin fading, and bad mood.
At the same time, entering into intimacy, women forget about the means of protection. However, contraceptives after 50 years for women are no less important than in youth. And in some issues we can say that the need to protect significantly increases.
This is primarily due to the fact that for most mature ladies, pregnancy after 50 is not included in life plans. Many women at this age have adult children, and even grandchildren. In addition, carrying a child at such a late age does not benefit either the expectant mother or the baby. The risk of failure of pregnancy, the birth of premature or sick children with multiple pathologies increases. Late childbirth can also be detrimental to a woman’s health.
Ladies after 50 rarely think about such problems. They mistakenly believe that once the menopause has begun, it means that conception is no longer possible. But the reproductive function dies away not immediately, but gradually. To say that pregnancy is impossible, should only be 1-2 years after the last menstruation. There is a risk of successful fertilization before this moment.
Women should know that it is better to prevent pregnancy in advance than to interrupt it later. In adulthood, abortions have a lot of negative effects. After such surgery, the risk of developing cancer (eg myoma) increases.
Gynecologists strongly recommend that you visit your doctor in a timely manner and select the optimal contraceptive means by which you can avoid such situations.
The main contraceptives used are:
- Oral (tablets),
- Vaginal coil,
The most commonly prescribed pill is 55 years old. This method also allows you to stabilize the hormonal background of the body and reduce the manifestation of symptoms of menopause. It is also possible to use condoms, which not only protect almost 99% of pregnancy, but also protect the female body from infections and venereal diseases.
In the absence of contraindications can be put vaginal coil. But it can only be appointed by the attending gynecologist, if this method is justified. The fact is that the spiral does not protect against infections and is not suitable for all women. In addition, it can cause discomfort in the process of intimacy. With increased sensitivity of the female body, such a contraceptive can cause irritation of the sensitive tissues of the internal genital organs, provoke the development of infections.
The spiral also cannot withstand the fertilization of the egg. Spermatozoa freely reach the ovaries. The function of the vaginal spiral is to prevent the fertilized cell from entering the uterus and gain a foothold in it. However, the percentage of security from this method is about 75-80%. The likelihood of an unwanted pregnancy remains high.
There are also candles that contribute to effective protection from pregnancy. But in adulthood, women are not recommended to use this contraceptive for permanent use. This is due to the fact that the active active substances adversely affect the flora in the vagina. As a result, dryness, discomfort, pain during intercourse may appear. Against this background, cervical erosion may develop.
Among modern contraceptives there are special contraceptive patches. But they can not be used regularly. This product is not suitable for smoking women.
A more radical way to prevent pregnancy is surgery, or sterilization. It lies in the fact that the fallopian tubes are tied up. Carry out this operation only in the absence of a number of diseases, in order to avoid the development of complications.
The variety of contraceptives that are available to every woman today allows you to choose the most effective and convenient way. Specialists subdivide contraceptive into 2 main groups:
The first group includes:
- Hormonal drugs,
- intrauterine devices
- surgical sterilization,
- lactational amenorrhea (not in all cases).
The second group includes such methods of protection against pregnancy as:
- interrupted sexual intercourse.
It is recommended to choose optimal contraceptives for women 50 years of age together with a specialist. Only an experienced gynecologist will be able to prescribe the drug that will be most effective and will not have a negative impact on the health of a mature woman.
Together with the doctor it will be possible to choose birth control pills for women after 50, or capsules (sewn under the skin). In certain cases, injections may be given.
Chemical contraceptives, in the form of ointments, foams, creams, are used less frequently in adulthood. First of all, they are not convenient to use. In addition, direct contact with sensitive surface tissues in the intimate area can cause side effects (irritation, itching, burning) in adulthood.
Indications and rules for taking contraceptives
Contraception should be chosen deliberately at any age. But after 50 there is a lot of risk factor that can negatively affect health. Therefore it is necessary to select contraceptives, consulting with your gynecologist. Each method has positive and negative qualities. However, they do not manifest in some women, while in others they can have distinct effects. It all depends on the characteristics of the body, health, lifestyle.
For example, it is necessary to select contraceptives for myoma at the age of 50 with particular care. In this disease, intrauterine devices are contraindicated. At the same time, mini-pills or injections may be optimal. They have a beneficial therapeutic effect in pathologies of the uterine lining, endometriosis, and myoma. One of the most popular drugs that has recommended itself well is Femulen. You can also try Microlut. They should be taken regularly, without pauses, from the first day of the menstrual cycle.
If the choice falls on the injection, you should know that menopause can come faster. However, after 50 of this process, there is no point in fearing - at this age it is inevitable.
Taking birth control pills for menopause at 50 should also be taken regularly, every day, at the same time. In order not to forget about taking the pill, you can put a reminder on the phone. Even if a woman is far away from home, she can carry tablets with her in her purse. And at the reminder signal on the mobile, the tablet can be drunk anywhere (both at work and in a cafe).
Women who smoke or have problems with blood vessels are recommended to use combined contraceptives. These drugs are suitable for women who suffer from diabetes, have liver problems. Among the most effective means in this group are the following drugs:
Barrier contraception after 50 years is often found in couples who are well aware of each other's health features. In the presence of various diseases of the partners is a great way not only to prevent pregnancy, but also to protect yourself from infections. In addition, some spermicides, which are part of the drugs, significantly moisturize the vaginal mucosa, reducing or completely removing the discomfort during the act.
Women may be assigned a surgical sterilization procedure. In particular, she is appointed in the presence of severe diseases of the female genitourinary system. It is recommended for women for whom pregnancy is extremely undesirable in terms of physiological state.
To give preference to using ok or candles, condoms or creams is the choice of the woman herself. But prior consultation with a specialist will allow you to make the right choice faster, without making serious mistakes.
Use of any contraceptive pills can cause possible side effects. When using barrier agents can develop allergic reactions to mucous genital organs, irritation, rash (with the body's sensitivity to one of the components of the lubricant).
High risk of side effects when taking oral hormones. They can cause such effects as:
- Sharp weight gain
- Increased amount of hair in open areas of the body (including on the face),
- Mild nausea
- Mood swings,
- Decreased libido, etc.
Some symptoms quickly disappear after the body becomes addicted to the drug's action. If the side effects are observed for a long period, you should contact your doctor, asking to correct the method of protection.
How to choose good birth control pills
The actual question of which birth control pills to take at 50 is important for many women who want to avoid late pregnancy. The most important thing is not to engage in the choice of contraception independently or inheriting the experience of girlfriends. Just as you do not need to rush to buy birth control pills in 50, whose names you know from advertising. First you should contact your gynecologist, get tested and get the best recommendation.
Proper contraception after 50 years is not only protection from pregnancy, but also from unwanted infections and diseases that are easily transmitted through sexual contact.