Tuesday , March 2 2021

Users of hormonal contraception decline. Do the pills live?



Women who live with a normal sex life but now don't care about motherhood have several choices to protect themselves from pregnancy. Over the past few decades, women have most often relied on hormonal contraception, but their numbers have declined in recent years. What's behind this fall? And what are the benefits and risks of taking hormonal pills?

The decline of women who are protect against conception with hormonal contraception, followed by gynecologist MUDr. Kateřina Klímová from Gynclin's gynecology clinic: "In 2008, there was a tendency to decrease hormonal contraceptive use, which is still ongoing. The number of pill users dropped by about a third. Only a small part of this decline has replaced intrauterine use," the doctor said.

"By reducing the number of users, unfortunately, it stopped profitable tendency to decrease artificial termination of pregnancy, which now has around 20,000 a year. This, in my opinion, is very embarrassing, because unplanned pregnancies symbolize emotional and physical stress for women and, no less importantly, unnecessary costs for the health system, "the obstetrician said.

MUDr. Kateřina Klímová.MUDr. Kateřina Klímová.Author: Gynclin

Women are experiencing problems with blood vessels and extra pounds

Why are users of contraception reduced? The reason can be many. The cause of the decline in the use of hormonal contraception is directed by doctors within the framework of educational projects Fake forum. Their research has shown that women, in the context of hormonal pills, fear weight and the risk of thromboembolic disease.

Women's decision making, of course, also reflects the overall atmosphere in society. Many people, in the spirit of sustainability, try to gradually return to nature, which logically not record the use of chemical preparations. Their role in forming attitudes towards hormonal contraception is also played by the media. While some of them are told fairly and objectively about pills, others recycle half-truths and myths that can prevent potential fans or even scare them unnecessarily.

Hormonal contraception is not for everyone

It should be noted that a combination of hormonal contraception contains estrogen and progestin actually not suitable for every woman. Pills are a comfortable and convenient solution for sexually active women who are healthy, and therefore do not suffer from diseases or conditions, either current or over-the-counter, that are excluded from the use of hormonal contraception.

"Between possible contraindications to hormonal contraception high blood pressure, deep vein thrombosis, pulmonary embolism, heart disease including congenital developmental defects, increased blood fat, migraine, breast cancer, abnormal liver tests, gallstones, diabetes with complications, blood clotting disorders, antiphospholipid syndrome, the presence of two various factors risk at the same time, such as smoking together with overweight and fluctuating blood pressure, or in combination with family burden, "said Doctor Klima's Risk Factor.

The pill is not suitable for women who are breastfeeding or less than three weeks after giving birth. Risk can also occur in women who smoke 15 cigarettes or more a day and are over 35 years old. The use of hormonal contraception is also eliminated by the genetic disposition for increased blood clotting. The most famous is Leiden's mutation, inherited blood clotting disorders, which are estimated to suffer up to one-tenth of the Czech population.

When choosing a gynecologist, personal recommendations are important.When choosing a gynecologist, personal recommendations are important.Author: Shutterstock

Prevention and responsible doctors are important

The responsible gynecologist must tell the patient about the benefits of using hormonal contraception, but also teach him what the pill is carrying risk and trap. Of course, it is also necessary to check whether the person affected has one of the diseases excluded from the pill. If a patient has a potentially dangerous disease in the patient's family, the presence of the patient must be confirmed or issued with the appropriate test.

Therefore, patients must look for a doctor whom they can trust and depend on their expertise and judgment. Given the nature of gynecological examinations, it is logical that for women not only gynecologists or gynecologists it is important but their sympathy also plays their part. If the examination takes place in a pleasant atmosphere, women have no reason to go to gynecology. Examination must be carried out at least once a year unless the doctor decides otherwise.

What are women, according to Dr. Klímová, most often choose a gynecologist? "This works best no doubt a recommendation. References from someone you know are very helpful when making decisions. And most of our new clients come from the personal experiences of their friends or acquaintances, "concluded the gynecologist.

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