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Hormonal contraception recommended for young women - Part I

Dr Przemysław Binkiewicz, M.D

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Hormonal contraception recommended for young women - Part I

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This article deals with the basics of oral contraceptives that are recommended for young women. The basics of the mechanisms of action are discussed as well as the potential benefits of their use concerning more than just the contraceptive effect.

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Advantages of oral contraceptives

The biggest advantage is undoubtedly the very good reversible contraceptive effect. Once the pill is discontinued, fertility usually returns the very next cycle. It is believed that after stopping the pill, the probability of becoming pregnant is even higher than usual. In addition to the primary effect, there are a number of beneficial effects of hormonal contraceptives, the most important of which are:

  • Reduction or non-occurrence of symptoms of premenstrual syndrome
  • Reduce the discomfort of menstrual bleeding and the risk of anaemia due to reduced blood loss during menstruation.
  • Reduce the incidence of inflammation of the appendages and ectopic pregnancies.
  • Reduction in the incidence of endometrial cancer and ovarian cancer.
  • Reduction in the risk of developing uterine myomas.
  • Reducing the risk of developing ovarian cysts.
  • Reducing the risk of benign breast lesions.
  • The use of the contraceptive pill is important in the prevention of osteoporosis.
  • The use of contraceptive pills does not interfere with sexual intercourse.
  • Alleviation of discomfort associated with endometriosis.
  • The use of certain types of contraceptive pills is effective in the treatment of endocrine disruption.

A doctor deciding to use oral contraceptives in a sexually active adolescent girl at puberty must be concerned with inadequate adherence to the drug regimen rather than possible physiological damage. The criterion for starting oral hormonal contraception should be when the young menstruating girl has all the features of hormonal maturity as indicated by having had at least three regular, presumably ovulation-linked menstrual cycles. In this case, the prescription of oral contraceptives is completely safe and there is no fear of leading to permanent disruption of the reproductive processes. Oral contraceptives can be used in young women with heavy menstruation and in functional bleeding due to lack of ovulation, as they improve the regularity of uterine bleeding and prevent excessive blood loss, and can also have a beneficial effect on the complexion.