Combined Hormonal Methods

What are combined hormonal birth control methods?

Birth control patch ,Birth control pills , and the vaginal ring are combined hormonal birth control methods. They contain two hormones and progestin.

How do combined hormonal methods prevent pregnancy?

Combined hormonal birth control methods release estrogen and progestin into the whole body. These hormones mainly by stopping ovulation ( release of an egg from one of the ovaries) prevent the pregnancy . They also cause other changes in the body that help prevent pregnancy and mucus in the cervix thickens making it hard for sperm to enter the uterus. Also The lining of the uterus thins out , making it less likely that a fertilized egg can attach to it.

How effective are combined hormonal birth control methods?

Typical use meaning that the method may not always be used consistently or correctly—9 out of 100 (9%)women will become pregnant during the first year of using these methods. With perfect use—meaning that the method is used consistently and correctly each time , less than 1 woman out of 100 will become pregnant during the first year.

What are the benefits of combined hormonal methods?

Combined hormonal methods also have several benefits in addition to protecting against pregnancy:

  • They may make your period more, lighter, regular and shorter.
  • They decrease the risk of cancer of the ovary, colon and uterus
  • They help reduce menstrual cramps.
  • They may improve acne and reduce unwanted hair growth.
  • They can be used to treat certain disorders that will cause heavy bleeding and menstrual pain, such as fibroids and endometriosis.

Used continuously, they can reduce the frequency of migraines associated with menstruation (although they should not be used if you have migraines with aura). They also can be used to treat heavy bleeding and pain by stopping the menstrual period.

What are the possible risks of combined hormonal methods?

  • Combined hormonal methods are safe for most of the women, but they are associated with a small risk of deep vein thrombosis (DVT), heart attack, and stroke. The risk is higher in some women older than 35 years who smoke more than 10 – 15 cigarettes a day or women who have multiple risk factors for cardiovascular disease(cvd), such as high cholesterol, high blood pressure, and diabetes; a history of stroke, heart attack, or DVT; or a history of migraine headaches with aura.
  • After childbirth You should not use combined hormonal methods during the first 3 weeks after delivery because the risk of DVT is higher in the weeks. If you have additional risk factors for DVT, you should wait to use combined hormonal methods following delivery until after the first 4 to 6 weeks.
  • The risk of Deep Vein Thrombosis also slight higher in women taking pills that contains a progestin called drospirenone and also in women using the patch. However, the risk of DVT is high during pregnancy and in the weeks after childbirth than when taking drospirenone containing pills or using the patch.

Can I use combined hormonal birth control methods while I am breastfeeding?

Estrogen may affect your milk supply. If you are still breastfeeding, It is recommended that you wait until after the fifth week of delivery to start using these methods, when breastfeeding has been established well.

How can I get combined hormonal pills?

Combined Hormonal Birth control pills are available by prescription only.
What are the different types of combined hormonal pills and how are they taken?

  • 21 day pills , Take one pill at the same time each day for 21 days. Wait 7 days before starting a new pack. you will have your period.During the week you are not taking the pill
  • 28 day pills—Take one pill at the same time each day for 28 days. Depending on the brand, the first 21 pills or the first 24 pills contain estrogen and progestin. The remaining pills may be estrogen only pills, pills that contain a dietary supplement, such as iron, but no hormones or inactive pills (containing no hormones or supplements). During the days you are taking the hormone-free pills, you will have your period.
  • 90 day pills—Take one pill at the same time each day for 84 days. the last seven pills either contain no hormones or contain estrogen only. Depending on the brand, With both brands, you will have your period on the last 7 days every 3 months.

What are possible side effects of using the combined hormonal birth control pill?

Possible side effects include :

  • Nausea
  • Headache
  • Breast tenderness
  • Breakthrough bleeding
  • Breakthrough bleeding usually is a temporary side effect as the body start to adjust to a change in hormone levels. It may last longer than a few months with continuous dose pills.