Women gained control over family planning since early 1970s thanks to birth control pill. This was a powerful ally but you should always check with your doctor in order to find the best option for you and your body. There are three types of contraception: hormonal contraception, non-hormonal contraception and permanent contraception (sterilization). This method uses hormones to stop ovulation and prevent a fertilized egg from implanting in the womb. The non-hormonal contraception includes popular methods such as the condom, cervical cap and diaphragm. A permanent method would be sterilization but this is less popular as it requires a surgical procedure. On the other hand, contraceptive pill is one of the most popular methods in the world and it’s highly effective. You take a pill for the course of three weeks, resting then a week. After that, the cycle repeats itself. If taken correctly, this makes the chances of pregnancy pretty inexistent. Please always check with your doctor as it is important to pick the correct contraceptive pill. Not all will do as some may bring unwanted gain weight, or an oily skin. Feel free to check our selection of contraceptive products below.
An online doctor consultation means filling out a medical questionnaire. A registered EU doctor assesses your medical questionnaire and analize whether Birth control pills is suitable and safe for you to buy. After approval, a prescription is issued and send to the registered EU pharmacy. You will receive your discretely shipped Birth control pills within 3 business days.
What are oral contraceptives, how do they differ from each other, and how to choose what is right for you? Oral contraceptives are drugs that include estrogens and progestins - sex hormones that control the menstrual cycle and, in a certain combination, prevent conception: they suppress ovulation and reduce mucus production in the cervix, which prevents the sperm from reaching the egg.
Oral contraceptives are divided into two groups - combined and purely progestin. The former contain estrogen and progestin, while the latter contains only progestin. Although there are only two main groups, pharmacies offer much more options. All of them differ in the concentration of hormones and different ratios of estrogen and progestin.
Progestin affects the development of follicles in the ovary, the maturation of the eggs in them and the exit of the egg from the follicle. Simply put, his main task, which he successfully performs, is to suppress ovulation. Another important effect of progestin is a decrease in production and an increase in the viscosity of mucus in the cervix - this prevents the sperm from moving and fertilizing the egg.
Estrogen, along with progestin, affects the thickness of the endometrium: the mucous layer becomes thinner and blood supply is less intense than in the natural menstrual cycle. This prevents even a fertilized egg from integrating into the wall of the uterus and developing into a future fetus. Estrogen also inhibits the formation of follicles in the ovary, although not as effective as progestin.
Purely progestin-based oral contraceptives
It works the same way as in combined preparations - it suppresses ovulation, increases the viscosity of mucus in the cervix, and reduces the thickness of the endometrium. In addition, pure progestin contraceptives inhibit sperm movement and implantation (embedding) of the egg into the uterine wall.
KOC is the most common choice for protection because when taken continuously, they have a number of positive effects:
Since estrogen, which is part of the COC, has several serious contraindications, in some cases, pure progestin contraceptives are prescribed:
Progestin drugs coincide in the effectiveness of contraception with COCs, but their effect on the skin condition is much weaker.
The most common are nausea, decreased libido, headaches, mood swings, chest pain, prolonged spotting, and digestive problems. If you do not tolerate the selected tablets, ask your doctor to choose an analog.
In the long run, oral contraceptives may increase the risk of thrombosis and thrombophlebitis - damage to the veins of the lower extremities. But the risk does not increase significantly: according to the American Association of Obstetrics and Gynecology, only 10 out of 10,000 women experience thrombosis. For example, it is 10 times less than the risk of thrombosis during pregnancy.
According to studies, taking oral contraceptives increases the risk of developing breast cancer. It increases minimally, but this must be taken into account in the presence of a family history of cancer. But the risk of developing endometrial and ovarian cancer when taking OK, on the contrary, is reduced. Weigh the pros and cons with your doctor.
According to international recommendations, if you are not complaining about anything, there is no need to take hormone tests or an ultrasound scan before prescribing contraceptives. To choose the right drugs, it’s important for the doctor to know about the possible risk factors:
In addition, the doctor may prescribe a biochemical blood test (to exclude liver diseases) and an analysis to detect mutations in the genes of the blood coagulation system (if there are mutations, you should not take COCs). However, these analyzes are expensive and are not included in the mandatory list of studies, since liver diseases are rarely asymptomatic, and the prevalence of the mentioned mutations is extremely small. If you have the opportunity, do this research yourself.
Do not forget about taking the pills according to the scheme, otherwise, they will not be an effective contraceptive. If on any day you missed the time of admission, still take a pill, but make sure you use barrier methods of contraception.
Combined oral contraceptives
The COC dosage schedule is adjusted to the standard length of the menstrual cycle. The first 21-24 days, a woman takes one tablet with a certain combination of hormones. For the next 4–7 days, he doesn’t take anything or drinks “soothers” - hormone-free pills. During this short period, the so-called withdrawal bleeding occurs - the body's response to a sharp change in hormonal levels.
To date, it has been proven that there is no need to monthly cause bleeding with dummies and a break in taking pills. Therefore, if you want to avoid menstruation, consult your doctor: he will tell you how to regulate the frequency of bleeding.
Theoretically, you can stop taking COCs at any time, but it will be difficult to predict the dates of your next menstruation. It is better to consult a doctor and finish the course of contraceptives until the end of the package. If the cycle does not stabilize within a few months after the cancellation of the COC, you should again contact a gynecologist.
Purely progestin-based oral contraceptives
Take progestin contraceptives without interruption: choose a convenient time to stick to it daily. Hemorrhages when taking a PSTC are less predictable: they occur less frequently than usual and are less profuse, can pass in the form of spotting or not appear at all. You can stop taking progestin contraceptives at any time, after informing your doctor.
Only a gynecologist can pick up pills and the right regimen for taking drugs: in this case, the effectiveness of oral contraceptives reaches 99%. Remember that OK does not protect against sexually transmitted infections. If you do not have a regular partner, always use barrier contraception methods - latex wipes and condoms.
Hormonal birth control drugs have gained high popularity precisely due to the possibility of oral use. In addition, when used correctly, they provide protection in 99.7% of cases, protecting you from unwanted pregnancy. Keep reading to find out exactly how birth control pills work.
From biology, we know that a woman becomes pregnant at the moment when the egg leaves the ovary and is fertilized by one of the millions of sperm. After this, the fertilized egg joins the inside of the uterus. Here, the egg receives the necessary elements and develops into a baby for 9 months. It is hormones that are responsible for the release of an egg from the ovary (ovulation).
Both tablets and other hormonal contraceptives (patches, vaginal rings) include the hormones estrogen and progestin in the required quantities. The main task of these hormones is to manage the cycle and to prevent unwanted pregnancy.
However, a number of important factors must be considered to prevent pregnancy. In most cases, hormonal drugs block the exit of the egg from the ovary (ovulation). In addition, they alter the structure of the uterine mucosa, making it almost impossible for sperm to enter the uterus to fertilize the egg. In addition, hormonal drugs alter the mucous membrane of the womb (where the baby is) to prevent the attachment of a fertilized egg.
You need to understand that the correct use of birth control pills can reduce the risk of an unwanted pregnancy to MINIMUM. The correct intake is taking the tablets at the same time every day.
In addition, you can not rely only on tablets. Condom use is highly recommended to prevent STDs (and pregnancy).