8/11/2023 0 Comments Mini pill side effectsNo effect of progestogen taken by the lactating mother has been demonstrated on the health or growth rate of the baby. Progestogen tends to have no effect on breast milkvolume or may cause a slight increase. No cases of congenital abnormality have been reported in babies born to women taking the minipill at conception. Progestogen may protect against endometrial cancer. There is no evidence linking LNG or NET used as a minipill to breast, cervix, or endometrium cancer. The progestogen-only minipill appears to cause no deterioration in carbohydrate tolerance, to have little or no effect on blood lipids and to cause no detectable change in liver function, blood clotting and platelet aggregation, thyroid function, or pituitary-adrenal responsiveness. Intermenstrual bleeding problems are a major concern with progestogen-only methods, and prospects for avoiding the problem completely are limited. 20-30% of patients notice spotting or breakthrough bleeding, which occurs in 5.8-16.2% of cycles. Vaginal bleeding lasted 4-6 days in 78% of cycles. In 2 studies using NET and norgestrel, 46-66% of cycles fell in the 25-35 day range. Variability of menstrual cycle lengths is a controversial aspect of the minipill. Several small studies show an increase in the proportion of ectopic pregnancies in minipill users. Recent indications show, in general large scale usage, minipill pregnancy rates similar to that of combined pills. Although some earlier trials indicated pregnancy rates of 1.4-4.3/100 woman years, later combined pregnancy rates in trials of 5 different progestogen-only pills varied from. The minipill exerts its antifertility influence at the endometrial, ovarian, tubal ephithelial, follicular, and luteal levels as well as on the cervix and cervical mucus. This review deals mainly with minipills containing norethindrone (NET) 350 mcg or levonorgestrel (LNG) 30 mcg. 1/3 - 1/2 of minipill users experience prolonged menstruation, and up to 70 report breakthrough bleeding or s. The progestogen-only minipill is used by few of the 50 million women worldwide who use oral contraceptives. PIP: Although the progestogen-only minipill decreases side effects such as dizziness, nausea, headaches, and breast tenderness associated with combined oral contraceptives, this advantage is outweighed by disturbances of menstrual flow. The benefits and disadvantages have been carefully evaluated and recommendations made for the more widespread use of progestogen-only mini-pills. The under-use appears to stem from a lack of awareness on the part of medical advisers of the reasonable efficacy and minor side effects of the method. However, low-dose pills may result in more breakthrough bleeding - bleeding or spotting between periods - than higher dose pills.A review is presented of the existing literature on the progestogen-only "mini-pill", a greatly under-used method of contraception. Women who are sensitive to hormones may benefit from taking a pill that contains a dose of estrogen at the lower end of this range. Most combination birth control pills contain 10 to 35 micrograms of ethinyl estradiol, a kind of estrogen. In this type of combination birth control pill, the amounts of hormones in active pills vary. In this type of combination birth control pill, each active pill contains the same amounts of estrogen and progestin. Formulations that contain only active pills - eliminating bleeding - also are available.Ĭombination birth control pills are also categorized according to whether the dose of hormones in the active pills stays the same or varies: Bleeding generally occurs only four times a year, during the time when you take the inactive pills. These packs typically contain 84 active pills and seven inactive pills. Bleeding occurs every month when you take the inactive pills. Conventional packs usually contain 21 active pills and seven inactive pills, or 24 active pills and four inactive pills. Combination birth control pills come in different mixtures of active and inactive pills, depending on how often you want to have periods:
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