Published on Aug 25, 2017 and last reviewed on Sep 07, 2018 - 3 min read
According to WHO (world health organization), at least 214 million women in the reproductive age group belonging to developing nations, want to avoid pregnancy but are either unaware of the different methods of contraception or do not have proper access to it. It is a well-known fact that the appropriate and timely use of contraception prevents the need for unsafe abortions, thereby saving the lives of the women and adolescent girls. The choice of contraception should be given to the women after a comprehensive counseling session. This is necessary for maintaining the autonomy and well-being of the women. But, at the same time, it is widely felt that hormonal contraception is not only misused but also harms the woman's body.
Newer hormonal contraceptives in the form of tablets, plugs, patches, implants, intravaginal rings, and intrauterine devices are now available in the market. All the hormones are synthetically prepared. They are an efficient and convenient way of preventing pregnancy but, the risks involved outweigh the benefits particularly in the case of combination pills of estrogen and progesterone.
Combination pills are used for other varied conditions in gynecology like endometriosis, DUB (dysfunctional uterine bleeding), PCOD (polycystic ovarian disease), but for a limited time. They are also used unconventionally in menstrual cramps (dysmenorrhea), for the suppression of ovulation to avoid cycles and premenstrual tension. Today’s adolescent girls consider menstruation as a problematic phenomenon like they would a disease.
Many are acutely aware of the changes in their body during the premenstrual phase and hence take pills to postpone or avoid menstruation. This is a very alarming trend as menstruation is the barometer of health for a woman. Pulse, blood pressure, respiration, and skin color are indicators of health. Similarly, women are gifted with another indicator of health. That is the regular menstrual cycles which reflect the intricate balance of hypothalamic-pituitary-ovarian axis. We all know that the pituitary hormones are interlinked and affect as well as control all the parts of our body. So, suppressing the sexual hormones will, without fail, affect all the systems of our body.
It is a well-known fact that the pills and implants have numerous side-effects, openly mentioned in the brochure that comes with it. It is to be certainly avoided by women having the following conditions.
Further, it can cause numerous side effects such as endogenous depression, mood swings, weight gain, acne, breast tenderness and a decreased amount of bleeding. This reduced bleeding is not a physiological (normal) bleeding but, is a sort of withdrawal bleeding which is perceived as convenient by youngsters as they feel it is hassle-free. It is now a known-fact in the medical community that the return of ovulation, after stopping these combined hormonal contraceptives, take a long time especially if they have been taken for quite a while.
Teenagers are more vulnerable to this side effect if they had been on these pills soon after attaining menarche. This is because the hypothalamic-pituitary-ovarian axis is trying to establish its pattern and rhythm at this age. It is falsely believed that ovulation occurs immediately after stopping the pills. This is far from the truth, especially if you have been taking the hormones for more than a year. As a result, it takes even longer to establish fertility. Also, the hormones are detrimental to bone health, as they can alter the bone mineral density.
So, summarizing the detrimental effects of combined pills will be a long and frightening list. Progesterone-only pills are comparatively safer but nevertheless, they also have serious repercussions.
The Bottom Line:
Your cycles are your internal clock. Every woman and young girl need to choose if she wants an artificial rhythm or a natural rhythm. Remember, you are choosing health over diseases. Life is about choices. So, choose wisely.
For more information consult a Obstetrician And Gynaecologists online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist
Query: Hello doctor, I consulted with you the last time whether I can be pregnant as I had sex with my partner on the eighth day of my period and we used condoms as protection. You told that I would not get pregnant. Today I am on the fifth day of my period. On the first two days, the bleeding was no... Read Full »
Query: Hi doctor, I am 23 years old. I am really worried and fed up with my fat thighs and hips. As I am suffering from polycystic ovarian syndrome and I used to miss my menses. Now, my menstruation is regular. But, whenever I skip physical exercise I am sure that I will miss my menses. I think these all... Read Full »
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