Very often on the forums, women are interested in whether birth control pills are compatible with smoking? We will deal with this important issue together with Evgeny Konkova, our consultant on hormonal contraception. It's no secret that smoking is unhealthy in and of itself. And in combination with taking estrogen-containing * birth control pills, the harmful effects of nicotine increase several times.

* Estrogen-containing are combined contraceptives that contain the hormone estrogen. It is also contained in the Evra hormonal patch and in the Novaring vaginal ring.

The effect of smoking on the body:

1. rises arterial pressure
2. increases the frequency of contractions of the heart muscle
3. transient vasospasm occurs

Side effects of estrogen-containing birth control pills

1. increased blood clotting
2. the movement of blood through the vessels and veins is hindered

The biggest trouble for those who like to smoke a cigarette is that this addiction leads to the formation of blood clots. And thrombosis is the cause of atherosclerosis, myocardial infarction and stroke. That is why WHO does not recommend that women who smoke (especially if they are over 35 years of age) use estrogen-containing hormonal preparations.

Factors that provoke the formation of blood clots:

• smoking;
• overweight (obesity);
• arterial hypertension (high blood pressure);
• diabetes;
• valvular heart disease;
• prolonged immobilization;
• major surgery or extensive trauma,
• forced standing or sedentary work (hairdressers, salesmen, drivers, office workers);
• hereditary predisposition to thrombosis (thrombosis, myocardial infarction or cerebrovascular accident at a young age in one of the next of kin);
• dyslipoproteinemia;
• dyslipidemia.

Therefore, if you are over 35 years of age and you fall under at least one item on this list, then you need to choose a contraceptive that does not contain estrogen.

Contraceptives for women who smoke

A smoking woman should understand that even the smallest dose of estrogen contained in the drug increases blood clotting. In no case do not listen to the advice of "well-wishers" that modern microdose birth control pills can be taken without risk to health.

ATTENTION!!!
If the contraceptive pill contains ethinyl estradiol, estradiol valerate or estradiol hemihydrate, then this drug is contraindicated for you. It is also impossible to use the Evra hormonal patch and the Novaring vaginal ring as contraception.

These drugs also reliably protect against unwanted pregnancy, but they have an unpleasant drawback. Purely gestagenic preparations, unlike combined ones, control the menstrual cycle worse and intermenstrual bleeding may occur when they are taken. This bleeding is not harmful to health, but it can cause some discomfort. Therefore, you need to prioritize: either endure intermenstrual bleeding, or quit smoking and switch to more convenient combined birth control pills.

There are other methods of hormonal contraception for women who smoke - this is a hormonal coil, which is installed in the uterine cavity for a period of 5 years. Or a hormonal implant. It is injected under the skin and provides reliable contraception for up to 3 years.

With an irregular sexual life, you can use non-hormonal contraceptives: birth control candles or creams, a regular intrauterine device or a condom.

See article

Additional Information

On our forum, the question is often asked, is it possible to use combined estrogen birth control pills if a woman is under 35 years old and does not smoke very much. In such a situation, it is possible, but before starting use, it is advisable to take a blood test for hereditary thrombophilia. This analysis must be taken by those who have had problems with pregnancy, have APS syndrome, have a history of thrombosis; if one of the close relatives had a death at a young age from a stroke, heart attack.

In the process of taking birth control pills, a woman who smokes should take an annual test to check blood clotting (coagulogram). To prevent increased blood clotting, drink enough fluids (1.5 2 liters per day), especially in the heat. More physical activity, less fatty, fried and sweet. To thin the blood, you can use onions, garlic, cherries, cranberries, blueberries and ginger. On the recommendation of a doctor, special drugs that thin the blood can be prescribed.

And the best way to avoid harmful effects on the circulatory system and other organs is to stop smoking, using, for example, effective methodology Allen Carr "

Combine smoking and birth control pills. Everyone knows that smoking is harmful.

It is also important to understand whether cigarettes are compatible with medications, including contraceptives.

The woman's body is influenced by the substances contained in the drug, while succumbing to the negative effects.

In order not to completely harm your health, you should know how compatible smoking and taking contraceptive medications are.

The effect of nicotine on the human body

Mental activity, the emotional sphere are subject to the intense influence of toxic substances of tobacco smoke. The strength of addiction and health damage is stronger, the earlier a woman starts smoking.

Nicotine poisoning is manifested by an increase in the level of adrenaline, due to which the vessels are significantly narrowed. The tissues of the organs begin to experience a lack of oxygen, the work of the heart is disturbed, shortness of breath and shortness of breath appear. The blood becomes thicker and the blood flow slows down.

External manifestations of harmful, trembling and sweating of the hands, rapid breathing develop.

The main signs of the effect of smoking on the female body:

1. the heart muscle is forced to contract faster;
2. from time to time there are spasms of blood vessels;
3. blood flow becomes difficult and slows down.

A similar effect comes from the action of estrogen. As a result Negative influence on the body is doubled.

You need to be careful women who take birth control while smoking after 35 years. At this age, the danger to life increases, especially when there are diseases of the cardiovascular system.

Contraceptives and cigarettes

Modern oral contraceptives contain two main components - progestin and estrogen.

Hormonal preparations of the latest generation are well tolerated by the body, side effects, if any, are insignificant.

At the same time, it is undesirable to combine smoking and birth control pills, as the risk of blood clots and other negative consequences increases.

Hormonal contraceptives should be prescribed only by a doctor. It is impossible to choose the right drug on your own, since each of them contains a different amount of hormones.

The gynecologist will definitely ask about the patient's bad habits. If a woman smokes, her blood contains a large amount of nicotine, which is very harmful to the functioning of the heart and circulatory system.

The combination of hormonal contraceptives and smoking negatively affects the condition of the blood vessels, increasing the likelihood of the formation of large clots. This condition can have health-threatening consequences in the form of a heart attack, atherosclerosis, or stroke.

Contraceptives and cigarettes, acting together, increase the heartbeat, lead to drops in blood pressure. As a result, the smoker develops coronary disease.

Nicotine in combination with hormonal contraceptives increases the amount of cholesterol. This substance accumulates on the walls of blood vessels, reducing their permeability. The blood flow is disturbed, important organs do not receive required quantity oxygen, their oxygen starvation begins.

Dangerous Consequences

The combination of oral contraceptives and smoking leads to malnutrition of the brain and other organs.

In this state, various disorders develop:

• due to oxygen starvation that the brain experiences, there is a risk of developing a stroke;
• malnutrition of the heart leads to a heart attack;
• the formation of blood clots in the vessels leads to their expansion, diseases of the veins;
• increases the likelihood of neoplasms in the chest and uterus.

What to do for a woman who smokes

The best way out of the situation would be the desire to quit smoking. Even if the drug contains a minimal amount of the hormone estrogen, this is already a dangerous combination with nicotine.

Women who smoke for a long time should not take contraceptives containing substances such as estradiol hemihydrate or estradiol valerate, ethinyl estradiol. Some patches and vaginal rings are contraindicated.

Not everyone can easily give up their long-term habit. How then to act, what contraceptives can be taken while smoking? The main thing is not to listen to girlfriends or well-wishers in in social networks. This issue should be dealt with by a specialist. In such cases, the doctor may advise taking pills that do not contain estrogen.

Contraceptive "progestogen" means are reliable protection against unplanned pregnancy, as well as those that contain estrogen. There is a significant nuance that you need to pay attention to when taking "progestin" drugs - they do not have the ability to regulate the menstrual cycle. In some patients, taking these pills causes intermenstrual bleeding.

If there is no desire to endure such inconveniences, you should think about how to get rid of a bad habit. There are other contraceptives that are acceptable while smoking. Regarding their use, you should consult with a gynecologist.

Conclusion

A woman who smokes is at risk of developing various diseases higher than those who do not suffer from such addiction.

If there is absolutely no strength and patience to quit smoking, and it is necessary to take birth control pills, then you should regularly visit a doctor and monitor your health.

Video: DANGER! BIRTH PILLS AND SMOKING

Birth control pills after 35 years will be an excellent contraceptive option that a woman can control herself. If you choose the right pills and follow the rules, you can even strengthen women's health and overall well-being.

But only the attending physician can prescribe pills. Choosing on your own or on the recommendations of a pharmacist, you risk becoming a victim side effects. It is always worth remembering that birth control pills are based on hormones, and such therapy has a complex effect on the body.

Contraception after 35 years

By the age of thirty-five, most women have already given birth. In modern conditions, it is at this age that women have acquired offspring recently. And here the problem of contraception is acute - after all, now they rarely give birth to a second child until the first one has gone to school.

After 35, many women still plan to become a mother, or want to give birth to a second child. Therefore, they treat their own reproduction very carefully. I don't want to put my women's health at risk.

Another point is the importance of a healthy sex life at this age. According to modern research, it is by 30-35, and especially after childbirth, that a woman's sexual desire flourishes. And I don’t want to violate sexual intercourse either with preparation or with barriers between the body of partners.

In connection with the increase in cases of cancer, it is worth thinking about their prevention. Some birth control pills, which we will talk about today, help strengthen the female body in the face of such diseases.

The main rule when choosing female birth control pills is to listen to the recommendations of the attending gynecologist. He knows your condition and will be able to determine what are the dangers in the case of certain contraceptives. With the help of his advice and knowledge, you can not only competently approach the issue of contraception after 35 years, but also strengthen your women's health.

The most important indicator when choosing contraceptives is the hormonal background.

So, if the body produces enough of its own estrogen, (COCs) will be harmful. In such cases, mini-pills are recommended - pills with a reduced content of hormones, devoid of estrogen. And vice versa, if female sex hormones are not enough, male hormones are produced - COCs will be an ideal option. Choosing contraceptive pills according to this scheme, you can even bring tangible benefits to your health.

It is worth considering the general condition of the body. So, problems with the digestive system or a tendency to increased blood clotting will become a clear contraindication to taking birth control pills.

Benefits of tablets

Birth control pills are not just a means of contraception. This is a complex effect on the body, which can result in both good and bad. Only a doctor can choose the right drug and generally determine the possibility of such contraception. To do this, he must familiarize himself with the results of research - blood tests, gynecological examination.

In this case, the tablets will be selected correctly, and with their help:

• Monthly cycles will return to normal;
• The risk of malignant diseases will decrease;
• Improve daily mood
• Increased desire in the sexual sphere;
• Female organs will receive protection from inflammation;
• They will serve as a good prevention and treatment for myoma.

In addition, contraceptives after 35 years will also become a good cosmetic tool. If the type of hormones and their dosage are chosen correctly, the production of testosterone will be reduced. So, the skin of the face and head will become less oily. Hair will be less greasy, and the skin will get rid of unpleasant rashes in the form of acne.

Combined oral contraceptives

Most often, when talking about birth control pills, doctors and women using COCs mean COCs. These drugs are based on two substances - estrogen and artificial gestagens. Together they provide a complex effect that gives maximum reliability. COCs are divided into several subspecies, depending on the sequence in which hormones act:

• Single-phase (Yarina, Logest) - in all tablets of the cycle, the substances are mixed;
• Biphasic (Anteovin) - throughout the course, the estrogen content does not change, unlike progestogen substances;
• Triphasic (Trikvilaz, Tri-merci) - the ratio of estrogen and progestogen in tablets changes three times in a monthly course.

Operating principle

Combined birth control pills work according to the following scheme:

• Do not allow ovulation to occur normally. The body mistakenly reads hormonal indicators, and the female cell does not leave the ovarian follicle;
• There is too much mucus inside the uterus and its cervix. Spermatozoa cannot break through this barrier, and their path to the egg is completed in the vaginal environment;
• The level of density of the endometrium increases. The chance of fertilization of the egg is already minimal, but if this happens, the zygote will not be able to gain a foothold in the uterus and will die.

Each of these factors is already a powerful barrier to pregnancy. Together, these three points reduce the possibility of pregnancy to almost zero.

Contraindications

Combined birth control pills should not be used if a woman over 35:

• Already bearing fruit;
• Experiencing cardiac pathologies;
• Has a platelet count in the blood above normal;
• Is a smoker;
• Has kidney failure
• prone to cancer;
• Has malignant neoplasms;
• It is in the period of lactation and feeding.

If, with such contraindications, a woman still decided to take COCs, there are high probability, which results in:

• Your head will hurt;
• To stand out blood outside the period of menstruation;
• Appetite will disappear;
• Menstruation disappears;
• Will be dizzy;
• Unwanted hairiness will increase;
• Decreased sexual desire;
• The bowel will begin to bloat.

But these are just minor side effects. More serious negative consequences can be:

• Thrombosis and clotting disorders;
• Diseases of the liver and digestive system;
• The appearance of excess kilograms;
• Skin rashes and acne;
• Difficult speech;
• Unexpected hypertensive attacks;
• Phlegm in the throat;
• Pain in the chest;
• Severe persistent migraines;
• Swelling of the lower extremities.

mini pili

These birth control pills contain only an artificial progestogen, and no estrogen. They are also called single-component birth control pills. Here we can mention Microlute, Charozetta.

Most often, mini-pills are prescribed after the age of 35, especially if the woman has already given birth. In such cases, usually a woman's own estrogen is sufficient. Excess estrogen can be harmful in two ways.

Firstly, by increasing the risk of cancer and inflammation - after all, the tissues of the uterus will become denser. Secondly, and these effects are very common, in response to excess estrogen, the body will start producing testosterone. And then the negative consequences will be excess hairiness, oily skin and hair, a purulent rash. That is why the effect of the progestogen is sufficient. It generally operates in the same way as in COCs. Ovulation does not occur, the passage of sperm through the genital tract is extremely difficult. A fertilized egg (which is extremely unlikely) will not be able to gain a foothold in the uterus.

Menstruation does not occur when taking mini-pills of birth control pills. Instead, there are bloody issues, which can be attributed to false menstruation. Contraindications and side effects are the same as for combined contraceptives.

Micro-dosed and low-dosed

Microdosed birth control pills have the least amount of hormones. Suitable if the hormonal background of a woman at 35 is completely normal and has not changed compared to a young age. These include Zoeli, Jess, Lindinet.

Low-dose birth control, like mini-pills, will work if you have enough estrogen. The advantage over mini-pills is a weaker effect on the menstrual cycle. After taking microdosed tablets and mini-pills, if “false menstruation” caused severe discomfort, low-dose ones are prescribed. These include Silest, Microgynon, Demoulin.

How contraceptives are chosen

The question of which pills to drink as a contraceptive cannot be sorted out on the Internet or on the advice of girlfriends. It should always be remembered that any hormone therapy is a powerful and complex effect on the body. Work changes endocrine system affect the work of all organs and structures of the female body.

Therefore, only a gynecologist can specifically resolve the issue. To do this, he will need to collect data in the course of the following studies:

• Dermatological analyses;
• Checks for bacteria and infections;
• Body weight surveys;
• Blood pressure measurements;
• Palpation of the chest;
• Analyzes for the work of the liver;
• Gynecological examination and smears.

Before using birth control pills, it would be wise to visit an optometrist. After all, long-term use of such drugs often leads to dysfunction of the eyeballs, especially glaucoma.

Another necessary examination to avoid the development of side effects is a blood clotting test and an ultrasound examination of the veins. Thrombosis is one of the most common and most dangerous side effects.

stojak.ru

Hormonal contraception after 35 years

The need to protect yourself from unwanted pregnancy is relevant to the very end. reproductive age. However, different periods have their own characteristics that should be taken into account in order to maintain a rich sex life and avoid its undesirable consequences.

Features of late reproductive age

One of the most important features of female reproductive function is that the number of eggs in the ovaries remains constant - new ones are not formed during life. With age, the number of eggs ready for fertilization decreases, and mutations accumulate in them, caused by all the harmful factors that have affected the ovaries during life. Thus, the risk of having a child with serious genetic abnormalities increases.

Another feature associated with a decrease in the number of eggs is an increase in the number of anovulatory cycles, that is, those in which the follicle does not mature and conception is impossible. However, this feature does not save you from unwanted pregnancy.

After the age of 35, there are serious risks regarding pregnancy. During this period, a woman quite often has chronic diseases, which can adversely affect her health or the condition of the fetus. Previous pregnancies, whether they ended in childbirth, miscarriage, or abortion, increase the chance of an ectopic attachment of the ovum.

In childbirth, women over 35 have an increased risk of tearing as the skin loses its elasticity. According to statistics, children of so-called old-bearing mothers are more likely to suffer from hypoxia during childbirth, which negatively affects their physical and mental development.

It is quite obvious that the birth of a child after 35 years is a rather risky step, and before deciding on it, you need to weigh the pros and cons, consult a specialist, and take tests. If for some reason the child is still undesirable, you should choose a comfortable and safe method of contraception.

Rules for the selection of hormonal contraceptives for women over 35 years old

Hormonal contraceptives are considered the most progressive method of contraception. They not only prevent unwanted pregnancy, but also, with the right selection, have a beneficial effect on the hormonal background of a woman.

It should be remembered that hormonal contraceptives do not protect against sexually transmitted infections, so they should not be used in a promiscuous sex life.

A gynecologist will help you choose the right birth control pills, taking into account the following factors:

• Obstetric history.
• The presence of contraindications.
• Features of a woman's sexual life.

Obstetric history includes previous pregnancies, childbirth, abortions, miscarriages, gynecological diseases and operations. After giving birth, at least 6 weeks must pass, and at the time of the start of the course, the woman must finish breastfeeding. Exist hormonal agents allowed to nursing mothers, but they have their own characteristics of use.

Important! After gynecological manipulations and with some diseases of the ovary, hormonal contraceptives can be harmful, so a woman needs to have complete information about her state of health.

Contraindications are endocrine diseases, especially diabetes mellitus, a tendency to thrombosis, formations in the mammary gland, pathology of the heart valves and the upcoming surgery. The doctor will definitely ask about this before prescribing the pills.

With the peculiarities of sexual life, everything is simple - it makes sense to use birth control pills only when a woman regularly has sex with a regular partner and is sure of his fidelity. Pills do not save from genital infections, and with rare and irregular sex, the need for such drugs is doubtful. Most women over 35 tend to have children and have sex with a regular partner, so hormonal contraceptives may be suitable for them.

It is worth paying attention to possible side effects:

• Appearance excess weight.
• Headache.
• Intolerance to the drug, allergic reaction.
• Emotional disorders: depression, anxiety.
• Decreased libido.

If such symptoms appear, the drug should be changed. It should be noted that with age, the likelihood of certain side effects changes, and if a woman at 25 was successfully protected by certain means, this does not mean that at 35 the same drug will remain effective and safe. After each pregnancy, it is advisable to select the medicine again.

The examination includes a history taking, a conversation with a doctor, an examination in a gynecological chair, a swab for the degree of purity of the vagina, and a gynecological ultrasound. If a woman has chronic diseases, additional examinations may be prescribed for her.

Hormonal contraceptives: what are they?

There are the following groups of drugs approved for use after the age of 35 years:

Combined oral contraceptives

• COCs are the most common type of hormonal drugs. There are a large number of drugs, and it will not be difficult for a woman to choose the right option for herself. Often prescribed for therapeutic purposes (with uterine myoma and other pathologies).
• In late reproductive age, microdose COCs containing only 20 micrograms of estrogen are recommended. This will minimize the chance of side effects.
• After 35 years are not suitable for women who smoke and patients with a tendency to thrombosis. Migraines, arterial hypertension and emotional instability are also contraindications, especially at this age.
• Not allowed during lactation.
• It must be taken every day at exactly the same time.

Read about how to take combined birth control pills correctly.

mini pili

• Mini-pill is a "lighter version" of hormonal pills. They contain only progesterone.
• It is believed that such pure progestogens are effective for women after childbirth. Allowed during lactation.
• They have a number of contraindications - a tendency to thrombosis, smoking and vascular pathologies.

Plaster Evra

• The transdermal patch is designed to maintain a constant concentration of hormones.
• Can be used after 35 years in the absence of contraindications: diseases of the heart and blood vessels, oncological pathologies.
• Do not use within 1.5-2 months after the end of breastfeeding.

NovaRing

• A hormonal ring that can provide a lasting effect.
• Inserted into the vagina, set for 21 days.
• It contains the lowest dose of hormones of all such products, so it is a good option for women over 35 years old.

25 facts about the NuvaRing vaginal ring: find out more.

Mirena coil

• The Mirena intrauterine system is quite effective, but it can only be used with a healthy endometrium. If there are diseases of the genital organs (and many women over 35 have them), the spiral is contraindicated.
• It is introduced by a gynecologist after a preliminary examination and examination.
• Validity - 5 years.
• A good option for women who have given birth and are not planning a pregnancy in the coming years.

What hormonal agents are better to choose?

Ideal contraceptives for women over 35 are micro-dose COCs:

• Jess.
• Novinet.
• Lindinet.
• Qlaira.
• Zoely and others.

The risk of side effects when taking them is minimal, and the reliability is sufficient to prevent conception in conditions of fading reproductive function.

Intrauterine devices are very popular among women in the late reproductive period. If there are no contraindications to them, then Mirena is almost as effective as COCs.

The NuvaRing ring is another good option for women over 35. The minimum dose of hormones reduces the likelihood of side effects, and the ease of use (administered once a month) makes this remedy optimal for socially active women.

Alternative to hormonal contraceptives

What if a woman cannot or does not want to use COCs? For this, there are other methods of contraception - barrier and intrauterine.

• • The condom is the oldest method of contraception. It is less effective than COCs, reduces the pleasure of sexual intimacy, but protects against genital infections. It is important to monitor the integrity of the condom. Effective at any age.
  • Spermicides are substances that kill sperm. They can be applied to the inner layer condom or vaginal cap, used as foam or sponge. They do not last long, they are comparable in effectiveness to a condom, they have no age restrictions.
  • Non-hormonal IUD (intrauterine device) is convenient because it works for several years. Among the disadvantages is the risk of inflammatory processes in the uterus and development ectopic pregnancy. Only a doctor should install and replace the spiral. Allowed for women over 35 years of age in the absence of contraindications.

Learn more about the IUD: 30 facts about the intrauterine device.

The choice of a contraceptive in late reproductive age is a responsible process that requires special attention. To select the drug, it is recommended to consult a doctor.

Read also: How does hormonal contraception affect female sexuality?

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Contraception after 35: 4 best methods

For most women, pregnancy after 35-40 years becomes a problem and in more than 50% of cases ends in abortion. To prevent this situation, you should choose the right contraceptive. The current material is devoted to this particular topic. First of all, we will dispel the myth that it is impossible to get pregnant with menopause. Even after menopause, a woman needs to continue using contraceptives for a certain period, which depends on the individual characteristics of the body.

The main problem when choosing contraceptives after 35 years is the presence of contraindications to the use of a particular method. Moreover, with age, the risk factors associated with the state of health (overweight, chronic diseases) and bad habits become more and more.

Methods of contraception at the age of 35-45 years and older

1. Hormonal birth control. In the absence of contraindications after 35 years, combined oral contraceptives (COCs) of the latest generation or new three-phase drugs that are on this moment presented in a wide range. For example, Triziston, Femoden, Triquilar, Marvelon or Silest.

Instead of oral contraceptives in the form of tablets, special injections can be administered. The advantage of injections is that they do not have to be taken every day, an injection is given about once every three months.

The injection suppresses ovulation, preventing conception. So far, only one drug of this group is represented on the Russian market - Depo-Provera. It is a suspension containing 150 mg / ml of medroxyprogesterone acetate, which, after injection under the skin, begins to give a contraceptive effect.

If for one reason or another the injection option is unacceptable for a woman, you can use hormonal capsules implanted under the skin of the shoulder. The operation is simple and is performed under local anesthesia. The contraceptive effect begins a day after the introduction and lasts for 3-5 years. One of the best drugs this group is considered Norplant and the second generation - Norplant-2.

2. Intrauterine devices. In most cases, they are represented by spirals. They are considered the most preferred solution for women after 40 years, but due to pathological age-related changes in the tissues of the cervix, they are not always suitable. The decision to use an intrauterine device must be made after a gynecological examination.

3. Barrier contraception. This is the safest group of contraceptive methods for health, which is represented by a wide range of products. In addition to traditional male and female condoms, other mechanical means can be used: cervical caps and sponges.

There are also chemical barrier contraceptives called spermicides: suppositories and vaginal tablets, creams and gels, and aerosol foams. All of these drugs destroy spermatozoa, preventing conception.

4. Sterilization. A good option for those women who are determined to never have children again. After sterilization, the childbearing function is lost forever and cannot be restored. But after 40 years it does not matter, because at this age it is difficult to endure and give birth to a healthy child.

Sterilization is not much more difficult than an abortion, so for many couples, the procedure is an excellent option to solve the problem of contraception once and for all.

Conclusion: contraception after 35 years requires a special approach, since many of the means become unavailable. But after consulting with a specialist for each woman, you can choose the appropriate method to avoid pregnancy.

contracepter.com

Smoking and birth control pills

Everyone knows about the dangers of smoking. But many women are interested in the question of how compatible smoking and birth control pills are.

Interaction between smoking and contraception

Oral contraceptives contain the hormones estrogen and progestin. Although modern contraceptives are considered quite safe, without any side effects on the female body, estrogen still slightly increases blood clotting. However, this does not mean at all that taking such contraceptives can lead to the formation of blood clots.

But when a gynecologist chooses oral or vaginal contraceptives for a woman, he will definitely take an interest not only in her state of health, but also in whether the woman smokes. After all, nicotine, contained in the blood of women who smoke, has the same effect as estrogen. However, the effect of nicotine is much more intense on the circulatory system.

Thus, smoking and concomitant use of hormonal contraceptives double the risk of blood clots forming in blood vessels. And this, in turn, can lead to such serious consequences as atherosclerosis, heart attack, stroke.

Since the nicotine contained in tobacco smoke increases the heart rate and briefly increases blood pressure, the combination of this effect with estrogen exposure increases the load on the heart, which often leads to coronary disease.

Smoking while using contraception increases the amount of cholesterol in the blood. And this substance, being deposited on the walls of blood vessels, significantly narrows their lumen. This prevents normal blood flow, the supply of all organs and, above all, the brain with oxygen. It can also cause ischemic stroke.

Two risk factors, joining their efforts in the fight against women's health, provoke the activity of a virus such as papilloma. It can peacefully doze in the body without causing any trouble to its bearer. But if you "help" him with the help of hormones and nicotine, then papillomavirus can even lead to cancer of the female genital organs.

Taking hormonal contraceptives in itself contributes to a more intensive development of neoplasms (if any are already present in the body). If a woman also smokes, then these neoplasms, even benign ones, can develop into cancer of the breast, cervix or ovaries.

Dependence of smoking, taking contraceptives and age

Of particular danger is the use of such drugs for a woman over the age of 35 who refuses to quit smoking.

Studies have shown that the risk of thrombosis and other problems with the cardiovascular system increases not only depending on the age of the woman, but also with an increase in the number of cigarettes smoked per day. So, if a woman takes oral contraceptives and at the same time smokes up to 10 cigarettes a day, then the risk of cardiovascular disease is twice as high as that of a non-smoker. If you smoke more than 15 cigarettes a day, then this risk will be three times higher.

Comparing smokers and non-smokers different ages taking hormonal contraceptives, then for the first (even those who smoke very little) the risks arise already at the age of 30, while for non-smokers the same risk appears only at 35-40 years. Thus, young women who smoke "age" themselves with my own hands(or lips).

If a woman has a hereditary predisposition to cardiovascular diseases, as well as to other diseases, then smoking and concomitant use of hormonal drugs are contraindicated for her. contraceptives.

With the simultaneous use of oral hormonal contraceptives and cigarettes, especially after the age of 35, symptoms such as headache, pain in the lower abdomen, in the mammary glands, heaviness and pain in the legs may occur. If such phenomena occur, then you should immediately consult a doctor. And the fact that you immediately need to quit smoking is out of the question.

Preventing unwanted pregnancies is essential. But it is necessary to refuse rather not from hormonal drugs, namely from smoking. After all, it causes incomparably greater harm to all systems of the female body, leading not only to diseases, but also to premature aging.

nekuru.com

Smoking and oral contraceptives (birth control pills)

AT modern world widespread use of hormonal contraception by women, which is used not only to protect against unwanted pregnancy, but also is a medicine that can correct hormonal failure and solve many gynecological problems.

Many women themselves “prescribe” pills for themselves without consulting a doctor, and sometimes, when choosing a medicine together with the attending doctor, they simply do not talk about the fact that they smoke.

Hormonal contraceptives are of two types: combined, which contain estrogens and gestogens, and progestin, containing only gestagens. Estrogens are found in all combined preparations, and these can be not only tablets, but also patches, vaginal rings, spirals and injections. The combination of smoking and estrogen-containing drugs is highly undesirable.

The effect of smoking and estrogens on the female body

Under the influence of nicotine, the production of adrenaline increases, vasoconstriction occurs.

Carbon monoxide contained in tobacco smoke causes tissue hypoxia, increasing the heart rate.

Nicotine increases blood viscosity, which can lead to blood clots.

Smoking contributes to the development of cancer of the uterus and breast.

In women taking combined contraceptives with a high dose of estrogen, the risk of developing heart attacks, strokes and thrombosis is increased. In a low dosage, estrogens, on the contrary, protect the female body from the occurrence of these diseases.

An excess of estrogen can lead to estrogen-dependent forms of malignant tumors in the female genital organs.

The combination of estrogens and cigarettes

Women who smoke and take combined birth control pills are twice as likely to develop breast cancer and heart disease than non-smokers. It is worth noting that even passive smoking can play a negative role.

Women who smoke and use estrogen-containing drugs are 10 times more likely to have vein thrombosis than women who do not smoke.

The older the woman, the more cigarettes smoked daily, the higher the likelihood of "earning" a heart attack. The risk of stroke is high in women who smoke after the age of 35. And of course 40. Taking contraceptives is categorically contraindicated for a smoking woman over 35 years old, since there is a high risk of thrombosis.

Precautionary measures

It should be remembered that in no case should you choose hormonal contraceptives on your own. Only a doctor, having studied concomitant diseases, the degree of risks and other factors, can correctly select the drug. The pills that suit your friend may not only be useless for you, but also dangerous.

If hormonal contraceptives are used to treat gynecological diseases, you should be more attentive to your health, since these drugs contain a high dose of estrogens, and the risk of side effects in women who smoke is increased many times.

If a woman does not stop smoking and takes estrogen-containing drugs, she should check her blood for clotting annually, drink plenty of fluids, eat foods that help thin the blood, maintain physical activity. But anyway the best way avoiding harmful effects on health will be a complete cessation of smoking.

We also launched a discussion of taking drugs by smokers on our forum. I strongly recommend. Not only a specialist answers, but also girls who smoked in the past and took oral contraceptives.

ne-kurim.ru

Every woman cares about her health. Well, or, at least, he tries: he takes care of himself, maintains his appearance, does not smoke, does not drink alcohol and chooses a safe intimate relationship.

It doesn’t matter what kind of sexual relationship you have: constant with one partner or irregular with different guys - it is important to choose the right method of contraception for yourself and be 100% sure of excluding pregnancy and protecting against sexual infections.

The selection of contraceptives depends on many factors: age, lifestyle, the presence of chronic diseases, the regularity of the menstrual cycle, and much more.

Most often, a woman after 35 years has already passed the stages of pregnancy and childbirth. It is possible that more than once. Because of this, hormonal disruptions occur in the body of a woman. Surely, after giving birth, you faced problems with hair loss, dental diseases and weight gain. All this goodness comes to us thanks to a complete restructuring of the body.

Due to global changes in the body of a woman after 30-35 years, it is necessary to visit a doctor and take general analysis blood and urine. According to the current state and the conduct of a special text, the doctor will be able to correctly prescribe suitable birth control pills, which will not only help to avoid unwanted pregnancy, but also restore hormonal levels, if necessary.

If you do not want to visit a doctor and are trying to decide on your own which pills are better to choose after 30-35 years, then be careful in your decision. Let's try to solve this issue together.

Hormonal drugs

According to a survey among women, it turned out that birth control pills are the easiest and easiest way of contraception that is available to everyone.

Previously, the phrase "hormonal pills" caused fear and apprehension in many. Now many things have become easier to relate to, so such drugs are in great demand. In addition, most drug therapy does not harm the body and has minimal contraindications.

However, with hormonal contraceptive pills, you need to be careful. It is better not to appoint them yourself. It is better to contact a specialist. Otherwise, you can harm the body.

Types of medical contraceptives

So what is the best birth control pill for a 30-35 year old woman? There are several types of such contraception:

• COCs - combined oral contraceptives, they are divided into one-, two-, three-phase;
• birth control pills for emergency contraception;
• mini-pill - progestogenic contraceptives, in their content have a small dose of hormones.

COOK

Preparations of this group are drunk by women who do not have health problems, since there are some restrictions for taking COCs. They should not be taken for the following diseases:

• hypertension;
• heart disease;
• migraine;
• diabetes;
• thrombus formation.

Also, COCs should not be used by women over 35 who actively smoke: the simultaneous effect on the body of nicotine and COCs can provoke active blood clots.

Such contraceptive pills do an excellent job with the main function - preventing pregnancy by suppressing ovulation. Also, when these birth control pills are taken correctly, their effect increases and gives additional results:

• actively contribute to the reduction of acne;
• reduce hair growth on the body and face;
• relieve pain during menstruation;
• normalize the menstrual cycle;
• are considered an excellent prevention of uterine and ovarian cancer.

Action of COCs

Combined oral contraceptives block ovulation, thereby preventing the fertilization of the egg. Eggs cannot leave the ovaries and sperm cannot enter them.

Rules for taking COCs

Such contraceptive pills are single-phase and multi-phase. The rules for accepting these subspecies are different.

Important: in no case should you skip taking pills, since even one pass no longer guarantees a woman's full protection from pregnancy. In such cases, during sexual intercourse, it is necessary to additionally protect yourself with a condom.

COCs are drunk for 21 days, then a break is made for 7 days (at this time menstruation occurs). In total, a full cycle of a woman is obtained - 28 days.

Best COC Pills

What are the best COCs to use?

• for women who do not have a regular sex life, contraceptive monophasic pills are suitable: Jess, Mercilon, Novinet;
• if a woman has not given birth and is sexually active, then most likely the doctors will recommend taking Janine, Yarina, Diana-35, Belluna-35. These drugs belong to the category of low-dose monophasic hormones.
• for women who wish to protect themselves from unwanted pregnancy and solve problems with hormonal levels, high-dose Trisiston, Triregol, Ovidon are prescribed.

mini pili

For women 30-35 years old, mini-pill birth control pills are also suitable. But, such drugs are prescribed if a lady has a certain disease: hypertension, diabetes mellitus and more. They are also suitable for women who are fond of smoking and mothers during lactation.

Mini-pills can be taken immediately after the baby is born.

It is important that the doctor chooses the pills based on the current state of the body. Otherwise, mini-pills can provoke a cyst on the ovary or the formation of an ectopic pregnancy. Pay close attention to this factor.

The action of the minipill

When taking contraceptive pills such as mini-pili, the following changes occur in a woman's body: the viscosity of the mucus of the uterine cavity increases. This factor impedes the movement of spermatozoa to the egg and, as a result, blocks their connection.

Rules for taking mini-pills

Contraceptive pills mini-pill must be taken constantly, even during menstruation. If you forgot to take a pill and at least 3 hours have passed since then, then immediately take a contraceptive. If more time has passed, then during the week it is necessary to additionally protect with a condom.

When taking the mini-pill, spotting and menstruation may occur at any time. This is one of the inconveniences.

The best mini pills

One of the best representatives of the mini-pill are the preparations "Microlut", "Charozetta", "Laktinet", "Exclusion".

emergency contraception

There are also birth control pills that do not require regular use, but only in case of unprotected intercourse: Mifepristone, Levonorgestrel, Ulipristal Acetate.

Such contraceptive pills must be taken within a week after sexual intercourse. The percentage of protection against pregnancy is 60-90%.

Taking phenotypes into account

As you understand, it is best to consult a doctor for the correct prescription of birth control pills, do a special test and take tests. This will be the best solution.

If it is not possible to consult with a specialist, then try to determine your phenotype.

1. "Estrogen" women. Ladies of small stature big size chest. Hair and skin - dry, present copious discharge, menstruation lasts more than 5 days, the cycle is more than 28 days. The main symptom of PMS is increased nervousness. In this case, it is permissible to take contraceptive pills Regividon, Microgenon.
2. "Balanced" woman. It has average height, feminine facial features, small breasts. Menstrual cycle - up to 28 days. Pronounced PMS is absent. You can take drugs Regulon, Novinet, Mercilon.
3. "Progesterone" woman. Thin women with masculine features. Hair and skin are prone to oiliness, there is scant discharge, the cycle is less than 28 days, and menstruation lasts less than 5 days. It is recommended to take Diana-35, Yarina, Jess.

You can read the instructions for correct use of birth control pills or consult your doctor.

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ladyspage.com

The latest methods of contraception for smokers and non-smokers

The current presidential candidate Ksenia Sobchak, after marriage, only the lazy did not ask when she would become a mother. To which she replied something like this: "When the time comes." Manage your time, build a life according to your own plan and give birth when you want - modern contraceptives have given a woman such opportunities. But their safety is achieved only under certain conditions.

By themselves, estrogen-containing contraceptives, correctly selected by a gynecologist for a particular woman, are one of the most effective ways protection against unwanted pregnancy. With a caveat: a non-smoking woman! When a woman smokes, especially if she is older than 35, the situation changes.

Smoking and hormonal contraceptives: complete incompatibility or ...?

An explosive mixture of smoking and the simultaneous use of oral contraceptives increases the risk of developing thrombosis, heart attack, atherosclerosis and stroke. It turns out that estrogen-progestin oral contraceptives are absolutely contraindicated for five million Russian women (about the same number of smokers aged 30-45 in our country). At the same time, many of them use just such a method of contraception, and often - as prescribed by a doctor.

According to an independent study involving 306 Russian women and 105 gynecologists, 70% of women over the age of 30 who smoke take oral contraceptives, since doctors often consider smoking only a relative contraindication to this method of contraception. Many patients were not even asked by the doctor if they smoked. Although the fact that these two things are incompatible they say, just not from the coffee maker. According to the document of the World Health Organization, smoking over the age of 35 is an absolute contraindication to combined methods of contraception containing estrogen: both oral contraceptives and patches, injections and vaginal rings.

A reliable alternative to estrogen-containing contraceptives

Purely progestin oral contraceptives (mini-pill) can become an exit for women who smoke 35+. It is necessary to take such tablets every day at the same time - in case of a delay of at least 3 hours, it may be necessary to use additional methods of protection, for example, a condom. For highly organized women who are used to living by the clock, this is almost a win-win option. But even the most responsible can simply forget to take a pill. A blockage at work, a long-awaited meeting with a girlfriend, dinner with a beloved man - and now we are already thinking about a more perfect way of protection, which will eliminate the need to constantly monitor the time. An acceptable alternative may be intrauterine contraception, including hormonal. Another thing is that some people treat the prospect of placing a foreign object inside their own body with concern. When using intrauterine contraceptives of previous generations, the so-called "spirals" containing copper, silver and even gold, complications do occur, albeit infrequently. Some of them are psychosomatic in nature, but there are also objective consequences: the same heavy menstrual bleeding, inflammatory processes, rarely - prolapse and ingrowth of the spiral. Spirals were traditionally prescribed when other methods of contraception were impossible or inconvenient for objective reasons. Metal spirals are safe against thrombosis and have a fairly high contraceptive efficacy, which does not depend on the user, however, they, alas, create additional risks for the development iron deficiency anemia due to heavy menstrual bleeding.

• New generation intrauterine systems

Intrauterine systems (IUDs) of a new generation, hormonal, have some additional advantages and do not have such disadvantages that are inherent in spirals. They are prescribed, including for medicinal purposes: to stop heavy menstrual bleeding, do not cause headaches and increase pressure, practically do not affect libido and can be used during breastfeeding. However, in the first months after installation, spotting is sometimes possible. This is not to be feared, because the body "adapts" to the system. Unwanted pregnancy when using this method is practically excluded, and at the same time, fertility in most cases is restored quite quickly - pregnancy can occur already during the first menstrual cycle after the removal of the system.

• hormone implants

Another alternative for smoking women 35+ is hormone implants, which are inserted under the skin of the inner surface of the upper arm of the non-dominant arm and provide reliable protection from unwanted pregnancy to three years, the same “contraception without worries”. There are side effects that gradually disappear: weight gain, headaches and soreness of the mammary glands. However, the likelihood of unwanted symptoms increases the systemic, non-local effect of the hormone. Hormonal implants and intrauterine systems (IUDs) are installed by a doctor, which is an absolute advantage of these methods of protection. Before prescribing a mandatory number of pregnancies (births, miscarriages, abortions), a qualified specialist will ask questions about the regularity, pain and duration of menstruation, the abundance of discharge, ask about the presence of chronic diseases and skin problems, lifestyle and bad habits. All this will allow you to assign the best protection method that suits you.

www.kiz.ru

A woman has always shown interest in a man's lifestyle, his wardrobe, habits, manners. It's boring, really, to be all the time a gentle young lady in a pretty dress! Therefore, the brave ladies successfully tried on the clothes and hats of the stronger sex, then mastered some of the professions of men and soon, along with them, stood at the helm of leadership. Unfortunately, enterprising beauties were able to borrow not only positive things. One negative example is smoking.

The real side of tobacco

Tobacco smoking causes serious harm to the health of the strong half, and for the fair sex it is doubly poison. Unfortunately, many ladies are frivolous about such a pernicious hobby, but this should not be done, since the imaginary pleasure from smoked cigarettes turns into a disaster for the body:

• short-term vasospasm and, as a result, an increase in blood pressure;
• obstruction of the movement of blood flow through the vascular network;
• increased blood viscosity and the risk of thrombosis;
• an increase in the frequency of contractions of the heart muscle;
• the threat of chronic obstructive pulmonary disease;
• the risk of getting cancer;
• reproductive problems;
• the birth of children with various defects and stillborns;
• premature onset of menopause;
• the greatest susceptibility to osteoporosis;
• carbon monoxide of inhaled smoke provokes oxygen starvation of tissues.

Considering that currently 9 out of 10 contemporaries of reproductive age in developed countries prefer to plan the process of childbearing using oral contraception (OC), the question of the possibility of interaction between nicotine and drugs has been raised more than once on the Internet.

Cigarette + COC = ?

Doctors noted that tobacco intoxication in itself undermines women's health, and in combination with combined oral contraceptives (COCs) based on the hormone estrogen, the nicotine hit is greatly enhanced. Let's figure out why.

Among the side factors that contraceptive pills have, the main one is an increase in blood density. Nicotine in combination with estrogen significantly enhances this unfavorable side of the drug. Such a union in the future is guaranteed to lead to the formation of blood clots and can result in circulatory disorders, early atherosclerosis, heart attack, stroke and other ailments. The formed thrombus is a threat to life, as it can suddenly come off and enter the bloodstream.

All kinds of risks increase in direct proportion under such conditions:

• age of the smoker from 35 years;
• the presence in the anamnesis of a related line of vascular pathologies associated with thrombosis.

According to medical statistics, it is from the age of 35 that 3 times more women using oral contraceptives experience thromboembolic problems, and after 40 years - 4 times more. The concomitant love for a cigarette raises these figures by another 4 times.

Heart attacks occur in nicotine users 2 times more often than in non-smokers. If a regular visitor to smoking rooms also takes OCs, the chance of having an attack increases by 40 times compared to a tobacco opponent who does not use oral contraceptives.

In addition, inexorable statistics sound the alarm about the increased incidence of diagnosing myocardial infarction in women aged 35-40 years who smoke 1.5 packs of cigarettes daily, combining pernicious passion with the use of COCs. Isn't this something to think about?

Is there contraception for smokers?

It is generally recognized that nicotine addiction is extremely difficult to get rid of. Is it possible in this case to pick up a lover to smoke any oral contraceptives?

Doctors are ready to give an affirmative answer to this question, but subject to the following recommendations:

• Oral medications to prevent conception, which include: ethinyl estradiol, estradiol valerate or estradiol hemihydrate, are definitely prohibited from taking.
• For the same reason, contraception of another spectrum of action is not shown to nicotine-dependent patients: the Evra hormonal patch and the NovaRing ring.

In such a situation, doctors are ready to remove the taboo only from pills that do not contain estrogens - mini-pills (Charosetta, Microlut, Lactinet and others). Each capsule of these monophasic agents includes a progestogen from 300 to 500 mcg. These medications gently but effectively prevent pregnancy. However, they do not exclude some side options. The most common problem in this case is intermenstrual discharge, provoked by the insufficient ability of mini-dose pills to control the ovarian cycle, which does not particularly affect health, but introduces certain inconveniences. Here, doctors are powerless, leaving the solution of the issue in the hands of the woman herself: to give up addiction or put up with forced discomfort.

The possibility of using microdosed estrogen-containing drugs in women who smoke is discussed (Jess, Lindinet 20, Qlaira, etc.).

In the absence of contraindications to smoking patients, obstetrician-gynecologists advise alternative methods of contraception:

• Hormonal coil Mirena. The validity period is up to 5 years.
• Subcutaneous implant Implanton, which is designed for 3 years.
• Those leading an inactive sex life are shown vaginal suppositories and creams, as well as barrier contraceptives (condom).

Valuable extras

It is important to remember that both a visitor to smoking rooms and an opponent of tobacco should only be prescribed contraceptives by a doctor. In the variant under consideration, tobacco dependence and the prevention of OK are associated with certain nuances:

• The older the patient, the more important it is to conduct a preliminary blood test for a predisposition to thrombosis (congenital or acquired thrombophilia).
• During the use of oral agents, you should donate blood for a coagulogram annually.
• It is important to observe the motor mode and drink enough water (at least 1.5 liters daily).
• The menu should contain products that have a blood-thinning effect (garlic, onion, ginger, and others).
• On the recommendation of a doctor, additional medications against excessive blood clots.

What should be alarming?

If a woman still did not have enough willpower to say goodbye to a cigarette, and she had already begun to take hormone-containing pills, it is necessary to observe the state of her body and visit a doctor in the following situations:

• there was pain in the lower abdomen;
• increased headaches and migraine attacks;
• there were pain in the lower extremities, it became more difficult to move around;
• various pains and heaviness in the chest area are noted.

Make the right conclusion

As you can see, there are many complications that are possible when combining the use of oral contraceptives and passion for tobacco products. However, this is not all. To the above, it is worth adding that the tandem of nicotine and COCs in the most unfavorable way affects the female appearance. The subject of frequent experiences - the skin of the face due to smoke breaks is rapidly losing elasticity and healthy appearance.

It is noted that the protected active smoker is 10 years older than her more prudent girlfriends in general condition.

Prevention of unwanted pregnancy is a necessary need in the life of every contemporary woman. But what could be more important than health? The choice is yours, ladies.

In contact with

Many women themselves “prescribe” pills for themselves without consulting a doctor, and sometimes, when choosing a medicine together with the attending doctor, they simply do not talk about the fact that they smoke.

Hormonal contraceptives are of two types: combined, which contain estrogens and gestogens, and progestin, containing only gestagens. Estrogens are found in all combined preparations, and these can be not only tablets, but also patches, vaginal rings, spirals and injections. The combination of smoking and estrogen-containing drugs is highly undesirable.

The effect of smoking and estrogens on the female body

Under the influence of nicotine, the production of adrenaline increases, vasoconstriction occurs.

Carbon monoxide contained in tobacco smoke causes tissue hypoxia, increasing the heart rate.

Nicotine increases blood viscosity, which can lead to blood clots.

Smoking contributes to the development of cancer of the uterus and breast.

In women taking combined contraceptives with a high dose of estrogen, the risk of developing heart attacks, strokes and thrombosis is increased. In a low dosage, estrogens, on the contrary, protect the female body from the occurrence of these diseases.

An excess of estrogen can lead to estrogen-dependent forms of malignant tumors in the female genital organs.

The combination of estrogens and cigarettes

Women who smoke and take combined birth control pills are twice as likely to develop breast cancer and heart disease than non-smokers. It is worth noting that even passive smoking can play a negative role.

Women who smoke and use estrogen-containing drugs are 10 times more likely to have vein thrombosis than women who do not smoke.

The older the woman, the more cigarettes smoked daily, the higher the likelihood of "earning" a heart attack. The risk of stroke is high in women who smoke after the age of 35. And of course 40. Taking contraceptives is categorically contraindicated for a smoking woman over 35 years old, since there is a high risk of thrombosis.

Precautionary measures

It should be remembered that in no case should you choose hormonal contraceptives on your own. Only a doctor, having studied concomitant diseases, the degree of risks and other factors, can correctly select the drug. The pills that suit your friend may not only be useless for you, but also dangerous.

If hormonal contraceptives are used to treat gynecological diseases, you should be more attentive to your health, since these drugs contain a high dose of estrogens, and the risk of side effects in women who smoke is increased many times.

If a woman does not give up smoking and takes estrogen-containing drugs, she should check her blood for clotting annually, drink plenty of fluids, eat foods that help thin the blood, and maintain physical activity. But still, the best way to avoid the detrimental effects on health is to completely stop smoking.

We also started a discussion on our forum. I strongly recommend. Not only a specialist answers, but also girls who smoked in the past and took oral contraceptives.