- Fikriye Gedikoglu
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The contraceptive pill is a widely used and highly effective contraceptive method worldwide. However, as with any medication, birth control pills may not be suitable for every woman. Some health conditions and risk factors may make the use of birth control pills inappropriate. In this article, we will examine the contraceptive pill contraindications and alternative methods.
What is a birth control pill?
Birth control pills are medicines containing hormones, usually estrogen and progestin, to prevent pregnancy. The pills prevent ovulation, making the environment in the uterus unsuitable for pregnancy. However, every woman’s body is different and for some women birth control pills may not be suitable.
Contraceptive Pill Use is Inadvisable
1. Women Smokers (Especially 35 Years and Older)
Smoking is a factor that can increase or damage the effectiveness of birth control pills. In women who smoke, especially in the age group of 35 years and older, birth control pills can have negative effects on the circulatory system. Smoking increases the risk of blood clots and can lead to serious health problems such as heart attack and stroke.
- Risk: Blood clots, blockage of blood vessels, heart disease.
- Alternative Alternative methods such as non-hormonal contraception, condoms or contraception implants may be preferred.
2. High Blood Pressure (Hypertension)
Women with high blood pressure (hypertension) should talk to their doctor before taking birth control pills. This is because birth control pills can increase blood pressure and cause serious health problems in people at risk of hypertension.
- Risk: Heart disease, atherosclerosis, stroke.
- Alternative: Low-hormonal or non-hormonal contraception may be preferred.
3. Liver Diseases
Birth control pills are metabolized by the liver. Women with liver disease may experience a build-up of toxins in their body and liver function may be damaged when taking these medicines. Birth control pills can also trigger serious conditions such as liver tumors.
- Risk: Liver damage, toxin accumulation, liver tumors.
- Alternative: Non-hormonal methods (condoms, spiral, etc.) should be preferred.
4. Women with a history of blood clots
A blood clotting disorder can make the use of birth control pills inconvenient. This disease can cause the blood to clot abnormally and birth control pills can increase this risk.
- Risks: Deep vein thrombosis (DVT), pulmonary embolism (pulmonary embolism), stroke.
- Alternative: Non-hormonal methods that do not increase blood clotting should be preferred.
5. Microbial Infections and Vaginal Inflammations
Some vaginal infections and inflammations can adversely affect the use of birth control pills. These conditions can lead to a disturbed balance of vaginal flora and worsen hormonal balance.
- Risk: Further increase in infections, treatment-resistant infections.
- Alternative: After treatment of the vaginal infection, a contraceptive method recommended by the doctor can be used.
6. Pregnancy Risk (Women with Pregnancy Symptoms or Positive Pregnancy Test)
Taking birth control pills during pregnancy can be dangerous for both mother and baby. It is not advisable for a woman with a positive pregnancy test to use birth control pills. In this case, the use of the contraceptive pill should be stopped.
- Risk: Adverse effects on the fetus, risk of miscarriage.
- Alternative: After a pregnancy test, appropriate pregnancy management should be ensured.
Other Conditions to be Considered When Using the Birth Control Pill
- If you are taking other medicines: Some medicines (e.g. antibiotics, some fungicides) can reduce the effectiveness of birth control pills. In this case, it is recommended to use another method of contraception.
- Overweight women: Women who are overweight may not benefit enough from the effectiveness of birth control pills.
- In case of diarrhea and vomiting: In these cases, oral medicines will not be absorbed into the bloodstream and will have no effect even if taken.
Get Expert Opinion
Every woman’s body is different and the choice of contraceptive method depends on her personal health status. Therefore, you should always consult a doctor before making a decision about birth control pills or other contraceptive methods.