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6 Things that every woman needs to know about the risks of the birth control pill

6 Things that every woman needs to know about the risks of the birth control pill

For decades, the contraceptive pill has been widely used by women around the world. Currently, however, many cases of problems have been reported on the internet, such as deep venous thrombosis (DVT), pulmonary embolism and stroke, and even death, resulting from the use of this medication, scaring the adherents of the contraceptive method. And care needs to be redoubled. Understand why:

1. The risk of thrombosis is real

Experts say the risk of thrombosis exists and is even present in the package leaflet. However, the chances of a thrombosis may be higher or lower depending on the patient's profile, which is why it is absolutely essential to seek a doctor before starting the medication.

Gynecologist and mastologist Milca Chade points out that the woman who does not smoke, does not have obesity and does not have a family history has a risk of 1 to 10 thousand of having a thrombosis. "When it is linked to some of these associated factors, the risk increases," says Milca. "The rationale should not be focused on the contraceptive pill alone. We have to evaluate the dynamics of synthetic hormones and understand that they increase coagulation of the blood, so the woman has a greater chance of a thrombosis in any vessel of the organism, "says the gynecologist and obstetrician Alberto d'Auria, of the Hospital and Maternidade Santa Joana. Some women are at greater risk than others

There is a lot of information that the doctor should ask the patient before prescribing any birth control pill. "He must know if the woman or someone in her family has a history of thrombosis, hemorrhoidal thrombosis (ruptured or compressed hemorrhoids, which leaves blood accumulating in the anus, forming a clot), repeated abortion, tendency to varicose veins, whether it is a patient with chronic migraine or if she is a smoker, "says d'Auria, with special attention to the last two items, which can significantly increase the chances of thrombosis. the risks can also be increased in people who are overweight and obese or even who carry out constant travel by plane. "These cases are four times more likely to be diagnosed with leg thrombosis, pulmonary embolism, stroke or stroke," says the specialist. The cigarette + pill combination is dangerous regardless of the composition.

Contraceptives are generally composed of two synthetic hormones: estrogen and progestogen. Both can be extremely dangerous if combined with the cigarette. According to the Ministry of Health, young women, smokers and women who use hormonal contraceptives are 10 times more likely to have a myocardial infarction, pulmonary embolism, and thrombophlebitis compared to non-smokers.

Gynecologist Jurandir Steps, from Delboni Diagnostic Medicine, warns that the two hormones that make up the pills offer this kind of risk, but one is more dangerous than the other. "Progesterone is at a lower risk, but it is never zero when there is a combination with smoking," says Steps.

Therefore, many physicians refuse to indicate the smoking pill so dangerous that it may be the combination pill + cigarette. "I do not prescribe the pill if the patient smokes, or stops smoking or does not take the contraceptive", emphasizes the gynecologist and obstetrician Alberto d'Auria, Hospital and Maternidade Santa Joana. Taking the pill on your own is a risk

Even with so many risks, many women end up buying this type of medication without any medical prescription, just for the indication of someone. The problem, however, is that the risks of this action may be many, in addition to those already mentioned above. "The patient can develop hypertension in a short period of time, depression and even metabolic dysfunction," points out Auria.5. Some signs indicate that the pill is not doing well.

"Any symptom should be investigated," according to Alberto d'Auria. The specialist warns that the body reacts when a medicine does harm, so no information should be neglected. Milca still alert for bleeding, an effect of misuse of the contraceptive pill. "Women can have bleeding, become anemic and have a serious health problem. They also characterize as a side effect of amenorrhea (absence of menstruation), weight gain, reduction of sexual desire, among others," says the gynecologist.

If the woman does not adapt to the medication, can not use hormones or runs many risks, she can use other contraceptive methods like IUD, diaphragm and condom.

6. The pill is safe when used correctly

For more than 50 years the pill has been used and despite the risks (which all medicines bring), it can be very advantageous if used with good medical guidance and in a responsible way. Therefore, it is important to emphasize the importance of regular medical follow-up, as well as keeping the routine exams up to date. "Do not stop drinking too much water and doing physical exercises, to further reduce any chance of having complications," concludes the gynecologist Alberto d'Auria.


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