Emergency contraceptive pills should be taken at most once a year

　　Latest news: Bayer’s birth control pill falls into “blood clot scandal” again”

　　The report stated that Bayer had "no restrictions" when selling birth control pills and sold them to unauthorized users, misleading consumers. It is reported that as early as March 2009, the "accused" contraceptive pill Yasmin had already entered China.

　　healthy Introduction: A box of 138 yuan is sold in large pharmacies. Doctor Yasmin says: 10 types of emergency contraceptive pills can be taken at most once a year. female No contraceptive pills

　　Yasmin has been criticized three times this year”

　　In January this year, Bayer received the first lawsuit in the United States alleging that its birth control pills Yasmin and Yaz caused blood clots, heart attacks, and strokes. It currently faces more than 10,000 lawsuits. The lawyers cited a U.S. Food and Drug Administration (FDA) report that said Bayer birth control pills caused at least 50 deaths between 2004 and 2008.

　　In June of this year, the FDA launched an investigation. The FDA said that all four of Bayer's drugs contain the ingredient drospirenone, and that the risk of blood clots in contraceptive pills containing this ingredient is two to three times higher than that of contraceptive pills that do not contain this ingredient.

　　Recently, the United States media The renewed accusations once again pushed Bayer's contraceptive pill to the forefront.

　　A box of 138 yuan is sold in large pharmacies in Yasmin

　　Since it has entered China in 2009, what is the sales situation of "Yasiming" in the market? Yesterday afternoon, the reporter visited many pharmacies in this city.

　　During the visit, the author found that most of the pharmacies with a higher "appearance rate" of the contraceptive pill Yasmin are larger pharmacies. The owner of a small drugstore bluntly expressed the reason why he did not sell Yasmin, "Yasmin is too expensive, 138 yuan a box, and too few people buy it - other birth control pills only cost more than ten or twenty yuan." ”

　　The owner of this small pharmacy told the author that some people have indeed inquired about Yasmin, but more customers will still choose to buy relatively cheap contraceptive pills. She took out a box of birth control pills and recommended them to the author: the price is 21 yuan, and there are 21 pills in one box, one pill at a time, for a total of 21 days. The store owner said that the store can sell more than 20 boxes of this contraceptive pill a month. “Maybe people who buy Yasmin have this concept, thinking that high-priced drugs must have fewer side effects. ”

　　In another well-known chain drugstore, the author found Yasmin placed side by side with the contraceptive pill recommended by the store owner on the self-selected shelf. There are also 21 tablets per box, which can be taken for 21 consecutive days, but the price is as high as 138 yuan. A clerk at this large drugstore told the author that most of the people buying Yasmin are young women and some middle-aged women. “Some people look like they are white-collar workers from the look of their clothes. ”

　　During the interview, a pharmacy clerk said that in fact, Yasmin Hospital sells more than pharmacies.

　　Due to different physical constitutions, foreign women are more susceptible to thrombosis.

　　Is it like many people think that more expensive contraceptive pills like Yasmin will be slightly more effective? Experts said that Yasmin is a long-acting oral contraceptive that has a high risk of thrombosis. Objectively speaking, these types of contraceptive pills have a high risk of forming thrombotic clots, but not all people will have such a risk, which varies from person to person.

　　and Gynecology Experts told the author a fresh point of view: in clinical On the other hand, it is very rare for Chinese women to experience blood clots caused by taking birth control pills. “Some women abroad, especially in Europe, are more likely to have a high risk of blood clots due to different physical and other factors. ”

　　Doctors say: emergency contraceptive pills should be taken at most once a year

　　What are the side effects of birth control pills? Gynecological experts remind that increasing the risk of blood clots is one of the side effects of hormonal drugs such as contraceptive pills. There are many contraindications for taking them. Even healthy women under 40 years old should not take short-acting contraceptive pills for more than six years.

　　1. Can short-acting contraceptive pills really cause blood clots?

　　Women over 40 who take birth control pills are more likely to develop blood clots. In fact, it is not only short-acting contraceptives that cause blood clots. Increasing the chance of thrombosis is one of the common side effects of all hormonal drugs. The higher the hormone content of the drug and the longer it is taken, the greater the risk. However, it is difficult to determine clinically whether a woman's thrombosis is definitely caused by short-acting contraceptive pills. This is because the factors that cause blood clots are very complex, and there is currently no research showing that the “culprit” must be birth control pills.

　　However, if a woman is over 40 years old, the hormones in her body are easily unstable, and she suffers from high blood pressure, Hyperlipidemia etc. Basics disease The probability is also relatively high, and taking birth control pills is more likely to induce blood clots.

　　2. There are various contraceptive pills on the market, which one is better?

　　Short-acting is better than long-acting, and emergency contraceptive pills should be taken at most once a year. There are three types of contraceptive pills: long-acting contraceptive pills, short-acting contraceptive pills and emergency contraceptive pills. Long-acting contraceptive pills only need to be taken once a month, but the control of hormone release is not stable and the effect is not good, so there are very few on the market.

　　The second type is short-acting contraceptive pills, which must be taken continuously for 21 days without interruption. This is the "mainstream" of current medical contraceptives.

　　Another type of emergency contraceptive pill is an "extraordinary measure" used to remedy the situation afterwards. This method of contraception is very harmful to the body. It is generally recommended to use it at most once a year and should never be taken as a daily contraceptive pill.

　　3. Will taking birth control pills all year round affect fertility?

　　Healthy women should not take it for more than six years. As the saying goes, medicine is only three parts poisonous. If you take medicine for more than 20 days out of a 30-day month, will it have any impact on your body? Will I not be able to get pregnant even if I want to get pregnant in the future?

　　The suppression of ovulation by short-acting oral contraceptives is temporary and generally recovers after discontinuation of the drug. However, the time of taking it should not be too long. If you are a healthy woman under 40 years old, taking it for 4-6 years will generally not cause problems. Once taken for too long, the endocrine system may be affected, and the chance of developing thrombosis and other diseases will also increase. If you have been taking short-acting oral contraceptives, it is best to go to the hospital for regular check-ups.

　　4. Wearing condoms, taking medicine, inserting rings, and outside the body ejaculation ……Which one is better?

　　It is recommended to use condoms and other tools for contraception. If you are a newly married couple who wants to postpone childbirth, which contraceptive method is best among condoms, pills, IUDs, in vitro ejaculation, safe periods, etc.? Da Hongying said that when choosing a contraceptive method, you should make a personalized choice based on your age, physical condition, physiological needs and other characteristics. Women who have given birth can use intrauterine devices or short-acting oral contraceptive pills for contraception. They can also use condoms and other tools for contraception. Those who do not want to have children can also consider sterilization.

　　If you are delaying childbirth, it is not recommended to take birth control pills, but it is recommended to use condoms and other tools for contraception.

　　5. Can be treated with birth control pills Irregular menstruation ?

　　Birth control pills can indeed cure illnesses, but you must follow your doctor’s advice. “I heard that birth control pills can delay menstruation, is this true? ”“Can birth control pills be used to prevent pregnancy and treat gynecological diseases at the same time? ”Contraceptive pills are indeed not only used for contraception, but are also widely used to treat a variety of gynecological diseases, such as menstrual disorders, functional uterine bleeding, polycystic ovary syndrome, etc. However, patients should go to a regular hospital and explain their situation and treatment needs to the doctor. It is not advisable to buy contraceptive pills for treatment on their own.

　　6. Contraceptive pills are best taken before going to bed

　　To achieve the best contraceptive effect, pay attention to the following points when taking the pill:

　　(1) Take the medicine strictly in accordance with the regulations. Regardless of whether the period is clean or not, you must start taking it on the 5th day of menstruation. If you take it late, it will not inhibit ovulation and will affect the contraceptive effect.

　　(2) Taking the medicine cannot be interrupted and must be taken continuously for 21 days. If you forget to take it one night, you must take it within 12 hours. For example, if you forgot to eat last night, you must make up for it at 8 or 9 a.m. the next day, and you must also eat it that night, otherwise it will cause vaginal bleeding or contraceptive failure.

　　(3) A few women have reactions such as nausea, vomiting, and dizziness after taking the medicine. The peak reaction is usually 3-4 hours after taking the medicine. To lessen reactions, it's best to take the medication after dinner or before bed. In this way, when the drug reacts, the person taking the drug is already asleep, which can greatly reduce the drug reaction.

　　(4) Develop the habit of taking medication on time so that it is not easy to forget and prevent missed doses.

　　10 contraceptive pills that women should not take

　　The use of contraceptive pills for contraception generally occurs when no contraceptive measures are taken during intercourse, or when the condom is damaged, slips off, fails to ejaculate outside the body, or the woman is accidentally injured, etc. Taking emergency contraceptive pills within 72 hours after having sex can effectively prevent unwanted pregnancy and save women from miscarriage. But not every woman can take birth control pills. Just like the following 10 types of women who need to avoid taking birth control pills, they must be vigilant.

　　Generally speaking, all healthy married women of childbearing age can use birth control pills, but women in the following situations should not use oral contraceptives:

　　1. Women suffering from acute or chronic hepatitis and nephritis should not take it.

　　Because contraceptive pills that enter the body are metabolized by the liver and excreted by the kidneys, if used by women with acute or chronic hepatitis and nephritis, it will increase the burden on the liver and kidneys.

　　2. People with heart disease or poor cardiac function cannot use it. The estrogen in birth control pills can retain water, sodium and other substances in the body, which will increase the burden on the heart.

　　3. Women with high blood pressure should not use it. A small number of women may experience elevated blood pressure after taking the medication.

　　4. People with diabetes and family history of diabetes should not use it. Taking birth control pills may cause a slight increase in blood sugar, causing latent diabetes to become overt, which will have adverse effects on women with diabetes.

　　5. Women with hyperthyroidism should not use birth control pills until they are cured.

　　6. Patients with benign breast tumors, uterine fibroids and various malignant tumors should not use it to avoid adverse effects on the tumors.

　　7. People who have suffered from vascular embolism diseases (such as cerebral thrombosis, myocardial infarction, vasculitis, etc.) in the past or present cannot use this product. The estrogen in birth control pills may increase blood coagulation and aggravate cardiovascular disease.

　　8. Women suffering from chronic headaches, especially migraines and vascular headaches, should not use it, otherwise the symptoms will be aggravated.

　　9. It is best not to use it if you have had oligomenorrhea in the past. Long-term use of birth control pills can cause the endometrium to atrophy and reduce menstrual flow.

　　10. Breastfeeding women should not use this product. Birth control pills can reduce milk secretion and reduce the quality of milk. They can also enter the milk and have adverse effects on nursing infants, so they should not be used by breastfeeding women.