Combination oral contraceptives (COCs)

Combination oral contraceptives (COCs) including are pills that prevent unwanted pregnancies in women. Also, the actions of OCs are aimed at preventing and treating dyshormonal female illnesses. The first oral contraceptive was released in the U.S. in 1960 (enovid), and more than 500 variations of hormonal contraceptive pills are now produced.

A woman’s menstrual cycle lasts from 21 to 35 days. Ovulation occurs around the middle of the cycle, and at this time pregnancy is most likely to occur. The whole process is under the influence of the female sex hormones – estrogens and gestagens (progestins). The work of OCs is based on the action of synthetic analogues of these hormones.

ACTION of hormonal contraceptives:
Prevent the maturation and release of the egg, thereby suppressing ovulation;
Thicken mucus in the cervix, blocking the passage of sperm;
contribute to the thinning of the endometrium, which makes it impossible for the fetus to attach;
Thus, the reliability of contraception when taking OCs is 99%.

In addition to preventing pregnancy, the action of oral contraceptives aimed at the correction of dyshormonal disorders in the female reproductive sphere, and also contribute to the prevention of iron deficiency anemia. Numerous studies have demonstrated the important prophylactic role of OCs in the prevention of uterine and ovarian cancer, including endometrial and ovarian cancer.

The choice of hormonal contraceptives is very large, and only an experienced gynecologist can choose individually, depending on the health status of the patient, the right drug. Consultation with a specialist includes information about the need for contraception, the existing methods and assistance in using this method.

In addition, to assess the woman’s health, a medical examination is carried out, including a gynecological examination with smears to assess bacterial flora and ultrasound of the pelvic organs. A consultation with a mammologist and a blood hormone test may also be required.

To assess the condition and well-being of the woman against the background of taking the selected drug, it is necessary to visit a specialist in 2-3 months after the start of the contraceptive.

Thereafter, the woman visits the doctor for dispensary observation once every six months.

reliability of contraception of 99%;
comfortable tolerability of an adequately chosen drug
ease of use;
the ability to conceive is restored within a year after withdrawal of the drug;
safety of admission for examined women;
regulation of the menstrual cycle;
treatment of dysmenorrhea and polymenorrhea;
reduction of blood loss (treatment and prevention of iron deficiency anemia);
pain during ovulation and menstruation is completely relieved;
Prevention of inflammatory processes in the female reproductive organs;
Regulation of hormonal status,
A significant reduction in the risk of formation and development of ovarian cysts, neoplasms in the pelvic organs and breast cancer.
When using oral contraceptives, side effects are possible, which is why it is so important to consult a gynecologist who can rule out any unpleasant consequences.

The combined oral contraceptives are designed for women of reproductive age (from adolescence to menopause), but there are contraindications for their use:

ABSOLUTE contraindications:

liver diseases,
Certain diseases of the cardiovascular system,
Benign pituitary tumors, vascular diseases of the brain,
Hormone-dependent neoplasms of the mammary glands and genitals,
diabetes mellitus (progressive form with angiopathies),
hypersensitivity to the components of the drug.


varicose veins,
Smoking (more than a pack of cigarettes a day),
susceptibility to neurosis and/or depression, migraine,
incompatibility with certain medications.
In conclusion, it should be noted that the use of oral contraceptives, based on the principles of individual selection of a specialist, will help a woman plan her life, staying healthy and beautiful.

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