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Sulfate and glucuronide conjugates of both ethinyl estradiol and phase I metabolites, which are excreted in bile, can undergo enterohepatic circulation. Any woman who considers using oral contraceptives the birth control pill or the pill should understand the benefits and risks of using this form of birth control.
This leaflet will give you much of the information you will need to make this decision and will also help you determine if you are at risk of developing any of the serious side effects of the pill.
It will tell you how to use the pill properly so that it will be as effective as possible. However, this leaflet is not a replacement for a careful discussion between you and your doctor or healthcare provider.
You should discuss the information provided in this leaflet with him or her, both when you first start taking the pill and during your revisits. You should also follow your doctor's or healthcare provider's advice with regard to regular check-ups while you are on the pill. The chance of becoming pregnant increases with each missed pill during a menstrual cycle. Women who use oral contraceptives are strongly advised not to smoke. Some women should not use the pill.
For example, you should not take the pill if you are pregnant or think you may be pregnant. You should also not use the pill if you have any of the following conditions:Tell your doctor or healthcare provider if you have ever had any of these conditions.
Do not use the drug for any condition other than the one for which it was prescribed. In addition to preventing pregnancy, use of combination oral contraceptives may provide certain benefits. They are:If you want more information about birth control pills, ask your doctor, healthcare provider, or pharmacist.
They have a more technical leaflet called the Prescribing Information, which you may wish to read. Manufactured for Organon USA Inc. Thromboembolism An increased risk of thromboembolic and thrombotic disease associated with the use of oral contraceptives is well established. Myocardial infarction An increased risk of myocardial infarction has been attributed to oral contraceptive use. AGE EVER-USERS NON-SMOKERS EVER-USERS SMOKERS CONTROLS NON-SMOKERS CONTROLS SMOKERS Adapted from P.
Dose-related risk of vascular disease from oral contraceptives A positive association has been observed between the amount of estrogen and progestogen in oral contraceptives and the risk of vascular disease 31-33. Persistence of risk of vascular disease There are two studies which have shown persistence of risk of vascular disease for ever-users of oral contraceptives. Method of control and outcome 15-19 20-24 25-29 30-34 35-39 40-44 Adapted from H.
HEPATIC NEOPLASIA Benign hepatic adenomas are associated with oral contraceptive use, although the incidence of benign tumors is rare in the United States. OCULAR LESIONS There have been clinical case reports of retinal thrombosis associated with the use of oral contraceptives.
ELEVATED BLOOD PRESSURE Women with severe hypertension should not be started on hormonal contraceptives.
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Desogestrel behaves as a prodrug to etonogestrel 3-ketodesogestrel. Their synthetic estrogen dosage is lower than second-generation oral contraceptives, reducing the likelihood of weight gain, breast tenderness and migraine. In February 2007, the consumer advocacy group Public Citizen released a petition requesting that the FDA ban oral contraceptives containing desogestrel, citing studies going as far back as 1995 that suggest the risk of dangerous blood clots is doubled for women on such pills in comparison to other oral contraceptives.
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Infact I worked out more and ate healthier : also It caused me to become incredibly irrational, argumentative and an over all negative person. This pill makes me hate my life in general. I need to find another pill or just get off this one. It completely killed my sex drive, I was very easily irritated and angered, and would have some pretty violent mood swings from being depressed one minute angry the next and then incredibly happy. In short I would not recommend this pill to anyone. I think the worst side effects of this pill are the lowered libido, and occasionally considering suicide which isn't normal for me but everything else is tolerable.
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Because of these demonstrated effects, prediabetic and diabetic women should be carefully monitored while taking oral contraceptives. A small proportion of women will have persistent hypertriglyceridemia while on the pill. As discussed earlier see WARNINGS 1. Women with severe hypertension should not be started on hormonal contraceptives. An increase in blood pressure has been reported in women taking oral contraceptives 68 and this increase is more likely in older oral contraceptive users 69 and with continued use 61.
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Soy isoflavones should be used with caution in patients taking estrogens, including combined hormonal and oral contraceptives, since the effects of combining soy isoflavone dietary supplements with estrogens are not clear.
Jen Hollis, NY 8 May 18, 2007 I've been taking Apri for over five years now.
We choose to treat all patients undergoing a fertility evaluation with a Z Pack as it is both cheaper and more cost effective than culturing the cervix for infectious diseases and treating patients who have a positive result.
Some side effects that can occur include: breakthrough bleeding, nausea, fluid retention, and mood changes.
I just hate that we are entering that lovely time of year when you tend to be face to face with those lovely family members who take pleasure in letting you know that you are not looking the greatest.
Oh well, at least I will be able to have a couple of glasses of wine this year. Little things like uploading a profile picture make the community a better place. This Week's Leaders 1311 Points adirat 831 Points NYTino24 824 Points lund 758 Points kiki75 Infertility VeteransNew Discussion Sophistikitty member November 2012 in Infertility Veterans First let me say, I am normally not a complainer and have never had issues with BCPs but I swear I have gained weight after only 3 days on Desogen.
And as I am only entering day 4 of this lovely pill, I gather that this is just the beginning.
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I've noticed I've been crying at the drop of a hat since I started.
Ask your health caregiver if you need to USE ANOTHER KIND OF BIRTH CONTROL until your period begins.