Managing Menstruation With Hormonal Contraceptives
Menstruation is a normal part of every young womans life. But as their bodies learn to regulate the hormones that control menstruation, adolescents commonly experience irregular periods, heavy bleeding and painful cramps. It can take several years after a girl’s first period for her body to settle into a pattern of regular menstrual cycles.
Some adolescents miss school or sit out from sports and other activities because of painful periods. While its important to have a doctor check for underlying medical causes, many menstrual difficulties can be managed with hormonal medications that are commonly also used for preventing pregnancy, such as birth control pills, patches and intrauterine devices. These medications and devices regulate the menstrual cycle by introducing hormones into the body at a steady pace.
Hormonal birth control can alleviate a lot of symptoms of PMS and irregular periods,” says Diane Rubin, clinical research coordinator for the PolicyLab at Childrens Hospital of Philadelphia . “Many, many young people use birth control for non-contraceptive benefits.
Things To Keep In Mind When Taking Birth Control Pills
- Keep another form of birth control, like spermicidal foam and condoms, on hand in case you forget to take a pill.
- Carry your pills with you if you don’t always sleep at the same place.
- Take your pill at the same time every day.
- Get your refills soon after you start the last prescription. Don’t wait until the last minute.
- Birth control pills are medications. Always tell your doctor or pharmacist you are on the pill if you see them for any reason.
Number : Because Of Physical Or Emotional Stress
So thereâs this thing called the hypothalamus, which is a gland in your brain. If somethingâs wrong, your hypothalamus canât kick off the menstrual cycle, and you wonât ovulate.
Characteristics that can affect your hypothalamus and lead to missing your period include:
Emotional and mental stress
Weight loss and low body weight
Deficient intake of food/eating disorders
Too much exercise
Researchers often see this happening in adolescent girls, where the common triggers are stress, weight loss, and excessive exercise. Girls at this time of their lives can undergo common life events that bring a lot of emotional and mental toll, like changing schools or becoming sexually active. Disordered eating during adolescence is also common.
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When To See A Doctor
If you notice any side effects from the birth control plan youâre on, tell your doctor as soon as possible. Before you switch or stop taking anything, itâs best to consult your doctor. They can direct you to other options.
Not everybody reaches menopause at the same age. The timing can vary anywhere from age 40 to 60. Every womanâs body is different, and thereâs no test to confirm the loss of your fertility.
If you think youâre approaching menopause, or if youâve missed your period for several months in a row, check in with your health care provider to confirm before you stop taking your birth control meds.
Some Methods Might Require A Pelvic Exam
Some birth control methods require a pelvic exam, including intrauterine devices . These are often prescribed to people with heavy or prolonged periods.
Pelvic exams can be traumatic for survivors of sexual abuse or trigger gender dysphoria in transgender men, so this may affect your decision when reviewing different methods and any associated prerequisites.
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Can Hormonal Contraceptives Be Part Of A Menorrhagia Treatment Plan
Hormonal contraceptives help to lower overall bleeding episodes. Because of this, hormonal contraception may be especially helpful as part of menorrhagia treatment.
Plus, these birth control methods are a reversible and have less serious side effects than other treatment options. The alternative menorrhagia treatment is a surgical procedure called endometrial ablation. This procedure leads to sterilization.
You may have chosen to use hormonal birth control methods because it is effective and easy of use. But hormonal birth control has non-contraceptive benefits as well, one of which is that certain formulations can be part of a menorrhagia treatment plan.
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When Should Emergency Contraception Be Used
Emergency contraception should be used after unprotected sex, or when another birth control method, like condoms, failed or were used incorrectly. Its generally advised to take a morning after pill as soon as you can after sex. You can take a levonorgestrel up to five days after unprotected sex, however the longer you wait, the less effective it becomes.
Although levonorgestrel morning after pills are the most common in America, if youre over 155 pounds, you may be advised to try another option like ella . This is a prescription only option however, and may make your hormonal birth control ineffective. In some cases, your doctor may recommend a copper IUD, which can then also be used going forward as an effective birth control method.
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Which Birth Control Is The Best For Acne
A dermatologist may prescribe birth control or oral contraceptive pills to treat acne. This is especially done when conventional methods such as topical creams and oral medications such as antibiotics have failed and other underlying conditions have been ruled out. Hormonal imbalance is generally associated with acne, and oral contraceptive pills help correct that issue. You must take the pills only under a doctors guidance because they may cause side effects such as blood clots, onset of migraines, heart diseases, and high blood pressure, especially in women with certain risk factors .
How Are Very Low
Very-low-dose birth control pills are usually started on the first Sunday after your period starts. If you’re perimenopausal but you aren’t having regular periods, you can probably take a hormone called medroxyprogesterone acetate to start your period. These pills are taken for 21 days in a row and then not taken for seven days. During the seven days without medicine, your period will start. Seven days later , you’ll start taking the very-low-dose oral contraceptives for another cycle .
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What Are The Types Of Birth Control For Pcos
Hormonal birth control is commonly prescribed for people with PCOS as it addresses a number of the disorders symptoms. The advantages of hormonal birth control for treating PCOS include regulating periods, reducing menstrual bloating and cramps, decreasing acne, and curbing excess body hair.
There are some disadvantages of hormonal birth control. First, both PCOS and hormonal contraceptives put you at a higher risk for blood clots. Depending on your current health and medical history, this can make going on birth control too risky.
And, since all hormonal birth control contains progestin and some progestins mimic androgens more than others, taking birth control with those types of progestins could worsen your symptoms. Choose a birth control option with low-androgenic activity when first starting out to see how your body responds.
If you and your healthcare provider decide that hormonal birth control is the right decision for you, here are some of the options to choose from.
Known more commonly as the pill, oral contraceptives come in two types:
- Combination contains both estrogen and progestin
- Progestin-only contains only progestin
Combination pills are the most common option to help with PCOS symptoms. For those who experience adverse reactions to estrogen though, the progestin pill may be a better choice.
Intrauterine device and Depo-Provera shot
Quick Read Irregular Periods Usually Arent Concerning
- Menstruation is different for everyone.
- Typical cycles vary between 21 and 40 days, and most periods last between two and seven days.
- Experiencing a late or skipped period is normal.
- Stress, weight changes and medical conditions can all cause irregular periods.
- Talk with your doctor if you suddenly experience spotting or bleeding between periods.
You thought you had it all figured out, but then everything changes. Were talking about your period, of course, which has a knack for lulling you into a false sense of predictability and then suddenly flipping the script.
Thought your period came at the end of the month? Now its at the beginning. Not to mention the entire month your period skipped.
It turns out irregular periods are pretty common even for people on birth control. Heres what you need to know about whats normal and whats not.
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What Are No Period Birth Control Pills
Combination birth control pills are often the most common way to stop periods.
Thats because the schedule you use to take them can result in fewer periods or no periods at all.
For example, you may continually take a pill containing estrogen and progestin every day until you decide not to.
Or you might take so-called active pills for a few months straight before having a break. During your break, you might take inactive pills that contain no hormones for a week.
Other forms of birth control can have no period effects but theres often less of a guarantee.
Effectiveness Of Emergency Contraception
The effectiveness of the morning after pill varies depending on how quickly you take it after having unprotected sex. For example, if you take Plan B One-Step within 24 hours, it is about 95% effective, however if taken within three days of unprotected sex, the morning after pill can reduce the chance of pregnancy by 75-89%
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Your Periods On The Pill Understanding How Bcps Affect Your Menstrual Cycle In Perimenopause
One nice benefit of the Pill is predictability: periods that run like clockwork and are usually much lighter. For some, periods may even disappear a feature enjoyed by some but anxiety-producing for others. What most women recognize as their menses while on the Pill is not a real period but a withdrawal bleed thats orchestrated by the Pill hormones, not your own. Back when the Pill was new and contained much higher amounts of hormones, its creators and the women who took it were reassured by the message a withdrawal bleed seemed to imply: they werent pregnant now but could become so later, when and if desired.
While you are actively taking the Pill, the synthetic estrogen component stimulates the lining of your uterus somewhat, as your own hormones would normally do on their own, while at the same time the synthetic progestin agent counteracts, or opposes that proliferation to control the linings thickness. Meanwhile, the hormones in the Pill curtail ovarian function and the release of an egg. At the end of the pack, when you stop taking the active pills for several days or use placebo pills, the drop-off in both hormones stimulates a withdrawal bleed, resembling what you would experience at the end of a natural cycle. Use of a continuous-cycle or extended-cycle Pill simply suppresses this process of creating a pseudo period.
What Are The Treatment Options For Heavy Periods
There are various treatment options available for women who have very heavy periods, including medication, hormonal contraceptives and surgery. Knowing about the advantages and disadvantages of each can help make it easier to choose an appropriate treatment.
If very heavy periods become too much of a problem, treatment can help you to cope better. Different types of medication can reduce the bleeding and related problems. If one medication doesn’t work, it is usually possible to try out other kinds.
Hormonal contraceptives like birth control pills or intrauterine devices affect the menstrual cycle and lessen the amount of bleeding. Any fibroids or polyps that are found to be the cause can be surgically removed. If the effects of heavy periods are particularly bad, other procedures can be considered.
The choice of treatment and best time for treatment will depend on whether a woman is planning to become pregnant. The most effective treatments all limit a woman’s ability to get pregnant either temporarily, like the pill, or permanently, like the surgical removal of the womb .
But as long as the heavy periods arent causing anemia, they dont necessarily need to be treated. Some women learn ways to prepare as well as possible for heavier days. But its a good idea to see a doctor and try to find out what the cause is.
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If I’m Taking Birth Control Pills How Will I Know When Menopause Starts
You and your doctor will decide together how long you should take this medicine. You can stop taking very-low-dose birth control pills any time, or you can change to regular estrogen replacement therapy. The decision to change from the low-dose birth control pills to estrogen replacement therapy is usually made around the ages of 49 to 52. Your doctor can also measure a hormone called FSH to see if you’re in menopause. If the FSH measurement is over 30, you’ve probably entered menopause.
Talk to your doctor to see if very-low-dose oral contraceptives might be a good idea for you during your perimenopausal years.
How Can Perimenopausal Women Benefit From Low
Low-dose birth control can be implemented both to prevent pregnancy and alleviate symptoms of perimenopause. Although low dose birth control is typically not recommended for individuals under the age of 30 because it can decrease bone density, it may have the opposite effect for those going through perimenopause. This is especially important, as the risk of osteoporosis increases with age. Low dose birth control may also be implemented to help prevent ovarian and uterine cancers.
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How Do The Options Compare
Compared to the various other medications and hormonal treatments, hormonal IUDs are the most effective at reducing bleeding and the related problems. The effect of hormonal IUDs is comparable to that of surgery to remove the lining of the womb. There was no real difference between the two treatments in the studies.
Hysterectomies have the greatest benefits of the various surgical procedures: The less invasive procedures that involve removing or destroying the endometrium don’t reduce the problems associated with heavy periods as completely as a hysterectomy does. Those procedures may also have to be repeated if the lining grows back. But serious side effects and complications are much less common after endometrial ablation or resection than after hysterectomy.
Tubal Ligation Is Permanent Too
There are permanent birth control options for women, too. Tubal ligation is also known as female sterilization, or having your tubes tied. It involves closing the fallopian tubes to prevent a womans eggs from being fertilized and pregnancy from developing.
Tubal Ligation Pros: Female sterilization is a generally safe form of contraception and doesnt change your hormone levels. Sterilization is also nearly 100 percent effective. It may also lower your risk of having ovarian cancer later.
Tubal Ligation Cons: The operation involves anesthesia, and as surgery, has some associated risks: reactions to the anesthesia, damage to your bladder or bowel, and pelvic pain afterwards, notes the Mayo Clinic.
This birth control method is permanent, so you should be sure you dont want more children before opting for this procedure. Like a vasectomy, reversing sterilization is expensive and not guaranteed.
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