We progress!
(and even if it does not speak of contraception supported by men, not yet ...)
Paris Match. The use of the pill is falling. For what reasons?
Doctor Olivier Ami. Three main.
Note of the association: macroprogestatives are
Androcur, luteran and lutenyl2. The reimbursement in 2013 of and 4th generations pills responsible for an increased risk of thromboembolic accidents, accentuated by the rise of female smoking. 3. In the past ten years, studies, mostly American, have shown that strongly dosed pills could promote breast cancer, cervix (or even liver), which the International Research Center on Lyon cancer has confirmed. The highly dosed pills are no longer available in France, these risks have become very low. The contraindications are to be respected (diabetes, high blood pressure, migraines, excess cholesterol, history of phlebitis, abnormal gynecological examination) and do not prevent contraception: other methods are possible. The pill nevertheless remains widely used (a third of women), in front of the IUD (25 %).
The implementation of the intrauterine system (IUD) can be practiced by any doctor or midwife
What options do women have?
1. Standard oral contraception that combines synthetic estrogen (especially ethinylestradol) with a progestin varying depending on the aim or the undesirable effects to be avoided. These hormones block ovulation, have antinidation activity and reduce the permeability of the cervical mucus with sperm. The taking is most often discontinuous (daily 21 days, absent 7 days) to induce artificial rules each month which regularly renew the endometrium. It can be continuous in some cases (endometriosis). The adjustment of the dosage, invariable or variable depending on the phase (before, during or after ovulation), allows the control of possible side effects and to personalize the treatment.
2. If estrogens are contraindicated (stroke, smoking, lupus, etc.), a progestogen alone (which can be microdoté) is prescribed. It must be taken every day at a fixed time, or received in the form of a prolonged release device (subcutaneous implant or hormone Sterilet).
3. In the event of a contraindication to hormonal contraception (risk of breast cancer for example), the safest alternative is copper IUD: it mechanically blocks impulse at the cost of some possible pain and bleeding. Sometimes a rejection syndrome occurs. This intrauterine system (IUD) is the most used method in the world (200 million women). Its implementation for about five years can be practiced by any doctor or midwife.
Read also. They refuse to swallow the pill
What solutions for those who often forget to take their pill?
1. The estro -rogestative intra-vaginal ring is the least dosed of minidose processes and generally very well supported. He puts himself and withdraws easily, like a stamp. It is left in place for three weeks out of four to induce rules. Check your presence well after intercourse to stay protected.
2 The progestin subcutaneous implant. It is withdrawn after three years via mini-a name of 1 centimeter.
3. The DIU in the progestogen is set up for three to five years. It is an alternative to the copper IUD when the rules are abundant. 4. We have recently had a few progestins injectable delays every three months intramuscularly. 5. The next day pill, after an unprotected ratio at risk of pregnancy, is to be taken as soon as possible, and at the latest within five days. It can be obtained in pharmacies without a prescription.
Link to the article here: https://www.parismatch.com/actu/sante/contrace-feminine-l-etat-des-lieux-1754854?fbclid=iwar0OQLAIRPXG_V0zzo1SJBKRYF7ZX4LHBJI3DOOTLP-JQ-NHJE7SYC
