Birth Control Information
Whether you are using an oral contraceptive for
the first time, changing from other birth control
methods to Ortho Tri-Cyclen or just investigating
alternatives, the following information guide will
help.
Oral contraceptives have gained such popularity
because they are discreet, easy to use and effective,
but like any method of birth control apart from
abstinence, there can be adverse reactions. When
making a choice about birth control methods, you
need to ask yourself the following questions:
• Will this method prove compatible with
my lifestyle?
• Does this method conflict with my religious
beliefs?
• Does my partner support my choice?
• Does this method increase my risk of exposure
to HIV or other Sexually Transmitted Diseases?
• Is this method discreet, will it embarrass
me?
• Has this method previously caused me problems
or have I become pregnant while using it?
• Are the protocols for this method simple
to follow and remember to implement?
• Do I have any unanswered questions about
my new method?
General Information about Oral Contraception
Normally, every 28 days or so in the ovulation
cycle, the pituitary gland releases hormones that
signal the ovaries to prepare an egg for fertilization
in the uterus. Ortho Tri-Cyclen is a combination
of the hormones norgestimate and estradiol that
prevent this process, known as ovulation, from occurring.
This hormonal combination also thickens the cervical
mucus, making the entry of sperm into the uterus
more difficult. Interestingly, Ortho Tri-Cyclen
also reduces the hormones that cause acne, and nine
out of ten women under 30 using this contraceptive
medication report improved skin condition and complexion.
That’s why Ortho Tri-Cyclen is a good first
choice contraceptive for young menstruating women
with acne and related skin conditions.
Taking Ortho Tri-Cyclen
It is important to take your tablets at the same
time every day and many women have found that a
nighttime dosage reduces nausea and headaches. It
is also advisable to use a secondary method of birth
control, such as condoms or a diaphragm, for the
first week of usage. If you miss a dose in mid-cycle
remember your chances of pregnancy are greatly increased
and it can also result in spotting and light bleeding.
Many women experience side effects such as headaches,
nausea, dizziness, breast tenderness, spotting and
breakthrough bleeding which usually abates after
6 months.
Interactions
The effectiveness of oral contraception can be impaired,
or interactions occur, with certain herbs and foods,
and their use should be discontinued. These include:
• Coffee (caffeine)
• Grapefruit Juice as this may increase estrogen
levels, so do not use to take your hormonal oral
contraceptive
• Black Cohosh which can increase the adverse
effects of estrogen.
• Red Clover that can interfere with hormonal
therapy
• Saw Palmetto which can have an antiestrogenic
effect.
• St John’s Wort, which can decrease
hormonal contraceptive effect because of increased
hepatic metabolism.
You should also advise your dispensing health care
professional of other drugs you are using as the
following interactions could occur with:
• Beta Blockers that may be magnified in their
effect by oral contraceptives. Inform your health
care professional if you have been prescribed this
therapy, as he may have to adjust dosage.
• Corticosteroids can also have increased
potency when used with a hormone based birth control
method.
• Tamoxifen may not be effective when used
in conjunction with oral contraceptives so avoid
using both concurrently.
• Oral anticoagulants may fail to work effectively
and require dosage adjustments
• Insulin users may require monitoring and
dosage adjustment
Cautions and Contraindications
It is important to avoid smoking while taking oral
contraceptives. Failure to do so will greatly increase
the risk of heart attack, embolism, blood clots
and stroke. You should also advise your dispensing
physician if you suffer from:
• Angina, hypertension or heart disease
• Migraines or have had a stroke
• Suffer from seizures or epilepsy
• Asthma,
• Have general bleeding or clotting disorders
• Have breast, uterine, or other hormone centered
cancers
• Regularly experience undiagnosed vaginal
discharge or bleeding
• Liver disease
• Thromboembolic disorders
• Ophthalmic vascular disease
Your dispensing physician may suggest a lower dose
or recommend you not take oral contraceptives at
all if you suffer from any of these conditions.
Also oral contraceptives are contraindicated in
pregnant women and nursing mothers, as the hormones
in birth control pills pass into breast milk.
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