Hormonal Contraception

Frauenarzt Dr. Gauff

In addition to the contraceptive effect, taking hormones has a number of side effects that can be beneficial to a lot of illnesses. It is therefore very important to choose the right contraception.

Positive side effects can be directed towards: bleeding disorders, painful menstruation, endometriosis, acne and many other illnesses.

The Pill

The conventional pill is a very common and safe contraception method. It consists of an oestrogen and a gestagen (sex hormones). The main differences between the many types of the contraceptive pill lie in the concentration of the active ingredients and predominantly in the gestagen component. The different types of gestagen produce different side effects which we take advantage of when choosing the product. Some pills have a positive effect on skin or hair and regulate an irregular period or can be used for strong menstrual bleeding. The pill is taken daily with a pause of usually 7 days (depending on the respective product).

An exception to this is the so-called “minipill”. This is an oestrogenfree pill that is taken continuously without pause. In most cases the period is missed.

The hormonal coil

The hormonal coil is a local contraception that is inserted into the cavity of the uterus where it releases the gestagen levonorgestrel in minimal doses. The coil is available in 2 types: “Jaydess” for a period of 3 years and “Mirena” for a period of 5 years. With the “Jaydess” a light bleeding will remain. This is preferred by most women as a confirmation not to be pregnant. With the “Mirena” the period normally stops after a while. This can be a great benefit if you suffer from painful menstruation or strong bleedings due to the menopause. The hormonal coil is one of the safest contraceptive methods with just a small number of side effects since the hormones are mainly effective in the uterus and only a small dose of the hormonal concentration ends up in the body.

Implanon® (Contraceptive implant)

The Implanon is a soft rod containing the progesterone etonogestrel. It is inserted under the skin at the inside of the upper arm where it will continually release hormones and blocks conception for a period up to 3 years. Although usually more tolerated than the pill due to its altered hormonal composition, an irregular menstruation or its absence can be possible consequences.

The 3-monthly contraceptive injection

The 3-monthly contraceptive injection belongs to the hormonal anticonception methods and is effective by inserting the progestogen hormone (gestagen). The 3-monthly contraceptive injection has to be given every three months by the gynaecologist. The 3-monthly contraceptive injection puts the ovaries and the uterine lining into a sort of quiescent condition. Initial irregularities of the menstruation will be followed by its complete absence. Just like the hormonal coil, the 3-monthly contraceptive injection is applied effectively for treatment of strong menstrual bleeding. Normally the menstrual bleeding becomes absent without entering an early menopause.

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