Oral contraceptives
1.
Is it appropriate for my partner, who is in her late teens, to take oral contraceptive pills to regulate her menstrual cycle if her period is currently irregular?
2.
If it is appropriate to take them, should she start taking the first pill on the first day of her menstrual period? Additionally, which brands are more suitable for young women?
3.
For females who are already sexually active, how long should they take oral contraceptive pills before they can stop using condoms or have unprotected intercourse?
4.
If she takes "Sheng Ling Yue Ji," can she, as mentioned online, stop using condoms after 7 days?
Ma, 10~19 year old female. Ask Date: 2017/07/30
Dr. Huang Jianzhong reply Obstetrics and Gynecology
1.
My partner's menstrual cycle is currently irregular, but she is only in her late teens, is it appropriate for her to take oral contraceptives to regulate her cycle? Answer: Birth control pills can reduce menstrual pain, treat acne, manage hirsutism, regulate menstrual cycles, decrease menstrual flow, and help prevent anemia, in addition to providing contraceptive benefits.
Adolescent girls often forget to take oral contraceptives or may discontinue use due to side effects; in such cases, a lower dose of estrogen can be used.
A dose of 30-35 mcg of ethinyl estradiol (EE) is considered low-dose, while 20-25 mcg of EE is considered ultra-low-dose.
The contraceptive efficacy is slightly reduced, but side effects are significantly decreased (however, 20 mcg EE is not recommended).
It is advisable to use newer generations of progestins and contraceptives that are taken for 21 days each month.
2.
If she can take them, should she take the first pill on the first day of her period? Also, which brands are more suitable for young girls? Answer: Low-dose estrogen oral contraceptives are more suitable for young girls.
3.
For girls who are already sexually active, how long should they take oral contraceptives before they can stop using condoms or have unprotected intercourse? Answer: 21 days.
4.
If she takes "Shengling Yujie," can she stop using condoms after 7 days as mentioned online? Answer: She can stop using condoms after 21 days.
Reply Date: 2017/07/30
More Info
Understanding birth control pills and their implications for young women is crucial, especially for those who may be experiencing irregular menstrual cycles or are considering sexual activity. Here’s a comprehensive guide addressing your questions.
1. Is it suitable for my partner, who is nearly 20, to take birth control pills to regulate her menstrual cycle?
Birth control pills can be an effective method for regulating menstrual cycles, even in younger women. However, it is essential to consult with a healthcare provider before starting any hormonal contraceptives. They can assess her overall health, discuss any potential risks, and determine if birth control pills are appropriate for her specific situation. Factors such as family medical history, personal health conditions, and lifestyle should be considered.
2. If she can take them, should she start on the first day of her period? What brands are suitable for young women?
Typically, the recommendation is to start taking birth control pills either on the first day of the menstrual period or on the first Sunday after the period begins. Starting on the first day of the period can provide immediate contraceptive protection. As for brands, there are many options available, and the choice often depends on individual health needs and preferences. Common brands that are often prescribed include Ortho Tri-Cyclen, Yaz, and Loestrin, but the best option should be determined in consultation with a healthcare provider who can tailor recommendations based on her health profile.
3. For young women who are already sexually active, how long should they take birth control pills before they can rely on them without using condoms?
Generally, it is advised that a woman should take the pill for at least seven consecutive days before relying solely on it for contraception. This timeframe allows the hormones in the pill to build up in the body and effectively prevent ovulation. However, it is crucial to use condoms during this initial week to prevent unintended pregnancy and also to protect against sexually transmitted infections (STIs).
4. If she takes "Xian Ling Yue Ji," can she stop using condoms after seven days?
"Xian Ling Yue Ji" is a brand of birth control pill. If taken correctly, it can provide effective contraception after seven days. However, it is essential to follow the instructions provided by a healthcare professional and the guidelines on the pill packaging. Additionally, while the pill is effective in preventing pregnancy, it does not protect against STIs, so using condoms is still recommended for protection against infections.
In summary, birth control pills can be a suitable option for young women experiencing irregular menstrual cycles, but it is essential to consult with a healthcare provider for personalized advice. Starting the pill at the right time, understanding how long it takes to become effective, and recognizing the importance of using condoms for STI protection are all crucial aspects of responsible sexual health. Regular follow-ups with a healthcare provider can help monitor any side effects and ensure that the chosen method remains appropriate as circumstances change.
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