Connection Between Emergency Contraceptives and Stomach Ulcers: What You Need to Know

Emergency contraceptive pills and gastric ulcers?

I previously used Nina oral contraceptive pills due to polycystic ovary syndrome and irregular menstrual cycles.
During the first week of each month, I experienced mild nausea, but overall it was manageable.
However, there was one occasion when I severely vomited stomach acid.
After finishing the pack, I discontinued use on my own.
A month later, I developed a gastric ulcer with bleeding.
I'm unsure if this is related to taking Nina.
Given my current need for contraception, would it be inappropriate for me to use oral contraceptive pills? Thank you.

LL, 20~29 year old female. Ask Date: 2021/04/10

Dr. Cao Guotao reply Obstetrics and Gynecology

Hello, it should be fine.
Some people are more sensitive to contraceptive pills and may feel nauseous.
You can try again.
Wishing you good health.

Reply Date: 2021/04/10

More Info

The connection between emergency contraceptives, such as the Nina pill (a type of hormonal contraceptive), and stomach ulcers is a topic that warrants careful consideration. While hormonal contraceptives are primarily designed to prevent pregnancy, they can have various side effects, some of which may impact gastrointestinal health.

Firstly, it is important to understand that hormonal contraceptives can influence the gastrointestinal tract. Some users report experiencing nausea, vomiting, or gastrointestinal discomfort as side effects, particularly during the initial weeks of use. This is likely due to the hormonal changes that these medications induce in the body. In your case, experiencing severe acid reflux or vomiting after taking the Nina pill could indicate that the medication was irritating your stomach lining, especially if you were already predisposed to gastrointestinal issues.

Regarding your concern about the development of a stomach ulcer and subsequent bleeding after discontinuing the pill, it is essential to recognize that while hormonal contraceptives can contribute to gastrointestinal symptoms, they are not typically a direct cause of ulcers. Stomach ulcers are often associated with factors such as Helicobacter pylori infection, excessive use of nonsteroidal anti-inflammatory drugs (NSAIDs), and lifestyle factors like smoking and alcohol consumption. If you have a history of ulcers or gastrointestinal issues, the introduction of a hormonal contraceptive could exacerbate these conditions, but it is unlikely to be the sole cause.

If you are considering using emergency contraception again, it is crucial to consult with a healthcare provider. They can evaluate your medical history, including your previous experience with the Nina pill and any gastrointestinal issues, to determine the most appropriate contraceptive method for you. There are various forms of contraception available, including non-hormonal options, which may be more suitable if you have a history of stomach ulcers or gastrointestinal discomfort.

In summary, while there may be a connection between the use of hormonal contraceptives and gastrointestinal symptoms, it is essential to consider other underlying factors that could contribute to the development of stomach ulcers. If you have concerns about your gastrointestinal health and contraceptive options, seeking guidance from a healthcare professional is the best course of action. They can provide personalized recommendations based on your health history and current needs, ensuring that you choose a method of contraception that is both effective and safe for your overall health.

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