Can Using Sivena Pills Effectively Prevent Pregnancy? - Obstetrics and Gynecology

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Can I get pregnant?


Hello, I would like to ask if the correct use of the combined oral contraceptive pill (such as the one containing desogestrel and ethinyl estradiol) will provide contraceptive effectiveness?

L, 20~29 year old female. Ask Date: 2021/12/16

Dr. Cao Guotao reply Obstetrics and Gynecology


Hello, this medication is primarily used to treat menopause, and its contraceptive effect is not very effective.
It is recommended to switch to birth control pills for better results.
Wishing you good health.

Reply Date: 2021/12/16

More Info


When it comes to the use of Sivena pills (also known as oral contraceptives), they are designed to effectively prevent pregnancy when taken correctly. Sivena, like other combined oral contraceptives, works primarily by inhibiting ovulation, which means that it prevents the ovaries from releasing eggs. Additionally, it thickens the cervical mucus, making it more difficult for sperm to enter the uterus, and alters the uterine lining to reduce the likelihood of implantation should fertilization occur.

For maximum effectiveness, it is crucial to take the pills consistently and at the same time every day. When used correctly, the failure rate of oral contraceptives like Sivena is less than 1% per year, making them one of the most reliable forms of birth control available. However, it is important to note that certain factors can affect their efficacy, including:
1. Missed Doses: If you forget to take a pill, especially during the first week of starting the pack, the risk of pregnancy increases. It is recommended to follow the instructions provided with the medication on what to do if a dose is missed.

2. Drug Interactions: Some medications can interfere with the effectiveness of oral contraceptives. For example, certain antibiotics, anticonvulsants, and herbal supplements like St. John's Wort can reduce the effectiveness of the pill. Always inform your healthcare provider about any other medications you are taking.

3. Gastrointestinal Issues: Conditions that cause vomiting or diarrhea can also affect the absorption of the pill, potentially leading to reduced effectiveness.

4. Obesity: Some studies suggest that women with a higher body mass index (BMI) may experience reduced effectiveness from certain types of oral contraceptives, although this can vary by individual and the specific formulation of the pill.

5. Timing: Starting the pill at the wrong time in your cycle can also impact its effectiveness. It is generally recommended to start taking the pill at least seven days before engaging in unprotected intercourse to ensure adequate contraceptive coverage.

In summary, Sivena pills can effectively prevent pregnancy when used correctly. It is essential to adhere to the prescribed regimen, be aware of potential interactions with other medications, and consult with a healthcare provider if there are any concerns about missed doses or other factors that may affect contraceptive efficacy. If you have any doubts or questions about your specific situation, it is always best to consult with a healthcare professional who can provide personalized advice based on your health history and needs.

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