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WONEN WHO SHOULD NOT TAKE THE COMBINED ORAL CONTRACEPTIVE PILL

There are certain conditions that preclude you from taking the combined OCP:
1.         Oestrogen-sensitive cancers such as uterine or breast cancer. The cause of unexplained vaginal bleeding should be diagnosed before beginning any OCP;
2.         Active liver disease or liver tumours;
3.         Severe or frequent migraine headaches;
4.         Some medical conditions such as porphyria or diabetes;
5.         Cardiovascular diseases such as blood clots, heart disease, strokes, high blood pressure, very high cholesterol and triglycerides.
Contraception in the Future
No one has yet found the ideal hormonal contraceptive and although we are getting close, Australia lags behind in the availability of the newer types.
In particular, experts agree that it is best to use the smallest dose of synthetic hormones and also to use a progesterone that is "friendly" to our blood fats and cardiovascular system. These friendly progesterones are non-masculine (non-androgenic) and are also friendly to our skin as they are more feminine and help to control acne and facial hair. Examples of these friendly feminine progesterones are cyproterone acetate, desogestrel and gestodene.
In Europe and New Zealand, women have access to OCPs containing smaller doses (20 meg as opposed to 30 meg) of oestrogen combined with friendly progesterones such as desogestrel. Brand names of these pills are Mercilon, Marvelon and Diane and these are ideal OCPs for older women or indeed for the majority of women. It is frustrating that Australian women do not have access to these OCPs. Perhaps we need more influential women working in large pharmaceutical companies and the Australian Drug Evaluation Committee.
                                                                                                   


SIDE EFFECT

AVOID

USE

OTHER MEASURES

Weight gain

High dose pills

Mini pill (POP) Triphasic pills

Regular exercise Low-fat diet

Nausea, Vomiting

High dose pills

Mini pill (POP) Triphasic pills may be tolerated Progesterone hormone implant

Take OCP with food and vitamin B6

Breakthrough bleeding

Mini pill (POP) Low-dose pills

Higher dose pills or tailor-made OCP from your doctor

Take the OCP at the same time each day. See your doctor for a gynaecological examination

Facial
pigmentation (Chloasma)

Combined OCPs

Mini pill (POP)

Sunscreen lotion Broad brim hat Depigmentation cream at night

Breast tenderness

High dose OCPs

Mini pill (POP) Triphasic OCPs Tailor-made OCP

Evening Primrose Oil 3000mg daily PMTEZE 1 daily Antioxidants

Mood disorders Poor libido

High dose OCPs Avoid masculine progesterones

Mini pill (POP) Tailor-made OCP

Zinc chelate lOOmg daily PMTEZE 1 daily Magnesium 500mg daily

Headaches, Migraines

All combined OCPs

Mini pill (POP)

Increase water intake. Evening Primrose Oil 3000mg daily Magnesium 500g daily
Vitamin E 500 iu

High Blood Pressure Blood Clots

All combined OCPs

Mini pill (POP) Progesterone hormone implant

Vitamin C, garlic

Vaginal Candida

High dose OCPs

Triphasic OCPs or mini pill

Low sugar diet, garlic
Antioxidants
Acidophilus

           
                                                                                                                         *27\5*

The guide to herbs

Herbs: help yourself!

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