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Birth control pills, safety and sife efeects? - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Good Posted in: Medicines and Side Effects
Answered by

General & Family Physician
Practicing since : 2008
Answered : 3632 Questions
User :   hello
User :   Hello Doctor
User :   I have some queries regarding birth control pills
Doctor :   ok
Doctor :   please continue
User :   could you tell me if its safe to use birth contol pills? and what are the usual side effects of it?
User :   and if i do take them, how long can i use them for? and does it affect future pregnancies
Doctor :   OCP (Oral contraceptives ) are the safest mode of birth control used by millions of women all over the world,
User :   ok...
Doctor :   you can use them as long as u want to post pone the pregnancy
User :   okay... what are some of the common side-effects of OCPs?
Doctor :   when u want to have a kid, all u have to do , is to stop taking the pill, after a cycle is complete
Doctor :   some minor effects, would be nausea, vomiting and headache , etc
Doctor :   the main effects would be change in color of the menstrual blood,
User :   somebody i know feels like she has gained weight as a result of taking the pills...
User :   and what are the long term effects of the pill, if any?
Doctor :   and sometimes spotting during the period, and occasionally change in period dates , but these resolve soon, as the body gets used to the pills
Doctor :   weight gain, is usually due to water retention
Doctor :   but overall weight gain, is due to physical inactivity and overeating, and not necessaily to the pills
User :   ok...
Doctor :   a common sense, is that, if u eat more, then u will gain weight, The pills are hormones, and they do not affect the appetite
User :   but then the pill contains estrogen
User :   and that too in sizeable quantities
User :   which can contribute towards weight gain
User :   dont u think so?
Doctor :   but they do affect the mood, and how a person does during the mood changes can affect the weight
Doctor :   estrogen, usually does not cause weight, gain per se
Doctor :   but it does affect the cholesterol metabolism, and changes in deposition of cholesterol, as in the female form
Doctor :   but it does not cause weight gain
User :   what about long term effects? will it affect my fertility in any way?
Doctor :   there are millions of women who have used the pill regularly,
Doctor :   and weight gain, is seen only in a small fraction of women, which is not related to the pill at all
Doctor :   the pills do not cause any issues with fertility
User :   okay...
User :   but is it okay to alternate taking the pills say for a month, and then using condoms the next?
Doctor :   once you stop the pill, even within the cycle, then you might get pregnant
Doctor :   consider that you stop the pill on 10 days of the cycle, then you might be pregnant, within the next 7 days (day 10 to day 18 of the cycle)
User :   okay... but in the case that safe sex is practiced... then the risk of pregnancy is mitigated right?
Doctor :   safe sex, is ok, but the chances of pregnancy even with safe sex (no ejaculation) could be higher, in case, precum was released within the cervix, during intercourse
Doctor :   in case, you missed the pill, and have not used a condom, then you might need to use a emergency contraception , like the I pill, or unwanted 72
User :   right
User :   but if i decide to stop taking the pill for a month and opt for condoms instead, and then return to the pill - that should be okay, right?
User :   or would that confuse my body and cause harm in any way?
Doctor :   it is not gonna cause any issues
User :   okay... and also doctor
User :   i suffer from execessive period pain
User :   is that a cause of worry?
User :   would the OCPs help this also in anyway ?
Doctor :   it seems there is a network problem
Doctor :   yes The OCPs will help the pain
Doctor :   and reduce the excess flow if any
User :   okay...
User :   great. thanks a lot, doctor
Doctor :   you might benefit by using naprosyn tablets
Doctor :   twice daily during the periods to reduce such pain
Doctor :   you are welcome
User :   oh okay. great! thanks
User :   take care
Doctor :   take care and bye for now
User :   yup
User :   cya
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