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Details about use of oral contraceptive pills - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Birth Control
Answered by

General & Family Physician
Practicing since : 2008
Answered : 3628 Questions
User :   Hi
User :   How can I help you?
User :   Yes hello there my name is AAAAAAA Are you a fully qualified doctor?
User :   I am a general physician.
User :   great. my girlfriend is switching this weekend from the pill to another type of pill called AAAAAAA
User :   Ok
User :   Can i ask the following?
User :   Please proceed.
User :   Can she start taking the AAAAAAA pill straight away the day after she finishes the existing pill packet?
User :   or does she have to wait a week first?
User :   What type of pill is she on now?
User :   Unfortunatley i dont know but i do know it is the very standard one they issue most girls who have never been on the pill before
User :   to try first
User :   Ok
User :   Let me brief you.
User :   The standard birthcontrol pill contain a combination of ethiny estradiol and progesterone analogues(which varies between the various brands of birthcontrol pill).
User :   And XXXXXXXX also contains these basic drugs.
User :   okay
User :   If she was on the standard oral contraceptive pills, yes, she can start of with AAAAAAA straight away.
User :   Have you followed what I have suggested?
User :   yes i have so basically yes she end one XXXXXXXX of her existing pills on sataurday and then on sunday start taking the AAAAAAA no problem? She doesnt need a weeks rest first?
User :   To make you understand this better, can you describe, if she uses the pills for 21 days or for 28 days?
User :   21 days
User :   Ok
User :   If it' 21 days cycle period, then a weeks time is needed for withdrawl bleed to happen.
User :   Start of the new pills after the withdrawl bleed(for 7 days occurs).
User :   If the pill was 28 day pill, then its not necessary to wait, and the new pill can be started immediately.
User :   Hope its clear now.
User :   thats right as that is what she has been doing once a XXXXXXXX is finished. She had a weeks break (in which time she bled) and then started another XXXXXXXX again of the existing pills a week later. So she has to do the same thing again before taking the yasmin? It wasnt 28
User :   Yes, that needs to be done again now, before the new pill(Yasmin is started).
User :   Have you followed?
User :   Yes perfectly. Once she has started taking the AAAAAAA pill do we have to wait a further week for the AAAAAAA to kick in before we start doing it unprotected or can you do it straight away pretty much?
User :   That again depends if the pill has 21 tablets or 28 tablets.
User :   AAAAAAA is availble in both forms.
User :   it will be 21 again
User :   You will need to follow the routine then,
User :   that is take pills for 21 days regularly
User :   wait for a week and then start the new AAAAAAA
User :   Have you followed?
User :   yes that is what she has been doing with the existing pills. one a day for 21 days and then a break then start again. i understand that. but once she has had her weeks break and the starts the AAAAAAA is it advisable to wait a further week before doing it unprotected or can you do it straight away?
User :   dont want to risk a pregnancy doctor
User :   The previous pill would have prevented ovulation from occuring(this month)
User :   The new pill will prevent ovulation the coming month.
User :   So there is no need to wait, to involve in sexual intercourse.
User :   great. so have a weeks break, then start taking the AAAAAAA and your good to go straight away?
User :   Start of the pill as it used to be with the existing pills.
User :   Yes.
User :   Do you have any other query?
User :   yes i do
User :   she was advised to do the AAAAAAA as it is the 'least side effects pill'
Doctor :   Ok
User :   can you confirm that?
User :   She was having quite a few bad side effects with the existing pill inc massive decreased sexual appetite, sore boobs, heavy bleeding, moody and snappy and saw genetals. XXXXXXXX apparently has the least side effects for this
Doctor :   The commonest side effects that people get, while on these pills are dizziness, nausea, vomiting, hair fall, weight changes, mood disturbances, breast changes.
Doctor :   Yes, these side effects are less common with AAAAAAA
Doctor :   However,
Doctor :   serious and life threatening such as severe headaches, venous clotting such as CVT, DVT which can occur with oral contraceptive pills
Doctor :   do exist with AAAAAAA
User :   yes she read that in the leaflet but that is the rarer cases yes?
Doctor :   Though the possibilities of such side effects with birth contraceptive pill is 1 in 25 individuals,
User :   yes thats what she said. phew
Doctor :   you will need to watch out for those too, even with AAAAAAA
User :   right okay i will let her know that.
Doctor :   Hence, if your partner reports of severe persisting headaches, limb pains, breathing difficulties, severe vomiting usually associated with vomiting -
Doctor :   do not hesitate to see a doctor.
Doctor :   Have you followed what I have suggested?
Doctor :   Do you have any other query?
User :   yes i have perfectly thank you so much doctor
User :   i need to speak to a proffesional to get these cleared up
Doctor :   Chatting to you was my pleasure.
User :   now i know that AAAAAAA is indeed the least pill for side effects, she needs to have a weeks break from the existing pill before taking the AAAAAAA as normal and you can then have intercourse unprotected straight away no problem
User :   thanks so much
Doctor :   Do you any have any further query that you want to discuss ?
User :   Oh just quickly her sexual appetite was significantly decreased with the existing pill. will that climb back up a bit once she goes on the yasmin?
User :   she read in the leaflet that it does combat that and althought it may happen it is much lesser
Doctor :   Sexual appetite can be modified by factors such as stress, nutrition and yes offcourse the pills.
User :   it only decreased once she started taking the existing pill
Doctor :   There are less reported incidence of reduced libido with AAAAAAA
Doctor :   However, if you want to combat the reduced libido, now, in addition to the change of medication,
Doctor :   appropriate stress management in the form of regular timely sleep, improved nutrition, physical exercise, relaxation technique will be necessary.
Doctor :   I suggest these lifestyle modifications in addition to change of pills.
User :   yes that makes sense as she has been working a lot of late shifts really so hasnt been getting much sleep and has been stressed by it
Doctor :   Have you followed?
User :   as she has been so busy working her butt off on late shifts, no exercise, fast food on the go to keep going.
Doctor :   Stress factors are reported to cause sexual dysfunctions than with the pills.
User :   That started around the same time she started taking the pill so probably amplified it
Doctor :   hence it is appropriate that measures to combat stress is taken.
Doctor :   Thats right.
Doctor :   Stress free life and good nutrition are going to be essential, if your partner needs an improvement in both psychological and sexual functions.
Doctor :   Have you followed?
Doctor :   Do you have any other query?
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