Q & A />
For S. Kuku-Siemons Diepiriye,

MPH
1st What is hormonal contraception? What are the hormonal contraceptives in India?
Hormonal contraceptives consist of single or a combination of female sex hormones: estrogen and progesterone. Synthetic progesterone is commonly known as progestin. Hormonal contraception is the most popular pill (COC). Other injectable hormonal contraceptives include subdermal implants, the release of progestin transdermal patch, vaginal ring, and “morning after pill”.
2nd What is the pill?
Combined or progestogen-only pills are taken daily and are an effective means of controlling fertility. If taken regularly and correctly, every year has become one of a hundred pregnant women with the pill.
For many women, especially those under 35 Non smoking outweigh the benefits of the pill the disadvantages. Modern oral contraceptives contain lower doses of hormones before and have fewer side effects. Since its introduction 40 years ago, users and researchers many advantages of the contraceptive pill acne including the improved management of heavy menstrual cycles and reduced risk of osteoporosis and cancer confirmed ovarian cancer, endometrial and colon cancer.
3rd How does the pill?
During the menstrual cycle of women, triggers the release of hormones from the ovaries release an egg. At this time, leave the ovaries other hormones, including estrogen and progesterone, designed to inhibit the other design. You are responsible for many changes in the body of a woman during the menstrual cycle.
The pill works mainly by:
Prevent the ovaries from releasing an egg
Thickening the mucus at the neck, which makes it difficult for sperm in the uterus
force
Minutes of the uterine lining to be unsuitable for a fertilized egg implanted
4th What are oral contraceptives (COC)
combined
Combined oral contraceptives contain a synthetic version of estrogen – called ethinyl estradiol known – in addition to as a synthetic version of progesterone, progestin. The progestin in the pills are classified as current “second generation” (eg, norethindrone, levonorgestrel) or “third generation” (eg, desogestrel or gestodene).
Some brands of birth control pills for 21 days a pause of seven days before the next course to be followed by 21 days. The dose of estrogen can be either a standard strength – be 30-35 micrograms or low resistance – 20 micrograms. Some products contain pills with two or three different doses of estrogen at different stages of the cycle are taken.
For women who can not take place the pills with estrogen, or for those who avoid the estrogen, progesterone only pill can be an alternative to. The progestogen-only pill, the pill is sometimes called “mini” (wrong because it is smaller than the pill) is somewhat less reliable than COCs, is a for breastfeeding mothers.
5th What should be injected?
Injectable contraceptive Depo Provera is the most common is as a hormonal substance and hormone DMPA (depot medroxyprogesterone acetate-known), injected into the muscle of the upper arm or buttocks. Each injection provides contraceptive protection for three months without a daily hassle. injectable hormones prevent pregnancy by suppressing ovulation (egg formation) and thickening of the cervical mucus making it difficult for the entry of sperm. In addition, it is also thins the lining of the endometrium. As a natural consequence of this action, most women experience menstrual cycles harmless changes course back to normal soon after discontinuation of the method. / Www.fwhc.org / Birth Control / bcdepo.htm “> DMPA has several advantages in relation to contraception, including anemia without at least monthly period, and increased protection from certain cancers.

Depo-Provera is a safe, effective, convenient, private, distance reversible method of half-time. Professional / regulators approve global safety and efficacy ofDMPA.
The WHO has carried out studies and approved Depo-Provera for use as a contraceptive in 1979, the U.S. FDA in 1992, and the FDA in the United Kingdom in 1996.
Drug Controller of India approved for clinical trials and use in 1998. The Federation of Obstetrics and Gynecology Societies of India, central approves the guidelines of WHO and continues to be a higher quality of care by insisting that health service users should inform lawyers promote the diversity of choice contraceptive in relation to the person medical history and examination. SKAT have outweigh the basket of choice and the benefits extended the side effects clinically insignificant

6th breastfeeding women use hormonal contraceptives, such as injection?
DMPA does not affect the quality or quantity of breast milk and is therefore a reasonable choice for breastfeeding mothers. DMPA can be initiated six weeks after birth.
It is important to note that the full or nearly full breastfeeding is (at least 85% of the diet of the baby breast milk) before the monthly period lasts usually indicates that the pregnant woman unlikely to fall to six months after childbirth is. This natural form of birth is known as the distance of lactation amenorrhea method of contraception, LAM.
7th What other methods of hormonal contraceptive patches and implants?

Patches
Hormonal contraceptives are also used as an adhesive Evra patch (available), which is worn for three weeks in four.

Implant
An implant is a flexible rod near the size of a matchbox (40 mm x 2 mm) which is inserted under the skin of the upper arm. The staff resolves to be a constant amount of progestin to contraception to a maximum of three years. The contraceptive effect is reversed shortly after the implant is removed.
8th When a woman Do not use injectable hormonal contraception or any other, because they no menstrual bleeding for a long period (amenorrhea) has?
not discouraged changes in the menstrual cycle, women should be to explore these methods. Amenorrhea is a normal reaction to injection, and multiple other hormonal contraceptives. There is no medical reason to use more hormonal contraceptives because of amenorrhea. In addition, make the lack of bleeding, some women in better health because it helps to prevent anemia.
9th Then the young women, older women and women without children with injectable contraceptives?
You and the old women can DMPA. A doctor in the position to the eligibility of a person because of their specific history and physical examination to determine today. The effects of hormonal contraceptives are fully reversible. In fact, says a recent statement by the World Health Organisation that the prolonged use of Depo-Provera does not lead to lasting changes in health care. DMPA users return to normal fertility with an average of four months after the last injection.

10th Is it wrong to use COCs or other hormonal contraceptives, the risk of cancer?
Oral contraceptives have not shown that cancer in common cause. In fact, oral contraceptives and DMPA / Depo-Provera has been shown to prevent two common forms of cancer: ovarian cancer and cancer of the endometrium (lining of the uterus). DMPA appears to be safe for women of all ages. The World Health Organization says DMPA safe, and concludes that the benefits of the method usually outweigh any disadvantage theory. > In general, young women use DMPA.


Contraceptives