Contraception
Hormone-based contraceptives
5 types
1) Oral contraceptives (pills)
2) Vaginal ring
3) Transdermal patch
4) Injected hormones
5) Hormonal IUDs
How hormonal
contraceptives
Gonadotropin releasing
hormone (GnRH)
work
triggers release of
gonadotropins FSH & LH
FSH & LH trigger
ovulation
Estrogen & progesterone in
hormonal contraceptives
inhibit LH, FSH, and GnRH
secretion, preventing ovulation
Progesterone also:
•thickens cervical mucus to prevent
•changes uterinePassage of sperm into the uterus
lining to inhibit implantation
Types of oral contraceptives
• Constant-dose combination pill
– Contains both estrogen and progestin
– Dose of each is constant throughout cycle
• Triphasic pill
– Levels of hormones (estrogen & progestin) fluctuate during
cycle
• Seasonale
– Reduces the # of menstrual periods
– Has lower dose of estrogen and progestin
• Progestin-only pill
– Low dose of progestin and no estrogen
– For women who should not take estrogen (breastfeeding,
high b.p., at risk for blood clots, smoke)
Special
How to use oral contraceptives
• Different types of OCs will differ in how to
begin, and other instructions--read instructions
carefully & talk w/health care practitioner
• Don’t skip pills, regardless of whether or not you
are having sex
• Take pill at the same time each day
– If you miss 1 pill: take missed pill as soon as you
remember, and then take next pill at the regular
time
– If you miss >1 pill: consult health care practitioner for
advice; use a backup method for remainder of your
cycle
Oral contraceptives
possible side effects & health issues
• Women who should not take OCs:
– history of blood clots, strokes, heart/circulation
problems, jaundice, breast or uterine cancer, liver
disease
• Women considered risky for taking OCs:
– Women who smoke, have migraines, depression,
high b.p., epilepsy, diabetes/prediabetes, asthma,
varicose veins
• Side effects of OCs can include:
– Weight gain, decreased sexual interest, headaches,
mood changes, nausea, bleeding between periods
– May clear up after 2-3 cycles on the pill
Indications other than contraception