Differences Between Combined Oral Contraceptives (COCs) and Menopausal Hormone Therapy (MHT)

COCs and MHT are hormonal medications used for different purposes, depending on a woman's age and condition. Let's explore the main differences between these treatments, their composition, goals, and usage features.

What Are Combined Oral Contraceptives (COCs)?

COCs are prescribed to women of reproductive age to prevent unwanted pregnancy. These medications contain two components:

• Estrogens.
• Progestogens.

How Do COCs Work?

• Suppression of ovulation. The components of COCs block the release of hormones necessary for egg maturation, preventing ovulation.
• Changes in the endometrium. The uterine lining becomes thinner, preventing the attachment of a fertilized egg.
• Cycle regulation. The estrogen component helps maintain a regular menstrual cycle.

Additional Indications for COC Use

COCs may also be used to treat:

• Endometrial hyperplasia;
• Abnormal uterine bleeding;
• Functional ovarian cysts.

What Is Menopausal Hormone Therapy (MHT)?

MHT is used to replenish hormones in women during menopause or in cases of premature ovarian failure. MHT medications contain:

• Estrogens. The main component that replenishes hormone deficiency.
• Progestogens. Added when the woman has a uterus to prevent endometrial hyperplasia.

How Do MHT Medications Work?

• Replenishing estrogen deficiency. Alleviates menopause symptoms such as hot flashes, dryness, and reduces the quality of life.
• Prevention of complications. Progestogens protect the endometrium from the negative effects of high doses of estrogens.

Benefits of MHT

• Improvement in skin and hair condition.
• Reduction of osteoporosis risk.
• Support for cardiovascular system function.

Main Differences Between COCs and MHT

• Period of use. COCs are used in the reproductive age, while MHT is used during menopause.
• Purpose of use. COCs prevent pregnancy, while MHT replenishes hormone levels.
• Component dosage. MHT contains higher levels of estrogens compared to COCs.

Conclusion

COCs and MHT are different medications used during various stages of a woman’s life. The choice of treatment depends on the goals, health condition, and age. Always consult a doctor before starting any hormonal treatment.

We hope this information was helpful in understanding the differences between COCs and MHT. Take care of your health!