Examination Before Taking COCs: What You Need to Know

Hello! Today we will discuss the necessary examinations before starting combined oral contraceptives (COCs) and how to properly prepare for this process.

Why Shouldn't You Start Taking COCs on Your Own?

You should never start taking COCs on your own. These medications are prescribed only by a doctor. The doctor's task is to evaluate your health and identify any conditions in which taking COCs would be contraindicated.

What Conditions May Be Contraindications?

• History of strokes or heart attacks
• Thrombosis and thromboembolism
• Stillbirths or recurrent miscarriages
• Smoking, especially after age 30

Before prescribing contraceptives, the doctor will perform a gynecological examination and conduct an ultrasound. Tests for hormones or blood clotting are not required unless the doctor suspects any conditions that need clarification.

How to Choose a Contraceptive?

The initial choice of a contraceptive depends on the woman's preferences. She can choose from pills, patches, vaginal rings, or intrauterine systems. However, it is important to understand that the difference between types of contraceptives is mainly in how hormones are introduced into the body.

What Should You Do if the Medication Causes Side Effects?

If, after two to three months of using the medication, side effects such as weight gain, decreased libido, headaches, or breast pain appear, you should change the medication. The doctor may adjust the dose or select a different hormonal composition.

Side Effects and Considerations

It is important to remember that COCs do not treat diseases. They can only alleviate symptoms such as painful menstruation or acne. If you had skin issues before taking the medication, they may return after stopping the contraceptive.

Emotional and Endocrine Changes

Contraceptives can affect your emotional state and endocrine system. For example, insulin resistance or thyroid disorders may develop, especially if such conditions already exist. It is important to consider this when choosing the medication.

Long-Term Use of COCs

COCs can be used for a long period if you need contraception. You should not change the medication without the doctor's advice if the current one is suitable. The medication does not affect your ability to conceive in the future and does not cause permanent hormonal imbalances.

Conclusion

Taking COCs does not lead to new diseases or alter your health if no problems existed before. In case of side effects, it is important to monitor your condition and change the medication if necessary.