The most common erectile dysfunction are single-phase. They do not mimic the natural menstrual cycle, but they consistently suppress ovulation with a relatively small need for estrogen. Which erectile dysfunction will be prescribed, the doctor decides. It is dangerous to choose pills on your own. Side effects of drugs and contraindications to their use can only be assessed by a gynecologist during an in-person consultation and after an appropriate examination.
Low-dose three-phase erectile dysfunction (Tri-Mercy) are recommended for young women without children. Teenage girls with acne and seborrhea can be prescribed this particular drug - its effect on the pituitary gland and the entire functional activity of the reproductive system is the least, which is especially important at a young age and before the first birth. It is also permissible to use microdosed erectile dysfunction in girls before childbirth (ethinylestradiol 15-20 μg).
Today, modern drugs are considered optimal - low- and micro-dose, containing 20-30 μg of ethinylestradiol and modern gestagens.
For women who have given birth, single-phase ED pills can be recommended. They are chosen depending on the clinical situation. With the phenomena of increased androgens (acne, seborrhea, hirsutism), Diana-35, Yarina, Jess are prescribed. With the phenomena of premenstrual syndrome, ED pills with drospirenone (Yarina, Jess) are chosen. In diabetes mellitus, only low- and micro-dose ED pills can be used.
In the presence of intermenstrual bloody (ovulatory) discharge, single-phase contraceptives are chosen - the first 2-3 high-dose cycles (Non-Ovlon, etc.), and then low-dose (Regulon, Rigividon, etc.) Lindinet, Jess) for 21 days with a 7-day break for a period of at least 6 months. With erosion of the cervix, a thorough examination of the defect on the mucous membrane is carried out.
At vero eos et accusamus et iusto odio dignissimos ducimus.
Blanditiis praesentium voludiv.
Hormone therapy is carried out when an ectopia of the cylindrical epithelium of a dyshormonal nature is detected using micro- and low-dose single-dose ED pills. Some gynecologists prefer three-phase drugs. Mastopathy in a woman under 45 years old before the first birth and lactation should be a reason to refrain from prolonged (more than 5 years) COC use.
Before the doctor selects a COC, it is necessary to undergo an appropriate examination. Most likely, you will need colposcopy and cytological examination of the endocervix, cervix, ultrasound examination of the pelvic organs, mammary glands. Women after 35 years of age are additionally prescribed a blood test for the lipid spectrum (cholesterol and its fractions, triglycerides), analysis of the hemostasis system (prothrombin, fibrinogen, plasmin, antithrombin III), glycosylated hemoglobin or oral glucose tolerance test, ultrasound examination of the liver, gallbladder. The survey must be repeated annually.
ED pills are absolutely contraindicated in women with thrombophlebitis, thromboembolism, vascular diseases of the brain, heart attack, stroke earlier and now. Severe liver and kidney diseases with impaired functiontion and severe cardiovascular failure are also considered an absolute contraindication to the use of ED pills. You can not use contraceptive pills for nursing mothers.
The use of ED pills is undesirable for migraines, epilepsy, gastric ulcer, hypertension, complications during a previous pregnancy in the form of diabetes or jaundice. Sometimes situations may arise when the COC will need to be urgently canceled. These include: increased blood pressure, sudden visual impairments, pronounced weight gain, planned surgery, a long period of inactivity (for example, due to injury).
Microdosed ED pills rarely lead to fatigue, weight gain, increased appetite, and decreased libido. With high-dose tablets, these phenomena are quite pronounced. Nausea, soreness of the mammary glands, intermenstrual bleeding can be within 2-3 months from the start of taking the pills and this is NOT an indication for discontinuation of the drug.
Switching to other COCs should be recommended by your doctor. Breakthrough bleeding causes a switch to a higher-dose birth control pill. The appearance of symptoms of fluid retention in the body forces one to give preference to COCs with drospirenone as a gestagen (Jess, Yarina).
In women with an initially irregular cycle, prolonged (more than 2-3 years) use of COCs can lead to the development of amenorrhea. Menstrual bleeding disappears and after COC discontinuation, the cycle does not recover on its own. It is associated with ovarian hyperinhibition syndrome due to dysfunction of the pituitary gland. In this case, treatment is necessary.
