Pill that is no longer suitable: what signs should alert?
The pill is an effective method of contraception that blocks ovulation and prevent pregnancy.But sometimes it can be poorly adapted, poorly tolerated or no longer agree, because of the type of hormone delivered or of too high concentration.What alert symptoms indicate that your pill does not suit you or more?That a pill is too dosed?After how long should we worry?The advice of Dr. Juliette Cariou, gynecologist-obstetrician in Atlantic Health (ELSAN establishment) in Saint-Herblain, near Nantes.
What are the alert symptoms of a poorly adapted pill?
► Bleeding between the rules."The first alert sign of a pill that is not or more suitable, it is intermittent (not abundant) bleeding between the rules, which are called metrorrhagia or spotting.This may suggest that a contraceptive pill must be changed, dosed differently, "said Dr. Cariou.
► Headache."Migraines are also a signal to take into account.If the patient complains of migraines with aura, characterized by generally unilateral and pulsatile head pain, it will be guided rather towards a micro -rogestative pill (which therefore does not contain estrogen) ", she advocates.
► Belly ailment."It is a slightly more difficult sign to interpret as the causes of a stomach ache are varied.Nevertheless, a stomach ache that intervenes during ovulation in the middle of the cycle can mean that the pill is not strong enough and that the ovaries are not sufficiently blocked, "describes our interlocutor.
► Weight gain."Weight gain, often due to an increase in appetite, is frequent with the pills, especially micro -rogestatives.A taking of 3-4 kilos, in particular associated with water retention, must alert and lead to consult, "insists the gynecologist.
► Acne."An acne that intensifies to taking the pill must alert.Be aware that there are pills that reduce skin problems such as Triafemi® and Misolfa®.In general, the patient will be oriented with an acne terrain towards an estroprogestive pill, "said Dr. Cariou.
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► leg pain."This is the most serious sign because it can be evocative of a phlebitis.The typical pain of a phlebitis respects a particular route: going from the posterior/external face of the calf to the foot.A patient who feels this type of pain must consult in an emergency in order to make an echodoppler and stop her contraceptive pill ", alerts our specialist.
"Other signs, which appeared since taking a contraceptive pill, may also indicate that your pill is not suitable as the drop in libido, vaginal dryness (dry mucous membranes), hair loss, disorders ofmood (irritability, lack of enthusiasm...) ", list our interlocutor.To find out if these signs are attributable to the pill, you can test to stop two to three months your pill (but taking care to take another contraception) and see if these symptoms persist despite the stop.
After how long does the body get used to the pill?
The body must adapt to the pill, as with all the treatments."This is why generally, we say that it takes 3 to 6 months of perspective to find out if the pill is suitable or not.Consequently, the first 3 to 6 months, we will not be too worried because the undesirable effects previously mentioned (except the leg pain which constitute an emergency) are frequent.On the other hand, if they persist, we must consult and consider a change of contraception, "warns Dr Cariou.
Pill not dosed enough: what symptom?
"Bleeding out of rules can be a sign of a pill not enough.It must be mentioned to his gynecologist so that he can direct you towards a slightly more dosed pill, "insists the gynecologist.
Pill too dosed: what symptom?
"Breast pain (mastodynia) which are regular and intervene anytime in the cycle, can be the sign of a too dosed pill.These pains are quickly heavy and do not hesitate to consult, "said our specialist.
What to do ?
"We are not necessarily going to reason in terms of dosage, but rather in terms of category of pills, which are classified according to the type of hormones delivered.There are two families of pills: Estroprogestative pills (which contain estrogens and progesterone) and micro -rogestative pills (which only contain progesterone) ", details the gynecologist.In the event of undesirable effects, you must consult your prescribing doctor (gynecologist, midwife...) and tell him about your symptoms.The doctor will then be able to direct you to a progestogy pill if the estroprogestive pill does not suit you and vice versa.If the two families of pills are not suitable, one can go to another type of contraception such as IUDs (copper or hormone diu), the contraceptive implant, why not the vaginal ring."Note that a pill is chosen in relation to personal and family history, at its age and to be a smoker or not.The Estroprogestative pill is not recommended for women over 35 who smoke less than 15 cigarettes per day and prohibited for women over 35 years old who smoke more than 15 cigarettes per day.These are the recommendations of the High Authority for Health, "concludes our expert.
Thank you to Dr Juliette Cariou, gynecologist-obstetrician with Atlantic Health in Saint-Herblain, near Nantes.
