Birth Control
Many women who have already given birth face the challenge of long-term contraception.Many find daily contraceptive pills or condom use cumbersome, wishing for a long-acting alternative!
A recent Reuters report states that a new implantable female contraceptive device, approved by the U.S. Food and Drug Administration (FDA), is set to enter the market. Once inserted, this device releases synthetic progesterone daily to prevent ovulation, offering up to three years of effective contraception.
While experts are optimistic, the side effects of long-acting contraceptives still deter many women. Indeed, after using the most common long-acting contraceptives currently on the market, many women report experiencing early pregnancy-like symptoms such as nausea and vomiting. Others have experienced allergic reactions, menstrual irregularities, increased vaginal discharge, and elevated blood pressure. These symptoms typically resolve completely once the medication is discontinued.
Chemically, long-acting contraceptives are similar to short-acting ones and can be categorized into estrogen-only, progestin-only, and combined estrogen-progestin formulations. If a woman is sensitive to the side effects of a particular type, she should experience similar side effects with the short-acting version of the same component.It is important to note that because long-acting contraceptives are administered as a single large dose, some accumulation may occur after discontinuation. Therefore, it is generally recommended that women who have not yet given birth avoid using long-acting contraceptives. If pregnancy is desired after taking the medication, it is advisable to wait 3 to 6 months after discontinuation.
Regular medical check-ups are essential during long-acting contraceptive use, including breast examinations, liver function tests, blood pressure monitoring, and Pap smears. Discontinue use if abnormalities are detected. Breastfeeding women should wait at least six months postpartum before starting, while non-breastfeeding women should wait at least six weeks.