#progesteroneonlypill
All right we are going to talk about progesterone only pills because i’m in the office and i just saw that we have a sample of the newer progesterone on the pill so i thought we would talk about the progesterone only pill the pop you guys probably know this but i’m going to give you a quick primer primer primer because actually many of you don’t know it when you
Take birth control pills traditional combined birth control pills combine hormone contraception and when i say combined pills i typically mean pill patch or ring because as it stands right now the vaginal ring and the and the patch that you put on for birth control are like traditional birth control pills a combination of two hormones estrogen and progesterone the
Estrogen in all of these for the most part is ethanol estradiol there is one new birth control pill with a different estrogen but everything else has ethanol estradiol but in different doses okay so every pill patch ring if there are combined hormones ethanol estradiol different doses potentially progesterone can change from pill to pill to pet to pill to patch to
Patch to ring there are a few different types of progesterones lever nor gestural norgestimate um um what is this one drosperanone those are the ones i can think of bioidentical progesterone there’s another progesterone i’m not thinking of but those are the main progesterones that different companies use in their birth control pills and why well they each kind
Of started by birth control pill companies using specific progesterones that conferred certain properties that were more or less androgenic which is the word for the more what we will consider the more traditionally testosterone-like or male-like um sides effects and symptoms like acne and mood and things like that so the birth control pills kind of create their
More proprietary birth control and this is how they get patents by having a certain dose of the ethanol estradiol and then varying changes to their progesterones and then each company will have different generics and things like that traditionally there has been only one progesterone only pill it was initially called micronor was the brand by the company called
Ortho and it was nora syndrome and it was a very specific dose and its mechanism for causing birth control was really by thickening the cervical mucus to make the sperm harder to get up into the cervix and making it therefore harder for you to get pregnant but it didn’t have properties that would suppress ovulation so even though it’s a systemic hormone meaning you
Take it by mouth absorbs into your stomach through your stomach into your first pass metabolism through your liver and is meant to alter the hormonal situation so that you don’t get pregnant traditional birth control pills will do that by systemically suppressing ovulation same thing with the ring in the patch but the traditional progesterone only pill only state
Changed pregnancy rates by really thickening the cervical mucus and maybe having a side effect on the lining of the uterus but that’s secondarily and not necessarily as effective but it did not effectively stop ovulation why is this important well because it’s not as effective for birth control but also if you are having signs and symptoms of painful periods painful
Ovulation endometriosis or mood changes things that you want to suppress ovulation because you believe it’s that ovulation that’s causing these changes then that traditional progesterone only pill is not necessarily going to help you and in fact some people get a little moodier and because the pregnancy rates aren’t so so amazing on it meaning we would normally
Say 99.7 percent of patients will not get pregnant with perfect use on the regular birth control pill but with a progesterone only pill it can be as low as like 96 won’t get pregnant so it’s not so effective that said it was the only progesterone only pill we had and it was great for those populations that couldn’t take combined hormone contraception for example
We traditionally believe that you can’t be on regular dose pills if you were nursing that’s now found to not really be true if you’re taking a low dose pill maybe any birth control pill that’s combined with any dose it probably won’t affect your milk supply but that’s still controversial i still hear some lactation consultants some doctors some patients say you know
I use the estrogen and it did affect my milk supply data shows it doesn’t patients and and lactation consultants sometimes feel it does conversation to have with your doctor what about if you can’t take the birth control pill because you’re smoking and you’re over 35 which really increases your risk of blood clot heart attack stroke you should not be on a combined
Birth control pill over age 35 with smoking frankly if you’re younger in smoking you should really question you’re allowed to be on it and it’s certainly better than getting pregnant because that will increase your risk of a heart attack stroke or a blood clot as well if you’re smoking but it’s really something to consider because it does increase your risk certain
Patients who for example have very high bmi might be at higher risk and if you have a family history or certainly a personal history of blood clot at early ages especially but any blood clots for example that go to your lungs a pulmonary embolism it’s something to consider as to whether or not you should use estrogen because the estrogen component of the combined
Hormone pill can cause blood clots now they’ve come out with a new one called slind it’s a very strange weird name this is not an advertisement for slim because they’re not paying me to do anything but the beauty is that it is drastine it’s one of those forms of progesterone that we talked about and it’s got 24 active pills for placebos and it’s different than
The other com the other progesterone only pill the other pop because this one actually does systemically suppress ovulation which again will improve a lot of those symptoms that you get maybe moodiness maybe ovarian cysts may be painful periods and it is easier to effectively skip your period the problem with the traditional mini pill we called it the mini pill
Because it was progesterone only was that it was 28 days of the same dose of hormones but because it didn’t suppress ovulation it was harder to purposely skip your period you sometimes might not get a period especially if you’re nursing on the mini pill but if you’re a regular person on the mini pill because it’s not suppressing ovulation it will not reliably stop
You from getting your period again sometimes it causes that but its main mechanism is cervical mucus changes for your sperm so this particular brand will suppress ovulation and you can skip the four placebo pills and skip your period safely those are the two progesterone pills there’s also the progesterone injection called depo-provera that you get every three
Months and there’s a progesterone implant called nexplanon that you get every three years those are only progesterone so those are safe for people who are smoking or safe for people who have had blood clot and heart attack and stroke to a degree that you have to talk to your hematologist because some of the guidelines have changed and even those people who have
Had blood clots who used to safely be able to take progesterone it’s now a little bit on the fence because it may increase the risk of blood clots just in a in the hormonal fashion that the hormones do but those particular forms are great because you have to remember to take them you get a shot once every three months or you get the implant in three years but
The side effects of sometimes irregular bleeding can last longer sometimes weight gain because progesterone can make you hungrier and sometimes mood changes because progesterone can be known to change some of the mood stabilizing features of the birth control pill um and so i can’t say that all of my patients really love the depo-provera shot or the next one but
Worldwide is a wonderful form of birth control because again if you don’t want to be pregnant any of these side effects often is better than pregnancy okay i hope that makes sense bye
Transcribed from video
POP: Progesterone Only Pill By Tribe Called V with Shieva \u0026 Jenny
