Who Do You Turn To For Information On Contraceptives?

2 out of 3 women (63%) who use the internet, research contraceptives and birth control options on line. In January of this year, comScore Inc. a leader in measuring the digital world, released results from a study that looked at how women choose their method of contraception, what their opinion is of alternative contraceptive methods and whether the information they gather from their ‘net’ research influences their actual ‘practising’ methods of contraception.

921 women were surveyed (ages 18-44) who had been heterosexually active over the past 6 months and had used a form of prescription or over-the-counter birth control.

• 82% of the women surveyed consulted their doctor, pharmacist or health care worker about contraceptive options
• 60% researched on the internet and web sites
• 51% consulted friends, family and ’significant others’

“Traditionally, women have relied on friends, family or a significant other for health-related information, including sexual health and contraception,” said Carolina Petrini, comScore senior vice president. “But today, with the influx of newer-generation birth control methods and non-traditional pill regimens, more and more women are turning to the Internet to sort through the clutter and organize their findings. As is true in many other areas of healthcare, the consumer has become much more proactive. She wants to be informed of all of her choices, and she is relying on the Internet for answers.”

35% of the women surveyed had already used birth control related ‘user generated content’ from blogs, forums and chat rooms, while 42% said they were open to the idea.

Factors that influence a woman’s choice of contraceptive

Not surprisingly, the main factor was EFFECTIVENESS although only 9% gave ineffectiveness as a reason for not choosing specific types.

The main reasons for NOT choosing a specific type of contraceptive were:

• perceived SIDE EFFECTS (45%)
• INCONVENIENCE (42%)

These perceptions about side effects and inconvenience varied according to the type of contraceptive eg. some women said they would not consider switching to the birth control pill, hormonal injections, patches and implants because of perceived side effects. Vaginal rings and diaphragms were perceived to be the most inconvenient or difficult to use form of contraceptive.

Source:http://www.comscore.com To read report on this survey CLICK HERE

Further information on Alesse, Mircette and other oral contraceptives.

Contraceptive Pill Types Explained

This is an introductory explanation of the different types of oral contraceptive pills that may help you to finally select the one that is best for your body. 50 years on, we have discovered that the oral contraceptive pill for women still prevents pregnancy if it is made up of much lower doses of estrogen and progestin than in the early days. ‘The Pill’ used to contain 50-100 micrograms of estrogen and today it contains only 20-35 micrograms, with researchers trying to reduce this amount further to reduce side effects. Synthetic hormones (estrogen/ethinyl estradiol and progestin) used in contraceptive pills mimic the natural hormones (oestrogen and progesterone) produced by the ovaries, adrenal gland and liver.

Estrogen’s main job in the contraceptive pill is to prevent ovulation (release of an egg from a woman’s ovary). Progestin in the pill, while it does have some intermittent effect on ovulation (about 50% of the time) is relied on mainly to thicken the mucus around the cervix to stop sperm from getting through to an egg.

Contraceptive Pills come in two basic types: single hormone pills (progestin only) and combination hormone pills (estrogen + progestin) Pills are supplied in two basic packs- 28 day pill packs= 3 weeks of active hormone pills +1 week placebo pills and 21 day pill packs= 3 weeks of active hormone pills with no placebo pills.

PROGESTIN only pills (the ‘mini pill’) do not contain estrogen and only have a small amount of progestin in them. Breastfeeding women are often prescribed these ‘mini pills’ (estrogen may cause a reduction in milk supply) as well as women who cannot take synthetic estrogen for medical reasons. Side effects are less than pills containing estrogen and they are not associated with heart disease, however, irregular bleeding /spotting/mood swings may occur. Progestin only pills MUST be taken at the same time each day and are affected by vomiting or diarrhoea. This type of contraceptive pill is not affected by antibiotics.

COMBINATION PILLS- contain estrogen and progestin and can be further categorized as being Monophasic, Biphasic or Triphasic- so what do these terms mean? Pills are put into these categories according to whether or not the levels of hormones they contain stay the same throughout the first three weeks of a woman’s menstrual cycle (in 28 day pill packs, the pills for the fourth week in the pack are placebo or ‘reminder pills’ that are inactive and do not contain any hormones)

MONOPHASIC Pill- is one that contains the same amount of hormones in every ACTIVE pill so you are less likely to have mood swings as your hormone levels do not vary much throughout the month. Popular monophasic pills include:Alesse, Brevicon, Desogen, Levlen, Levlite, Loestrin, Modicon, Nelova, Nordette, Norinyl, Ortho-Cept, Ortho Cyclen, Ortho-Novum, Ovcon, Yasmin. In 2003 the FDA approved a new packaging of a monophasic contraceptive pill called Seasonale. This pill is taken for 91 days, during which no periods occur -so in one year, women taking this pill will only have 4 periods (for the first year though, expect the same no. of menstrual days as with a traditional contraceptive pill till your body adjusts)

BIPHASIC Pill- is one that contains different amounts of hormones throughout the pack. These pills alter your hormone levels once during your cycle by increasing the dosage of progestin about halfway through your cycle and are thought to better match your body’s natural production of hormones- they contain smaller doses of hormones in total than monophasic pills. However, insufficient evidence has been gathered to favour these pills over monophasic ones, where much more reliable data is available so monphasic pills are preferred. Breakthrough bleeding has been reported as a side effect with these pills. Popular biphasic pills include : Jenest, Mircette, Necon 10/11, Nelova 10/11, Ortho-Novum 10/11. Attempts to decrease side effects led to the three-phase pill in the 1980s.

TRIPHASE Pill- is one that contains 3 different amounts of hormones in the ACTIVE pills over three weeks, i.e. a change in hormone levels within the body occurs every 7 days for the first 3 weeks.. The dose of estrogen is gradually increased and in some pills, the dose of progestin is also increased. Whether three-phase pills lead to fewer pregnancies than two-phase pills is unknown. Nor is it known if the pills give better cycle control or have fewer side effects. Look for the ‘TRI’ on the label such as: Ortho Tri-Cyclen, Triphasil, Tri-Levlen, Trivora, Tri-Norinyl, Cyclessa, Ortho-Novum 7/7/7.

The Best Pill to Take? All contraceptive pills are effective if taken correctly, with combination pills (containing estrogen and progestin) being more effective than the low dose ‘mini pill’. Monophasic pills may be the best to start with- they are cheaper and those with lower amounts of estrogen may have fewer side effects (but more breakthrough bleeding)

Always use back up (a condom or diaphragm) for the rest of the month if you miss a pill. Trial and error, side effects and talking to your doctor should help you to find a contraceptive pill that suits your body. Pregnancies occur mainly when women forget to take a pill or take them incorrectly, vomit, get diarrhoea or, in the case of the mini pill, do not take pills at the same time each day. It is very easy to start a pill packet late if you just forget or if you don’t have the next new packet on hand. The most dangerous time to miss a pill is at the end or beginning of a packet because it lengthens the pill free interval beyond seven days which means that you may not have absorbed sufficient synthetic hormones to prevent you from ovulating in the next month.