Oral contraceptives are pills containing sex hormones in certain doses, the regular use of which eliminates the problem of unwanted pregnancy. There are 2 types of oral contraceptives available: combined oral contraceptives or COCs or mini-pills. COCs contain estrogenic and progestogen components, and only progestogens are present in mini-pills. The appointment of certain drugs is carried out taking into account contraindications. What kind of examination for the selection of contraceptive pills you need to go, what tests you should take – an article on the site estet-portal.com will answer.
Visit to a gynecologist for the selection of oral contraceptives
An obstetrician-gynecologist will help you choose the right oral contraceptives. At the appointment, the doctor will ask a number of mandatory questions, the answers to which will help him decide on the choice of pills, and whether they should be prescribed:
• Are you sure you're not pregnant?
• How old are you (over or under 35);
• What is your blood pressure (the fact that the pressure has repeatedly risen above 140/90 in the past should alert);
• Is your baby breastfed?;
• Do you have chronic diseases of the cardiovascular system?
• Have you had a heart attack in the past? strokes or acute thromboses?
• Have you or any of your relatives suffered from breast, uterine or ovarian cancer?
• Have you had jaundice, an infection or a liver tumor?
• Do you have problems with your gallbladder (stones, cholecystitis)?
• How often do you have severe headaches, especially migraines?
• Are you constantly taking anticonvulsants?
• Are you currently on rifampicin or griseofulvin?
• Have you had jaundice, an infection or a liver tumor?
• Do you have problems with your gallbladder (stones, cholecystitis)?• How often do you have severe headaches, especially migraines?
• Are you constantly taking anticonvulsants?• Are you currently on rifampicin or griseofulvin?Have you or any of your relatives suffered from breast, uterine or ovarian cancer?
• Have you had jaundice, an infection or a liver tumor?
• Do you have problems with your gallbladder (stones, cholecystitis)?• How often do you have severe headaches, especially migraines?
• Are you constantly taking anticonvulsants?• Are you currently on rifampicin or griseofulvin?
nbsp;Do you have problems with your gallbladder (stones, cholecystitis)?
• How often do you have severe headaches, especially migraines?
• Are you constantly taking anticonvulsants?
nbsp;Do you have problems with your gallbladder (stones, cholecystitis)?• How often do you have severe headaches, especially migraines?• Are you constantly taking anticonvulsants?
• Are you currently on rifampicin or griseofulvin?
If all the answers received are negative, the gynecologist will recommend one or another oral contraceptive from the COC category without fear.
In the countries of the former USSR, when a woman first visits a gynecological appointment, the doctor is obliged to conduct a gynecological examination (examination in the mirrors and bimanual palpation), take smears for microflora and cytology. The selection of oral contraceptives does not require such manipulations, but their implementation will help to identify hidden infections (thrush, bacterial vaginosis) or pathology of the internal genital organs.
In the selection of contraceptives, it is necessary to take into account the rule: contraception should be easily accessible.
It is not necessary to create difficulties for the patient (the appointment of an additional and expensive examination), if she just does not want to become pregnant at the present time. Removing an unwanted pregnancy will cost a woman much more both financially and physically (health) in terms of.
A number of standard tests that the patient may have to take are divided into 3 groups: 
• Smear sampling from the cervix for cytological examination – B;
• colposcopy – B;• Standard laboratory tests (blood chemistry, blood clotting) – C;
• hemoglobin level in blood serum – C;• tests for latent sexually transmitted infections (chlamydia, ureaplasmosis and others) – C;
• donating blood for HIV infection, hepatitis – C;
• calculation of body mass index – B.
Oral contraceptives: is it necessary to study hormones Many women believe that individual selection of oral contraceptives requires a study of hormonal status. With regard to the content of hormones in the body, talk about the hormonal status (from a medical point of view) – blunder. The content of hormones, including sex hormones, varies daily and even hourly depending on many factors: a person is hungry or full, is at rest or physical activity, is sick with an infectious disease or is healthy, and so on. The doctor will order a hormonal test in case of obvious hormonal problems: irregular periods, excessive hair growth, acne, heavy menstrual flow. The purpose of hormone testing is not "individual"; selection of birth control pills, and to identify hormonal pathology. The explanation is simple – with the start of taking oral contraceptives, the disease will be masked by regular menstrual-like bleeding, but will continue to progress. Consultation of other specialists in the selection of oral contraceptives The gynecologist should appoint consultations of other specialists (therapist, endocrinologist, phlebologist, mammologist and others) if he considers that taking contraceptive pills is contraindicated for this patient or should be prescribed with caution. That is, examination by other narrow specialists is carried out only according to indications. The same applies to the passage of a gynecological ultrasound. This does not apply to the mandatory criteria for prescribing oral contraceptives, but it is necessary if any alarming symptoms are detected during a gynecological examination (pain and pastosity in the area of the appendages, an increase in the uterus, palpation of nodes and volumetric formations). Read also: New era of contraception: transdermal patches
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