Monday 9 May 2011

Are oral contraceptives safe?

In Singapore fewer women use oral contraceptives than in western countries. They are usually concerned about putting on weight and acne changes. Although the newer oral contraceptives (OC) seems to address this problem, new studies  show that the older generation of OCs may be safer than the newer generation ones in terms of more serious side effects!. The older generation OCs would be microgynon 30 which contains levonorgestrol while the newer third generation OCs such as mercilon and yasmin contain desogestrol and drospienone respectively as the progesterone component of the OCs. Recent studies show that the risk of non fatal thromboembolism ( blood clots in the legs..sometimes known as the 'economy class syndrome' ) is double that of the older generation OCs! The overall risk of thromboembolism however is very low.

In the light of these studies, it may be prudent to take the older generation OCs as first line if this is the choice of contraception.
http://www.bmj.com/content/342/bmj.d2151

http://www.bmj.com/content/342/bmj.d2139

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