Side effects of contraceptives and progestagens

Side effects of contraceptives and progestagens

CONDUCT
Amenorrhea


POP check if the woman took the pills correctly (if POP is rare). If a woman uses the contraceptive injection, explain that this effect is relatively common (40% of users in the first year of use) Check for pregnancy. Make / recommend a pelvic examination. If she is> 45-50 years, stop taking and wait for 9 months to see if menses return, meanwhile recommended a non-hormonal methods.
Easy bleeding / spotting Prolonged bleeding / medium
Explained to the patient that is common and not to worry.


If bleeding is prolonged or becomes moderate (> Normal menstruation) recommended pelvic examination to rule out other causes (for instance genital tract disease, cervicitis, cervical polyps, uterine fibroids). Exclude a possible pregnancy.
Prolonged bleeding / heavy
Recommend gynecological exam. Check if you installed anemia (Hb / Ht) and treated with iron.
Pain in the lower abdomen

Make history, physical examination (pulse, BP, temperature) and exclude a possible ectopic pregnancy (where POPs), pelvic inflammatory disease, ovarian cysts - recommended gynecological exam.
Weight gain
Check food intake and exercise. Weight gain> 2 kg-reviewed diet. Change the way if this weight gain is not acceptable to the patient.
Acne


Recommend cleansing your face 2 times a day and avoid oily creams. If the situation is not tolerable, help the client choose another method.
Feeling of tension in the breasts

 Side effects of contraceptives and progestagens
Check for pregnancy. Examine your breasts for lumps or galactorrhea (if patient is not breastfeeding). If physical examination can detect a formation of a suspected cancer, women send in a proper diagnostic service. If not, reassured woman that is just a side effect common and dangerous.
Excessive body hair / hirsutism
Existing states, as hiperpilozitatea, might increase. Make these changes women are not excessive and may improve over time
Depression / low libido
May be caused by CNP. Help women to choose another method if desired.
Nausea and vomiting


Check for pregnancy. If a woman is not pregnant, explain that there is a serious problem and that disappears with time.