Unfortunately, things are different with women who suffer from chronic diseases. The list of diseases that require careful evaluation in the choice of contraception is long enough. The most common chronic diseases that women face include hypertension, diabetes and metabolic disorders. What are the recommended methods of contraception? About how to protect themselves during sex with various diseases, and will be discussed below.
Hypertension
For women with hypertension, the most safe tablets containing only estrogen are. An alternative is intrauterine spirals. Why? As follows from observations, estrogen in preparations minimally increases arterial pressure. Although these values are small (several mm Hg), which is not important for healthy people, in the case of hypertension, even a slight "jump" may pose a health risk.
First of all there is a threat of a stroke and a heart attack. When taking contraceptives, it increases several times! Today, more and more doctors insist that in the case of increased blood pressure, hormonal contraception should not be used at all. Now new methods of binary contraception are being developed. Consumption of such drugs does not violate the stable level of blood pressure.
To check if you are in a risk zone, you need to measure your blood pressure three times a day. In addition, visit your doctor at least once a month. If after half a year you will not be delivered a depressing diagnosis, then you can protect yourself during sex with regular hormonal pills.
Diabetes
Preparations containing estrogen and progestin also represent a risk for diabetics, as they cause an increase in glucose and insulin levels in the blood. Only use low-dose tablets with 20 mcg. permissible, but under the constant supervision of a doctor (once a month). And only for those women who suffer from diabetes, but they are not more than 20 years old and they do not have other diseases and blood vessels are smooth, it is possible to take regular contraceptives. .
High cholesterol
New drugs containing gestagen along with natural estrogen (estradiol valerate), opened the possibility of using oral contraception in various diseases, including with increased levels of cholesterol in the blood. These tablets work even as a medicine - improve the parameters of fats in the blood. All other pills consist of ethinyl estradiol, which increases the level of "bad" cholesterol and reduces the level of "good".
Excess weight
The standard hormone tablet is designed for a woman weighing 50-70 kg. For women who have more weight, conventional birth control products may not be 100% effective because of too low a dose of estrogen and a progestin per kilogram of weight. For these women, the intrauterine device will be more effective. Local methods do not depend on body weight and metabolism.
Who should not take hormonal drugs
Serious digestive disorders, such as gallstones, stomach and duodenal ulcers, can worsen under the influence of tablets. In this case, they are recommended other methods of protection during sex. For example, hormonal injections, spirals, condoms.
With such diseases as epilepsy and dysfunction of the thyroid gland there are no restrictions in taking hormones, because they do not affect the exacerbation of the disease.
In women with ischemic heart disease, thromboembolism (after orthopedic surgery), atherosclerosis, heart failure, or cerebrovascular diseases, taking pills with estrogen is dangerous. This can speed up the pathological changes in the walls of the blood vessels. The use of estrogen can aggravate migraines, as it narrows the blood vessels of the brain: even a stroke can result. So women in the risk zone are recommended drugs containing only gestagen.
Contraindications to hormonal contraception are obtained absolutely by all women suffering from hepatitis C, as hormones - regardless of their nature - always give a load on the damaged organ. To be protected in case of liver diseases it is recommended to use barrier methods, such as a vaginal ring and a condom.