#11 Anticoncepcionais de forma contínua | Como tomar

Roi!! If you've been following me like a soap opera, you already know that this week's video is about continuous contraceptive use, without a break. Can you use a pill pack or not? If you're just arriving here, I'm Juliana Rizzo, Obstetrician and Gynecologist. And you're in General Gynecology. Click the bell and subscribe to the channel! Girls, this video will be short compared to our video collection so far, but it's a video that answers one of the most frequently asked questions in my office: Can I use a pill pack? Can I skip my period? Is it bad to skip my period? And the answer is: It's not! Yes! You can use your contraceptive continuously. The break between packs has only one function: To mimic the normal menstrual cycle. When I suggest a contraceptive method to a patient that doesn't seem to significantly change the natural cycles they already had, it creates much greater acceptability. I'm sure you've heard someone say: "Oh, not having a period is bad"; "Wow, but where does that blood go? Doesn't it go to my head?" Girls, when I have amenorrhea, which is the absence of a scheduled period, for example. I'm inducing this absence of a period with a pill or a hormonal IUD, it doesn't cause any harm. The blood that would be a period isn't even produced. The problem is when you're a young woman and "OUT OF NOWHERE" your period stops. Excluding the possibility that you're pregnant, there's probably something wrong. Another thing, can I continue with any pack? Can any contraceptive pill be taken continuously? Yes, anyone can. However... There are pills designed for this purpose. The pills designed for continuous use have a combination of hormones in a specific dose that causes very little breakthrough bleeding compared to other pills. In other words, if you're using your regular birth control pill, it's not designed for this. If you take two or three packs at a time, you're very likely to start experiencing breakthrough bleeding even outside the break period. Anyway... The pills designed for continuous use are currently available in Brazil. One has an amenorrhea rate (absence of menstruation) of 81%. Around the sixth month of use, and the other 64% also in the sixth month of use, that is, even the pills that are designed to be taken in a continuous cycle don't leave 100% of women bleeding-free. You still experience spotting in this considerable percentage. Best treatment for spotting in continuous or extended regimens You've probably seen pills marketed as saying: "Take 120 pills and then take a four-day break..." The best way to treat this bleeding [is] by taking a break. If I'm on my third or fourth pack and I start experiencing spotting, a three- or four-day break causes the bleeding to come down quickly and we kind of "reset" the endometrium and start all over again, right? Always seek guidance from your gynecologist regarding the pill you are going to use, how long you should take the break, and how often you can take it. In cases where I'm experiencing heavy spotting, I took a break now for 12 days, and then I'll take another one... There's a risk that the contraceptive pill will lose its effectiveness. In short, don't use any contraceptive pill without your doctor's guidance, and also when choosing to take breaks, don't take them without your gynecologist's. One last thing... [WITHOUT YOUR GYNECOLOGIST'S GUIDANCE...] One last thing that's important to emphasize is that using the contraceptive pill without the break doesn't increase the incidence of side effects. "It is": Nausea; Vomiting; headaches; or thromboembolic events, thrombosis. Which is what the patient fears most, although it's not a common side effect of the pill, they aren't increased in this regimen. Okay!? So if you want to go without your period, you can! This video ends here, but we can continue the topic here in the comments answering your questions. Kisses, "Thanks"!