Combined hormonal contraception

Combined hormonal contraception
Background
TypeHormonal
First use
  • oral pill - 1960
  • injection – 1960s
  • patch – 2003
  • vaginal ring – 2009
Failure rates (first year)
Perfect use0.3[1]%
Typical use9[1]%
Usage
Reversibilityon discontinuation
User reminders?
Advantages and disadvantages
STI protectionNo
PeriodsTypically regular and lighter
WeightNo evidence of weight gain[1]

Combined hormonal contraception (CHC), or combined birth control, is a form of hormonal contraception which combines both an estrogen and a progestogen in varying formulations.[1][2]

The different types available include the pill, the patch and the vaginal ring, which are all widely available,[3] and an injection, which is available in only some countries.[4] They work by mainly suppressing luteinising hormone (LH) and follicle-stimulating hormone (FSH) and in turn preventing ovulation.[1]

The pill, patch, and vaginal ring are all about 93% effective with typical use.[5] Beneficial health effects include reduced risks of ovarian, endometrial and colorectal cancers. CHC can also provide improved control of some menstrual problems. Adverse effects include a small but higher risk of venous thromboembolism, arterial thromboembolism, breast cancer and cervical cancer.[4][6]

  1. ^ a b c d e "FSRH Clinical Guideline: Combined Hormonal Contraception (January 2019, Amended February 2019) – Faculty of Sexual and Reproductive Healthcare". www.fsrh.org. Retrieved 22 July 2019.
  2. ^ Altshuler, Anna L.; Gaffield, Mary E.; Kiarie, James N. (December 2015). "The WHO's medical eligibility criteria for contraceptive use: 20 years of global guidance". Current Opinion in Obstetrics & Gynecology. 27 (6): 451–459. doi:10.1097/GCO.0000000000000212. ISSN 1040-872X. PMC 5703409. PMID 26390246.
  3. ^ "Combined Hormonal Birth Control: Pill, Patch, and Ring – ACOG". www.acog.org. Retrieved 14 August 2019.
  4. ^ a b WHO | Medical eligibility criteria for contraceptive use (PDF) (5th ed.). Geneva, Switzerland: World Health Organization. 2015. p. 111. ISBN 978-92-4-154915-8. Retrieved 28 July 2019.
  5. ^ "Your birth control choices". Reproductive Health Access Project. Retrieved 2020-08-10.
  6. ^ "FSRH Clinical Guideline: Combined Hormonal Contraception (January 2019, Amended February 2019) – Faculty of Sexual and Reproductive Healthcare". www.fsrh.org. Retrieved 22 July 2019.

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