Contraceptives Awareness Month: Week 2 – More than Birth Control

Non-contraceptive benefits of oral contraception

Oral contraception is a reliable method of preventing unwanted pregnancies. However, there is more to oral contraception than controlling the world’s population.

In this article, we share 4 ways oral contraception can play a bigger role than just birth control

  • Skin improvement
  • Reduced mood symptoms & breast tenderness in women with Premenstrual Dysphoric Disorder
  • Reduced bloated feeling
  • Improved period regularity and reduced spot bleeding

1. Skin improvement

Many contraceptive pills work in the prevention and treatment of acne, of the various brands, you may have heard of Yaz which is one of the three pills approved by the FDA.

By prevention of hormonal fluctuations, contraceptive pills can control androgen hormones and prevent too overproduction of testosterone. Testosterone can increase sebum production that clogs up pores and lead to acne formation. Where uncontrolled and inflammation prolongs, the condition can become more serious and lead to cystic acne formation.

For more severe cases, antibiotics and retinoids may be prescribed by your doctor. However, contraceptive pills have been used alone for simple to moderate cases with good effect.

2. Premenstrual Dysphoric Disorder

Premenstrual dysphoric disorder (PMDD) is similar to premenstrual syndrome (PMS) but more serious, leading to severe irritability, depression, or anxiety. This can happen in the week or two before your period starts. Symptoms usually go away two to three days after your period starts.

Select serotonergic antidepressants are first-line treatments but there have been studies to show that drospirenone is effective in treating the mood, physical and behavioral symptoms of PMDD and symptoms specifically associated with food, water retention and negative interpersonal relationships.

While the results showed that the drospirenone combination pill reduced impairments in productivity and social functioning in women with PMDD, there was insufficient evidence of benefit for those with PMS, so it is important to distinguish the difference between the two.

3. Bloatedness

It is true that many women notice less bloating and weight gain during their period after starting Yaz. Drospirenone/ethinyl estradiol birth control like Yaz can also manage period pain, reducing bloatedness, cramping and muscular discomfort.

Not all birth control pills can prevent bloatedness, some contraceptives can even lead to bloatedness. Check with your physician to find out more.

4. Improved period regularity and period pain

The average cycle takes place over the course of 28 days, of which most of the cramps occur from day 1-5.

Low-dose estrogen/progestin combined oral contraceptives have been shown to reduce the severity of period cramps. This is ofen provided as a 28-day cyclic regimen of ethinylestradiol/drospirenone. However a study in Japan showed that a flexible regimen (28-120 days) was more beneficial in reducing pain from dysmenorrhoea and that women were more likely to be satisfied when on the flexible regimen.

Period cycles can also be regulated through continuous or extended use of oral contraceptives. This provides number of advantages to women, including fewer menstrual-related syndromes and reduced absenteeism from work or school.

For women whose goal is to reduce but not necessarily to eliminate monthly bleeding, the cyclic use of estrogen-progestin contraception is suggested.

For women whose goal is to stop period altogether, depot injections, continuous oral contraceptives, and the levonorgestrel intrauterine device (such as Mirena) are all effective.

It is however important to note that bleeding is common during the first three months of OCP use. It is important to adhere to your prescribed regime before switching oral contraceptive medications. Speak to your doctor if you are not sure about your current regime.

Contraceptives Awareness Month: Week 1 – Weight Gain, is it true?

How does the pill cause weight gain?

When birth control pills were sold in the early 1960s, they contained high levels of estrogen and progestin. Current birth control pills have much lower amounts of hormones.

If there is weight gain, it is because of

  • fluid retention
  • increase in muscle tissue
  • increase in body fat

Modern Research

Most contraceptives still contain some levels of estrogen and it can potentially cause weight gain due to increased appetite and fluid retention. However, modern contraceptives often result in weight gain mainly due to fluid retention, not extra fat. Most of the available studies did not have enough participants and were not well-designed to be able to provide a definite answer.

In a review of about 45 studies, no link was found between hormone dosage and weight gain. If hormones really did influence weight gain, then higher doses would correlate with more weight gain. Such a link was not established. But this doesn’t rule out the possibility that individual women could in fact gain weight.

Handling weight gain

  • Continue contraception – Any weight gain occurring after beginning birth control (first few weeks/months) is typically due to water retention. It isn’t actual fat gain.
  • Eat healthy – If you find yourself eating more than usual, you may monitor your daily calorie consumption. Doing so can help you maintain your current weight or lose some weight if it is what you desire.
  • Change your routine – If you find yourself exercising less and living a sedentary lifestyle, it may be the main contributor if you weight gain. Sitting for large segments of your day can lead to weight gain, among other side effects.
  • Weigh yourself – There is possibility that you might have perceived this weight gain because you knew of this possible side effect but not actually having gained weight. This is called the nocebo effect and has been observed in certain studies.

It’s possible that you will experience a slight increase in weight immediately after beginning birth control. This is temporary. Speak with your doctor if you are concerned that your weight gain may be related to birth control. All birth control pills are different, so it’s possible your doctor can find one that doesn’t affect your appetite or your weight.

World Contraceptive Day 26 Sep 2019

World Contraception Day takes place on September 26th every year. The annual worldwide campaign centers around a vision where every pregnancy is wanted.

For both members and non-members, do note that the consultation will be waived from 26th September to 26th October in order to support ease of obtaining contraceptives from the comfort of your home. After the consultation, select ‘WCD delivery’. 

Do note that you need to be between 21-55 years of age. We will need to check on your cervical cancer screening schedule before prescribing the medications.

Check out articles from our Contraceptive Awareness Month here and learn about the benefits and risks as well as how to handle side effects from contraceptives.

For EasyCare members, please contact your care coordinator, if you already have an existing prescription from iDOC Clinic, you do not need to see a doctor for refill till your next appointment date.

Call our doctor using your browser. 

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Be sure to select ‘WCD Delivery’ after the consultation. 

Find out more about our EasyCare Pill Club. 

Care Coordinator Support for:

  • medication refills for the pill
  • billing, delivery, appointments
  • any enquiries regarding the pill

Protect yourself from the haze

Take the following steps to protect yourself from the haze in Singapore:

  • Avoid strenuous activities outdoors
  • Stay indoors as much as possible.
  • Roll up your car windows when driving
  • Use an air-conditioner if possble. Air purifiers are also helpful.
  • Drink plenty of water.
  • N95 respirators/masks can provide adequate protection. However, it may not be needed if outdoor exposure is very limited (<5 mins)

Please take note that normal surgical/face masks are not sufficient.