Combined Vs. Progestogen-only
While unpredictable breakthrough bleeding is a possible side effect for all hormonal contraceptives, it is significantly more common with progestogen-only formulations. Most regimens of COCPs, NuvaRing, and the contraceptive patch incorporate a placebo or break week that causes regular withdrawal bleeding. While women using combined injectable contraceptives may experience amenorrhea (lack of periods), they typically have predictable bleeding comparable to that of women using COCPs.
Although high-quality studies are lacking, it is believed that estrogen-containing contraceptives significantly decrease the quantity of milk in breastfeeding women. Progestogen-only contraceptives are not believed to have this effect. In addition, while in general the progestogen-only pill is less effective than other hormonal contraceptives, the added contraceptive effect of breastfeeding makes it highly effective in breastfeeding women.
While combined contraceptives increase the risk for deep vein thrombosis (DVT - blood clots), progestogen-only contraceptives are not believed to affect DVT formation.
Read more about this topic: Hormonal Contraception
Famous quotes containing the word combined:
“Today we all speak, if not the same tongue, the same universal language. There is no one center, and time has lost its former coherence: East and West, yesterday and tomorrow exist as a confused jumble in each one of us. Different times and different spaces are combined in a here and now that is everywhere at once.”
—Octavio Paz (b. 1914)