Pill
Munich

Contraception gynecologist Munich

New birth control pill 2021

new pills on the market

As of July 1, 2021, there is a new combined hormonal contraceptive called Drovelis.

In addition to the well-known progestogen drospirenone (3 mg), this also contains estetrol (14.2 mg), a bioidentical estrogen, which is thus a new product.

New mini pill 2021

new pills on the market

Since May 2021, there is a new mini pill called Slinda

This is an estrogen-free pill.

The contraceptive effect is primarily achieved by inhibiting ovulation. An increase in the viscosity of the cervical mucus is among the other effects of drospirenone. In addition, the progestogen has an effect on the endometrium, which becomes thinner as a result.

One advantage is that the risk of thrombosis is much lower than with the classic birth control pills and prevents so-called edema (water retention).

It can also be taken during breastfeeding. One disadvantage is that irregular menstrual periods may occur. However, cycle control improves with increasing duration of use.

PILL WITH NATURAL OESTROGEN

Pearl Index: 0,4

Advantages:

  • short, light periods
  • contains an oestrogen identical to the hormone naturally produced by the body
  • can be taken up to 12 hours later if forgotten

Disadvantages:

  • needs to be taken daily
  • possible decrease in effectiveness due to diarrhoea/vomiting or interaction with other medications

PILL WITH ETHINYLESTRADIOL

Pearl Index: 0,1-0,9

Advantages:

  • usually makes periods lighter and less painful
  • potential additional benefits, e.g. acne
  • regular periods
  • can be taken up to 12 hours later if forgotten

Disadvantages:

  • needs to be taken daily
  • possible decrease in effectiveness due to diarrhoea/vomiting or interaction with other medications

MINI PILL OR PROGESTOGEN-ONLY PILL (POP)

The mini pill’s active ingredient is the progestogen desogestrel. It provides a suitable method of birth control for women who are breastfeeding and can be used by women with risk factors such as obesity, migraines, high blood pressure, nicotine consumption and thrombophilia. The primary issue with this contraceptive is the occurrence of irregular bleeding in about 15-20% of users.

Pearl Index: 0,5-3,0

Advantages:

  • low hormone dose
  • can be taken while breastfeeding

Disadvantages:

  • change in bleeding patterns
  • possible decrease in effectiveness due to diarrhoea/vomiting
  • can only be taken up to 3 hours later if forgotten

© 2022 Dr. Gabriele Anker