When it comes to health and contraception, it’s essential for both partners to be informed about the medications in use. A significant aspect of this is understanding the details of birth control, especially combined oral contraceptives (COCs). Many people might not realize that certain health conditions can make the use of these contraceptives risky. This article explores why some individuals should avoid combined contraceptives and why having this knowledge can improve health choices and strengthen relationships.

What Are Combined Oral Contraceptives?

Combined oral contraceptives, commonly known as “the pill,” contain two hormones—estrogen and progestin. These pills are a popular and effective way to prevent pregnancy, but they also provide several health benefits beyond contraception. For instance, they help regulate menstrual cycles, ease menstrual pain, and can even treat conditions like endometriosis. Despite these benefits, COCs aren’t safe for everyone, and certain health conditions can make their use potentially dangerous.

When Should You Avoid Combined Oral Contraceptives?

Although combined oral contraceptives are suitable for many women, certain medical conditions and lifestyle choices make their use risky. Understanding these risks is critical for making safe health decisions.

• • History of Blood Clots: If someone has a history of blood clotting disorders, COCs are not recommended. Estrogen in these pills can increase the risk of blood clots, which could lead to severe complications like deep vein thrombosis (DVT) or pulmonary embolism. For people with a predisposition to blood clots, using COCs could lead to life-threatening issues.

• Heart-Related Issues: Those with a history of heart disease, stroke, or coronary artery disease should avoid combined oral contraceptives. The hormones in the pill can raise the risk of cardiovascular events, particularly for individuals already prone to such conditions.
• Cancer: Women who have or are suspected to have breast cancer, or other hormone-sensitive cancers like those of the uterus or cervix, should not use COCs. Estrogen can promote the growth of these types of cancers, worsening the condition.
• Uncontrolled Health Conditions: People with uncontrolled high blood pressure or diabetes should be cautious. Combined contraceptives can increase the risk of heart attack and other cardiovascular problems, especially when these underlying health conditions are not well-managed.
• Migraine with Aura: Individuals who suffer from migraines with aura should avoid using COCs. These types of migraines involve sensory disturbances, and adding estrogen into the mix can significantly increase the risk of stroke.
• Liver Issues: People with liver disease or liver tumors should also steer clear of combined contraceptives, as the hormones can exacerbate liver problems and further impact liver function.
• Lifestyle Factors (Smoking): If you’re over 35 and smoke, the risks associated with COCs are even higher. Smoking, especially in older women, increases the likelihood of serious cardiovascular complications when using these contraceptives. Heavy smokers, in particular, should seek alternative birth control methods.

Alternative Options: Progestin-Only Pills

For women who have the risk factors listed above, progestin-only contraceptives could be a safer option. These pills contain only progestin and don’t have the same risks associated with estrogen. They are a better choice for individuals with high blood pressure, a history of cardiovascular disease, or those at risk of blood clots. Progestin-only contraceptives provide effective birth control without the added risks that come with estrogen.

Why Awareness Matters for Both Partners

Understanding the risks and benefits of contraception is important for everyone involved in the relationship. When both partners are aware of the health conditions that can impact contraceptive use, it helps create a more supportive and informed environment. For example, knowing why a partner might avoid certain types of birth control, or being aware of how emergency contraception works, allows for better decision-making during unexpected situations.

A well-informed partner shows love and support by being involved in health decisions. Birth control is not just one person’s responsibility; it’s something that should be discussed and understood by both individuals in a relationship.

Conclusion

Choosing the right birth control method is a shared responsibility that goes beyond just preventing pregnancy—it’s about making informed health decisions together. While combined oral contraceptives are an excellent option for many, they aren’t suitable for everyone due to specific health risks. Understanding these risks can help ensure that the choices you make are safe and effective. By staying informed, both partners can make healthier, more responsible decisions, showing care and commitment to one another’s well-being.

If your partner uses birth control pills, take the time to understand the type of contraception they are using and any health conditions that might affect its safety. A supportive partner is one who is knowledgeable and engaged in these important health discussions, ensuring that both of you make the best decisions for your future.