Oral contraceptive pills (OCPs), also known as birth control pills, are medications taken by mouth for the purpose of birth control. The introduction of the birth control pill ("the pill") in 1960 revolutionized the options for contraception, sparking vibrant discussion in the scientific and social science literature and the media. Much attention focused on issues of women's rights, including ethics and personal choice. But these medications also introduced new questions about risk.[1]
Two types of female oral contraceptive pills, taken once per day, are widely available:
For perfect use (regular use according to the prescriber's instructions), it is 99% effective. For typical use, it is 91% effective, primarily due to non-adherence with the recommended daily dosing regimen. Side effects of the pill may include headache, dizziness, nausea, sore breasts, mood changes, acne (though it may also help reduce acne, along with certain types of cancer and other sources of medical risk), and bloating.
One pill offers the benefit of only having to be taken once a week:
Emergency contraception pills ("morning after pills") are taken at the time of intercourse, or within a few days afterwards:
Breast cancer: studies show a higher risk of breast cancer among active users of hormonal contraceptives (especially oral contraceptive pills) compared to non-users.[2][3] This study also specifically mentioned that it is the estrogen that plays the role regarding the development of breast cancer, while the role for progestin is still unclear.[2]
Stroke: stroke is considered another side-effect for hormonal contraceptives and more importantly oral contraceptives, more importantly in the first year of use.[4]
うつ病:経口避妊薬の使用はうつ病のリスク増加と関連していることが証拠によって示されています。[ 5 ]継続使用によりリスクは低下しますが、経口避妊薬の使用経験者と非使用者ともに、うつ病のリスクは依然として高いです。[ 6 ]