Over-the-counter contraceptive pills could be more harmful than good
When 28-year-old Seema Sharma went for her honeymoon last year, she didn’t think it was necessary to take a prescription from her gynaecologist for a birth control pill. “They are so easily available. I thought I’d save myself the ordeal of going through various tests and just get a pill over the counter,” she says. She realised it was bad idea when ten days later, her back, neck and face broke out with acne.
With the birth control pill being so easily available over the counter, a lot of women skip the whole appointment-with-the-gynaecologist routine and get any pill that the drugstore gives them. “This is a very common practice but also a little harmful. Every woman has a different body-type and a different pill suits a different woman,” says Dr Rinku SenGupta, gynaecologist, Sitaram Bhartia Research Institute.
Each brand of birth control pills available over the counter in the market contain different levels of hormones. While most birth control pills contain a combination of estrogen and progestin, some contain progestin but no estrogen. “Because of these differences of hormones in each brand, no two pills are the same. And because no two women have the same system, they can’t take the same pill,” says Dr Raj Bukhari, gynaecologist, Fortis La Femme.
So, while a pill may make one woman’s skin look better, it may make another’s skin break out in a rash. Also, while one pill may eliminate mood-swings and cramping, it may lead to depression, weight gain and high-blood pressure to another user.
“Before we prescribe a pill, we take a lot of tests ranging from hormonal to blood pressure. We also weigh the patient and ask them about their eating habits, exercise routine. It helps us decide which pill will suit them the most,” says Dr Sen-Gupta.
Some women have more male-hormones than female hormones. In this case, they are given a pill which only contains estrogen. “Estrogen helps balance out the hormones in their bodies. If a woman with this condition, goes for a pill that contains progestin and estrogen, her hormonal condition will only get worse,” says Dr Bukhari.
The morning after pill has the same effect as the birth control pill. If taken without prescription, it may also lead to irregular periods, headaches and stomach cramps.
“Women don’t understand that an emergency pill is only to be used in case of an emergency, not everyday. It’s an easy option, but if it’s taken very often it can take a toll on your body,” says Dr Bukhari.