When it comes to health, especially regarding contraception, it’s essential to be informed about the medications your partner may be taking. Many people are unaware of the details surrounding birth control pills, particularly combined oral contraceptives (COCs), and why they may not be suitable for everyone. This lack of understanding can sometimes lead to health risks that could be avoided with the right knowledge. In this article, we’ll explore why some people can’t use combined contraceptives and how this information can make a difference in relationships.

What Are Combined Oral Contraceptives?

Combined oral contraceptives, commonly referred to as “the pill,” are a popular method of birth control that contain two hormones: estrogen and progestin. These hormones work together to prevent pregnancy. But that’s not all they do. COCs can also help regulate menstrual cycles, reduce painful periods, and treat certain conditions like endometriosis. While they offer many benefits, they aren’t suitable for everyone. In some cases, taking these pills can lead to serious health issues.

When Should You Avoid Combined Oral Contraceptives?

While combined oral contraceptives are effective for many people, there are specific conditions and lifestyle factors that make their use risky. Understanding these risks is crucial to making informed health decisions.

1. History of Blood Clots: If you have a history of blood clotting disorders, COCs may not be safe. The estrogen in these pills can increase the risk of blood clots, which can lead to severe complications like deep vein thrombosis (DVT) or pulmonary embolism. For people with clotting issues, using COCs can pose serious health risks.
2. Heart-Related Issues: Anyone with a history of heart disease, stroke, or coronary artery disease should avoid taking COCs. The combination of hormones can elevate the risk of cardiovascular events, which can be especially dangerous for those already prone to heart-related conditions.
3. Cancer: If you have or are suspected to have breast cancer, or other hormone-sensitive cancers like those affecting the uterus or cervix, COCs should be avoided. Estrogen can stimulate the growth of these cancers, potentially worsening the condition.
4. Uncontrolled Health Conditions: People with uncontrolled high blood pressure or diabetes should think twice before using combined contraceptives. These pills can increase the risk of heart attack or other cardiovascular problems when these underlying conditions are not well-managed.
5. Migraine with Aura: Individuals who suffer from migraines with aura should not use COCs. Migraines with aura involve sensory disturbances, and estrogen increases the risk of stroke in these individuals.
6. Liver Issues: If you have liver disease or liver tumors, COCs are not a good option. The hormones can exacerbate liver problems and further impact liver function.
7. Lifestyle Factors (Smoking): If you are over 35 and smoke, COCs can significantly increase your risk of cardiovascular issues. Smoking, combined with the use of estrogen, makes COCs a risky option, especially for heavy smokers.

Progestin-Only Contraceptives: A Safer Alternative

For individuals with the above risk factors, progestin-only contraceptives are a safer option. These pills contain only progestin, which reduces the risks associated with estrogen. They are an effective alternative for people who have conditions like high blood pressure, a history of cardiovascular issues, or other contraindications to COCs. Progestin-only pills provide the benefits of birth control without the increased health risks tied to estrogen.

Why It’s Important for Both Partners to Be Aware

Contraception isn’t just an individual responsibility—it’s something that should be understood and discussed by both partners in a relationship. Being informed about the birth control method your partner is using can help ensure that both of you make the best health decisions together. Understanding why a particular method is chosen, or why another is avoided, can improve communication and strengthen the relationship. In some situations, like using an emergency contraceptive pill, knowing when and why to use it can make a big difference in health outcomes.

Conclusion

Choosing the right birth control method is about more than just convenience; it’s about making safe, informed health choices. While combined oral contraceptives are an excellent option for many, they come with risks that should not be ignored. Being aware of these risks shows care and commitment in a relationship, ensuring that both partners make decisions that prioritize health and 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 engaged, informed, and involved in these important health decisions, ensuring both of you make the best choices for your future together.