Types, Benefits, and Risks of Birth Control with Estrogen – A Guide to Understanding the Pill and IUD Options

Types of Birth Control that Contain Estrogen

Birth control methods that contain estrogen are commonly used by women to prevent pregnancy. Estrogen, a hormone found in the female body, plays a key role in regulating the menstrual cycle and fertility. There are several types of birth control that contain estrogen, including:

• Combined Oral Contraceptives (Birth Control Pills): These are pills that contain both estrogen and progestin hormones. They are taken daily to prevent ovulation and thin the uterine lining.
• Contraceptive Patch: This is a small patch that is applied to the skin and releases estrogen and progestin hormones into the body.
• Vaginal Ring: This is a flexible ring that is inserted into the vagina, releasing estrogen and progestin hormones.

These methods work by preventing ovulation, thickening cervical mucus to prevent sperm from reaching the egg, and thinning the uterine lining to prevent implantation of a fertilized egg.

According to the Centers for Disease Control and Prevention (CDC), birth control pills are the most commonly used method of contraception among women aged 15-49, with around 12.6% of women choosing this method.

Benefits and Risks of Birth Control with Estrogen

Benefits:

Birth control containing estrogen offers several benefits to women who use it:

• Regulates Menstrual Cycle: Estrogen in birth control pills helps regulate the menstrual cycle, making periods more predictable.
• Reduced Menstrual Cramps: Estrogen can help alleviate menstrual cramps and reduce the flow of blood during periods.
• Improved Acne: Some women may experience clearer skin due to the effects of estrogen on sebum production.
• Protection Against Ovarian Cysts: Birth control with estrogen can reduce the risk of developing ovarian cysts.

Risks:

While birth control with estrogen has numerous benefits, it also comes with potential risks that women should be aware of:

• Increased Risk of Blood Clots: Estrogen can contribute to an increased risk of blood clots, especially in women who smoke or have other risk factors.
• Higher Risk of Stroke and Heart Attack: Women using birth control with estrogen have a slightly higher risk of stroke and heart attack compared to non-users.
• Changes in Mood: Some women may experience mood swings or changes in mood while taking birth control containing estrogen.
• Weight Gain: While not a common side effect, some women may experience weight gain while using estrogen-based birth control.

It is essential for women to discuss the benefits and risks of birth control with estrogen with their healthcare provider to make an informed decision based on their individual health needs.

Comparison between IUD and Birth Control Pills

When considering birth control options, many women weigh the pros and cons of using an intrauterine device (IUD) versus birth control pills. Both methods are effective in preventing pregnancy, but they have distinct differences that may influence your decision.

Here is a comparison between IUDs and birth control pills:

1. Effectiveness

• IUD: IUDs are more than 99% effective in preventing pregnancy, making them one of the most reliable forms of contraception available.
• Birth Control Pills: Birth control pills, when taken correctly, are also highly effective, with a typical failure rate of around 1-9% depending on the type of pill and usage.

2. Convenience

Many women appreciate the convenience of birth control pills, as they only need to be taken once a day at the same time. On the other hand, IUDs require insertion by a healthcare provider but provide long-term protection without the need for daily maintenance.

3. Hormone Levels

Some women prefer the lower hormone levels associated with certain types of IUDs, such as the copper IUD, which is hormone-free. This can be a desirable option for those seeking a non-hormonal form of birth control. Birth control pills contain synthetic hormones, which may affect some women differently.

4. Cost

While the initial cost of an IUD insertion may be higher compared to birth control pills, the long-term cost can be lower since IUDs can provide protection for several years. Birth control pills, on the other hand, need to be purchased regularly, which can add up over time.

5. Side Effects

Both IUDs and birth control pills may cause side effects, but the type and severity can vary. Common side effects of birth control pills include nausea, headaches, and changes in menstrual bleeding, while IUDs may lead to cramping, irregular bleeding, or expulsion in some cases.

Ultimately, the choice between an IUD and birth control pills depends on your individual preferences, lifestyle, and medical history. It’s important to consult with your healthcare provider to determine the best option for you.

Effectiveness of Birth Control Pills with Estrogen

Birth control pills containing estrogen are highly effective at preventing pregnancy when taken correctly. According to the Centers for Disease Control and Prevention (CDC), birth control pills are over 99% effective with perfect use. This means that fewer than 1 out of 100 women will get pregnant each year if they take the pill exactly as directed.

However, it’s important to note that the effectiveness of birth control pills with estrogen can vary depending on how consistently and correctly they are used. With typical use, the effectiveness decreases slightly to around 91%. This means that about 9 out of 100 women may become pregnant in a year while using birth control pills with estrogen, due to missed doses or incorrect usage.

It’s crucial for individuals taking birth control pills with estrogen to follow the instructions provided by their healthcare provider or the pill packaging to maximize effectiveness. Consistency in taking the pill at the same time each day is key to preventing pregnancy.

In addition to preventing pregnancy, birth control pills with estrogen can also offer other benefits such as regulating menstrual cycles, reducing menstrual cramps and acne, and decreasing the risk of certain cancers.

It’s important for individuals considering birth control pills with estrogen to discuss their options with a healthcare provider to determine the most suitable method based on their medical history and lifestyle.

Different Dosages of Estrogen in Birth Control

When it comes to birth control pills containing estrogen, there are various dosages available to suit different needs. The amount of estrogen in these pills can vary, with some pills containing higher doses and others lower doses. It’s essential for individuals to understand the different dosages and how they may impact their bodies.

Low-Dose Estrogen Birth Control

Low-dose estrogen birth control pills typically contain estrogen levels of around 20-30 mcg. These pills are suitable for individuals who may be sensitive to higher estrogen levels or experience side effects when taking higher-dose pills. Low-dose estrogen pills are often recommended for women who are just starting with birth control or are sensitive to hormonal changes.

Medium-Dose Estrogen Birth Control

Medium-dose estrogen birth control pills contain estrogen levels ranging from 30-35 mcg. These pills are commonly prescribed and are effective in preventing pregnancy. Individuals who require a slightly higher estrogen dosage may benefit from medium-dose pills. It’s important to consult with a healthcare provider to determine if this dosage is suitable.

High-Dose Estrogen Birth Control

High-dose estrogen birth control pills contain estrogen levels of 35 mcg or higher. These pills are typically prescribed to individuals who have more severe symptoms related to their menstrual cycle or require higher estrogen levels to effectively prevent pregnancy. However, higher doses of estrogen may also increase the risk of side effects and complications.

Combination Birth Control Pills

Combination birth control pills contain a mix of estrogen and progestin hormones. The estrogen component in these pills plays a crucial role in regulating the menstrual cycle and preventing ovulation. The specific dosage of estrogen in combination pills can vary, depending on the brand and formulation.
It’s important for individuals to discuss their options with a healthcare provider to determine the most suitable dosage of estrogen in birth control pills based on their medical history and individual needs. Finding the right balance of hormones is essential for achieving effective contraception while minimizing potential side effects.
For more information on the different dosages of estrogen in birth control pills, consult reputable sources such as the American College of Obstetricians and Gynecologists (ACOG) or the Centers for Disease Control and Prevention (CDC).
References:
– American College of Obstetricians and Gynecologists. (n.d.). Birth Control Pills: What is the mini pill? Retrieved from [ACOG Mini Pill](https://www.acog.org/womens-health/faqs/birth-control-pills-minipills)
– Centers for Disease Control and Prevention. (2021). Contraception. Retrieved from [CDC Contraception](https://www.cdc.gov/reproductivehealth/contraception/index.htm)

Side Effects of Birth Control Containing Estrogen

While birth control containing estrogen can provide many benefits, there are also potential side effects that users should be aware of. It’s important to understand these side effects before starting any contraceptive medication. Here are some common side effects associated with birth control containing estrogen:

• Nausea: Some women may experience nausea when starting birth control with estrogen. This symptom usually subsides after a few weeks as the body adjusts to the medication.
• Headaches: Headaches can occur as a side effect of estrogen-containing birth control. If headaches become severe or persistent, it is recommended to consult a healthcare provider.
• Weight gain: While not all women experience weight gain on birth control with estrogen, some may notice a slight increase in weight. Maintaining a healthy lifestyle can help manage this side effect.
• Changes in mood: Estrogen can impact mood in some women, leading to mood swings or changes in emotional well-being. It’s important to monitor any significant changes in mood and discuss them with a healthcare provider.
• Breast tenderness: Some women may experience breast tenderness or enlargement while using birth control containing estrogen. This side effect typically resolves on its own.

It’s essential to remember that not all individuals will experience these side effects, and the severity may vary from person to person. If you have concerns about any side effects while using birth control with estrogen, it’s recommended to speak with a healthcare provider for personalized guidance and advice.

Coverage for Birth Control with Estrogen by BCBS

Blue Cross Blue Shield (BCBS) is a leading health insurance provider that offers coverage for a wide range of contraceptive options, including birth control methods that contain estrogen. BCBS plans typically cover birth control pills, patches, and rings that contain estrogen as part of their prescription drug benefits.
Here are some key points to consider regarding coverage for birth control with estrogen by BCBS:

• BCBS plans often include coverage for generic birth control pills with estrogen, such as Ortho Tri-Cyclen, Yaz, or Lo Loestrin Fe.
• Under the Affordable Care Act (ACA), most BCBS plans are required to cover prescription contraceptives without cost-sharing, ensuring that members have access to birth control options without additional out-of-pocket expenses.
• BCBS may also cover other forms of birth control that contain estrogen, such as the birth control patch (like Xulane) or the vaginal ring (like Nuvaring).

According to a survey conducted by the Guttmacher Institute, it was found that approximately 58% of women who use birth control do so for reasons other than preventing pregnancy. Some common non-contraceptive benefits of using birth control with estrogen include managing menstrual irregularities, reducing menstrual cramps, and improving symptoms of premenstrual syndrome (PMS).
Additionally, BCBS plans may offer coverage for birth control with estrogen based on medical necessity, such as using hormonal contraceptives to treat conditions like polycystic ovary syndrome (PCOS) or endometriosis. It is important to consult with your healthcare provider to determine the most suitable birth control option for your individual needs and to ensure that it is covered by your BCBS plan.
In terms of cost, the out-of-pocket expenses for birth control with estrogen can vary depending on factors such as the specific medication prescribed, the dosage, and the pharmacy where it is filled. To obtain accurate information on coverage and costs, it is recommended to contact BCBS directly or check your plan’s prescription drug formulary.
Overall, BCBS strives to provide comprehensive coverage for birth control options that contain estrogen to help individuals make informed decisions about their reproductive health and family planning needs.

Category: Birth control