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There are women who stop taking a period while in reproductive age if they use certain contraceptive methods. Sometimes this is the right choice, sometimes a medical recommendation, and sometimes it happens. But does she have any health consequences?

During the normal menstrual cycle (on average 28 days), the estrogen hormone level increases and the uterus becomes thicker, preparing for feeding the fertilized egg if it is the case.

If there is no pregnancy, the egg will dissolve together with the thickened uterine mucosa and the so-called natural menstruation

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Why are there women who have no rule?

When a woman uses hormonal contraceptives, she stops ovulation, and bleeding may disappear if hormone supply is not interrupted.

So this is a fake, artificial bleeding that Mayo clinic defines as bleeding in deprivation.

– Most of the contraceptive methods can stop menstrual bleeding, but we often do not know if this will happen, "said BBC Mundo Dr. Savita Brito-Mutunayagam, a specialist in sexual and reproductive health and a member of the Royal College of Gynecology and Gynecology in the UK.

These methods include the IUD (intrauterine device) with hormone levonorgestrel, subcutaneous hormone injection, subcutaneous implant, simple pill (containing only progesterone), and sometimes combined pills (with estrogen and progesterone).

IUD is usually one of the best methods reduce bleeding and / or stop it, says Dr. Savita. And also, it is one of the safest, says expert and confirms the NHS and Mayo Clinic.

The argument is that the hormonal supply is local (goes directly to the reproductive system, without passing through the blood) and is also very effective.

Some women themselves decide to try contraceptive methods that can reduce bleeding, delay it, or completely stop it to avoid associated symptoms with menstruation: abdominal pain, mood swings, migraine, endometriosis and anemia, among others.

Occasionally, contraceptive supplies that reduce bleeding are to a doctor's prescriptionwith the intention of reducing the symptoms of endometriosis, anemia, colic, migraine or menorrhagia (uterine bleeding).

And sometimes the absence of bleeding happens without intent, simply because, Dr. Savita explains, a pattern of bleeding in women using hormonal contraceptive methods is not known just after a few months, and the disappearance of bleeding is one of the possible effects.

Side effects?

But then, should the woman be worry if you do not bleed at the end of the menstrual cycle for taking hormones?

"From a clinical point of view." That's totally safe. It will not have any side effects, and sometimes, like some IUDs, it is also recommended for endometriosis, because the estrogen contained makes endometrial alignment much finer, "says Dr. Savita, thus avoiding uterine tissue growth in other parts reproductive system.

The NHS has just updated its recommendations on the use of hormonal contraceptives. In his new guide, he assures him that he does not no health benefits in pause seven day contraceptive pill.

Actually, as Dr. Savita told BBC Mundo, NHS says that continuous use of oral contraceptives It is associated with decreasing the chance of endometrial, ovarian and colorectal illness, as well as improving the symptoms of polycystic ovary syndrome and helping to mitigate endometriosis and premenstrual syndrome.

But there are sectors within the healthcare industry that have reservations about the continued supply of hormones.

Naturopathic Vision

Aliya Spring-Charles, President of the General Council and Registry of Natural Patents of the United Kingdom and British Naturopathic Association, says that Using hormones always involves the risks to women's healthAnd taking them inevitably increases those risks.

"The excess hormone has a great effect on the liver, it is exhaled from valuable minerals, increases cardiovascular risk and increases the risk of breast cancer," he told BBC World.

It also emphasizes that hormonal contraceptive methods, especially pills, include weight gain, mood swings and hormonal imbalances that can lead to more serious problems.

Spring-Charles emphasizes that fertile women are only three to five months old and that, despite this small window of conception, women decide to take hormones every day for long periods of their lives.

Therefore, like other naturopaths, it supports natural methods of fertility control such as condoms, diaphragms or body temperature control, for example.

Dr. Savita recognizes some of them side effects that hormonal contraceptive treatments may havesuch as swelling, fluid retention, or reduced sexual appetite. But they are directly related to the use of hormones in general, not with loss of bleeding.

And fertility?

Another question that may arise is that if we do not have a rule, we will stop being fruitful. Technically, because by the method of contraception we avoid pregnancy, but it is very different from the concept of fertility, says Dr. Savita.

"Sometimes I noticed some women worry about it, but I think this is a cultural question (…) There is absolutely nothing There is no evidence that stopping the period affects fertilityIn fact, a minute after you pull the IUD, you can get pregnant right away.

But it also depends on the method of contraception taken by the woman.

Savita recognizes this the time a woman has taken to become pregnant Following the use of hormonal contraceptives, it differs from woman to woman and, in cases of subcutaneous injection, "achieving normal fertility rates by their age may be postponed up to one year."

Difficulties in pregnancy are also important for spring-Charles.

"Another problem after taking hormones so many years is when women want to get pregnant, they may have difficulty and some even need specific hormone therapy to help them. "

In any case, it is always necessary to consult with your physician to find out which method is most appropriate.

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