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Justyna  (Anonymous, 185.149.201.) Warszawa 2 years ago

Can I really take hormonal contraception if I have thyroid disease?

Hello. I have a question about birth control pills. I've been prescribed a medication called Elen and I'm wondering if it's right for me. I suffer from hypothyroidism and Hosimoto. In my family there is a problem with varicose veins. My grandmother was ill and had heart surgery related to veins. I'm afraid that the medication may be unsuitable for me, even though I don't get sick herself. I have a problem with acute pain during my period and acne. Can I really take hormonal contraception?

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Olga Sierpniowska Pharmacist, Editor

2 years ago

I don't find birth control pills called "Elen." Perhaps you are referring to 'Elin'. if so - please read on. Properly treated Hashimoto's disease is not a contraindication to taking contraception. However, the gynecologist should be informed about the endocrine disease - at first it may be advisable to control TSH more often. If estrogen is included in the composition of contraceptive pills, then it can lead to an increase in the concentration of thyroxine-binding protein. This may result in less free hormone and the need to adjust the dose of thyroid hormones - I suppose you are taking them. Sometimes the problem may be the aggravation of mood disorders by contraceptive pills, which can also occur with Hashimoto's. However, side effects may or may not occur. If you do not currently have varicose veins, nor are you after thrombosis, but there have been problems with the veins in the family, you should inform your doctor about it. Particularly important is the thrombophilia occurring in the family, which may be a circumstance that excludes the use of tablets in the patient. In other cases, caution and attention to possible problems are recommended, but this is not an absolute contraindication. Birth control pills can help reduce ailments such as dysmenorrhea or acne. However, this may be an individual matter - the assessment of the impact on mood, bleeding profile or skin condition can be made after about 3 cycles. I can provide this information from a pharmaceutical point of view on hormonal contraception, but I cannot review the choice of Elin specifically for you. The decision is made by the doctor. If you have any reasonable doubts or you think that during the interview not all information was provided by you, you should contact the gynecologist directly. I enclose additional information: https://www.gdziepolek.pl/artykuly/choroba-hashimoto-a-problemy-z-tarczyca https://www.gdziepolek.pl/artykuly/antykoncepcja-hormonalna

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