I can only give my own example: at the age of 20 there was a hormonal failure and I took contraceptives prescribed by a gynecologist and everything was fine, I lost weight, acne went away and everything went back to normal. But since there was practically no sex life, I decided to abandon it as unnecessary. Six months ago (5 years later) I began to take it again, and from the same company and after consulting with a gynecologist, I received panic attacks and psychosomatic headaches. So there is a risk in everything.
Since the question does not directly mention the issue of contraception, it can be added to the first answer that COCs are not only not harmful, but sometimes necessary. For example, with an increased level of male hormones, irregularities in the cycle, when the endometrium of the uterus becomes thicker than it should be normal.
Not harmful, but have a number of contraindications, so you need to pick it up with a specialist. In general, hormonal contraceptives now exist in different forms: as part of an intrauterine device, in intravaginal rings, in patches and subcutaneous implants. It is often much more convenient than pills: it is much easier to place an implant every six months, a ring every three weeks or change a patch once a week than taking a pill every day and trying not to confuse the time.
Also recent studies show that hormonal contraceptives reduce the risk of ovarian and endometrial cancer. Moreover, women who take these drugs for a long time are less likely to get these types of cancer, even in the post-fertile age, when the intake is over. The prolonged effect can last twenty years.
"The best contraception is the one with which a couple has been successfully protected for a long time", "Any well-chosen contraception is better than abortion and unwanted pregnancy" - so my teachers, respected and well-known obstetricians-gynecologists and gynecologists-endocrinologists said so .. .
My opinion on combined oral contraception is that contraceptive pills (COCs) for routine contraception are much more preferable than emergency contraception, and even more so all types of abortion (medical, mini-abortion or vacuum aspiration, classic surgical abortion), again with the correct selection of them by a specialist (obstetrician-gynecologist), it is natural that with some concomitant diseases of the blood coagulation system, diseases of the endocrine system, reproductive system, oncological diseases, they can cause more harm than good ...
Therefore, as a rule, when choosing hormonal contraception, you must first keep in mind the wishes of the woman herself, because in addition to the main purpose, these funds have a number of additional therapeutic effects, for example, they regulate the menstrual cycle, reduce the duration of menstruation, reduce discomfort and soreness in the lower abdomen, have a positive effect on the condition of the skin, hair, nails - beauty effect, are used for treatment follicular ovarian cysts.
After that, the pathology of the reproductive and endocrine system is excluded: ultrasound of the pelvic organs, ultrasound of the mammary glands, ultrasound of the thyroid gland, blood test for the level of hormones of the reproductive system and thyroid hormones, complete blood count and analysis blood coagulation system. After these studies, taking into account their results, a drug is prescribed.
Selection without a specialist is nothing but a game of Russian roulette. If you are lucky, then this is very great, if not, then you can get health problems that will have to be disentangled for a long time, perhaps the rest of your life.
If there was an undetected oncological process, then under the influence of hormones from the outside ( hormonal contraception, hormone therapy), its course may accelerate, and therefore life may become shorter. If there were hormonal disorders, then independent use can either improve the situation or worsen it.
With a burdened hereditary history, especially if the closest relatives had thrombotic complications, heart attacks, strokes, deep vein thrombosis, hormonal contraception is prescribed extremely carefully under a regular (once every six months) analysis of the blood coagulation system. A number of multicenter, independent studies have also been conducted comparing the incidence of complications in women who smoke and not smoke, and the results were summarized. So, smokers, in terms of the number of complications, reliably recorded a greater number of complications than non-smokers. I will make a reservation right away that not every woman who smokes had complications, but who wants to play Russian roulette ?!
Also one hundredso take into account the fact that hormonal contraception does not protect against sexually transmitted infections, but only during pregnancy.
Another important point: if the relationship in a couple has just begun and not yet another six months have passed their intimate relations, then in my practice I recommend to my patients to use barrier contraception (condoms).
Bottom line: contraceptive pills are a very good and effective method of contraception, but in order not to break the wood, you need to consult a specialist ... for additional advice, you can contact the author personally