Which is more likely to be experienced by women taking the mini pill as an oral contraceptive?
a. Ovulation, dysmenorrhea, and breakthrough bleeding
b. Excessive weight gain and breast tenderness
c. Increased estrogen-related adverse effects
d. Difficulty breastfeeding after pregnancy
ANS: A
The mini pill is made up of progestin, which inhibits ovulation. This form of contraception is an alternative for women particularly susceptible to adverse effects caused by estrogen therapy. Between 30% and 40% of women continue to ovulate with this form of contraception, however, and there is a slightly higher incidence of uterine and tubal pregnancies. Dysmenorrhea, manifested by irregular or infrequent menses and spotting between cycles, is common in women taking the mini pill. The mini pill has a reduced chance for weight gain and breast tenderness, does not contain estrogen, and does not cause difficulty with breastfeeding.
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