Can Drospirenone and Ethinyl Estradiol Tablets be taken long-term?

Jul 17, 2024 Source: Cainiu Health
Disease description:

We have been married for just one year, and my mother-in-law is eager to have a grandchild. However, I am still young and want to enjoy some quality time with my husband as a couple before starting a family in a couple of years. I have been taking Yasmin as a contraceptive. I would like to ask if it is safe to take Yasmin for a prolonged period?

Doctor's answer (1)
Dr. Zhao Xiaodong
Yasmin, primarily composed of drospirenone and ethinyl estradiol, is an oral contraceptive. Regarding long-term use, under normal circumstances, it can be continuously used according to the instructions if the user has no contraindications and requires contraception. However, this does not mean it can be taken indefinitely, as all medications carry potential risks and side effects. Potential benefits of long-term use of Yasmin include reliable contraceptive effectiveness, regulation of menstrual cycles, reduction of menstrual pain, and improvement of certain types of acne. Nevertheless, it is important to note that long-term use of oral contraceptives may increase the risk of thrombosis, particularly for women with relevant medical histories or risk factors (such as smoking, overweight, or being over 35 years old). Therefore, it is recommended to undergo regular medical check-ups and discuss continued use with a physician. Furthermore, contraceptive pills are not suitable for all women; for example, women with liver disease, breast cancer, a history of thrombosis, or who are pregnant should not take them. If any discomfort occurs during use, such as persistent headaches, visual disturbances, chest pain, or severe abdominal pain, the medication should be discontinued immediately and medical assistance sought.