Gynecologists are increasingly prescribing to young women birth control pills containing first or second generation progestins. According to the pills report of the Techniker Krankenkasse (TK), the failings have the so-called modern gestagens of the 3rd or 4th generation. This has resulted in an evaluation of the routine data of insured persons up to 19 years.
TK is pleased that the current public discourse on hormonal contraceptives has probably led to a rethink, said the TK CEO Dr. med. Jens Baas. Especially with regard to the side effects, it was gratifying when proven drugs now played a major role again. Compared with newer gestagens, pills with a proven progestin according to the current state of research are characterized by a lower risk of thrombosis. The contraceptive effect is just as reliable.
The prescription of drospirenone, which is one of the newest progestogens, has been particularly strong. For these drugs, the prescription rate dropped from 18 percent in 2010 to just 3 percent.
The fact that newer pills are less well-dosed and gentler Gerd Glaeske as a myth. The director of the Center for Social Policy at the University of Bremen had already prepared the Pill Report of the TK in 2015. He also points out that the birth control pills advertised as new and modern are very often not new, but have been on the market for years.
Young women take the pill less often
According to the Pills Report, the number of girls and young women who use a pill at all is slightly lower. Their share was 3 years ago (2014) still at 74 percent. Two years later (2016), the proportion of pill users has dropped to 68 percent. In contrast, the proportion of women who use hormone spirals, depot patches or implants to prevent hormonal growth has increased.
However, hormone spirals are not uncontroversial. The European Medicines Agency is currently investigating whether the hormone spirals Mirena, Jaydess and Kyleena are causing more than previously reported serious mental health effects such as depression, panic attacks and sleep disorders.
Turnaround even with pill changes
A turnaround makes the TK also when changing pills. According to this, in 2013, 60 percent of the users changed from a proven pill to a new preparation. This proportion is now only 49 percent.