Is it suitable for people with liver disease to take birth control pills?

Patient's question:

Doctor, hello. Yesterday, I had sexual intercourse again with my husband. Because I haven't been planning to have children recently, I want to take birth control pills. However, I have had hepatitis for 5 years, and I want to know if it's suitable for people with liver disease to take birth control pills? Will it affect the efficacy of birth control pills? Can it also have some effects on breastfeeding?

Doctor's answer:

The condition described by the patient, if experienced occasionally, is generally considered to have a minimal impact on liver health. However, it is necessary to advise the patient that emergency contraceptive pills contain hormone medications, which have significant side effects. It is recommended to avoid their use as much as possible. Typically, after taking the medication for a few days, withdrawal bleeding may occur again, similar to menstruation, and it can also lead to endocrine disorders, resulting in menstrual irregularities. This menstrual irregularity may persist for three to four months. If the patient had sexual intercourse during a safe period, it is still best to avoid using this medication.

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