Trust Contraceptive Pill: Review, Side Effect and Uses

The Trust Contraceptive Pill is a widely recognized oral contraceptive option, particularly popular in the Philippines due to its affordability and effectiveness. As a combination pill containing synthetic versions of estrogen (Ethinylestradiol) and progestin (Levonorgestrel), Trust offers a reliable method for preventing pregnancy when taken correctly. Beyond contraception, it provides additional health benefits, though it’s not without potential side effects.
What is the Trust Contraceptive Pill?
The Trust Contraceptive Pill is a hormonal birth control method combining 30 mcg of Ethinylestradiol and 125 mcg of Levonorgestrel in each of its 21 active (ochreous) tablets, followed by 7 placebo tablets containing Ferrous Fumarate (iron supplements) to support blood health during menstruation. This 28-day pack is designed to mimic a natural menstrual cycle while preventing ovulation, making it a go-to option for women seeking an affordable and effective contraceptive.
Available in many drugstores across the Philippines, Trust Pills are priced at approximately P56.65 per pack, making them one of the most budget-friendly oral contraceptives on the market. However, a prescription is typically required, and consulting a healthcare provider is essential before starting.
How Does the Trust Contraceptive Pill Work?
Trust Pills work through a combination of mechanisms to prevent pregnancy:
Inhibition of Ovulation: The hormones suppress the release of an egg from the ovaries, preventing fertilization.
Thickening of Cervical Mucus: This makes it harder for sperm to reach the egg.
Alteration of Uterine Lining: The endometrial lining becomes less receptive to implantation, reducing the chances of pregnancy even if fertilization occurs.
When taken consistently at the same time each day, Trust Pills boast a 99% effectiveness rate, making them a highly reliable contraceptive option.
Uses of Trust Contraceptive Pill
1. Pregnancy Prevention
The primary use of Trust Pills is contraception. For sexually active women who wish to avoid unplanned pregnancies, Trust offers a convenient and reversible method of birth control. Unlike permanent solutions like sterilization, fertility typically returns shortly after discontinuing the pill.
2. Management of Menstrual Disorders
Beyond contraception, Trust Pills are often prescribed to regulate menstrual cycles and address related issues, such as:
Dysmenorrhea (painful periods): Reduces menstrual cramps.
Menorrhagia (heavy bleeding): Lightens and regulates menstrual flow.
Premenstrual Syndrome (PMS): Helps alleviate mood swings, bloating, and other symptoms.
3. Iron Supplementation
The inclusion of Ferrous Fumarate in the 7 brown placebo pills helps replenish iron levels, which can be depleted during menstruation, potentially reducing the risk of anemia.
Benefits of Trust Contraceptive Pill
1. High Effectiveness
With a 99% success rate when used correctly, Trust Pills rival more expensive contraceptive brands in preventing pregnancy.
2. Affordability
Priced at just over P56 per pack, Trust is an accessible option for women who might otherwise find oral contraceptives out of reach financially.
3. Menstrual Regulation
Trust Pills can make periods more predictable and less painful, improving quality of life for those with irregular or heavy cycles.
4. Non-Contraceptive Health Benefits
Studies suggest combination pills like Trust may reduce the risk of:
Ovarian and endometrial cancers.
Ovarian cysts.
Benign breast disease.
5. Reversible Fertility
Unlike long-term methods like IUDs or implants, Trust allows women to regain fertility soon after stopping, offering flexibility for family planning.
Side Effects of Trust Contraceptive Pill
While Trust Pills offer numerous benefits, they may also cause side effects, particularly during the initial months of use as the body adjusts to the hormones. Below are some common and less common side effects:
Common Side Effects
Nausea: May occur, especially if taken on an empty stomach. Taking it with food can help.
Headaches: Hormonal fluctuations can trigger mild to moderate headaches.
Breast Tenderness: Some women experience sensitivity or soreness.
Spotting or Breakthrough Bleeding: Light bleeding between periods is common, especially in the first few cycles.
Mood Changes: Hormonal shifts may lead to irritability or mild mood swings.
Less Common but Serious Side Effects
Though rare, combination pills like Trust can increase the risk of:
Blood Clots: A small risk of deep vein thrombosis or pulmonary embolism, particularly in smokers or women over 35.
High Blood Pressure: May elevate blood pressure in some users.
Stroke or Heart Attack: Rare but possible, especially in women with pre-existing risk factors like smoking or obesity.
Who Should Avoid Trust Pills?
Trust Pills may not be suitable for everyone. Consult your doctor if you:
Are breastfeeding (progestin-only pills are safer).
Smoke and are over 35.
Have a history of blood clots, heart disease, or liver issues.
Are pregnant or suspect you might be.
How to Use Trust Contraceptive Pills
To maximize effectiveness, follow these steps:
Start on Day 1: Take the first ochreous pill on the first day of your period.
Daily Consistency: Take one pill at the same time each day for 21 days, following the pack’s numbered sequence.
Placebo Phase: Take the 7 brown iron pills during the withdrawal bleed week.
New Pack: Begin the next pack immediately after the last brown pill, even if bleeding hasn’t stopped.
Missed a Pill?
1 Missed Pill: Take it as soon as you remember, even if it means taking two in one day. Continue as usual.
2+ Missed Pills: Take the most recent missed pill, discard others, and use backup contraception (e.g., condoms) for 7 days.
Tips for Using Trust Pills Effectively
Set a daily alarm to avoid missing doses.
Keep an extra pack on hand to avoid gaps.
Pair with condoms for STD protection, as Trust only prevents pregnancy.
Consult your doctor if side effects persist beyond 3 months.
Trust Contraceptive Pill vs. Other Options
Compared to other oral contraceptives in the Philippines (e.g., Yaz or Lizelle), Trust stands out for its affordability but contains an older progestin (Levonorgestrel), which may cause more androgenic side effects like acne or weight gain in some users. Newer formulations like Drospirenone-based pills may offer fewer side effects but come at a higher cost.
Conclusion
The Trust Contraceptive Pill is a cost-effective, reliable option for women seeking contraception or menstrual regulation. Its 99% effectiveness, affordability, and added benefits like iron supplementation make it a standout choice, particularly in budget-conscious markets like the Philippines. However, potential side effects and contraindications mean it’s not a one-size-fits-all solution. Always consult a healthcare provider to ensure Trust aligns with your health needs and lifestyle.

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