{"id":61629,"date":"2026-04-16T09:35:31","date_gmt":"2026-04-16T08:35:31","guid":{"rendered":"https:\/\/www.mediconanet.pt\/?p=61629"},"modified":"2026-04-17T16:32:52","modified_gmt":"2026-04-17T15:32:52","slug":"pilula-combinada-como-escolher-iniciar","status":"publish","type":"post","link":"https:\/\/www.mediconanet.pt\/en\/pilula-combinada-como-escolher-iniciar\/","title":{"rendered":"P\u00edlula Contracetiva: Como Escolher e Iniciar com Seguran\u00e7a"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-post\" data-elementor-id=\"61629\" class=\"elementor elementor-61629\" data-elementor-post-type=\"post\">\n\t\t\t\t<div class=\"elementor-element elementor-element-570cfe3 e-flex e-con-boxed e-con e-parent\" data-id=\"570cfe3\" data-element_type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-1761780 elementor-widget elementor-widget-text-editor\" data-id=\"1761780\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<h2>Introdu\u00e7\u00e3o<\/h2><p>A <b>p\u00edlula <\/b>\u00e9 o m\u00e9todo contracetivo mais utilizado em Portugal e em muitos pa\u00edses europeus. Existem duas grandes categorias: <b>p\u00edlula combinadas<\/b> (cont\u00eam estrog\u00e9nio e progestativo) e p\u00edlulas s\u00f3 com progestativo (POP). A escolha depende de fatores individuais, contraindica\u00e7\u00f5es e prefer\u00eancias.<\/p><h2>P\u00edlula combinada<\/h2><p>Associa etinilestradiol (ou estradiol) a um progestativo. Para al\u00e9m da contrace\u00e7\u00e3o, oferece benef\u00edcios como regulariza\u00e7\u00e3o dos ciclos, redu\u00e7\u00e3o do fluxo menstrual, melhoria da dismenorreia, controlo de acne e redu\u00e7\u00e3o do risco de cancro do ov\u00e1rio e endom\u00e9trio. A sua efic\u00e1cia, com uso perfeito, ultrapassa 99%.<\/p><h2>P\u00edlula s\u00f3 com progestativo<\/h2><p>Indicada para mulheres em amamenta\u00e7\u00e3o, com contraindica\u00e7\u00e3o a estrog\u00e9nios (enxaqueca com aura, hipertens\u00e3o n\u00e3o controlada, trombofilia, tabagismo ap\u00f3s os 35 anos) ou por prefer\u00eancia. A desogestrel 75 \u00b5g tem uma janela de toler\u00e2ncia de 12 horas, maior do que as POP tradicionais.<\/p><h2>Avalia\u00e7\u00e3o inicial<\/h2><p>Antes de iniciar, o m\u00e9dico avalia antecedentes pessoais e familiares (tromboembolismo venoso, enxaqueca, doen\u00e7a cardiovascular, cancro da mama), mede a tens\u00e3o arterial e discute o perfil de risco. Os crit\u00e9rios de elegibilidade da OMS (MEC) s\u00e3o a refer\u00eancia internacional. Em mulheres saud\u00e1veis, n\u00e3o \u00e9 necess\u00e1rio realizar an\u00e1lises ou exame ginecol\u00f3gico para prescrever a\u00a0<a href=\"https:\/\/www.mediconanet.pt\/produto\/contracepcao\/\" target=\"_blank\" rel=\"noopener\"><b>p\u00edlula<\/b><\/a>.<\/p><h2>Como come\u00e7ar<\/h2><h2><span style=\"color: #1c1a1a; font-size: 15px;\">\u00a0Pode ser iniciada em qualquer dia do ciclo (\u00abquick start\u00bb), desde que exista razo\u00e1vel certeza de que a mulher n\u00e3o est\u00e1 gr\u00e1vida. Se iniciada nos primeiros 5 dias do ciclo, a prote\u00e7\u00e3o \u00e9 imediata; caso contr\u00e1rio, recomenda-se m\u00e9todo adicional (preservativo) durante 7 dias (p\u00edlula combinada) ou 2 dias (POP).<\/span><\/h2>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-1545e08 e-flex e-con-boxed e-con e-parent\" data-id=\"1545e08\" data-element_type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-8ee3907 elementor-widget elementor-widget-image\" data-id=\"8ee3907\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img fetchpriority=\"high\" decoding=\"async\" width=\"800\" height=\"450\" src=\"https:\/\/www.mediconanet.pt\/wp-content\/uploads\/2026\/04\/Imagem-para-Redes-Sociais-a-Rosa-sobre-Descontos-de-Primavera-2026-04-16T002032.063-1024x576.jpg\" class=\"attachment-large size-large wp-image-61633\" alt=\"Consulta m\u00e9dica online sobre p\u00edlula combinada\" srcset=\"https:\/\/www.mediconanet.pt\/wp-content\/uploads\/2026\/04\/Imagem-para-Redes-Sociais-a-Rosa-sobre-Descontos-de-Primavera-2026-04-16T002032.063-1024x576.jpg 1024w, https:\/\/www.mediconanet.pt\/wp-content\/uploads\/2026\/04\/Imagem-para-Redes-Sociais-a-Rosa-sobre-Descontos-de-Primavera-2026-04-16T002032.063-300x169.jpg 300w, https:\/\/www.mediconanet.pt\/wp-content\/uploads\/2026\/04\/Imagem-para-Redes-Sociais-a-Rosa-sobre-Descontos-de-Primavera-2026-04-16T002032.063-768x432.jpg 768w, https:\/\/www.mediconanet.pt\/wp-content\/uploads\/2026\/04\/Imagem-para-Redes-Sociais-a-Rosa-sobre-Descontos-de-Primavera-2026-04-16T002032.063-18x10.jpg 18w, https:\/\/www.mediconanet.pt\/wp-content\/uploads\/2026\/04\/Imagem-para-Redes-Sociais-a-Rosa-sobre-Descontos-de-Primavera-2026-04-16T002032.063-600x337.jpg 600w, https:\/\/www.mediconanet.pt\/wp-content\/uploads\/2026\/04\/Imagem-para-Redes-Sociais-a-Rosa-sobre-Descontos-de-Primavera-2026-04-16T002032.063.jpg 1366w\" sizes=\"(max-width: 800px) 100vw, 800px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-9ad30cf e-con-full e-flex e-con e-child\" data-id=\"9ad30cf\" data-element_type=\"container\">\n\t\t<div class=\"elementor-element elementor-element-66e4f21 e-con-full e-flex e-con e-child\" data-id=\"66e4f21\" data-element_type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-c44ae3e elementor-widget elementor-widget-heading\" data-id=\"c44ae3e\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Perguntas frequentes (FAQ)<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-439b5c3 elementor-widget elementor-widget-n-accordion\" data-id=\"439b5c3\" data-element_type=\"widget\" data-settings=\"{&quot;default_state&quot;:&quot;all_collapsed&quot;,&quot;max_items_expended&quot;:&quot;one&quot;,&quot;n_accordion_animation_duration&quot;:{&quot;unit&quot;:&quot;ms&quot;,&quot;size&quot;:400,&quot;sizes&quot;:[]}}\" data-widget_type=\"nested-accordion.default\">\n\t\t\t\t\t\t\t<div class=\"e-n-accordion\" aria-label=\"Accordion. Open links with Enter or Space, close with Escape, and navigate with Arrow Keys\">\n\t\t\t\t\t\t<details id=\"e-n-accordion-item-7080\" class=\"e-n-accordion-item\" >\n\t\t\t\t<summary class=\"e-n-accordion-item-title\" data-accordion-index=\"1\" tabindex=\"0\" aria-expanded=\"false\" aria-controls=\"e-n-accordion-item-7080\" >\n\t\t\t\t\t<span class='e-n-accordion-item-title-header'><div class=\"e-n-accordion-item-title-text\"> A p\u00edlula engorda? <\/div><\/span>\n\t\t\t\t\t\t\t<span class='e-n-accordion-item-title-icon'>\n\t\t\t<span class='e-opened' ><svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-minus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h384c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span>\n\t\t\t<span class='e-closed'><svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-plus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H272V64c0-17.67-14.33-32-32-32h-32c-17.67 0-32 14.33-32 32v144H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h144v144c0 17.67 14.33 32 32 32h32c17.67 0 32-14.33 32-32V304h144c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span>\n\t\t<\/span>\n\n\t\t\t\t\t\t<\/summary>\n\t\t\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-7080\" class=\"elementor-element elementor-element-d801294 e-con-full e-flex e-con e-child\" data-id=\"d801294\" data-element_type=\"container\">\n\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-7080\" class=\"elementor-element elementor-element-67dd609 e-flex e-con-boxed e-con e-child\" data-id=\"67dd609\" data-element_type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-2204be5 elementor-widget elementor-widget-text-editor\" data-id=\"2204be5\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>A evid\u00eancia de revis\u00f5es sistem\u00e1ticas Cochrane n\u00e3o mostra rela\u00e7\u00e3o causal entre <b>p\u00edlula <\/b>combinada e aumento significativo de peso.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/details>\n\t\t\t\t\t\t<details id=\"e-n-accordion-item-7081\" class=\"e-n-accordion-item\" >\n\t\t\t\t<summary class=\"e-n-accordion-item-title\" data-accordion-index=\"2\" tabindex=\"-1\" aria-expanded=\"false\" aria-controls=\"e-n-accordion-item-7081\" >\n\t\t\t\t\t<span class='e-n-accordion-item-title-header'><div class=\"e-n-accordion-item-title-text\"> Posso saltar a pausa mensal? <\/div><\/span>\n\t\t\t\t\t\t\t<span class='e-n-accordion-item-title-icon'>\n\t\t\t<span class='e-opened' ><svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-minus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h384c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span>\n\t\t\t<span class='e-closed'><svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-plus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H272V64c0-17.67-14.33-32-32-32h-32c-17.67 0-32 14.33-32 32v144H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h144v144c0 17.67 14.33 32 32 32h32c17.67 0 32-14.33 32-32V304h144c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span>\n\t\t<\/span>\n\n\t\t\t\t\t\t<\/summary>\n\t\t\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-7081\" class=\"elementor-element elementor-element-f07e3ff e-con-full e-flex e-con e-child\" data-id=\"f07e3ff\" data-element_type=\"container\">\n\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-7081\" class=\"elementor-element elementor-element-ba0d7df e-flex e-con-boxed e-con e-child\" data-id=\"ba0d7df\" data-element_type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-bd0918d elementor-widget elementor-widget-text-editor\" data-id=\"bd0918d\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>Sim. O uso cont\u00ednuo da <b>p\u00edlula <\/b>combinada (sem pausa) \u00e9 seguro e cada vez mais recomendado. A hemorragia mensal n\u00e3o tem benef\u00edcio m\u00e9dico.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/details>\n\t\t\t\t\t\t<details id=\"e-n-accordion-item-7082\" class=\"e-n-accordion-item\" >\n\t\t\t\t<summary class=\"e-n-accordion-item-title\" data-accordion-index=\"3\" tabindex=\"-1\" aria-expanded=\"false\" aria-controls=\"e-n-accordion-item-7082\" >\n\t\t\t\t\t<span class='e-n-accordion-item-title-header'><div class=\"e-n-accordion-item-title-text\"> A p\u00edlula protege de infe\u00e7\u00f5es sexualmente transmiss\u00edveis? <\/div><\/span>\n\t\t\t\t\t\t\t<span class='e-n-accordion-item-title-icon'>\n\t\t\t<span class='e-opened' ><svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-minus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h384c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span>\n\t\t\t<span class='e-closed'><svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-plus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H272V64c0-17.67-14.33-32-32-32h-32c-17.67 0-32 14.33-32 32v144H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h144v144c0 17.67 14.33 32 32 32h32c17.67 0 32-14.33 32-32V304h144c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span>\n\t\t<\/span>\n\n\t\t\t\t\t\t<\/summary>\n\t\t\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-7082\" class=\"elementor-element elementor-element-1948aa2 e-con-full e-flex e-con e-child\" data-id=\"1948aa2\" data-element_type=\"container\">\n\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-7082\" class=\"elementor-element elementor-element-44203e4 e-flex e-con-boxed e-con e-child\" data-id=\"44203e4\" data-element_type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-90363e4 elementor-widget elementor-widget-text-editor\" data-id=\"90363e4\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>N\u00e3o. S\u00f3 o preservativo protege contra IST. Em caso de nova parceria ou risco, deve ser usado em simult\u00e2neo.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/details>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<script type=\"application\/ld+json\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@type\":\"FAQPage\",\"mainEntity\":[{\"@type\":\"Question\",\"name\":\"A p\\u00edlula engorda?\",\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"A evid\\u00eancia de revis\\u00f5es sistem\\u00e1ticas Cochrane n\\u00e3o mostra rela\\u00e7\\u00e3o causal entre p\\u00edlula combinada e aumento significativo de peso.\"}},{\"@type\":\"Question\",\"name\":\"Posso saltar a pausa mensal?\",\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"Sim. O uso cont\\u00ednuo da p\\u00edlula combinada (sem pausa) \\u00e9 seguro e cada vez mais recomendado. A hemorragia mensal n\\u00e3o tem benef\\u00edcio m\\u00e9dico.\"}},{\"@type\":\"Question\",\"name\":\"A p\\u00edlula protege de infe\\u00e7\\u00f5es sexualmente transmiss\\u00edveis?\",\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"N\\u00e3o. S\\u00f3 o preservativo protege contra IST. Em caso de nova parceria ou risco, deve ser usado em simult\\u00e2neo.\"}}]}<\/script>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-02d7fba e-flex e-con-boxed e-con e-parent\" data-id=\"02d7fba\" data-element_type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-ca91313 elementor-widget elementor-widget-text-editor\" data-id=\"ca91313\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<h2>Refer\u00eancias<\/h2><a href=\"https:\/\/www.dgs.pt\/\" target=\"_blank\" rel=\"dofollow noopener\">DGS \u2013 Sa\u00fade Reprodutiva: Planeamento Familiar<\/a>\n\n<a href=\"https:\/\/www.fsrh.org\/\" target=\"_blank\" rel=\"dofollow noopener\">FSRH \u2013 Combined Hormonal Contraception Guideline<\/a>\n\n<a href=\"https:\/\/cks.nice.org.uk\/\" target=\"_blank\" rel=\"dofollow noopener\">NICE CKS \u2013 Contraception \u2013 combined hormonal methods<\/a>\n\n<a href=\"https:\/\/www.who.int\/\" target=\"_blank\" rel=\"dofollow noopener\">WHO \u2013 Medical Eligibility Criteria for Contraceptive Use<\/a>\n\n<a href=\"https:\/\/www.cdc.gov\/\" target=\"_blank\" rel=\"dofollow noopener\">CDC \u2013 Contraceptive Use Guidelines<\/a>\n\n<a href=\"https:\/\/www.acog.org\/\" target=\"_blank\" rel=\"dofollow noopener\">ACOG \u2013 Combined Hormonal Birth Control<\/a>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Introdu\u00e7\u00e3o A p\u00edlula \u00e9 o m\u00e9todo contracetivo mais utilizado em Portugal e em muitos pa\u00edses europeus. Existem duas grandes categorias: p\u00edlula combinadas (cont\u00eam estrog\u00e9nio e progestativo) e p\u00edlulas s\u00f3 com progestativo (POP). A escolha depende de fatores individuais, contraindica\u00e7\u00f5es e prefer\u00eancias. P\u00edlula combinada Associa etinilestradiol (ou estradiol) a um progestativo. Para al\u00e9m da contrace\u00e7\u00e3o, oferece [&hellip;]<\/p>\n","protected":false},"author":13102,"featured_media":61640,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_jetpack_memberships_contains_paid_content":false,"footnotes":""},"categories":[267],"tags":[],"class_list":["post-61629","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-contracecao"],"jetpack_featured_media_url":"https:\/\/www.mediconanet.pt\/wp-content\/uploads\/2026\/04\/Imagem-para-Redes-Sociais-a-Rosa-sobre-Descontos-de-Primavera-2026-04-16T020142.173.jpg","jetpack_sharing_enabled":true,"_links":{"self":[{"href":"https:\/\/www.mediconanet.pt\/en\/wp-json\/wp\/v2\/posts\/61629","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.mediconanet.pt\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.mediconanet.pt\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.mediconanet.pt\/en\/wp-json\/wp\/v2\/users\/13102"}],"replies":[{"embeddable":true,"href":"https:\/\/www.mediconanet.pt\/en\/wp-json\/wp\/v2\/comments?post=61629"}],"version-history":[{"count":7,"href":"https:\/\/www.mediconanet.pt\/en\/wp-json\/wp\/v2\/posts\/61629\/revisions"}],"predecessor-version":[{"id":61639,"href":"https:\/\/www.mediconanet.pt\/en\/wp-json\/wp\/v2\/posts\/61629\/revisions\/61639"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.mediconanet.pt\/en\/wp-json\/wp\/v2\/media\/61640"}],"wp:attachment":[{"href":"https:\/\/www.mediconanet.pt\/en\/wp-json\/wp\/v2\/media?parent=61629"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.mediconanet.pt\/en\/wp-json\/wp\/v2\/categories?post=61629"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.mediconanet.pt\/en\/wp-json\/wp\/v2\/tags?post=61629"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}