Oral contraception (OC) is by far the most effective protection against unwanted pregnancy. However, it has obvious drawbacks, due to which women are not in a hurry to give preference to birth control pills as a means of protection against the onset of unplanned pregnancy. Modern contraceptive jes combine ease of use and a minimum of side effects.
Jess is a monophasic oral contraceptive of the new generation. The principle of action of these birth control pills is similar to other oral contraceptives, but their formula is slightly improved, more improved. This is due to the presence in their composition of drospirenone - the fourth generation progestogen, whose action is as close as possible to natural progesterone. Drospirenone blocks estrogen-induced sodium retention and body fluids, against which, as a result of taking other oral contraceptives, women experience negative side effects in the form of weight gain and edema, which leads to excellent portability of the drug. In addition, Drospirenone has a positive effect on premenstrual syndrome, especially alleviating the condition in case of a severe form of the disease (relieves pronounced disorders of psycho-emotional nature, headache, pain in the back, joints and muscles, facilitates engorgement of the mammary glands).
Oral contraceptives Jess contain minimal, in comparison with other birth control pills, the amount of estrogen - 20 mg versus 30 mg in other OK. From here you can talk about the safety of this drug. Micro doses of hormones have a sparing effect on the female body, thereby reducing at times the development of complications and side effects.
The main indications for the use of Jes tablets are contraception, acne treatment, and the treatment of severe PMS.
The positive effect of the drug Jess.
Women who take Jes regularly, normalize the menstrual cycle, it becomes regular, menstruation is less painful, the intensity of bleeding decreases, which prevents the development of iron deficiency anemia. In addition, regular use of the drug reduces the likelihood of the development of inflammatory diseases of the female genital sphere.
Also, the drug removes or weakens the discomfort that occurs in the middle of the cycle and before the start of menstruation. It is worth noting that the data of epidemiological studies show that combined contraceptive oral medications reduce the risk of developing endometrial cancer, ovarian cancer, and other female genital tumors.
In addition, due to the antiandrogenic activity, it gives a healing effect in certain skin diseases (acne), improves the condition of the nails, reduces the oily skin and hair. Many women note that a one or two size breast augmentation is observed when taking the drug Jes. Also, oral contraceptive Jess helps to slow down the development of osteoporosis, is an excellent prophylactic against ectopic pregnancy.
And most importantly, Jess gives a high contraceptive effect, pregnancy can occur only if the rules of taking the drug are violated or when it is abandoned. It should be noted that this contraceptive does not protect against STDs and genital infections, therefore, if there are doubts about the partner, you should additionally use barrier contraceptives.
Each package of the drug Jess contains 28 tablets, of which 24 tablets have a contraceptive effect, and an additional 4 - have a placebo effect (that is, they do not have medicinal properties, are used as a means, the therapeutic effect of which is due to the woman's belief in the effectiveness of the drug). This makes it possible to bring the effectiveness of the drug to the maximum and prevent the admission of taking the pill or starting to take a new package.
Tablets must be taken every day at about the same time in the order indicated in the instructions, and you cannot take a break between packs (one ends, another is purchased in advance). Typically, menstruation begins on the second or third day of taking the "pacifier" and can continue even at the start of taking a new package of the drug.
Start taking the drug.
If you did not take any hormonal oral contraceptives in the previous month, then you should start taking the drug on the first day of the menstrual bleeding (the onset of menstruation). It is allowed to take pills on the 2-5th day of the menstrual cycle, but it is necessary to use additional methods of contraception (barrier) during the first week of taking the drug.
When switching from other combined oral contraceptives, taking the drug Jess should be started the next day after taking the last active pill from the previous package, but no later than the next day after the usual seven-day break (in the case of drugs with 21 tablets), or after taking the last inactive pill ( in the case of drugs with 28 tablets per pack).
When switching from a vaginal ring or a contraceptive patch, taking the drug Jess is recommended to begin on the day the vaginal ring or patch is removed, but no later than the time when a new ring should be inserted or a new patch should be glued.
From the mini-pill to take the drug Jess, you can go on any day without a break, from a hormonal implant or an intrauterine contraceptive device with a gestagen - on the day of its removal, with contraceptive injections - on the day when the next injection should be made. At the same time, in all variants it is necessary to use additional contraceptive means (condoms) during the week of taking the pills.
After the first trimester abortion, you can start using it right away, without additional contraception.
After childbirth or abortion in the second trimester of pregnancy, it is recommended to start taking the drug on the 21-28th day after birth or abortion. With a later period of taking the drug is recommended for seven days to use additional means of protection. Moreover, if a woman had sex before starting the drug, it is necessary to exclude pregnancy by making a test or waiting for menstruation.
If the drug causes severe indigestion that interferes with absorption (vomiting), it is necessary to focus on the instructions, as in the case of skipping the pill, plus apply additional methods of protection during sexual intercourse.
If a woman needs to delay the onset of menstruation, you must continue to take the pills from the next package of the drug Jess, skipping the placebo pills from the current package. In this case, the cycle is extended for the desired period, until the active tablets from the second package run out. However, against this background, there may be spotting or breakthrough uterine bleeding. Regular intake of Jes resumes after the end of the inactive pill phase.
- headache, migraine,
- nausea, vomiting,
- breast pain
- uterine bleeding irregular,
- uterine bleeding of unspecified origin,
- arterial and venous thromboembolism,
- psycho-emotional disorders
- mood swings
- decrease in sexual desire.
As a rule, the above-mentioned negative manifestations can be observed only within one or two months of taking the drug, while the body is adapting. If this symptom continues, then you should consult with your gynecologist. Only a specialist can prescribe other contraceptives or cancel them due to intolerance.
- hypersensitivity to any of the components of the drug Jess,
- breastfeeding period,
- malignant and benign liver tumors,
- pregnancy or suspicion of her,
- various thrombosis and thromboembolism, as well as previous states, including a history of cerebrovascular disorders,
- migraine with neurological symptoms,
- diabetes mellitus, accompanied by vascular complications,
- hormone-dependent malignant diseases or suspicion of them,
- pancreatitis with severe hypertriglyceridemia,
- severe and acute renal failure
- liver failure and severe liver disease,
- adrenal insufficiency
- vaginal bleeding of unknown origin.
In the latter case, when pregnancy is detected, the drug is immediately canceled. But even if the drug was negligently used in early pregnancy, there is no need to worry, since studies have shown that the drug does not carry any increased risk of developmental defects in children.
It is worth saying that if something of the above is observed for the first time while taking the drug, you should immediately refuse it.
Contraceptive pills Jess can be taken for quite a long time, and as young girls, and mature women. This drug has proven its contraceptive and therapeutic efficacy (treatment of PMS and acne).
On the composition and pharmacological properties
Jess is a hormonal agent with anti-mineralocorticoid effect, and at the same time inhibits the production of androgens. While taking the drug in the female body is the suppression of ovulation processes. The change also concerns the composition of the cervical secretory fluid: male reproductive cells cannot penetrate it.
Drug is available in the form of tablets, coated. The active substances of the contraceptive are:
The auxiliary components are:
- milk sugar (lactose),
- corn starch,
- magnesium salt of stearic acid.
The outer shell consists of hypromellose, talc, titanium dioxide, dye E172.
There are a number of conditions in which it is not recommended to take this tool. Him not prescribed in the presence of the following pathologies:
- liver failure,
- the appearance of blood clots in the vessels (including with the defeat of the deep veins, acute blockage of the pulmonary arteries, the appearance of ischemic necrosis at the site of the myocardium, cerebrovascular disorders),
- tumors in the liver of a benign or malignant character,
- diabetes mellitus with vascular complications,
- resistant hypertension
- serious surgical interventions causing prolonged immobility,
- conditions preceding thrombosis: transient ischemic attacks, angina pectoris,
- severe or acute form of renal failure,
- oncological formations in the reproductive system organs or the tissues of the mammary glands caused by hormonal disorders or in case of suspicion on them,
- severe liver disease,
- vaginal bleeding of unknown etiology.
Studies have shown that some women taking the drug to protect against unwanted conception, getting rid of acne and treating severe forms of cyclic syndrome, may have side reactions:
- pain in the mammary glands,
- periodic discharge of blood from the uterus,
- bleeding from the genital tract of unknown origin.
The most serious reaction is the development of acute blockage in the arteries or veins.
Features of the month
The use of combined oral contraceptives, including Jesses, has a positive effect on the general condition of the female reproductive system, as well as on the cyclical nature of menstruation:
- pain when bleeding decreases or disappears altogether
- intensity of discharge decreases, which minimizes the likelihood of anemic conditions,
- the cycle becomes regular.
Reception during gestation and lactation
The instructions for the drug indicated that Jess should not be taken by pregnant or lactating women.. If a lady plans to conceive, she should stop taking contraceptives.
There is no information on how the medicine affects the condition and well-being of the future mother and baby. During lactation, the use of a contraceptive may reduce milk production and affect its composition.
The appearance of vaginal discharge after taking OK
The menstrual cycle consists of several phases, during which some hormones are replaced by others. At the initial stage, a large amount of estrogen is secreted: this is how the body prepares the endometrium for subsequent ovulation. After it, progesterone levels rise.
Jess, like other modern OCs, contains few hormones, so they may not be enough to completely change the natural hormones at the initial stage of the cycle. This provokes the appearance of bleeding for some time before the onset of menstruation.
If, against the background of a contraceptive intake, a scanty discharge appears, and after the adaptation of the organism completely disappears, you need not worry.
but It is worth contacting a gynecologist if The following symptoms occur: soreness in the lower abdomen of a pulling nature, the presence of heavy discharge and their high intensity.
If the adaptation period has passed, and the bleeding has remained, the specialist should find out which hormone level exceeds the norm:
- brownish color when taking OK at the initial stage of the cycle or in the middle, it may signal a reduced level of estrogen in the preparation, then you will need to replace it with an agent that contains more of this hormone,
- bloody issues during the end of the cycle are considered a sign of lack of a progestogen,
- if they become more intense and are of a breakthrough nature, this is a signal that the uterine endometrium cells rapidly atrophy, such a condition should not cause alarm.
If the bleeding is too intense, it is recommended to seek medical attention. However, in case of violation of the drug intake Jess, the instructions indicate that it is necessary to take a double dose of the drug until the discharge disappears. And then you can go back to the standard scheme.
OK therapy should not be stopped in the middle phase of the cycle., as this leads to increased bleeding, causing a weakening or anemic condition.
In addition, pathological discharge during the reception of Jess occur for the following reasons:
- Smoking. This addiction adversely affects the balance of hormones in the body, inhibits the synthesis of estrogen.
- Use of some medicines. If the patient is taking other medicines, it is worth mentioning them in consultation with the gynecologist.
- Diseases of the genitourinary systemcaused by infectious pathogens. Usually, these conditions are accompanied by severe symptoms: discomfort in the intimate area, pain in the lower abdomen, changes in the consistency of the discharge, the appearance of uncharacteristic odor.
Correct abolition of contraceptive jess
Before planning a pregnancy, a woman should contact an obstetrician-gynecologist, who, given the duration of the drug and indications, will determine the withdrawal of funds.
Often, patients who have reduced fertility (the ability to conceive) and disturbed menstrual cycle, OK are appointed in order to stimulate the ovaries. On average, this therapy lasts from two to four months.
In this situation, the interval is not required after the end of the application of OK. During the first menstrual cycle is allowed to begin conception.
Why are there no monthly periods due to the cancellation of Jess
Some women who take this contraceptive, after stopping his reception, face the fact that menstrual bleeding stops. This happens for the following reasons:
- Oral contraceptives inhibit ovarian function, therefore, for women with scanty bleeding, it may stop altogether.
- The inclusion of a psychological mechanism: obsession with the regularity of monthly breaks down the regime of internal processes.
- The influence of alcohol. The use of beverages containing ethanol, leads to a decrease in the concentration of hormones, thereby violating the effectiveness of the contraceptive.
- The onset of pregnancy. If Jess is taken according to the scheme, the probability of conception is negligible, but if the regime is violated, the egg can be fertilized.
Usually, the attending physician prescribing this drug warns that the absence of menstruation in the first cycle of OK is not a cause for concern. You must follow the schedule and continue to use contraceptives. However, with a longer delay, it is worth consulting with a specialist.
Jess is an oral contraceptive that is suitable for long-term use. It is prescribed to both girls and women of reproductive age.This tool is proof that OK can be highly effective during protection from unwanted pregnancy, and not only eliminate violations of the reproductive system, but also get rid of dermatological problems. Jess helps to take care of female beauty and health.
Hormonal tablets Jess covers the film shell.
Active tablets are round, biconvex, have a light pink color. On the one hand, there is an “DS” engraving in the hexagon, on the break of the tablet there is a white core.
The placebo tablets are round, biconvex, covered by a white film coating. On one side of the tablet - “DP” engraving in the hexagon. On the break - the white core.
The tablets are contained in blisters of 28 pcs.
The summary testifies that the drug Jess is a monophasic oral contraceptive that also has an antiandrogenic and antimineralocorticoid effect on the body.
The contraceptive inhibits the process ovulationand also has an effect on cervical secretions, as a result of which spermatozoa cannot penetrate it freely.
Those women who take this medicine note that their monthly cycle is more regular, menstruation becomes less painful, and bleeding is not so abundant. As a result, the risk decreases anemia. When combined oral contraceptives are used, the likelihood of ovarian cancer and endometrium.
The active substance drospirenone has anti-mineralocorticoid effect on the body. Under his influence prevents the accumulation of extra pounds in the body, as well as the appearance of edema. It has a positive effect on the condition of a woman during the PMS period, reducing the intensity of psycho-emotional disorders, chest pain in the joints, as well as other unpleasant symptoms.
Antiandrogenic activity of this component is noted, which determines a positive effect on the skin condition. As a result, the amount of acne decreases, the level of oily skin and hair decreases. The effect of drospirenone is similar to that of the natural. progesterone in the body.
Estrogenic, androgenic, glucocorticoid, and anti-glucocorticoid activity of drospirenone is absent. Combined with ethinyl estradiol, drospirenone acts favorably on the lipid profile.
Pharmacokinetics and pharmacodynamics
Drospirenone after oral administration is absorbed quickly and almost completely. The maximum concentration is noted 1-2 hours after administration. The level of its bioavailability is 76-85%. Bioavailability does not depend on the relationship of food intake and the drug. When taken in cycles, the maximum level of drospirenone in serum is observed between 7 and 14 days of treatment.
After internal administration, drospirenone is extensively metabolized. Only a small part of the substance is displayed unchanged. Metabolites are excreted through the kidneys and intestines. The substance is well tolerated by patients with hepatic insufficiency in mild and moderate form.
Ethinyl Estradiol after ingestion is absorbed completely and quickly. After drinking once the maximum concentration is observed after 1-2 hours. The bioavailability of the component is about 60%. Metabolized completely through aromatic hydroxylation. Metabolites from the body are excreted in the bile and urine.
Instructions for use Jess (method and dosage)
If a woman chooses birth control pills Jess, the instructions for use should be strictly followed. It is envisaged that the tablets should be taken strictly in the order indicated on their packaging. Every day, the drug should be taken approximately at one time, with a small amount of liquid. Instructions for use Jess provides for taking one tablet per day for 28 days. New packaging should begin the day after the women drank the last tablet from the previous package. As a rule, bleeding can begin 2-3 days after the cancellation has occurred.
If a woman in the previous month did not take any hormonal contraceptives, Jess's reception begins on the first day of the monthly cycle. It is possible to start taking on the 2-5th day of the cycle, but it is desirable to additionally use barrier contraception during the first seven days of taking Je tablets.
How to take pills when switching to them after other methods of protection should be asked from the gynecologist who recommended this drug.
After an abortion in the early stages, you can start taking Jess immediately, with no additional contraceptive measures.
If childbirth or abortion occurred in the second trimester, then it is advisable to start receiving Jes OK on the 21-28th day after that.
In the event that a woman missed a pill that is inactive, this can be ignored. But still you should not take missed inactive pills, for which they are thrown away.
If there was an omission of the tablet, which is active, and at the same time the delay does not exceed 12 hours, in this case the protection does not decrease. It is necessary to take the drug as soon as possible. If the delay exceeds 12 hours, the woman missed 2 tablets, or the break was even longer, in which case the level of protection is reduced. Accordingly, the longer the break was, the greater the likelihood of fertilization.
Thus, the consequences of discontinuing Jesse are as follows: if it is 4 days or more, the likelihood of pregnancy increases significantly. In order for adequate suppression of the hypothalamic-pituitary-ovarian system to occur, it is necessary to take tablets continuously for seven days.
Therefore, when skipping a woman you need to take the next pill as soon as possible, you can take two pills at once. Then continues taking active pills at the usual time. Inactive need to throw away and start a new packaging. In this case, the bleeding at the reception is unlikely, however, a small discharge at the reception can be noted.
If there was a break in the use of active pills during the reception period, and there was no bleeding on the days when the inactive tablets were taken, pregnancy should be excluded.
In the case of the development of serious disorders of the gastrointestinal tract possible incomplete absorption of active substances. On such days, it is necessary to use additional contraception. If a woman has vomiting within 4 hours after taking a pill, you should act as if you skipped a pill.
How to stop taking the pills and at the same time switch to other methods of contraception, it is desirable to ask in detail with a specialist gynecologist.
With the simultaneous use of Jess and other drugs (a number of antibiotics, enzyme inducers) can provoke breakthrough bleeding, as well as a decrease in the level of reliability.
When drugs are used with jesus that induce microsomal liver enzymes (this barbiturates, primidone, carbamazepine, phenytoin, rifampicin and others), increases the clearance of sex hormones.
Influenced by some antibiotics perhaps a decrease in the enterohepatic circulation of estrogen and, accordingly, a decrease in the concentration of ethinyl estradiol.
During the period of simultaneous administration of drugs that affect microsomal enzymes, as well as for 28 days after the withdrawal of such drugs, additional contraceptive devices are needed. Additional contraception is needed for 7 days after taking ampicillins and tetracyclines.
Jess may influence the metabolism of other medicines.
To determine the likelihood of interaction with Jesse other drugs, you must carefully read the instructions for them.
In the presence of certain risk factors before taking Jess you need to weigh the feasibility of using this particular contraceptive.
It should be noted that in the process of research a link was found between protection with oral contraceptives and an increase in the incidence of thromboembolism, venous and arterial thrombosis. However, these diseases are very rare. A higher risk of thrombosis is observed in smokers, at an older age, with obesity, migraine, heart valve disease, dyslipoproteinemia, atrial fibrillation.
With an increase in the intensity and frequency of migraine, you should stop taking Jes.
There is also a risk of cervical cancer in women with persistent human papillomavirus infection.
Rarely in women who took oral contraceptives, development of benign liver tumors has been noted. In very rare cases, malignant liver tumors were noted.
Women who are at high risk of hyperkalemia, should determine the level of potassium in the bloodstream during the first cycle of using the drug Jess.
Women with hypertriglyceridemia must take into account that when taking Jess they have an increased risk of developing pancreatitis.
If during the period of taking the drug in a woman there is a marked increase in pressure, the contraceptive should be stopped. If, through antihypertensive treatment, blood pressure indicators can be normalized, then the pill can be continued further.
In case of acute or chronic disorders of the liver, it is necessary to cancel the remedy until the condition returns to normal.
In the process of taking combined oral agents, some laboratory parameters may change, but they do not go beyond the normal limits.
Jess, like other combined oral contraceptives, cannot protect against sexually transmitted diseases as well as HIV.
Using the pill Jess for protection, the woman notes that while taking no monthly. Sometimes, more often in the first months, the woman notes that the menstrual cycle becomes irregular. As a rule, the adaptation period lasts for three cycles.
The ability to concentrate attention reception funds does not affect.
Analogues of the drug Jess - it is contraceptive Jes plus, Midiana, Dimia, Yarin. There are also other analogues from different manufacturers, which are oral contraceptives. How to take similar drugs, and which of them should be preferred by a gynecologist.
The difference between Jess and Jess Plus is that Jess Plus contains calcium levomefolat or folate. Folate belongs to group B vitamins. In the body, they are not synthesized, so sometimes when choosing Jess or Jess plus, the woman prefers the latter. What else is the difference between Jess Plus and Jess, and which of the tablets to prefer, you should ask the gynecologist.
Dimia or Jess - which is better?
Dimia is an oral contraceptive that contains similar components. It is a cheaper equivalent to Jesse. But the final decision on the choice of the drug must be taken by a doctor.
Which is better: Klyra or Jess?
Claira - This is a low-dose oral contraceptive containing an active substance. estradiol valerate. This drug is indicated for use in women who have high levels of estrogen in their bodies. As a rule, Clayra is recommended for women of more mature age.
Which is better: Yarin or Jess?
Yarin - This is a low-dose monophasic contraceptive that has anti-MICS and anti-androgenic effects. Yarin has a positive effect on the condition of the skin, hair, does not cause weight gain. The ingredients in both preparations are the same, only the dose of ethinyl estradiol differs.
Which is better: Jess or Janine?
Zhannin - combined estrogen-progestin contraceptive, which contains ethinyl estradiol and dienogest. When taking Jeannine, women are more likely to notice some side effects, although the drug is also a reliable means of contraception.
Logest or Jess - which is better?
Contraceptive Logest contains ethinyl estradiol and gestodene. Side effects and effects on the body are similar to the effect of the drug Jess. However, only a doctor can select the optimal oral contraceptive.
Jess or Diane 35 - which is better?
The drug Diane 35 has gestagenic properties, it contains ethinyl estradiol and cyproterone acetate antiandrogen. When taking Diana 35 women are more likely to notice a slight weight gain and some other side effects.
Teenage girls can use Jess after the onset of their first menstrual periods.
Sometimes adolescents are prescribed this drug for acne. Reviews of acne jes testify to the effectiveness of this drug.
During pregnancy and lactation
Pregnancy and breastfeeding are contraindications for taking jes. In the event that pregnancy is determined when taking the pill, you need to immediately stop taking the contraceptive. The surveyed studies indicate that if pregnancy occurs after taking Jes, no negative effects on the child are noted.
Since oral contraceptives can adversely affect the composition and amount of breast milk, they are not recommended for women until they stop breastfeeding.
In the network you can find numerous reviews of the tablets Jess. As a rule, these contraceptives are assessed positively by women, although there are also reviews about the birth control pills Jess for those to whom this hormonal drug did not fit. As a result, hormonal pills provoked the manifestation of side effects, in particular nausea, malaise, headaches, etc. In this case, the women tried to choose another, more suitable drug.
The reviews of doctors about Jess are positive, as experts note the effectiveness of Jes OK tablets, as well as their overall positive effect on the body. Reviews of Jes on the forums also indicate that the drug helps get rid of acne and improve the condition of the skin. After the withdrawal of the contraceptive, the state of the body does not deteriorate, so most women respond positively to these tablets.
Price of jes where to buy
The price of Jess tablets is 800-900 rubles per pack. You can buy Jess in Moscow at any pharmacy. Contraceptive pills in a pack of 28 pcs. can be purchased at a lower price subject to availability. But on average, the price of Jess in pharmacies is 850 rubles. The price of birth control pills Jess in Ukraine is an average of 220 hryvnia. The drug is also sold in pharmacies. The cost of Jess depends on the place of sale.
Features of contraceptive "Jess"
In the male, as, indeed, in the female body, there are hormones, called androgens. They act on men in such a way that a man shows his male qualities brighter and looks outwardly not like Ken, Barbie's boyfriend, but it is manly brutal. But an excess of such hormones in a woman (and they, as we agreed, also exist in her) will cause unpleasant things like excessive hairiness. It would seem, why did nature provide for the production of such substances from the representatives of the beautiful half of humanity? Yes, because if they were not, menstruation would become irregular, breasts - underdeveloped, hair on the head - sparse and weak.
So "Jess" has antiandrogenic effect! Not very pronounced, but allowing to achieve such a balance of hormones, which allows you to slow down hair growth in intimate areas after epilation, and cause a noticeable improvement in the properties of the skin, making it fresher and firmer. And doctors, prescribing this particular drug, will proceed from a certain masculinity of a woman, for whom the anti-androgenic effect of a contraceptive will fit not only in the sense of protection from unwanted pregnancy, but also to improve the image of femininity - because the drug works for a long-term perspective in this direction . The skin becomes softer, hair is lush, the character is calmer. Even sleep disorders and increased nervousness go to zero on those unpleasant days when PMS controls the woman’s behavior.
That is, there is a wonderful cosmetic effect, for which you do not need to pay separately, it is a “bonus” to the contraceptive properties of the drug, and the effect of the contraceptive as a good sedative and even an antidepressant.
But back to the properties of the drug, which are the main ones that make it an effective contraceptive.
The central place in the structure of active substances in "Jess" is occupied by two hormones:
- Ethinyl estradiol, present as betadex clathrate, in an amount of 20 μg
- Drospirenone - not more than 3 mg in Jess
When using different methods of protection from unwanted pregnancies in gynecology, the so-called Pearl index is used. It shows the percentage of women still becoming pregnant by taking a drug or a mechanical contraceptive method (condoms, vaginal caps, spirals, etc.). So, for condoms, this figure is about 12. In JES - 0.15 - 0.5.
An interesting scheme for taking the drug. Out of 28 tablets sealed in a blister, only 24 of them have an active hormonal component. The rest are “pacifiers”, which do not even have the right to be called a placebo. Но это осознанный выбор производителя средства, и такое положение вещей даже не скрывается от потребителя.And it is explicitly stated that these 4 "dummies" are a necessary component of the entire course of the drug intake, introduced so that the tablets can be drunk daily, without gaps, and physiological pauses are made for proper absorption of the drug.
In a similar drug, “Jess +”, the substance Metafolin, a biologically active form of vitamin B9, is introduced into 4 additional tablets, which is also folic acid. The lack of this specific substance causes difficulties in normal cell division and in disturbing the processes of normal red blood cell generation, which causes folic acid deficiency anemia - a very unpleasant thing when it comes to the health of a woman who in the future does intend to give birth, discontinuing contraceptives.
By their action, birth control pills Jess can be attributed to monophasic oral contraceptives. This means that the dose of an estrogen-gestogen pair, which suppresses ovulation and thickens cervical mucus at the entrance-exit of the uterus, is the same in each tablet and does not depend on the phase of the menstrual cycle. And there are also changes in the endometrium of the uterus. The mucous membrane loses its ability to receive a fertilized egg in the uterine wall - in cases when an excessively active sperm cell still breaks through the deeply echeloned defense built by the contraceptive.
Last but not least, “Jess” is chosen (if there is evidence) and in order to soften the flow of pain and menstruation and make them less abundant.
What does the doctor focus on prescribing the drug?
On the type of woman in the first place - and this is before blood tests, general and biochemistry, and to determine the hormonal balance in the case of involvement in the examination of the endocrinologist. Based on the fact that in the female body there are periodic changes in the balance between the purely female hormones progesterone and estrogen, and determine the estrogenic or progesterone type of woman.
Symptoms of the first type are full breasts, wide hips, a tendency to gain weight during pregnancy and after it, while breastfeeding. The estrogen type is characterized by a long menstrual cycle (usually more than 28 days), and PMS is manifested in increased irritability and aggressiveness.
The second type, gestagenny, is typical for high, with small breasts, women, in which PMS is manifested by pains in the lumbosacral region of the back and slight depression. The menstrual cycle is short. Well, since progesterone in them, at one of its stages, turns into testosterone inherent in more men, these women come face-to-face with such unpleasant manifestations of androgenism as acne, oily skin of the face and head frequent manifestations of seborrhea. So "Jess", with its synthesized in the 90s, drospirenone (and with its inherent antiandogenic effect) seems to be created just for such a female type.
Contraceptive properties of the drug are provided with a minimum of hormonal substances necessary for their effectiveness, so “Jess” can be recommended both to young girls who have not given birth, who have just gone out of age when they were considered adolescents, and adult women, up to the age of menopause.
Participation in metabolic processes
Absorption of the drug in the blood after oral administration occurs quickly and almost 100%. With cyclical intake, the highest level of drospirenone can be fixed between 7 and 14 days of intake. It is precisely with this that the onset of menstruation on the 2nd day is most often associated with the field of taking the first pacifier tablet.
Metabolization proceeds in an extensive type, the vast majority of the hormone is excreted in the already split and transformed state, only about 10% will be released through the kidneys and the digestive system in an unchanged form. The drug does not have a negative effect even on patients with pathologies of the liver in its light and medium forms.
It is also easily and completely absorbed into the blood after taking ethinyl estradiol. Its maximum concentration after ingestion orally comes already after 2 hours. The digestibility of this contraceptive component is about 62%. It is broken down in the liver by aromatic hydroxylation, excretion from the body occurs in the composition of bile and urine.
Contraceptive properties of the drug
With all the high effectiveness of the use of such a drug as "Jess", for almost all ages, it will show its greatest effectiveness in relation to girls of post-teen age and women up to about 27 years old. It is caused by ultra-low doses of ethinyl estradiol. With age, the concentration of this substance may require its increase. True, this happens only if the drug is drunk for many years, which is hardly possible. So, if this contraceptive was not used before the 35th or 40th year, then there is no need to increase the dose of the gestogen-estrogen pair. If used, then go to contraceptives with ethinyl estradiol content in excess of 30 micrograms, that is, to low-dose drugs.
The main function of drospirenone after administration to prevent unwanted pregnancy is to replace progesterone, but only with the opposite effect of progesterone. If progesterone was preparing the uterine lining for pregnancy, then the role of drospirenone is to control the growth and transformation of the endometrium in order to prevent the creation of conditions for the survival, development and growth of a possible fetus.
It is best and easiest to illustrate the effect of a contraceptive on the example of reducing the discharge during menstruation, because the effect of the hormonal couple contained in the preparation is completely tied to such a decrease.
Obstacle to ovulation
The second phase of the monthly cycle is characterized by the creation of ideal conditions for a possible pregnancy. At this time, the reproductive organs completely “forget” about the consequences of the previous menstrual cycle and are most prepared for the next one - if ovulation was unsuccessful and male spermatozoa did not reach their goal through the cervical canal. The endometrium then prepares for rejection from the ruptures of the capillaries and the supplying vascular wall in general - which, in fact, looks like menstruation.
"Jess", preventing the onset of full ovulation,
- will not allow the egg to exit the ovary to the "operational space",
- it will also not allow it to attach to the wall of the uterus
- and will not, therefore, start up the mechanism of hormone secretion by the glands, contributing to the development of the fetus.
- Along the way, it will not allow the endometrium to reject from the walls of the uterus with large gaps of the capillary and the vascular network in general, and this means a reduction in blood loss during menstruation and less pain during this process.
In short, with the suppression of ovulation, the contraceptive will not allow the endometrium to grow, and therefore the uterine lining after rejection will be released during menstruation less. In this regard, it is also natural that the use of “Jess” as a powerful means of treating a disease such as endometriosis, whose symptoms gradually decrease, after the end of 10-12 months, usually disappears completely.
Like any truly effective drug, "Jess", in accordance with the genotype and phenotype of the patient by which it was prescribed, can have both side effects when applied and direct contraindications to such use. Consider the beginning of the first situation - with possible side effects after taking the funds.
Method of administration and dosage
The order of admission is indicated on the package of the product - in the instruction leaflet, on the box itself or even on the blister pack. Reception is better to coincide with the same time of day, the tablet is washed down with a small amount of water. Reception "Jess" is not tied to whether it is used before meals or after. Alcohol intake is also not critical - if consumed in small amounts and not at the rhinestone after the tablet has been drunk.
The drug is drunk one per day for 28 days - the standard time of the lunar cycle, to which the monthly cycle of women is most often tied. Taking the pills from the new package begins the day after the previous one is over, without a single day of intentional or unintentional interruption. The breaks provided by the use of a dummy pill after every 7 days of use of the remedy are physiological and correctly calculated when developing the effect of the drug.
If “Jess” started to take for the first time, it is better to coordinate the beginning of the reception with the first day of the cycle. If the use began later, then in the first week after the start of the reception it is necessary to use barrier methods of protection.
In the case of skipping an inactive pill ("dummy"), you can not worry and just ignore this fact; skipping such a pill does not affect the course of contraception. A missed "dummy", in order to avoid confusion, it is better to throw it away altogether - its reception has a purely psychological effect.
If the active pill is missed, and the delay in reception was no more than 12 hours, it is necessary to take this dose as soon as possible. Protection with this technique will not be less. If more time has passed, up to a day or two or three, etc., the body’s protective functions from pregnancy will fall. For full restoration of protection from pregnancy, you need to resume taking the drug and drink it for at least 7 days. Before the 7th day, you will have to use additional methods of contraception.
Use of "Jess" after childbirth or abortion
Field of abortion, made in the early stages, the drug can be applied immediately, no additional measures of protection are required.
If childbirth or abortion occurred in the second trimester, then the use of "Jess" is justified after a lapse of time from 21 to 28 days after this event.
Sometimes (in anticipation of significant events, athletes in front of responsible competitions) there is a need to postpone the expected monthly. Then you need to continue taking the pills from the next 7-day batch, bypassing the taking of the blende pill. Then the cycle will be extended to the next term until a break in reception is received, and it does not matter how this break is effected: simply by stopping taking it for one day or using a pacifier.
- "Yarin". Tablets of yellow color, as well as "Jess" - monophasic PC with anti-androgenic properties.
- "Dimia". An oral contraceptive (PC) containing similar “Je” and “Yarine” components. Most, perhaps, cheap analogue of this series of drugs.
- "Kleira". Low-dose contraceptive, also taken orally. Preferred for women of more mature age (35 and older). Contains a highly effective remedy valerate of estradiol. It is shown to women with excess content in the body of estrogen.
- "Dione-35". A good, proven tool, however, has a side effect in the form of a small weight gain.
- "Janine." Contains, along with the usual ethinyl estradiol, dienogest instead of Drosperinone. The side effects are almost the same as in the case of taking "Jess".
Composition and release form
This drug is available only in pill form. They have a round shape, small size and a pink shell. Each side of the pill is engraved. One blister contains 28 pills, 24 of which are active, and 4 pacifiers (they are designed so that the woman does not miss the pills and starts to drink a new pack in time).
The main active ingredient of the drug is ethinyl estradiol, in each tablet it is in the amount of 20 mg. In addition, Jess contains the active ingredient Drospirenone - 3 mg per tablet. Also in these contraceptives you can find such excipients as:
- corn starch,
- lactose monohydrate,
- magnesium stearate.
The shell consists of titanium dioxide, hypromellose, talc and some dyes.
Mechanism of action
Since Jess is a contraceptive, its constituent active ingredients inhibit the maturation of the egg, as well as alter the structure and composition of the cervical mucus. All this together does not allow sperm to enter the uterus, and pregnancy does not occur. If you strictly adhere to the medical recommendations and advice described in the instructions, the effectiveness of the drug will be about 99.8%.
In addition, Jess helps to regulate the menstrual cycle, fights premenstrual syndrome and eliminates pain during menstruation. If you use this drug for 3-4 months, the volume of menstrual bleeding will decrease several times, which will minimize the development of iron deficiency anemia.
Jess also prevents the formation of cancer tumors, reducing the likelihood of cancer of the uterus and ovaries.
Since Jess contains the minimum amount of hormones and drospirenone, its use does not contribute to the appearance of excess weight, as is often the case with other oral contraceptives, but, on the contrary, helps to lose weight. If you take this medication correctly and monitor your psycho-emotional state, your appetite will not increase, respectively, the woman’s weight will remain within the normal range.
It also neutralizes the painful sensations in the area of the mammary glands before the beginning of menstruation and the lower abdominal distention during critical days, from which more than 60% of the fair sex suffer.
Since drospirenone reduces and neutralizes the effect of male hormones one month after starting to take Jess, the condition of the epidermis begins to improve (acne and acne almost completely disappear), the hair stops getting fat, and body hair growth slows down significantly.
Indications for use
Often, doctors prescribe hormones Jess, not only as a contraceptive, but also to combat other problems:
- protection from unwanted pregnancy
- treatment of acne caused by hormonal disruption or imbalance,
- struggle with severe premenstrual syndrome,
- heavy discharge during menstruation, which can cause anemia,
- increased production of male hormones, provoking a failure in the menstrual cycle and increased body hair growth.
Jess is a hormonal drug, you can not prescribe it yourself. Before using this tool, you must not only consult with the gynecologist and undergo an examination, but also pass numerous tests.
How to take jes?
On the package with pills there are special arrows that show the order of admission by days, which allows you to avoid skipping pills. Since Jes belongs to microdosing contraceptives, it is advisable to drink tablets at the same time (a deviation of several hours may cause intermenstrual bleeding in some women). Since the tablets are tiny in size, you can simply swallow them, but it is better to drink water.
For 24 days, a woman will need to take one pill 1 time per day. And when the active pills run out - one dummy each (doctors say that you can just skip them, since they do not contain active substances and will not affect the contraceptive effect).
When the last tablet in the package is finished, you need to purchase a new blister and take the first tablet from the new pack. In most women, menstruation begins on 2-3 inactive tablets and continues until the start of taking active tablets.
You should start taking this drug on the first day of the menstrual cycle (if you are using the pill for the first time). By the time your period ends, the contraceptive effect will already be in place. If the first pill was taken after the start of menstruation, it is recommended to use additional contraceptives during the first week, since the drug is not completely absorbed by the body.
If a woman for some reason decided to stop drinking Jess, throwing a pack on active pills is impossible, it can lead to a failure in the menstrual cycle. Blister must be drunk to the end.
What to do when you skip the pill
In the event that one tablet was missed, it should be taken as soon as possible. If the interval is more than 12 hours, the pill should be drunk as usual, but for the next 7 days to use additional means of protection. If after the pass less than 12 hours have passed, you need to take a pill, and continue to take packaging on a schedule. In this case, the contraceptive effect is not reduced.
On each blister printed instruction, which describes in detail the actions for each case.
Is there a delay after canceling jess?
The use of hormonal contraceptives, such as Jes, is always a hot topic for the beautiful half of humanity of all ages. The use of hormones in small quantities is even considered useful, as the background of taking hormonal preparations improves the health of the body.
But do not forget that each organism has its own characteristics that must be considered when using these or other drugs.
After all, there is no guarantee that a drug that suits one woman will suit another. Поэтому беспокойство женщины вполне обоснованно, а возникновение таких вопросов, как: «Что будет после отмены Джес?», «Будет ли задержка месячных?», «Как употребление этого препарата влияет на женское здоровье?», «Почему после применения нет месячных?» являются неизбежными.
Jess and monthly - communication at a subtle level
Since the female body is an individual mechanism, the reaction to the drug is also individual for everyone.
It often happens that after the abolition of Jess, the woman's menstrual cycle gets off, her period becomes irregular or disappears altogether. This is considered to be the norm, since during the administration of hormonal contraceptives, the number of sex hormones and active substances calculated for emergency contraception increases several times in the body.
Do not forget that taking hormones is stressful for the whole organism, in particular for its endocrine system. So after the abolition of Jess, the phenomenon of delayed menstruation is quite a predictable reaction.
After the cancellation of hormonal contraceptives, the body, or rather, the hormonal background begins to rebuild and adapt to the new conditions, which leads to a delay in menstruation.
The use of the drug and its effect
Before you start to use hormonal contraceptives, you should consult a gynecologist.
Women who take drugs, for example, Jess, must necessarily undergo a routine examination by a specialist.
The actions of hormones can be both positive and negative.
Before taking Jess, it is worth carefully studying the instructions for use, because it is a chemical drug and it has its own contraindications. Consult with the gynecologist, because he knows better whether or not there are restrictions in each individual case.
After the cancellation of Jess, be sure to visit a specialist. If you stop taking the drug, you notice that there is no monthly for 2-3 days, it is considered normal. If there are no monthly periods within 10 days, it is worth contacting the antenatal clinic, as a pregnancy option is not excluded.
How hormonal contraceptive jess affects menstrual function in women
Oral contraceptives today are a real salvation for girls. These drugs are used not only to prevent unwanted pregnancy: they normalize the menstrual cycle and correct the endocrine system. Jess tablets are one of the most popular drugs on the shelves of pharmacies, as this drug is well tolerated by many women, rarely causes side effects and copes well with its function. A feature of this OK, like many others, is that it changes the menstruation of a woman. How are jess and menstruation related, and what should be expected when using the drug?
Briefly about the drug Jess
Jess is a contraceptive containing a low concentration of two hormones: drospirenone and ethinyl estradiol. The drug gives a complex effect, its active components have several targets at once.
The hormones in the composition of the drug inhibit the maturation and release of egg cells from the follicles, therefore ovulation in the woman's menstrual cycle is absent or is greatly reduced. The components of the tablets contribute to the thickening of the cervical mucus, so the sperm is much harder to get into the fallopian tubes to the egg.
Hormones suppress endometrial thickening, and even if the egg is fertilized, it will not be able to implant in the uterus. Jess reduces the activity of the ovaries - they produce less estrogen than gynecologists use to treat endometriosis or hyperestrogenism.
The drug must be taken when menstruation begins, that is, from the first day of the menstrual cycle.
This is necessary in order to slowly prepare the body for hormonal influence. In a pack of 28 pieces - this is the standard length of the menstrual cycle. Contraceptive effect appears after menstruation and continues until the end of the course of the drug. Tablets in packaging differ in the dosage of active substances, so you need to start strictly from the start, and the last 4 pieces are “premenstrual”, they have a lower concentration of hormones - this will be a signal to the beginning of menstruation.
When taking Jes monthly come at the same time every month, so this drug is used not only for contraception, but also for the normalization of hormonal and menstrual cycle.
When to wait for menstruation after Jess
Monthly while taking Jess go 4-5 days, because the course of this drug starts from the first day of the menstruation cycle. In a pack of 28 tablets, so repeated menstruation during the period of use will not be OK. When the course is over, menstruation will occur 1-4 days after consuming the last inactive pill (white), which contains only 4 - they decrease the concentration of hormones, this signals the body about the end of the menstrual cycle.
After the cancellation of Jess, the menstrual period does not end for 7-9 days, they are more scarce and viscous, while their shade is darker than usual: burgundy or brown. This is due to several factors:
Often, gynecologists are asked this question: “I accept Jess. When do menstruations normalize after it is canceled? ”You shouldn’t be afraid of any changes in the quality of menstruation, because if a woman will no longer take Jess, then they will normalize in 1-3 months.
No monthly while taking jes
Menstruation should last for the first 4-5 days of taking Jess, but some women observe that they may end by 2-3 days of taking the pills. There are several reasons for such a change in the nature of menstruation: firstly, Jess can stop secretions if they were scarce before taking OK, secondly, the drug is incompatible with alcohol and severe stress, therefore, under their influence, a woman can prematurely stop menstruation.
The complete absence of menstruation when taking Jess may be due to the fact that the woman initially had an underestimated level of estrogen in the blood, and this drug reduced it even more, so endometrial rejection occurred.
If the monthly began earlier. before the girl drank the last inactive pill of white color, then you should not worry - this is a normal reaction of the body to stimulate menstruation.
No monthly after jess
After the end of the use of Jess, a healthy woman must begin her period, because it is for this that there are 4 “markers” for the body pills that do not have a pronounced contraceptive effect, they signal the end of the menstrual cycle. There are several factors provoking the absence of menstruation after the course of Jess:
With long-term use of oral contraceptives, and Jess is no exception, the woman will not have menstruation, but she will become slim, the discharge will have a brown color due to the effect of the drugs on the endocrine system. Because of this, after stopping the use of pills, the reproductive system will not be ready to work again in a normal, natural rhythm, and the consequence will be a 1–3 menstruation skip. Gradually, the body will recover, and the monthly normalized.
Difference Jess from Jess plus
The forums often have the question: “I drink Jess, how does it differ from Jess plus, and which one is better?”. The main difference between these drugs is that the second contains an additional component - calcium folate, which is necessary for the normal development of the fetal neural tube. The fact is that sometimes when planning a pregnancy, a woman needs to drink a course OK in advance to normalize the hormonal background, and only then prepare for fertilization.
When taking Jes plus a woman, in addition to hormones, receives an important element for the normal development of the fetus, therefore, it is preferable to choose it.
After the cancellation of Jess Plus, you can become pregnant already in the next ovulation period, since the hormonal background will be stabilized, and the calcium folate will compensate for the lack of this compound in the body.
If the girl is not planning a pregnancy in the near future, then Jess plus she does not make sense to drink, because this drug is more expensive than the usual contraceptive.
Pregnancy while taking jes
Rarely, girls observe that after Jess is canceled there is no monthly for a long period, and there are no signs of ovulation (breast engorgement, swelling, etc.), and weight can be added and nausea is one of the first signs of pregnancy.
Oral contraceptives are quite reliable contraceptives, as they correct the work of the entire reproductive system, “putting obstacles” for pregnancy in stages 3-4 (discussed in the effects of the drug). But when they are taken it is very important to maintain regularity - it is necessary to drink one tablet daily at the same time so that the body receives doses of hormones.
If a woman uses Jess in an irregular manner, the risk of becoming pregnant from her increases significantly, especially in the second half of the cycle, when ovulation should occur under normal conditions.
If there are no months after the cancellation of Jess, you need to wait 2 weeks, and then do a pregnancy test and consult a gynecologist.
If the pass occurred before the 15th day, then the woman can do nothing and calmly continue the sex life, since during this period ovulation could not occur. If the skip pill happened after the 16th day of the cycle, then within 3-4 days the following additional contraceptive measures should be used: condoms or vaginal spermicidal suppositories. This is due to the fact that without the intake of hormones, ovulation can begin - time for fertilization.
If the month after the cancellation of Jess still did not start, then it is necessary to do a pregnancy test after 2 weeks and visit the doctor, mentioning the failure while taking the contraceptive.
What reduces the effectiveness of the drug
Sometimes the girls on the forums are interested in the question: “Why am I drinking Jess and I got spotting on days 15-16 of the cycle?” This phenomenon could be due to the fact that some facts reduced the effectiveness of the drug, and ovulation occurred - the release of the egg.
Decrease in contraceptive effect may be associated with such features:
When using Jess, it is necessary to take into account the effect of these factors and avoid them so as not to reduce the effectiveness of the drug.
Jess tablets are one of the most effective and at the same time “convenient” contraceptives, since these pills rarely produce side effects and do not adversely affect the health of the girl. Above were answered many questions related to the topics: “I accept Jess. How do menstruations change, why they are not there, what to do when skipping pills and stuff. ” If you use this drug, you must first study the instructions, especially you should pay attention to contraindications.
Part Jes plus (active tablets) contains active ingredients drospirenone. ethinyl estradiol betadex clathrate. calcium levomefolat .
The composition also includes additional components lactose monohydrate, croscarmellose sodium, magnesium stearate, hyprolosis.
The auxiliary tablet contains the active component of calcium, levomefolat, as well as additional ingredients lactose monohydrate, croscarmellose sodium, hyprolosis, magnesium stearate.
Jess Plus, instructions for use (method and dosage)
If a woman chooses this as a means of contraception, then it must be taken correctly.
Instructions for Jes Plus provides for oral pills according to the order indicated on the product packaging. A woman should clearly know how to take pills: they do not need to be chewed, you need to drink a small amount of liquid. You need to try to take pills at about the same time.
Daily, for 28 days, you should drink 1 tablet. After the packaging is completed, you need to immediately open the next one.
You need to start taking the pills on the first day of the monthly cycle, that is, on the first day of bleeding.
If a woman is noted diarrhea or vomiting, then the drug in connection with such disorders of the body may not be completely absorbed, as a result of which additional contraceptive protection is necessary during this period.
After menopause pills do not apply.
Analogs Jess Plus
Matches for ATC code 4th level:
Analogs of the drug Jess Plus are contraceptives Midiana . Jess . Dimia . Yarin . have on the body of a woman a similar effect. Despite the fact that the impact of all these funds is similar, it is desirable that the doctor selects the contraceptive for the woman individually.
The drug is not prescribed to children, and adolescent girls can take Jes Plus only after the first menstruation.
By combining Jes Plus and alcohol, women often fear that the pill may be reduced. Experts note that alcohol in small doses does not reduce the contraceptive effect of tablets. But when taking oral contraceptives, alcohol abuse is prohibited. In case of alcohol overdose, it is necessary to additionally use other contraceptives.
Types of hormonal contraception
- combined oral contraceptives or COC,
- progestin drugs:
- pure progestins or mini-drank
- injection progestins (have a prolonged action),
- progestins that are implanted
- contraceptive patch,
- drugs for emergency or fire contraception,
- hormonal intrauterine system,
- Vaginal rings with hormones.
Combined oral contraceptives (COC)
These types of hormone pills include those that contain both estrogen and gestagen. Depending on the content of hormonal components, COCs are divided into:
- monophasic (in each tablet the same dose of estrogen and progestin component) - rigevidon, logest, silest,
- biphasic - anteovin, divina,
- three-phase - tri-regol, triziston.
The effect of this type of hormonal contraception is to suppress the production by the ovaries of their own hormones, with the result that ovulation does not occur. In addition, such tablets thicken the mucus in the cervical canal, which makes it impossible for sperm to enter the uterine cavity and change the uterine mucosa (to some extent atrophy it), which prevents the implantation of the egg.
How to pick the best COC
Types of female phenotypes:
- Estrogenic (feminine) type
It is characterized by a long menstrual cycle, fairly abundant menstruation, significant vaginal bella, and the woman looks very feminine: developed mammary glands, round shapes with a tendency to be overweight, normal skin (closer to dry) and hair. For women with a predominance of estrogen, COCs are suitable, the dose of the progestin component in which is higher than the estrogenic content (Norinil, Minulet).
- Balanced type
Characterized by the balance between estrogen and gestagen. All external and clinical signs are expressed to a moderate degree: the mammary glands are of medium size, the structure of the body is proportional, the skin is of normal fat and moisturizing, the hair is thick and dense, and has no problems with conception and gestation. Such women are optimal COC three-phase (three-Merci) or single-phase, with a low content of hormones (Lindinet-20, Mercilon, Marvelon).
- Progesterone phenotype
Another name is bone or ectomorphic phenotype. It is characterized by the predominance of progesterone (released in phase 2 of the cycle). Women have the following features: uniform development of the shoulders and hips, according to the “sports figure” type, uniform distribution of subcutaneous fat, closer to the android (male) type, underdeveloped mammary glands, tall growth, oily skin and hair, acne and seborrhea . Also characterized by hypertrichosis and hirsutism (depending on nationality). Monthly meager and short, the menstrual cycle is short. Women with a progesterone phenotype are eligible for HECs with an anti-androgen component (Janine, Yarina, Diane, Jess).
Hormonal COC new generation
The list of hormonal contraceptives of the new generation includes:
Perfect for young women. The dose of hormones in these pills is very low, so they are referred to the group of low-dose hormonal contraceptives. Due to the low content of hormones, the risk of vascular complications (thrombophlebitis, thromboembolism) is reduced. Jes well tolerated and do not affect the digestive tract (nausea, vomiting). It is recommended to eliminate the signs of premenstrual syndrome, eliminate acne. Reception Jess does not affect the weight of the woman and has a positive effect on the hair and nails.
The composition of this combined oral contraceptive include: ethinyl estradiol in the amount of 20 mg and desogestrel in a dose of 150 mg.
The drug normalizes the menstrual cycle, reduces the number of menstrual flow, does not affect the weight of a woman and has a minimum of side effects. После родов (при отсутствии лактации) прием новинета разрешен на 21 день.
Входит в группу монофазных низкодозированных КОК. Обладает антиандрогенным действием: успешная борьба с угревой сыпью, себореей и жирной кожей, гирсутизмом. Оказывает отличный противозачаточный эффект.
The preparation contains ethinyl estradiol in an amount of 20 µg and gestodene in a dosage of 75 µg. Refers to low-hormone COCs. Taking Lindinet-20 does not increase weight, the risk of side effects (nausea, vomiting) is minimal.
Yarina belongs to the KOC of a new generation and has anti-androgenic effects. The preparation contains ethinyl estradiol 30 mcg and drospirenone at a dose of 3 mg. Successfully eliminates skin problems (increased fat, acne) has a beneficial effect on the condition of the hair and reduces the manifestations of premenstrual syndrome. The development of side effects is minimal.
Hormonal combined oral contraceptives new generation
Benefits of COC
The benefits of taking COC include:
- simplicity and ease of use
- relieving symptoms of premenstrual tension
- reduction of menstrual blood loss,
- normalization of the menstrual cycle
- prevention of mastopathy and the development of benign tumors of internal genital organs,
- high contraceptive effect.
Cons of COC
Of the negative aspects of taking COCs, it should be noted:
- not recommended to women of 35 and older
- require discipline (daily reception at the same time),
- possible spotting when taking hormonal contraceptives (in the middle of the cycle, especially during the first 3 months of admission),
- with special care are assigned to smoking women,
- do not protect against genital infections.
The composition of these tablets (excluton, microlut) includes only progestogens, and in very small doses. The mechanism of action of this type of hormonal contraceptives consists of several points. First of all it is a cervical factor - the volume of cervical mucus decreases, but it becomes thick and viscous, which makes it difficult for sperm to enter the uterus. Secondly, it is the uterine factor - progestogens cause premature secretory transformation of the uterine mucosa (normally, this happens in phase 2 of the cycle), which makes implantation impossible. And with a long reception of mini-saws, endometrial atrophy occurs. There is also a tubular factor due to weakened peristalsis of the tubes, which slows down the egg's movement through the tube and reduces its chances of fertilization. And in 25-30% of women, such pills suppress ovulation.
Mini-saws are recommended for women who:
- are overweight
- do not tolerate estrogens,
- are in premenopausal age.
New generation mini-saws
The drug contains desogestrel in the dosage of 75 mg. Great for taking nursing mothers and women with contraindications to the use of estrogen. Does not affect the amount of milk, quickly restores the menstrual cycle after childbirth.
The drug contains 75 mg of desogestrel. It has a good contraceptive effect, suitable for lactating women, does not affect weight. Of the side effects: you may receive daubs during the first three months of use.
The composition of the tablets includes linestrenol in a dose of 500 mg. Does not affect weight, does not reduce libido, an excellent choice for contraception for women after childbirth who are breastfeeding.
New generation mini-saws
Advantages of mini-saws are:
- low risk of cardiovascular and cerebrovascular disease (heart attacks, strokes) due to the small amount of progestogen and the lack of estrogen,
- do not affect blood clotting,
- do not affect lipid metabolism (do not provoke weight gain),
- well stop premenstrual syndrome
- irreplaceable in case of occurrence of regular ovulatory pains and cycle disorders,
- the possibility of receiving women smokers
- simplicity and ease of use.
Of the disadvantages of these tablets should be noted:
- the contraceptive effect is less pronounced than in COCs,
- require strict adherence to the pill,
- the risk of functional ovarian cysts and ectopic pregnancy increases,
- frequent violations of the cycle in the form of acyclic bleeding,
- the occurrence of breakthrough bleeding,
- shortening the cycle (25 days or less).
Injectable contraceptives - Depo-Provera
The mechanism of action of these contraceptives is the same as that of the mini-drank. The most common drugs are depo-provera (150 mg) and noreisterate. The positive aspects of such contraceptives are: prolonged action (one injection every quarter), easy to use, high reliability. Among the shortcomings it can be noted: a long restoration of fertility (about 5-7 months), it is impossible to quickly remove the drug from the body, the frequent occurrence of acyclic bleeding and regular visits to the clinic for re-injection.
Transdermal therapeutic system
This contraceptive method includes the Evra hormonal contraceptive patch. Presented in the form of a square piece of plaster with dimensions of 5 to 5 cm of skin color. Contraceptive efficacy reaches 99%. The composition of the patch includes ethinyl estradiol in a dose of 600 μg and norelgestromin at a dosage of 6 mg, that is, it belongs to the combined hormonal contraceptive drugs. The package contains 3 patches, each of which is glued to a specific area of skin (in the area of the buttocks or the abdomen, on the outer surface of the shoulder or in the scapular region) once a week. The patch should be attached on the first day of the month, but it can be done on any other day of the week, but in this case, the use of additional contraceptives for 7 days is required. At the end of the week, the plaster must be peeled off and attached a new one, but already in a different area of the skin. After using 3 patches (21 days), it is necessary to take a week break during which menstrual bleeding will begin. After the break, on the 8th day, a new patch is glued.
Use of a contraceptive patch
Pluses hormonal patch
The advantages of this hormonal contraceptive method include:
- lower dose of hormones (compared to COC),
- simplicity and ease of use
- no need for daily monitoring, for example, as with daily hormone pills,
- resistant to moisture and sun (does not come unstuck in the shower or when sunbathing),
- preservation of contraceptive effect during physical exercise, in a sauna or in a bath, during a tanning procedure,
- normalization of the menstrual cycle, elimination of intermenstrual bleeding,
- lack of a negative effect on the liver (hormonal components bypass the digestive tract),
- reduction of symptoms of premenstrual syndrome.
Cons hormonal patch
Of the shortcomings should be noted:
- itching (possibly, but not necessarily) at the site of the patch,
- visibility on the skin, as an aesthetic defect,
- the likelihood of side effects
- peeling off the patch with frequent contact with water,
- protection against genital infections is absent.
Subcutaneous implants are also included in progestogenic contraceptives of prolonged action (norplant, implanon). The essence of their contraceptive effect, the disadvantages and advantages are the same as for injection progestins. The only difference is that they are injected subcutaneously (capsules with levonorgestrel) in the region of the forearm from the inside. The duration of the contraceptive action of a 5-year-old Norplant (6 capsules are implanted with a special syringe at the same time).
Emergency contraceptive pills
The essence of these pills is either to block ovulation or to prevent implantation. If all the conditions for taking the medicine are met, then the contraceptive effect is quite high. Emergency contraception should be performed no later than 72 hours after unprotected sex, and the earlier the pill was taken, the efficiency was higher (a total of 2 tablets were supposed to be drunk: the first immediately after intercourse, and the second no later than 12 hours after the first).
Of the disadvantages of this method of contraception are as follows: the frequent occurrence of heavy discharge up to massive bleeding, pronounced side effects, menstrual disorders. But it is important to remember that emergency contraception should not be used more often than three times a year.
Vaginal hormonal contraceptives
Vaginal contraceptive ring that contains hormones (estrogen - ethinyl estradiol and progestin - etonogestrel components) - NovaRing. The contraceptive is presented in the form of an elastic ring, which is installed in the vagina for 3 weeks, during which time hormones are secreted from it, which have a contraceptive effect in the form of COCs.
Cancellation of hormonal contraceptives
The abolition of hormonal contraceptives produced either at the request of the woman (set up to get pregnant or switch to another type of contraception), or for medical reasons. In the absence of emergency indications, it is necessary to complete taking hormonal birth control pills according to the following rules:
- finish the whole package (the discontinuation of pills in the beginning or middle of the cycle threatens with hormonal disruptions),
- consult with your doctor (choose another method of contraception or discuss the stages of pregnancy planning),
- pass biochemical analysis of blood and blood clotting (hormonal contraceptives affect the metabolism of proteins, fats and carbohydrates, increase blood viscosity).
After abrupt cancellation of hormonal contraception (suspicion of pregnancy, thrombosis, liver disease, high blood pressure, etc.), the following side effects are possible:
- depressed state
- the appearance of acne,
- increased hair growth
- weakening of sexual desire
- the occurrence of breakthrough bleeding,
- the appearance of headaches
- nausea, vomiting.