Which contraceptive is better than Qlaira or Yarina? The latest birth control pills: freedom of choice. Hormonal and non-hormonal used after intercourse

The article is devoted to the analysis of the positive and negative aspects of the use of contraceptive pills and the assessment of their potential harm to women's health:

The first part of the article contains information about the classification, contraindications, side effects and advantages of taking hormonal oral contraceptives.

The second part analyzes the potential risk of long-term effects from taking drugs for perfectly healthy women.

Women should be attentive to the prospective forecasting of their own health. It is worth considering the following factor - each intervention in the delicate and sensitive mechanism of natural processes occurring in the female body can result in both minor and tragic consequences.

Every woman should weigh her decision to take or refuse birth control pills after consulting a gynecologist. You should not recklessly refuse these drugs, but you should definitely analyze all the risks of long-term contraception using oral contraceptives.

Among all other forms of a wide range of contraceptives offered to consumers by the pharmaceutical industry, hormonal birth control pills are leaders in consumer demand. Unfortunately, many women “prescribe” them to themselves on their own, without thinking about side effects and contraindications to taking these drugs. Correction of the term for the use of tablets, and, most importantly, their choice is carried out exclusively by a gynecologist based on a study of the woman's history and the results of laboratory tests.

Types of oral contraceptives:

COCs (combined oral contraceptives),

Mini-drank.

Main active substance COC is one of the progestogens (norethisterone, norgestrel, desogestrel, gestodene, etc.) and ethinylestradiol (an analogue of the hormone estrogen).

Types of COCs depending on the ratio of hormones:

Monophasic drugs

In each tablet of drugs in this group, the percentage of the progestogen and estrogen components is unchanged

Desogestrel and ethinylestradiol:

Regulon (280-320 rubles)

Ethinylestradiol and dienogest:

Janine (800 rubles)

Silhouette (400 rubles)

Gestodene and ethinylestradiol:

Lindinet (280-350 r),

Logest (720 rubles),

Femoden (580-680 rubles)

Microgynon (320 rubles)

Minisiston (370 rubles)

Biphasic drugs

The dose of estrogen in all tablets is the same, the dose of progestogen varies depending on the period menstrual cycle

Femoston Dydrogesterone + Estradiol (700-800 rubles).

(Ethinylestradiol + Levonorgestrel): Anteovin, Binordiol, Sequilarum, Sequilar

Bifasil Binovum (Ethinylestradiol)

Neo-Eunomine (Ethinylestradiol + Chlormadinone Acetate)

Triphasic drugs

Doses of estrogen and progestogen change three times depending on the period of the menstrual cycle

Tri-Regol (200 rubles)

Tri-Merci (650 rubles)

Triziston

The mechanism of action of combined oral contraceptives is to block the formation of luteinizing hormone (LH) and follicle-stimulating hormone (FSH) in the pituitary gland, resulting in inhibition of ovulation. At the same time, the functioning of the ovaries and the structure of the endometrium change. The glandular regression of the mucous membrane makes it impossible for a fertilized egg to attach to the wall of the uterus. The mucus in the cervical canal becomes thicker, so the passage of sperm into the uterus is difficult.

Classification of COCs according to the degree of concentration of active components:

Microdosed oral contraceptives. The content of hormones is minimal, the drugs are recommended for those who use COCs for the first time, as well as for young women under 25 years old. Monophasic drugs of this group: Zoeli, Jess, Miniziston, Dimia, Novinet, Logest, Miniziston, Mercilon, three-phase drug Qlaira.

Low doseoral contraceptives. The drugs have an antiandrogenic effect, their use reduces growth unwanted hair, greasiness of the skin of the face and head, seborrhea, acne. Recommended for young and middle-aged women who have given birth, as well as for those for whom microdosed preparations are not suitable, as there are spotting in the middle of the menstrual cycle. Preparations of this group: Diana, Jeanine, Miniziston, Rigevidon, Yarina (Midiana), Tri-Merci, Regulon, Belara, Femoden, Lindinet, Marvelon, Chloe, Silest, Demulen, Microgynon.

High-dose oral contraceptives. The content of hormones in the preparations of this group is quite high, they are prescribed for the treatment of hormonal disorders or pathologies of the female genital area (endometriosis) exclusively on prescription. Preparations: Non-ovlon, Triseston, Triquilar, Tri-regol, Ovidon.

Mini-drank. Preparations of this group contain only progestogen, act on limited areas of the female genital organs. The active substance of the minipill changes the composition and amount of mucus in the cervical canal, which prevents the movement of spermatozoa into the uterus. As a result of taking the drugs, the morphology and biochemistry of the endometrium changes, thereby making it impossible for the egg to implant. Half of the women who use mini pills for contraception? ovulation does not occur. Preparations of this group with linestrenol as an active ingredient (Orgametril, Exluton, Microlut), with desogestrel (Charozetta, Lactinet).


Charozetta (800 rubles) desogestrel	Lactinet (530 rubles) desogestrel	Orgametril (1100 rubles) linestrenol	Exluton (1250 rubles) linestrenol

How to choose good birth control pills?

The choice of oral contraceptives should not be trusted by friends or a pharmacy pharmacist, appoint them yourself. To choose pills for contraception, you need to visit a gynecologist. The doctor will analyze the patient's history, genetic predisposition to the main diseases of the risk group, and evaluate possible contraindications.

As a result of a medical examination, the following indicators are evaluated:

Weight, blood pressure;

The condition of the skin, the presence of excessive hair growth on the body;

Signs of an overabundance of androgens;

The state of the mammary glands (by palpation);

Analysis of blood biochemistry, blood sugar, liver enzymes, hormonal background;

Ultrasound of the pelvic organs and mammary glands (mammography);

Analysis of smears from the vagina and cervical canal;

The state of the pelvic organs (examination in the mirrors);

Assessment of the state of the organs of vision (examination by an ophthalmologist).

The choice of birth control pills is based on the type of woman's constitution.

Parameters of the constitutional-biological type:

Growth, features of appearance;

The volume of the mammary glands;

Type of pubic hair;

Skin and hair condition;

Features of menstruation and premenstrual symptoms;

Existing somatic pathologies.

Female phenotypes and most suitable oral contraceptives:

The predominance of estrogens

Phenotype - feminine, with dry skin and hair, having a short and medium height, long periods with a large loss of blood, a menstrual cycle of more than 4 weeks. Women with a predominance of estrogens are recommended contraceptives with a high and medium dose of hormones: Rigevidon, Triziston, Milvane, etc.

Milvane (ethinylestradiol and gestodene):

Logest (720 rubles)

Femoden (600-650 rubles) Lindinet (average price 320 rubles)

Rigevidon (price 180 rubles),

Microgynon (320 rubles),

Minisiston (370 rubles)

Tri-regol (200 rubles),

Triquilar (530 rubles),

Triziston

The same amount of estrogens and androgens

The phenotype is feminine, with developed mammary glands of medium size, medium height, oily skin and hair is normal, PMS is absent, the menstrual cycle lasts 4 weeks, menstruation is 5 days. New generation drugs are recommended: Microgynon, Silest, Femoden, Marvelon, Lindinet-30 and others.

Ethinylestradiol and desogestrel:

Marvelon (630 rubles),

Novinet (330 rubles),

Regulon (280-320 rubles),

Tri-merci (650 rubles)

Mercilon (630 rubles)

Ethinylestradiol and Norgestimate:

Eethinylestradiol and Gestodene (Milvane):

Lindinet (280-350 rubles),

Logest (720 rubles),

Femoden (600-650 rubles)

Ethinylestradiol and levonorgestrel:

Rigevidon (180 rubles),

Tri-regol (200 rubles)

Microgynon (320 rubles),

Minisiston (370 rubles)

Triquilar (530 rubles),

Triziston

The predominance of androgens (gestagens)

Phenotype - high growth, underdeveloped mammary glands, oily skin and hair above normal, PMS in the form of depression and pain in the lower abdomen and lower back, scanty menstruation with a short cycle of less than 28 days. Recommended drugs: Jess, Janine, Yarina, Diane-35.


Yarina (price 800 rubles)	Ethinylestradiol and drospirenone: Jess (820 rubles)	Ethinylestradiol and drospirenone: Dimia (550 rubles)	Nomegestrol and Estradiol: Zoely (1000 rubles)

Ethinylestradiol and dienogest: Jeanine (800 rubles), Silhouette (400 rubles)		Ethinylestradiol and cyproterone: Diana35 (820 rubles), Chloe35 (450 rubles), Erika35 (360 rubles)

How to take hormonal oral contraceptives correctly?

The standard blister with contraceptive pills, designed for one cycle, contains 21 pcs. Exceptions: Jess (a new generation drug designed for young women) - 24 tablets, Qlaira (a modern drug for women over 35) - 28 tablets.

Rules for taking oral contraceptives:

Reception begins on the first day of menstruation, it is continued daily at the same hour chosen for this.

The rule for the forgetful is to put a blister with pills where it will constantly catch your eye (attach with a magnet to the refrigerator door, put in a cosmetic bag, to a glass with a toothbrush).

Take 1 tablet daily until the end of them in a blister, then take a break for 7 days, during which bleeding will occur according to the type of menstruation.

After seven days, you need to start a new blister with contraceptives, regardless of whether the bleeding has ended or not.

Emergency and non-hormonal contraception

To prevent unwanted pregnancy during unprotected intercourse, a woman can use emergency contraception. The most famous drugs from this group are Postinor and Escapel. Postinor is used no later than 72 hours after sexual intercourse without contraception.

First, a woman should take 1 tablet, after 12 hours the second. As a means emergency contraception Conventional oral contraceptives (COCs) can also be used. It is important that the tablet contains at least 0.25 micrograms of levonorgestrel and at least 50 micrograms of ethinyl estradiol. Immediately after sexual intercourse, you should take 2 tablets of an oral contraceptive, after 12 hours, repeat the dose at the same dose.

Prescribing emergency contraceptives - exceptional indications (rape, damaged barrier contraception). According to the recommendation of the World Health Organization, such drugs should not be used more than 4 times a year. In Russia, they are used by women on an ongoing basis, which is fundamentally wrong. Emergency contraceptives are abortive and harm a woman's fertility.

Non-hormonal birth control pills are spermicides intended for topical use for contraception.

The main active ingredient of these contraceptives serves as a kind of barrier for the penetration of spermatozoa into the uterine cavity. An additional effect of non-hormonal contraceptives is an anti-inflammatory and antimicrobial effect.

Method of application - the introduction of the drug intravaginally 10-15 minutes before the intended sexual intercourse. Preparations of this group: Pharmatex, Patentex Oval, Benatex and others.

Benefits of using hormonal birth control pills

If we compare barrier contraceptives and modern new generation contraceptive pills, then all the advantages will be on the side of the latter.

Pros of using oral contraceptives taken on the recommendation of a gynecologist:

Almost 100% effective method contraception;

Available for use by women at any age;

Against their background, the menstrual cycle becomes regular, menorrhagia disappears;

There is a cosmetic effect - hirsutism, acne, seborrhea of the hairline are reduced;

A woman acquires psychological comfort, as the fear of unwanted pregnancy disappears;

It becomes possible to regulate the time of the onset of menstruation;

Presumably, there is a therapeutic effect in mastopathy, ovarian cysts, endometriosis, uterine myoma (this question remains open, since most studies are funded by OC manufacturers);

Fertility does not suffer, the ability to bear children is restored after 2-6 cycles, a maximum of a year.

To obtain an objective picture, it is necessary to analyze the arguments against taking oral contraceptives. In any case, a woman must make a decision armed with knowledge of the benefits and dangers of long-term drug use.

Cons of using birth control pills

The modern production of medicines is the same business as construction, trade and any other sectors of the economy. The more often you have to take drugs, the greater the benefit of their production brings manufacturers. You can imagine how profitable it is to produce birth control pills that should be taken daily by millions of women around the world. Over the past decade, independent experts from the United States have conducted several studies, the results of which may be shocking.

The consequences of taking oral contraceptives in nulliparous women (according to studies):

risk of breast cancer;

Increased risk of liver cancer, ;

Increased blood sugar levels;

The appearance of pigmentation on the skin of the face and body.

The centers of hormonal regulation - the pituitary and hypothalamus, associated with peripheral glands that produce hormones (ovaries, adrenal glands, thyroid gland), perform the functions intended by nature in the human body. The ovaries with the help of this system interact with all the organs of a woman. Every cycle, the uterus prepares to receive a fertilized egg, and this delicate balance can be disturbed by any outside interference.

Doses of hormones given daily with birth control pills alter the function of the uterus and ovaries. Oral contraceptives suppress ovulation and ovarian activity, and egg production is disrupted. These violations are reflected in the work of the higher regulatory centers of the hormonal system. Over the years and even decades of taking contraceptive drugs, the uterine endometrium changes. Its uneven rejection is manifested by bleeding and dark discharge in the middle of the cycle. The transformation of the upper layer of the endometrium is dangerous by the appearance oncological diseases in .

The lack of demand for hormones produced by the ovaries leads to a reduction in their number, malnutrition and ovarian size. Hormonal "shake" at the beginning of taking contraceptives and during their withdrawal is a stress for the woman's reproductive system. That is why fertility is restored for so long (up to a year), and in some cases it is not restored at all.

Negative consequences of taking birth control pills:

In the presence of serious contraindications, women are forbidden to take oral contraceptives in order to avoid vein thrombosis with a fatal outcome, the development of an oncological process;

The excretion of vitamins b 2 , b 6 is accelerated, which leads to skin diseases, damage to the nervous system (irritability, insomnia, weakness, fatigue);

The body's ability to receive folic acid necessary for conception and pregnancy, the marketing move of pharmaceutical companies about its inclusion in the composition of hormonal preparations is most often not confirmed in practice;

With long-term use of birth control pills, the risk of developing glaucoma doubles, according to studies by the University of California, among 3,500 women who took ok, glaucoma occurs more often than in those who do not take such drugs;

Increased risk of osteoporosis, increasing after age 40;

3 times the risk of developing Crohn's disease in women who have taken oral contraceptives for 5 years or more (according to a study conducted with 230 thousand women);

The oncological tension of the last decades, the imperfection of cancer diagnosis at the initial stage without the manifestation of obvious symptoms, can lead to the fact that a woman who is at an early stage of this disease will take contraceptives and cause a sharp growth of the tumor.

An increase in the risk of developing brain tumors by 1.5-3 times with long-term use OK (according to scientists from Denmark);

Increased thrombus formation in the vessels of the brain, cardiac and pulmonary arteries, which increases the risk of stroke and premature death from thromboembolism, which is more likely to affect women who smoke, patients with hypertension and a genetic predisposition;

The appearance of venous insufficiency - vascular "stars", swelling of the legs, a feeling of heaviness, pain and, varicose veins veins, appearance trophic ulcers;

Increased risk of inflammatory diseases of the cervical canal, breast tumors;

Violations of the ability to bear children, problems with conception and gestation;

Failure to protect against sexually transmitted diseases;

The appearance of pigmentation on the skin of the face and body;

development of depression;

Decreased sex drive;

The possibility of skipping the reception time, errors in use, the need for self-control;

The need to visit a gynecologist;

The high cost of birth control pills.

According to statistics provided by WHO, about 100 million women worldwide use oral contraceptives. This huge market brings huge profits, so the truth about the dangers of OK harms the interests of manufacturers.

Public organizations create their own lobby, the purpose of which is to draw the attention of women to the dangers of oral contraceptives, as well as to ban especially dangerous drugs. The result of this is the recommendations of gynecologists in America and Europe to use condoms to protect against unwanted pregnancy and sexual infections. The same role can be played by a hormonal patch and an ectopic device.

Promotion of the dangers of contraceptive pills, a number of deaths and litigation in the USA and Europe led to the prohibition of the drug Diane-35. According to surveys, 67% of Europeans aged 16 to 64 use condoms for contraception, 16% - a hormonal patch, 7% - a spiral. Only about 10% of respondents use oral contraceptives.

Education: Diploma of the Russian State Medical University N. I. Pirogov, specialty "Medicine" (2004). Residency at the Moscow State University of Medicine and Dentistry, diploma in Endocrinology (2006).

On the modern pharmaceutical market, a huge number of contraceptives are presented that help to avoid an unplanned pregnancy. These contraceptives include the drug Qlaira. The medicine also helps to normalize the menstrual cycle, avoid PMS and reduce the risk of developing hormone-dependent tumors. Any analogue of Qlaira can also be used as a contraceptive, after consulting with your doctor. Popular are the means of "Yarina", "Novinet", "Regulon", "Jess". Medications will be described in more detail below.

"Novinet"

The medicine belongs to the group of single-phase contraceptives for oral use. Available in the form of yellow film-coated tablets. The main substances in the composition of the drug are ethinylestradiol 20 mg and desogestrel 150 mcg. The medicine is packed in blisters of 21 pieces each.
Combined monophasic oral contraceptive containing a combination of estrogen and gestogen. The main task of the remedy is the suppression of ovulation and inhibition of gonadotropin. Also, the density of the cervical fluid increases in a woman, which slows down the process of sperm entering the cervical canal. The state of the endometrium also changes under the influence of tablets, which does not allow the fertilized egg to gain a foothold. The drug has a positive effect on lipid metabolism, reduces the amount of menstrual flow and pain. The skin becomes soft during treatment, acne decreases. Once inside the drug is almost completely absorbed in the stomach. Half excreted in feces and urine. This action has the tool "Novinet", an analogue of "Klayri". Reviews about the drug can be heard mostly positive.

Indications and contraindications

The medicine is a new generation contraceptive that helps to avoid unwanted pregnancy, normalize the menstrual cycle and maintain women's health. Contraindications:

various types of thrombosis, arterial and venous;

precursors of thrombosis, such as ischemic attacks;

migraine with partial focal lesions;

conditions after stroke and heart attack;

venous thromboembolism in history;

dyslipidemia;

diabetes;

pancreatitis;

pregnancy;

lactation;

smoking after 35 years;

Like analogues, "Klayra", "Novinet" should be used after prior consultation with a doctor.

Dosage

The medicine is prescribed for oral administration, one tablet daily for 21 days from the start of the menstrual cycle. It is advisable to drink the tablets at the same time, chewing and drinking a small amount of water. After taking the last capsule, you need to do seven day break. It is worth adhering to this algorithm until a woman begins to plan a pregnancy.
Be sure to be studied before using the preparations "Novinet", "Klayra" instructions for use. It is advisable to take analogues as directed by a doctor. An overdose can cause the development of such symptoms:

nausea;

vomit;

bloody issues not associated with menstruation.

In the first few hours after taking the tablets, it is recommended to wash the stomach and prescribe symptomatic treatment. There is no antidote to the remedy.

Contraceptive "Yarina"

The drug belongs to monophasic contraceptives with antiandrogenic action. Produced in the form of light yellow coated tablets. The main components in the composition of the drug are ethinylestradiol 30 mcg and drospirenone 3 mg. Tablets are considered low-dose, combined, monophasic oral contraceptives. Their main property is to increase the viscosity of cervical secretion and suppress ovulation. In patients taking this remedy, the menstrual cycle normalizes, spotting decreases, pain disappears. Drospirenone, which is part of the drug, keeps the weight normal, improves the condition of the skin and hair, and has antiandrogenic properties. If needed cheap analogue"Klayri", means "Yarina" will do just fine. For one package of medicine you will have to pay about 450 rubles.

Indications and contraindications

The drug is used as an effective method of contraception, which will also help eliminate some gynecological pathologies. Contraindications to the means of "Yarina":

thrombosis of various etiologies;

diabetes;

pregnancy;

breast-feeding;

arterial hypertension;

severe pathology of the liver and kidneys;

precursors of thrombosis;

smoking after 35 years;

alcoholism.

The same contraindications for use have the "Klayra" remedy. Analogues in composition also have a similar effect on the body. Tablets are taken orally, according to the order indicated in the instructions. You need to drink one tablet daily for 21 days. Then a break is made for 7 days (the period of menstrual bleeding).

Contraceptive "Klayra"

The drug belongs to the combined means to prevent unwanted pregnancy. Produced in the form of tablets of five types. The first drug has a dark yellow color and contains estradiol valeriate, micro at a dose of 3 mg. Next pills Pink colour and in the composition, in addition to estradiol valeriate, micro 2 mg, is dienogest, micro 2 mg.
Capsules of the third type are yellow in color and consist of estradiol valeriate, micro 2 mg, dienogest, micro 3 mg. The fourth type is red tablets with estradiol valeriate, micro at a dose of 1 mg. All products are packed in blisters of 28 pieces each. Like analogues, "Klayra" perfectly protects against unwanted conception.

Indications and contraindications

Used for oral contraception. You can not prescribe a remedy for such pathologies:

thrombosis;

precursors of thrombosis;

diabetes;

vaginal bleeding of unknown etiology;

pregnancy;

lactation;

hypersensitivity to components.

Dosage

The drug is taken orally, regardless of food. It is necessary to drink one tablet daily for 28 days. Each new package is taken after the last tablet from the previous box. Usually, menstruation begins after taking the last remedy from the blister. Before starting treatment, you should read the instructions for the Qlaira remedy. It is also desirable to use analogues in agreement with the gynecologist. It is worth remembering that any medication can lead to the development of side effects.

Contraceptive "Regulon"

Refers to monophasic oral contraceptives. Available in the form of white tablets. The composition of the drugs includes ethinylestradiol 30 mcg and desogestrel 150 mcg.
Monophasic contraceptive suppresses ovulation and inhibits the secretion of gonadotropin. It also increases the viscosity of the cervical fluid so that sperm cannot enter the cervical canal.

Indications and contraindications

The new generation contraceptive method is the same as Qlaira.” Russian analogues, such as Regulon, can help normalize the menstrual cycle and improve the condition of the skin and hair no worse than foreign drugs. Contraindications:

venous and arterial thrombosis;

precursors of thrombosis;

migraine;

diabetes;

pregnancy;

lactation;

hypersensitivity to components.

Tablets are taken from the first day of the menstrual cycle for 21 days (daily). After taking the last dose, monthly bleeding begins. After seven days, you need to start drinking the remedy from a new box if you need to protect yourself from pregnancy. Be sure to follow the algorithm medicinal product"Klaira". Action analogues may not always have a similar composition. Therefore, it is not worth using medicines without the consent of a gynecologist.

Contraceptive contraceptive "Jess"

It is a monophasic oral contraceptive with antiandrogenic properties. Available in the form of pink and white tablets. The composition of the drug includes ethinylestradiol 20 mcg and drospirenone 3 mg.
The main task tablets are considered inhibition of ovulation and changes in cervical secretions. In patients taking this contraceptive, the condition of hair and nails improves, the menstrual cycle normalizes. It also reduces the risk of endometrial and breast cancer. Other analogues have a similar effect ("Klayra", "Regulon", "Novinet", "Yarina") Indications:

method of contraception;

acne treatment;

severe form premenstrual syndrome.

Contraindications:

thrombosis of various etiologies;

diabetes;

precursors of thrombosis;

migraine;

hypertension;

renal and liver failure;

pregnancy;

lactation.

The same contraindications are typical for Qlaira tablets. Analogs have a lot in common.

Dosage

The medicine is taken daily, according to the indicated dosage in the package for 28 days. The tablet should be drunk without chewing, at the same time. Be sure to follow the scheme of reception described in the instructions. If you do not follow the dosage, nausea, vomiting, spotting, not associated with menstruation, may occur. There is no specific antidote for the drug. In case of overdose, somatic treatment is prescribed. Any analogues ("Klaira", "Regulon", etc.) should also be taken in accordance with the recommendations. It is worth remembering that improper use of contraceptives can lead to various horional disorders.
It is undesirable to take the drug "Jess" with certain types of antibiotics, barbiturates, rifampicin, drugs that contain St. John's wort. If a woman suffers from chronic diseases and is forced to constantly undergo drug therapy, this should definitely be reported to the gynecologist at the first appointment. It is worth stopping taking contraceptives if pregnancy is planned.

What patients and doctors say

Experts note that the contraceptives listed in this article have a reliable level of protection against unwanted pregnancy. Many patients managed to restore the hair structure, heal the skin with the help of pills. The drugs are well tolerated, do not cause side effects. Contain a minimum number of contraindications. In their composition, the drugs differ slightly from each other, but they have identical actions and antiandrogenic properties. If it was not possible to find Qlaira in the pharmacy, analogues are cheaper in a wide range. All tablets have a protective shell, do not irritate the gastric mucosa and are rapidly absorbed. Reviews of doctors suggest that the drugs not only have a contraceptive effect, but also have a beneficial effect on women's health in general. The medicine is especially good for endometriosis. Patients claim that the symptoms completely disappear after taking the contraceptive. The described drugs can also be prescribed to girls who do not live sexually to eliminate hormonal disorders. The drugs are really very effective. But they should be used only on the recommendation of a specialist. Improper use of contraceptives can lead to serious hormonal changes.

Publication date: 1.05.17

Jess is a new generation oral contraceptive drug with antimineralocorticoid and antiandrogenic properties. The contraceptive effect of a pharmacological agent is based on a combination of several factors, one of which is the inhibition of ovulation in the ovaries and the immobilization of spermatozoa in the cervical cavity.

The main active ingredient in Jess plus is drospirenone and ethinylestradiol, which belongs to the category of female sex hormones. This unique combination not only provides a reliable contraceptive effect, but also normalizes the menstrual cycle, reduces pain and bleeding intensity.

Jess tablets are used for contraception, as well as to relieve symptoms of premenstrual syndrome, reduce acne and increased oily skin and hair. Also, the hormonal drug reduces the likelihood of developing cancer.

The price of a contraceptive, depending on the dosage and number of tablets, varies between 1025-2990 rubles.

How to replace Jess and are there generics with a similar principle of action, the cost of which is much lower? Main synonyms in composition:

Dimia;
Yarina;
Regulon;
Qlaira;
Midian;
Vidora Micro;
Jeannine;
Dailla.

Before using the above analogues of Jess, be sure to consult a gynecologist, since all hormonal drugs have certain contraindications for use.

Dimia

Jess contraceptive pills have several generics - pharmacological preparations with an identical composition and a similar principle of action. Such means include Dimia, an analogue of Jess, designed to prevent pregnancy in girls of childbearing age.

Release form Dimia - tablets for internal use. The most important active ingredient in the composition of the drug is drospirenone and ethinyl estradiol.

One tablet contains:

Drospirenone - 3 mg;
Ethinylestradiol - 20 mcg.

Indications for the use of the drug are the prevention of unwanted conception, the improvement of the condition of nails, skin and hair. Taking the medicine normalizes the menstrual cycle, reduces the symptoms of PMS. Dimia is taken for 28 days, one capsule at the same time.

Like any other drug, Dimia has some contraindications, side effects:

Do not take with venous or arterial form of thrombosis.
With severe liver or kidney failure.
Malignant neoplasm in the mammary glands or pelvic organs.
With pancreatitis, migraines, bleeding.
During pregnancy and breastfeeding.

Diabetes mellitus may be a relative contraindication to the appointment of contraceptives. This means that the tablets can be taken, but under constant medical supervision.

The instructions for the tablets say that they can cause some side effects - dizziness, headaches, sleep disturbances, tachycardia, varicose veins of the lower extremities, increased or complete disappearance of appetite, cholecystitis, painful cramps in the back or abdomen, candidiasis. In some cases, Dimia can cause allergic skin reactions.

Yarina

Yarina is a structural analogue of the Jess drug, which is distinguished by a similar composition and a high contraceptive effect. Produced in the form of tablets for oral administration.

These contraceptive pills provide a contraceptive result, increases the density of cervical mucus in the cervix, which prevents sperm activity. As the reviews of many women show, the regular use of Yarina reduces the amount of bleeding and pain during the "critical" days.

Each tablet contains:

Drospirenone - 3 mg;
Ethinylestradiol - 30 mcg.

Instructions for use of the drug states that it is recommended to take the medicine for contraceptive purposes, with oily seborrhea, as well as acne.

Contraindications to the appointment of Yarina are thrombosis of the arterial or venous type, pancreatitis, pathologies of the endocrine and cardiovascular systems, renal and hepatic dysfunction, pregnancy and lactation, as well as individual intolerance to the active components of Yarina.

Side effects that may occur after taking the drug are expressed in the form of vomiting, nausea, stool disorders, changes in body weight, a sharp increase or decrease in libido, and sharp jumps in blood pressure.

Regulon

Regulon is a cheaper substitute for the contraceptive Jess, characterized by antiestrogenic and progestogenic properties. Like other analogues of Jess plus, Regulon has androgenic and anabolic characteristics.

The drug is released in the form of tablets, the composition of which is as follows:

Ethinylestradiol - 0.03 mg;
Desogestrel - 0.15 mg.

Method of taking the drug: one tablet per day, preferably at the same time of the day. After 3 weeks, take a break for 7 days, after which the use of the medication is continued.

The main indication for taking Regulon is to prevent pregnancy. Before using the medicine, you must carefully study the contraindications, side effects of Regulon. Taking pills should be avoided with sharp fluctuations in blood pressure, migraine, stroke, thrombosis, hepatitis and other liver pathologies, cholelithiasis, throughout all trimesters of pregnancy and during breastfeeding.

Side effects of Regulon are characterized by pathologies of the cardiovascular system, arterial hypertension, swelling and tenderness of the mammary glands, uterine bleeding or candidiasis, metabolic disorders or allergic skin reactions. In this case, it is best to refuse to take Regulon and replace it with an analogue.

claira

Listing contraceptives that are cheaper than Jess, it is impossible not to remember such a drug as Qlaira. This is a combined contraceptive, which is produced in the form of tablets, coated with a gastrosoluble film coating.

The main active substance that provides the contraceptive effect of the drug is estradiol, as well as dienogest. These components guarantee the inhibition of the egg maturation process, and also have a direct effect on the density of the secretion of the cervical canal.

Indications for use: protection from unwanted conception, normalization of menstruation, neutralization of PMS symptoms.

The description for Qlaira states that lactose intolerance, an increased tendency to form blood clots, strokes or heart attacks, angina pectoris, pancreatitis, atherosclerosis, epilepsy and other mental disorders may be contraindications to taking the drug.

The drug is categorically not recommended to be taken if pregnancy is suspected, during breastfeeding, with extreme caution, Klaira is used with a tendency to obesity. The presence of addiction to smoking is also considered a relative contraindication.

Midian

Midiana or Midiana Femoden is a pharmacological analogue of Jess plus, doctors' reviews of this drug are positive. This is a low-dose contraceptive that is recommended for use by women of childbearing age who want to avoid pregnancy.

The composition of each capsule of the Median contains the following components:

Ethinylestradiol - 0.03 mg;
Drospirenone - 3 mg.

Drospirenone provides a pronounced cosmetic effect after taking the medication, reducing the production of male sex hormones in a woman's body. As a result, acne decreases, the work of the sebaceous glands normalizes, and painful spasms during menstruation are eliminated.

Like other analogues of Jess, it is recommended to start using Median capsules on the first day of the menstrual cycle. Next, you need to follow the instructions for use indicated on the package with the medicine. After all the capsules of the Median are over, you need to pause for a week, and then continue taking the drug.

Reception medication not recommended in case of diseases of the cardiovascular system, diabetes mellitus, malfunctions of the kidneys and liver, as well as hypersensitivity to the ingredients of the Median. Side effects of birth control pills include a sharp increase in body weight, sleep disorders, severe pain in the temples, tachycardia.

Vidora micro

Vidora micro refers to modern monophasic hormonal drugs with a contraceptive effect, about which you can find numerous positive reviews from doctors and patients. Like other contraceptive drugs, it is produced in the pharmacological form of film-coated capsules.

Composition of Vidor micro:

Ethinylestradiol - 0.02 mg;
Drospirenone - 0.3 mg.

Indications for the use of Vidor micro are not limited solely to the contraceptive effect. The drug is also recommended in case of severe premenstrual syndrome, a tendency to form acne or oily seborrhea.

Vidora micro has a number of contraindications to the appointment:

Vaginal bleeding of unknown origin.
Migraines, arterial hypertension.
Diabetes mellitus, pancreatitis, cholecystitis.
Atherosclerosis, stroke, myocardial infarction.
Pregnancy, lactation.

Side effects of a pharmacological agent include increased activity of the herpes virus or fungal infection, allergies, weight gain or anorexia, appetite disorders, pain in the abdomen, neck or limbs, dry skin, vomiting, nausea.

Janine

Janine is modern hormonal contraceptive a new generation, about which you can find more than one positive review. Many women have experienced first hand the high effectiveness of the drug.

Produced in the form of white pills. The active substances that make up the basis of Jeanine:

Ethinylestradiol - 0.03 mg;
Dienogest - 0.2 mg.

These components are analogues of natural female hormones - estrogen and progesterone. When entering the female body, these substances instantly suppress ovulation, which leads to the prevention of unwanted conception.

In addition, regular use of Jeanine leads to changes in the endometrium of a structural and functional nature, in which the likelihood of successful egg implantation is minimized.

Indications for taking Jeanine are not only the prevention of pregnancy, but also too long, painful or heavy periods, recovery after gynecological operations, endometriosis. Also, the use of the drug is recommended for acne, increased oily skin and hair.

Contraindications: thrombosis, ischemia, angina pectoris, arrhythmia, cardiovascular pathologies, liver and kidney diseases, malignant neoplasms of the hormone-dependent type.

The use of Jeanine may be accompanied by some side effects- dizziness, migraines, soreness in the chest, nausea, vomiting, mood swings, skin rash.

Dailla

You can replace Jess with the help of Dailla, which belongs to the hormonal contraceptives of the combined type. It is used to prevent unwanted pregnancy and regulate androgenic factors. This means that the drug not only protects against conception, but also normalizes the functioning of the sebaceous glands, eliminates the manifestations of acne, reduces pain and discomfort during menstruation.

The medicine is produced in the form of tablets intended for everyday use. Active ingredients: ethinylestradiol and drospirenone. It is they who provide a high contraceptive effect, like other synonyms for Jess.

Contraindications to the use of the drug are pathologies of the endocrine system, renal or hepatic dysfunction, smoking, cancer, vaginal bleeding, cholelithiasis, pregnancy.

Before using Dailla birth control pills, it is recommended to consult a doctor, as the drug can cause side effects - skin rashes, changes in blood pressure, digestive disorders, nausea.

Before using Jess analogues, be sure to consult a specialist. Only a doctor, after conducting a blood test and all the necessary laboratory tests, will tell you which drug can be used in order to inexpensively and effectively replace the hormonal contraceptive Jess.

medanalogi.com

I didn't think I was that crazy. SP: get-togethers

I did not expect from myself, I was frightened)) I was always adequate in these matters. They did my hystera with rdv last week. In the extract they wrote that they should come for the result on Tuesday, September 27th. And now, on the phone, the doctor who performed the operation called and said that the results of histology had arrived and they wanted to see me today. Do they always do that when the results come in? Or found something?

OK pros and cons. Women Health

Ripe to start taking pills. The fact that their gynecologist should prescribe - I know. But I would like the opinions of eyewitnesses. Pros and cons, how long did it take to get used to, what are the side effects?

Does anyone drink "Lady's formula. Women Health

Does anyone drink "Lady's Formula Personal Monthly System"? Post reviews plz. Can you drink if you have endometriosis? Very plentiful months. ((.(I don’t get to the doctor in the near future, on his recommendation I drank Duphaston last year. But something didn’t change much. And then I read it and the composition was good and my friend recommended it.

Marvelon. Medicine and health

Girls tell me please, I started drinking contraceptives (herself) - Marvelon, on the first day of the cycle, everything is as written. But menstruation has been going on for two weeks, not much, mostly smeared. But somehow mentally annoying, is that normal? Maybe someone knows? Thanks

weight and birth control pills. Weight loss and diets

Something I could not sleep yesterday, all sorts of thoughts, as always, climbed into my head. And now, remembering all my periods of harmony and not very, I concluded for myself that the reception is contraceptive. tab. slows down the process of losing weight. It somehow coincided with me that always, when I lost weight well, tab. didn't drink. How about you, do you take them, lose weight, and if so, which ones?

Regulon. Women Health

Hello. The gynecologist prescribed regulon to me (because after menstruation it didn’t stop smearing) according to this scheme on day 1 - 3 tablets with an interval of an hour, on day 2 - 2 tablets, and then one at a time. Yesterday I drank the first trit tablets, the last one was at 21.30. And at 5 o'clock in the morning I woke up from the fact that it was terribly sick. then it vomited. Vomited with water, which I drank on purpose. everything passed by 10 am I don’t understand, it just coincided and was poisoned with something or was it a reaction to the pills? Tablets are not worth it...

chloe and claira wives 36-47 years old April 4, novelty, yarina, jess wives ...

April 12-Jess Izhanin at 15-30 and Yarina and Jess at 18-30.! Urgent! participation is irrelevant. 8 916 006 26 07.499 369 27 33

Novinet and regulon.. Women's health

This is the situation: the wife after the operation (removal of the fallopian tube during ectopic pregnancy) wrote out novels and regulons. Or rather, they didn’t write it out, but wrote it on a piece of paper in order to purchase them for free. By our standards, the drugs are very expensive, and we have some doubts about their effectiveness, especially since doctors in the ZhK used to improve their well-being, which they just did not offer to purchase. And then: before, after all, there were not many medicines on the wide market that are now ...

and who was assigned? Pregnancy planning

Hello! I went to see a doctor, took referrals for tests, and I'm starting to prepare for IVF. The doctor prescribed me to drink regulon (contraceptive) and metformin for three months. The question is actually about him, girls, did anyone take it? Are there any side effects? And what have you heard about it anyway? And another question, why are contraceptives prescribed?

help girls. About his own, about the girlish

girls, help with advice, I understand the question again about them, that I have already discussed it 100 times, but I still haven’t found anything in the search, how to speed up the arrival of menstruation, vacation after 10 days, but they are all gone, maybe I’m nervous - therefore, what can I drink? nettles? postinor? or all at once to make sure it helps:

Coagulogram and contraceptives. Pregnancy planning

Today I found out with the doctor about the tests after the ST. It turns out that we have a problem to pass just a coagulogram! But never mind, let's break through! But I found a place that you can pass on lupus and AT to phospholipids. Arsenka, thanks to you, I’m so smart going around the laboratories here, using such terms 🙂 If only it weren’t so sad… I reread the threads about tests here. I realized that after 2 months, not earlier than with blood clotting to be checked. BUT! Today the doctor persuaded me to drink Regulon, so I ...

Questions after the ZB. Pregnancy planning

Girls, hello! I'm with you again. On Monday, I was cleared about the ZB. Due to the fact that the national project "Health" was lost somewhere in the Russian expanses, apparently far from our town (as 5 years ago it lay in our gynecology for preservation, and now the same squalor), then more like you so far there is nowhere to turn with questions: (((Firstly, we don’t do ANY analysis of what was cleaned out (only an analysis to confirm the fact of pregnancy - for the prosecutor’s office, if ...

Question about menses. Pregnancy planning

Girls, what could it be. The cleaning was exactly three weeks ago. After it, there was a lot of bleeding for three days, then for a week there were pink snot, then no discharge at all. Yesterday I had a state all day as if my period should begin - I was shivering, my lower abdomen was pulling (it always happens). In the evening, a little brown daub began, I thought that menstruation would begin. Today, barely pinkish snot, not even blood, but something brownish-pinkish and just a drop. So what's this…

Hormonal contraception: how the doctor selects ...

…Put it in your purse. We ran into a pharmacy or to a girlfriend to ask which COC would be better for you to take? Get your personal curve out of your purse basal body temperature(preferably more levels of LH and FSH, natural estrogens, progesterone and androgens - well, this is for the most advanced) - and show it to the pharmacist in the window or to a friend. If they hatch their eyes at you, then they are clearly not obstetrician-gynecologists. And so for advice...
... If, in general, everything is in order with you and there are no frightening details-details that are in your stories that the doctor did not find during the examination, then he will immediately prescribe you a drug based on your phenotype ( appearance, so to speak). Young slender normosthenic women prefer to prescribe low-dose types of marvelon, femoden, microgynon, regulon. And, perhaps, three-phase (which I don’t like too much, but who cares) tri-regol, trisiston, triquilar ... (Oh horror, it seems that I still write-list the names! But you know what? .. Knowing the names does not free intelligent women from a visit to the doctor!) To women with signs of androgenization - such, somewhat “like a male type”: low, ...

Thin endometrium. Pregnancy planning

Girls share the experience of those who had a thin endometrium in the second phase. What can be done to increase it? I have a delay of 15 days, there was no pregnancy on ultrasound, the ovaries are ready for menstruation, the thin endometrium is 6 mm, hormones are normal. In the past, 3 pregnancies, the first - childbirth, the next two - ST. The doctor prescribed duphaston 1 tablet 2 times for 10 days, then he will prescribe OK for 3 months, then you can start planning again. Won't OK create more problems? My head is spinning, sorry for the confusion.

bleeding ... sorry intimately. Pregnancy planning

Girls! I apologize for the intimate details, but can anyone have it? I have 10 d.c. I have been taking oral contraceptives for the first month. On Friday I had an ultrasound scan - there was no crime. I feel fine with these pills - apparently they work well. And yesterday, after the PA, it bled a lot! There was no pain or discomfort. I went to the shower (and sorry again sorry) straight down my legs flowed! what could it be? reason to go to the doctor? Right now, it's still a little smeared. My husband doesn't seem to have any breaks.

Help. Pregnancy planning

Girls, help! The situation is this - in May there was a frozen B and, as a result, a purge. Now the next monthly period has come, after taking Regulon. In the morning, a pack of night Olweiss has already left, it flows like a bucket - you just have to get up. Is this normal during menstruation? Before ST, the periods were plentiful, but 3 times less in volume. And is it possible to take a hemostatic agent in this case? To the doctor while unfortunately I can not run. Help!!!

... The mechanism of action of the spiral is based on the contraction of the muscles of the uterus, as if wanting to push out a foreign element, and also on the fact that copper creates an environment harmful to spermatozoa. It is believed that the spiral does not protect against conception, but causes an ultra-early miscarriage during menstruation. Therefore, if a woman is still going to give birth, it is better for her not to accustom her body to repeated abortion. The spiral should not be used by women who have not given birth. Although the intrauterine device is a fairly common method of contraception, and it has many disadvantages. It is believed that with protection using a spiral increases the risk of developing an ectopic pregnancy, from which it does not protect. Often women are tormented by longer and more abundant ...

Regulon for ovarian cyst and fibroadenoma. Women Health

Tell me, girls, maybe someone has come across a similar situation or knows on this topic. There is a cyst of the left ovary, I have been observing for a year, it is not large, but does not resolve. In one clinic they said that it seems like there is a small growth and perhaps the cyst needs to be removed. I went to another doctor, she was very surprised that they didn’t do anything, but simply observed for 1 year and prescribed Regulon (contraceptive for 21 days) so that the cyst would resolve. I began to read annotations on the Internet to Regulon, there ...

Buying vitamins Elevit® Pronatal, we help children

As part of the celebration of its 150th anniversary, Bayer announced the start of cooperation with the Podari Zhizn charity foundation. One of the first initiatives within the framework of this cooperation was the holding from September 1 to November 30 of a special charity event in the largest pharmacy chains in Moscow and St. Petersburg, according to which 50 rubles from each package of Elevit vitamins for pregnant and lactating mothers will be transferred to "Gift a life". Irina Chernomorets, head…

Comrades, help!!! OK Claira!. Women Health

Girls, I'm completely twitchy on my head, forgive me for pestering with a stupid question! The doctor prescribed OK Klaira, I drink the first month (I would say, the first 8 days). Had unprotected sex recently. And today I met my guinea, and she asks me very cheerfully, “I hope you are protected for the first 14 days”? Damn, and before I could not say about it?? How likely is pregnancy? My normal cycle is 35 days and O. usually came on the 17th-18th day. When taking OK the first month, ovulation shifts? AND…

Modern technologies of surgical treatment of gynecological diseases.

what is painted on the face .. Child from 3 to 7

Tell me, what do they draw on a child’s face when you need to draw a mustache like a cat or something like that? Can I not use special make-up (but where can I get it)?

...Functional cysts are diagnosed mainly by ultrasound, and sometimes re-examination is required in both the first and second phases of the cycle. If such a patient is examined for ultrasound after menstruation, then there will be no ovarian cyst. If the cyst persists even after menstruation, diagnostic measures will have to be continued, best of all with the help of laparoscopy, the most gentle surgical method, in which the incision of the abdominal wall is minimal, and the diagnostic possibilities are significant. With a delay in menstruation, you need to make sure that there is no pregnancy with the help of tests and ultrasound. If a woman is not pregnant, doctors in some cases stimulate the onset of menstruation with medication. If, due to impaired ovarian function, instead of normal menstruation develops ...

Miracles are possible, or how an ovarian cyst grew and said "mom"

... Of course, it was scary to go to the operation. But they didn't let me be scared. I expected that the operation would be scheduled for the end of the week, so on that Monday, January 23, I came to the maternity hospital in order to pass necessary tests and determine the date of the operation. At about 11 o’clock my doctor came up and said: “You don’t eat or drink anything, a good, experienced anesthesiologist is on duty today, let’s operate on you this evening.” The main problem for me was that today was Monday, and from the very beginning for some reason I was afraid that my baby would be born on Monday. The day is hard and a lot of other things are said about it. I called my friend, she got on the Internet and reassured me - on this day the best, most brilliant kids should be born. You could, of course, sing ...

How to prepare for pregnancy? All about planning...

... Stress, overwork, hard physical labor, standing for a long time - all this can affect pregnancy and the ability to conceive. You and your husband should discuss how ready you are to become parents, and settle all problems in advance. Feeling good before conception will help you cope with the stresses of pregnancy and childbirth. Some substances that you have to deal with at work can either make it difficult to conceive or harm the fetus. Tell your doctor about your work, and he will tell you how to protect yourself from possible harm ....

A broken condom or a missed pill can be a real problem.
… This can happen both on time and a few days earlier or later than the expected date. If the delay is more than two weeks, you need to take a pregnancy test. In addition, EC can cause spotting or spotting. This should also be monitored - if they are too intense, immediately see a doctor! Until the cycle has settled again, it is better to protect yourself with condoms (unless a spiral is chosen as a means of EC). After about a month, the hormonal background will return to normal, and if you wish, you can start drinking COCs, which the doctor will help you choose. Focus failed Take the pills only with water. There are studies confirming that, for example, grapefruit juice can reduce the contraceptive effect. Intestinal problems can interfere with the success of the enterprise ...

Rigevidon. Bleeding.. Women's health

Please tell me what to do in this case. I have been taking rigevidon for 15 days. Appointed by a doctor. Endometriosis. At first, menstruation was smeared. Yesterday we went stronger. And tonight it's very strong. Almost bleeding. Stop pills? Wait until the bleeding stops? I can't go to the doctor, tomorrow is Sunday.

conf.7ya.ru

Similarities between Clayra and Janine

Producer: German firm Bayer (Bayer)

Pharmaceutical group and pharmacological action: combined contraceptive (gestagen and estrogen), contraceptive drug

Contraindications:

High sensitivity to any tablet components
Thrombosis in veins or arteries
Thromboembolism (either current or history)
heart attack
Past or possible stroke
Immunity of activated protein C
Deficiency of antithrombin III and proteins C and S
Migraine
Diabetes with vascular complications
pancreatitis
Any liver disease
Hormone dependent malignant tumors
Vaginal bleeding of unknown origin
Gestation and lactation
Lactose intolerance or deficiency

With extreme caution, drugs are prescribed if there are other conditions that disrupt peripheral circulation and cause angioedema.

Reception during lactation and gestation: both drugs are forbidden to be taken during childbearing. In case the girl got pregnant while drinking contraceptives, they are cancelled. The results of large studies suggest that taking Qlaira or Jeanine before or at the beginning of pregnancy does not increase the risk of the appearance and development of defects in the fetus.

Means have a direct impact on the volume of breast milk and its chemical composition. Therefore, until the end of HB, gynecologists do not recommend the use of the drugs in question, so as not to harm the child.

Side effects

Taking Qlaira or Janine can cause:

Episodic spotting or breakthrough bleeding (undesirable effects are especially pronounced at the beginning of administration)
Enlargement and discomfort in the mammary glands
Problems with the gastrointestinal tract: nausea, abdominal pain, diarrhea and others
Headaches or migraines
Body weight changes
allergic reactions
Decreased or increased sex drive
Impaired contact lens tolerance
Edema
Rising blood pressure
Chloasma
Malfunctions in the liver
Stones in the gallbladder
Thrombosis.

Conditions for dispensing from pharmacies and storage: OK are provided only by prescription, stored in a dry and dark place at room temperature. Avoid access by children.

Differences

Active ingredients: Qlaira contains Dienogest and Estradiol valerate, and Jeanine includes Ethinylestradiol and Dienogest.

Indication for use: Klayra is prescribed to prevent unwanted pregnancy and to treat heavy and prolonged menstruation. Also used for endometriosis.

Jeanine is used only as a contraceptive.

Release form: Klaira is available in the form of tablets of 5 different colors: dark yellow ( round shape, domed on both sides, printed as “DD”, pink (round, domed on both sides, printed as “DJ”), light yellow (round, domed on both sides, printed as "DH"), red (round, double-sided raised, marked as "DN"), and white placebo (round, double-sided raised, marked as "DT"). The section shows a nucleus close to white.

Jeanine is produced in the form of small snow-white tablets, convex on both sides. The core is the same color as the outer shell.

Composition: The dark yellow tablet of Qlaira contains the main component (OS) - estradiol valerate, micro 20 - at a concentration of 3 mg, pink - 2 mg of estradiol valerate, micro 20 and 2 mg of dienogest, light yellow - 2 mg of estradiol valerate, micro 20 and 3 mg of dienogest, red - 1 mg of estradiol valerate, there are no active ingredients in the white tablet.

Jeanine consists of 2 mg of dienogest and 30 mcg of ethinyl estradiol.

Dosage and administration

Qlaira is taken continuously, in the order indicated on the package. A new pack is started the next day after the last pill drunk from the old pack. Tablets should be taken every day at the same time with a small amount of water. Chewing or breaking is prohibited.

Jeanine is taken with a 7 day break. First they drink 21 pills, and then they wait a week to start taking a new pack. Reception is carried out every day at the same time. Wash down with the necessary amount of water, do not chew and do not break.

Outcome

Jeanine has an increased concentration of the main active elements, therefore it is not prescribed for allergy sufferers. Also, this drug is more suitable for young girls, because it has an estrogen component.

The considered oral contraceptives are equally reliable.

Both drugs have many differences and similarities, so only a specialist should choose what is best for the patient and evaluate the safety of switching to Jeanine or Claira.

lekhar.ru

"Novinet"

The combined monophasic oral contraceptive contains a combination of estrogen and gestogen. The main task of the remedy is the suppression of ovulation and the inhibition of gonadotropin. Also, the density of the cervical fluid increases in a woman, which slows down the process of sperm entering the cervical canal. The state of the endometrium also changes under the influence of tablets, which does not allow the fertilized egg to gain a foothold.

The drug has a positive effect on lipid metabolism, reduces the amount of menstrual flow and pain. The skin becomes soft during treatment, acne decreases. Once inside, the drug is almost completely absorbed in the stomach. Half excreted in feces and urine. This action has the tool "Novinet", an analogue of "Klayra". Reviews about the drug can be heard mostly positive.

Indications and contraindications

The medicine is a new generation contraceptive that helps to avoid unwanted pregnancy, normalize the menstrual cycle and maintain women's health.

Contraindications:

dyslipidemia;
diabetes;
pancreatitis;
pregnancy;
lactation;
smoking after 35 years;

Dosage

Be sure to be studied before using the preparations "Novinet", "Klayra" instructions for use. It is also desirable to take analogues as directed by a doctor.

An overdose can cause the following symptoms to develop:

nausea;
vomit;

Pills are considered low-dose, combined, monophasic oral contraceptives. Their main property is to increase the viscosity of cervical secretion and suppress ovulation. In patients taking this remedy, the menstrual cycle normalizes, spotting decreases, pain disappears. Drospirenone, which is part of the drug, keeps the weight normal, improves the condition of the skin and hair, and has antiandrogenic properties. If you need a cheap analogue of Qlaira, the Yarina tool will do just fine. For one package of medicine you will have to pay about 450 rubles.

Indications and contraindications

The drug is used as an effective method of contraception, which will also help eliminate some gynecological pathologies.

Contraindications to the drug "Yarina":

thrombosis of various etiologies;
diabetes;
pregnancy;
breast-feeding;
arterial hypertension;
severe pathology of the liver and kidneys;
precursors of thrombosis;
smoking after 35 years;
alcoholism.

The same contraindications for use have the "Klayra" remedy. Analogues in composition also have a similar effect on the body.

Tablets are taken orally, according to the order indicated in the instructions. You need to drink one tablet daily for 21 days. Then a break is made for 7 days (the period of menstrual bleeding).

Contraceptive "Klayra"

Capsules of the third type are yellow in color and consist of estradiol valeriate, micro 2 mg, and dienogest, micro 3 mg. The fourth type is red tablets with estradiol valeriate, micro at a dose of 1 mg. All products are packed in blisters of 28 pieces each. Like analogues, "Klayra" perfectly protects against unwanted conception.

Indications and contraindications

Used for oral contraception. You can not prescribe a remedy for the following pathologies:

thrombosis;
precursors of thrombosis;
diabetes;
vaginal bleeding of unknown etiology;
pregnancy;
lactation;
hypersensitivity to components.

Dosage

Refers to monophasic oral contraceptives. Available in the form of white tablets. The composition of the drug includes ethinylestradiol 30 mcg and desogestrel 150 mcg.

Monophasic contraceptive suppresses ovulation and inhibits the production of gonadotropin. It also increases the viscosity of the cervical fluid so that sperm cannot enter the cervical canal.

Indications and contraindications

The new generation contraceptive method is the same as the Qlaira drug. Russian analogues, such as Regulon, can help normalize the menstrual cycle and improve the condition of the skin and hair no worse than foreign drugs.

Contraindications:

precursors of thrombosis;
migraine;
diabetes;
pregnancy;
lactation;

Tablets are taken from the first day of the menstrual cycle for 21 days (daily). After taking the last dose, monthly bleeding begins. After seven days, you need to start drinking the remedy from a new box if you need to protect yourself from pregnancy. Be sure to follow the algorithm for taking the drug "Qlaira". Action analogues may not always have a similar composition. Therefore, it is not worth using medicines without the consent of a gynecologist.

It is a monophasic oral contraceptive that has antiandrogenic properties. Available in the form of pink and white tablets. The composition of the drug includes ethinylestradiol 20 mcg and drospirenone 3 mg.

The main task of the tablets is to suppress ovulation and change the cervical secret. In patients taking this contraceptive, the condition of hair and nails improves, the menstrual cycle normalizes. It also reduces the risk of endometrial and breast cancer. Other analogues have a similar effect (Klayra, Regulon, Novinet, Yarina)

Indications:

method of contraception;
acne treatment;

Contraindications:

thrombosis of various etiologies;
diabetes;
precursors of thrombosis;
migraine;
hypertension;
renal and liver failure;
pregnancy;
lactation.

The same contraindications are typical for Qlaira tablets. Analogs have a lot in common.

Dosage

If you do not follow the dosage, nausea, vomiting, spotting, not associated with menstruation, may occur. There is no specific antidote for the drug. In case of overdose, somatic treatment is prescribed. Any analogues ("Klayra", "Regulon", etc.) should also be taken in accordance with the recommendations. It is worth remembering that improper use of contraceptives can lead to various horional disorders.

It is undesirable to take the drug "Jess" with certain types of antibiotics, barbiturates, rifampicin, products containing St. John's wort. If a woman suffers from chronic diseases and is forced to constantly undergo drug therapy, this should definitely be reported to the gynecologist at the first appointment. It is worth stopping taking contraceptives if pregnancy is planned.

What patients and doctors say

All tablets have a protective shell that does not irritate the gastric mucosa and is quickly absorbed. Reviews of doctors suggest that the drugs not only have a contraceptive effect, but also have a beneficial effect on women's health in general. The medicine is especially good for endometriosis. Patients claim that the symptoms completely disappear after taking the contraceptive.

The described drugs can also be prescribed to girls who do not live sexually to eliminate hormonal disorders. The drugs are really very effective. But they should be used only on the recommendation of a specialist. Improper use of contraceptives can lead to serious hormonal changes.

fb.ru

"Novinet"

Indications and contraindications

The medicine is a new generation contraceptive that helps to avoid unwanted pregnancy, normalize the menstrual cycle and maintain women's health. Contraindications:

various types of thrombosis, arterial and venous;

precursors of thrombosis, such as ischemic attacks;

migraine with partial focal lesions;

conditions after stroke and heart attack;

venous thromboembolism in history;

dyslipidemia;

diabetes;

pancreatitis;

pregnancy;

lactation;

smoking after 35 years;

severe pathology of the liver and kidneys;

hypersensitivity to components.

Like analogues, "Klayra", "Novinet" should be used after prior consultation with a doctor.

Dosage

The medicine is prescribed for oral administration, one tablet daily for 21 days from the start of the menstrual cycle. It is advisable to drink the tablets at the same time, chewing and drinking a small amount of water. After taking the last capsule, you must take a seven-day break. It is worth adhering to this algorithm until a woman begins to plan a pregnancy.
Be sure to be studied before using the preparations "Novinet", "Klayra" instructions for use. It is advisable to take analogues as directed by a doctor. An overdose can cause the development of such symptoms:

nausea;

vomit;

bleeding that is not associated with menstruation.

In the first few hours after taking the tablets, it is recommended to wash the stomach and prescribe symptomatic treatment. There is no antidote to the remedy.

Contraceptive "Yarina"

The drug belongs to monophasic contraceptives with antiandrogenic action. Produced in the form of light yellow coated tablets. The main components in the composition of the drug are ethinylestradiol 30 mcg and drospirenone 3 mg. Tablets are considered low-dose, combined, monophasic oral contraceptives. Their main property is to increase the viscosity of cervical secretion and suppress ovulation. In patients taking this remedy, the menstrual cycle normalizes, spotting decreases, pain disappears. Drospirenone, which is part of the drug, keeps the weight normal, improves the condition of the skin and hair, and has antiandrogenic properties. If you need a cheap analogue of Klayri, the Yarina tool will do just fine. For one package of medicine you will have to pay about 450 rubles.

Indications and contraindications

The drug is used as an effective method of contraception, which will also help eliminate some gynecological pathologies. Contraindications to the means of "Yarina":

thrombosis of various etiologies;

diabetes;

pregnancy;

breast-feeding;

arterial hypertension;

severe pathology of the liver and kidneys;

precursors of thrombosis;

smoking after 35 years;

alcoholism.

Contraceptive "Klayra"

The drug belongs to the combined means to prevent unwanted pregnancy. Produced in the form of tablets of five types. The first drug has a dark yellow color and contains estradiol valeriate, micro at a dose of 3 mg. The following tablets are pink in color and in addition to estradiol valeriate, micro 2 mg, is dienogest, micro 2 mg.
Capsules of the third type are yellow in color and consist of estradiol valeriate, micro 2 mg, dienogest, micro 3 mg. The fourth type is red tablets with estradiol valeriate, micro at a dose of 1 mg. All products are packed in blisters of 28 pieces each. Like analogues, "Klayra" perfectly protects against unwanted conception.

Indications and contraindications

Used for oral contraception. You can not prescribe a remedy for such pathologies:

thrombosis;

precursors of thrombosis;

diabetes;

vaginal bleeding of unknown etiology;

pregnancy;

lactation;

hypersensitivity to components.

Dosage

Contraceptive "Regulon"

Indications and contraindications

venous and arterial thrombosis;

precursors of thrombosis;

migraine;

renal and liver failure;

diabetes;

pregnancy;

lactation;

hypersensitivity to components.

Tablets are taken from the first day of the menstrual cycle for 21 days (daily). After taking the last dose, monthly bleeding begins. After seven days, you need to start drinking the remedy from a new box if you need to protect yourself from pregnancy. Be sure to follow the algorithm for taking the drug "Qlaira". Action analogues may not always have a similar composition. Therefore, it is not worth using medicines without the consent of a gynecologist.

Contraceptive contraceptive "Jess"

It is a monophasic oral contraceptive with antiandrogenic properties. Available in the form of pink and white tablets. The composition of the drug includes ethinylestradiol 20 mcg and drospirenone 3 mg.
The main task of the pills is to suppress ovulation and change the cervical secret. In patients taking this contraceptive, the condition of hair and nails improves, the menstrual cycle normalizes. It also reduces the risk of endometrial and breast cancer. Other analogues have a similar effect ("Klayra", "Regulon", "Novinet", "Yarina") Indications:

method of contraception;

acne treatment;

severe form of premenstrual syndrome.

Contraindications:

thrombosis of various etiologies;

diabetes;

precursors of thrombosis;

migraine;

hypertension;

renal and liver failure;

pregnancy;

lactation.

The same contraindications are typical for Qlaira tablets. Analogs have a lot in common.

Dosage

What patients and doctors say

Experts note that the contraceptives listed in this article have a reliable level of protection against unwanted pregnancy. Many patients managed to restore the hair structure, heal the skin with the help of pills. The drugs are well tolerated and do not cause side effects. Contain a minimum number of contraindications. In their composition, the drugs differ slightly from each other, but they have identical actions and antiandrogenic properties. If it was not possible to find Qlaira in the pharmacy, analogues are cheaper in a wide range. All tablets have a protective shell, do not irritate the gastric mucosa and are rapidly absorbed. Reviews of doctors suggest that the drugs not only have a contraceptive effect, but also have a beneficial effect on women's health in general. The medicine is especially good for endometriosis. Patients claim that the symptoms completely disappear after taking the contraceptive. The described drugs can also be prescribed to girls who do not live sexually to eliminate hormonal disorders. The drugs are really very effective. But they should be used only on the recommendation of a specialist. Improper use of contraceptives can lead to serious hormonal changes.

stomatlife.ru

What is endometriosis

Endometriosis is a disease characterized by changes in the mucous membrane and an increase in the number of endometrial cells. Normally, the endometrium grows in the first phase of the menstrual cycle, and then, if conception does not occur, it is rejected and, together with the menstrual flow, leaves the uterus.

In the presence of endometriosis, rejection does not occur, and the growths increase, or the endometrium appears where it should not be - not inside the uterus, but in other places (ovaries, outside of the uterus, etc.). During each menstrual cycle, the size of the focus increases, the fluid produced by the cells of the endometrium, has no way out, and, as a result, pain appears.

Although such growths are considered benign, nevertheless, they bring a lot of unpleasant moments to a woman:

pain during menstruation and during intercourse;
too long and heavy periods;
spotting, regardless of the day of the cycle;
uterine bleeding;
constant aching pain in the pelvic region.

With endometriosis, there are also accompanying symptoms, such as frequent urge to urinate, the presence of blood in the urine, and constipation. In some cases, the disease is asymptomatic, so it is important that a woman regularly visits a gynecologist. In addition, the examination will accurately determine the presence of endometriosis, since other diseases of the female genital area are characterized by similar symptoms.

The causes of endometriosis are still not exactly clarified, however, the factors affecting its occurrence are known:

heredity;
late or difficult childbirth;
C-section;
abortions;
frequent manipulations in the uterine cavity, including surgery;
hormonal disorders;
diseases thyroid gland;
excess weight;
inflammatory diseases of the genital organs;
abuse of alcohol and coffee.

Endometriosis can lead to infertility (it is difficult for the egg to mature normally, immune responses and the composition of physiological fluids are disturbed). An even more terrible consequence of it in some cases is the development into malignant tumors. That is why the pathology must be treated as soon as possible after detection.

Qlaira and its use in the treatment of endometriosis

Qlaira is a modern contraceptive pill that contains 2 hormones:

estradiol valerate;
dienogest.

The difference between Klaira and other oral contraceptives is that the drug contains the natural hormone estradiol, identical to that produced by the female body. For this reason, the drug is considered the safest, since it loads the liver much less and does not greatly affect blood coagulation.

In addition to its main, contraceptive, action, the drug is also used to stabilize the menstrual cycle, get rid of acne, and doctors also recommend taking Qlaira tablets for endometriosis.

If the disease is not running, Qlaira is perfect for its treatment. The main thing that needs to be achieved with drug therapy for endometriosis is to stop the progression of the disease by suppressing the production of estrogen by the ovaries and preventing ovulation from occurring, which Qlaira does. The positive effect of the drug is due to its constituent hormone dienogest, which is effective in suppressing foci of pathological growth of the endometrium. Treatment of endometriosis is quite long, on average - 6 months. If during this period the use of Qlaira does not give a tangible result, then other methods should be resorted to.

Side effects of taking Qlaira

Like all medicines, Qlaira can have some side effects. So, the most common ones are:

stomach pain or headaches;
menstrual disorders, including the absence of menstruation or bleeding between them;
swelling, pain and other discomfort in the chest and nipples;
weight change (more often upwards).

Less often or very rarely, the following negative consequences are observed when using Qlaira:

candidiasis;
mood swings or mood swings;
decrease in sexual desire;
dizziness and nausea;
skin rashes and itching;
vaginal dryness or burning;
ovarian cyst;

uterine fibroids;
degeneration of the epithelium of the cervix;
vaginal discharge;
hypertension or, conversely, a decrease in pressure;
decreased attention and performance;
discharge from the nipples;
hair loss or, conversely, excessive hair growth;
allergic reactions.

Contraindications to taking Qlaira

Absolute contraindications to taking this drug are:

thrombosis of veins or arteries (even in the past), as well as conditions that are assessed as precursors of thrombosis (varicose veins, angina pectoris, etc.);
liver failure and severe liver disease;
vaginal bleeding of unknown origin;
tumors with hormonal dependence and suspicion of them;
migraine and neurological symptoms;
allergy to any components of the drug;
diabetes;
acute pancreatitis;
pregnancy and suspicion of it.

There are also relative contraindications that must be taken into account and treated with Qlaira with caution, strictly under medical supervision:

risk of blood clots (predisposing factors: hypertension, overweight, heart problems, major injuries, smoking);
the appearance of any pathologies against the background of previous hormonal preparations;
postpartum period;
diseases that are accompanied by impaired peripheral circulation (lupus erythematosus, ulcerative colitis, diabetes mellitus, etc.).

My article

There are many ways to prevent unwanted pregnancy. The most popular today is the use of oral contraceptives (OC). For several decades, women all over the world have been using this method, which significantly reduces the number of abortions and, as a result, complications after them.

Hormonal contraception is designed not only to protect a woman from unwanted pregnancy, but also to improve the quality of life. The fact is that now women rarely turn to a gynecologist for the sole purpose of choosing a contraceptive. According to statistics, more than 60% of women have certain gynecological problems and need their correction. OCs are one of the methods for treating the pathology of the pelvic organs, whether it is rehabilitation after abortion, treatment of PMS or endometriosis, as well as mammary glands - mastopathy.

Very often, patients complain about the appearance of many side effects from taking OK: swelling, increased pressure, weight gain, severe symptoms of PMS, headache, stress. And the main complaints are connected precisely with this. Hence the question follows: how to choose hormonal contraception, is it possible to change the drug and how to avoid side effects?

It is worth noting that OK is selected by a doctor, taking into account your gynecological history and comorbidities. You can’t choose OK for yourself, based on the experience of friends or colleagues - what suits them may categorically not suit you.

Why do side effects occur?

All side effects are due to an increased level of estrogen in the blood, which is most often due to an incorrectly selected drug that contains a high dose of estrogen. But there is one “but” that gynecologists often do not take into account when choosing OK. The level of estrogen in the blood can be increased even without the use of OCs, and this may be associated with smoking, obesity, diseases of the gastrointestinal tract, chronic stress, thyrotoxicosis and chronic alcohol intoxication, taking certain drugs (diuretics, cardiac glycosides, narcotic analgesics, non-steroidal anti-inflammatory drugs (nurofen, ibuprofen), antibiotics, anticoagulants, hypoglycemic drugs). All of the above factors contribute to an increase in the content of estrogen in the blood. Therefore, when a smoking woman experiencing chronic stress comes to the gynecologist for OK and does not talk about her lifestyle to the doctor, then a situation may occur when the doctor prescribes not the lowest-dose drug, but layering on the already existing hyperestrogenism leads to the fact that when taking OK appear all known side effects.

In connection with the foregoing, attention should be paid to the behavior of a woman at the gynecologist:
When you see your doctor, be sure to tell your doctor about your bad habits.
Tell us about your activities, focus on the stress factor of your work (whether you often have stress or not).
If your mother and / or grandmother had heart attacks, thrombosis, strokes or varicose veins, then you should inform the doctor about this, the prescription of the drug will depend on this.
If you are taking antibiotics, painkillers, or other medications long time then also tell your doctor.
Do not tell your doctor that you have varicose veins. Often women give out visible wreaths on their legs for varicose veins. Remember that the diagnosis of "varicose veins" can be made either by a surgeon or a phlebologist based on certain examinations (ultrasound of the veins of the lower extremities, blood tests, certain physiological tests). If you pronounce such a diagnosis, then back it up with certificates from the surgeon or ask for an additional examination from a gynecologist.
Do not hide from the gynecologist the number of abortions performed and the duration of the last operation - this information is no less important when choosing OK.
Inform the doctor about the degree of PMS, about the duration of the cycle, about the duration, pain of menstruation and the amount of discharge.
It is important for your doctor to know when you are planning a pregnancy. The OK appointment scheme depends on this - prolonged or regular.

It is important to note that the normalization of lifestyle, the rejection of stress and bad habits helps to reduce the level of estrogen in the blood. But there are hardly any women who will change their lifestyle specifically for OK. Moreover, all OKs were created with the aim of improving a woman's life, which is why there are dozens of different drugs on the market. And not a single pharmaceutical company will miss its economic benefits and will not impose on a woman a change in her usual way of life. Rather, pharmaceutical companies will release a dozen more OCs in order to satisfy the need for contraception and improve the quality of life of every woman.

If the drug does not suit you.

First, let's figure out what "does not fit" means. Each OK has a certain period during which it must "integrate" into the body of a woman. This means that the drug, firstly, is a good contraceptive, secondly, it saves the woman from concomitant pathology (endometriosis, PMS, etc.) and, thirdly, it has ceased to produce side effects. This should take from three (on average) to six months. During these three months, you should have all the side effects from OK and you just should not notice the drug. If nothing has changed in these three months, and side effects remain, then there are 2 ways to solve the problem: 1. start to lead a healthy and calm lifestyle, and 2. replace OK. In the first case, the normalization of lifestyle will reduce the level of estrogen in the blood, due to which the side effects are leveled. And in the second case, the drug is replaced with one where the dose of estrogens is lower.

The replacement is as follows: you finish drinking a pack of OK, take a week break and start drinking a new drug. Of course, before that you should visit a gynecologist.

But even here it is not so simple. There are OK very similar in terms of estrogen content: 20 and 30 mcg. The gynecologist will choose a lower dosage if you are at high risk of thrombotic complications, if your close blood relatives have had heart attacks, strokes or thrombosis. Therefore, it is imperative to state everything in detail to the doctor, especially with regard to medical aspects.

You should not immediately buy a large package of OK, where the tablets are enough for three months, since the drug may not be suitable.

The doctor's view on the appointment of OK.

When selecting OK, a gynecologist takes into account the presence of a general and gynecological pathology in a woman. A general blood test is done and, if necessary, hormones. But it is very difficult to study the level of estrogen in the blood - the production of this hormone does not occur linearly, and one analysis is not enough. Therefore, the doctor is most often limited to standard examinations, such as examination, ultrasound of the pelvic organs, general blood and urine tests, questioning the patient (taking an anamnesis). Additionally, the gynecologist may prescribe a study of hormonal levels, including thyroid hormones, examination of the veins, gastrointestinal tract, and so on. Your task is to state your complaints as clearly as possible, focusing on the main thing.

Currently, OKs are divided into several types:

According to the dosage of hormones:
1. Monophasic, containing the same dose of estrogen and progestogen
2. multi-phase (two- and three-phase). These OCs contain a variable (non-constant) dose of hormones, which is similar to the hormone production in a woman's natural cycle (without taking OCs). Currently, three-phase OK are the most popular.

Important! The action of three-phase OK:
ovaries decrease in size
temporary sterility occurs, i.e., there is no ovulation
many atretic "idle" follicles
atrophic phenomena occur in the endometrium, therefore, there is no attachment of a fertilized egg (if ovulation did occur)
the peristalsis of the fallopian tubes slows down, therefore, if ovulation occurs, the egg does not pass through the fallopian tubes.
Cervical mucus becomes viscous, making it very difficult for sperm to enter the uterus

Dosing hormones:
1. high-dose
2. low-dose
3. microdosed

To monophasic high-dose OK include: Non-ovlon, Ovidon. They are rarely used for contraception, for a short time and only for medicinal purposes.

To monophasic microdosed OK relate:
Logest

Lindinet (generic Logest). Can be used for nulliparous girls from the age of 15. Favorably act with PMS, with painful menstruation, mastopathy and menstrual irregularities. They prevent fluid retention in the body, have an antiandrogenic effect.

Novinet (generic Mercilon), Mercilon. Can be used for nulliparous girls from the age of 15. They have an antiandrogenic effect.

Minisiston 20 fem. Can be used for nulliparous girls from the age of 15. Good for painful menstruation.

To monophasic low-dose applies to:
Marvelon

Regulon

both have weak antiandrogenic properties

Microgynon, Rigevidon, Minisiston - traditional OK

Silest, Femoden, Lindinet 30 - have a weak antiandrogenic property

Jeanine - OK of the first choice with a therapeutic effect in endometriosis, acne, seborrhea

Diane-35 - is used for polycystic ovaries, with elevated level testosterone. It has a pronounced antiandrogenic effect, shows the maximum therapeutic effect in seborrhea and acne.

Belara - has a slight antiandrogenic effect - improves the condition of the skin and hair (reduces the secretion of the sebaceous glands) (compared to Diane-35 antiandrogenic activity - 15%),

Yarina

- prevents fluid retention in the body, helps stabilize weight, improves the condition of the skin and hair (compared to Diane-35 antiandrogenic activity - 30%), eliminates PMS.

Midian

Three-phase OK:

Triquilar

Triziston, Tri-regol, Qlaira. Simulate the menstrual cycle. Shown to adolescents with delayed sexual development. Often cause weight gain. The side effects of estrogen are the most pronounced.

Single-component progestin preparations:

Microlute, Exluton, Charozetta - can be used during lactation. Can be used for contraindications to COCs. The contraceptive effect is lower than that of COCs. Amenorrhea may develop while taking the drugs.

Norkolut - has androgenic activity, is used mainly for therapeutic purposes to normalize the state of the endometrium.

Postinor, Genale - urgent contraception. Often causes uterine bleeding. It is not recommended to use more than 4 times a year.

Escapelle - causes inhibition of ovulation, prevents the implantation of a fertilized egg, changes the properties of the endometrium, increases the viscosity of cervical mucus. When taken, menstrual irregularities and uterine bleeding often develop.

It is clear that only for contraception it is best to use microdose preparations, since they contain a minimum amount of estrogen. Accordingly, when taking these OK, side effects will be minimized. Note that in each group of drugs, for example, in monophasic low-dose, many drugs are similar to each other. The question arises, what, in fact, is the difference? For example, Marvelon, Regulon, Microgynon, Rigevidoe have the same amount of estrogen (30 mcg) and progestogen (150 mcg). It's simple: firstly, it can be different manufacturing companies, and, secondly, there can be generics and original drugs. It is believed that original drugs are better than generics because they are better purified and have high bioavailability and better absorption. They are believed to have fewer side effects. Although, generics have existed for more than a decade and they are also produced with decent quality, like the original drugs.

At heavy and prolonged menstruation probably better tolerance of drugs with an enhanced progestin component - Microgynon, Miniziston, Femoden, Lindinet 30, Rigevidon, Diane-35, Belara, Zhanin, Yarina. With short and meager periods - with an enhanced estrogen component (Cilest)

Women with hypersensitivity to estrogen(nausea, vomiting, headache, tension of the mammary glands, increased vaginal mucus formation, heavy menstruation, cholestasis, varicose veins), it is advisable to prescribe combined OCs with a pronounced progestogen component.

Among women under 18 and over 40 preference should be given to drugs with a minimum content of estrogens and progestins (Logest, Lindinet20, Minisiston 20 Fem, Novinet, Mercilon)

Teenagers you should not use prolonged preparations (Depo-provera, Mirena Navy), as they contain high doses of steroid hormones (estrogens and progestogens) and are poorly tolerated.

Alternative OK - intrauterine devices, Novaring ring and barrier methods