How long can you take jess. Contraceptive Jess: instructions for use

Contraceptive pills Jess plus have proven themselves in the market of hormonal contraception.

This drug belongs to monophasic microdosed hormonal tablets.

Contraceptive Jess Plus is produced by the German company Bayer Schering Pharma AG.

The international name for Jess plus is Yaz plus (Jazz plus).

In this article, we will consider a detailed description of the drug, what hormones it contains, what side effects can cause how to take it, etc.

IMPORTANT! The information is given for reference. Do not self-medicate, for the selection of OK, contact a specialist, undergo an examination and take tests.

Indications for use

• Prevention of unwanted pregnancy
• Treatment of moderate forms of acne (pimples and blackheads)
• Settlement menstrual cycle and relieve the painful symptoms of PMS
• Compensation for the lack of folate in the body
• Elimination of hormone-dependent fluid retention in the body

Jess plus for polycystic ovaries. In order for the drug to have a positive effect, it should be taken for at least six months.

Jess plus for ovarian cyst. As a drug for the treatment of cysts, Jess is prescribed only with a doctor's prescription. Only your attending gynecologist can tell you in detail about dosages, regimen and duration of administration.

Jess plus for mastopathy. A common cause of the development of mastopathy is a hormonal imbalance in the female body (sex hormones and hormones thyroid gland). Therefore, drinking OK with mastopathy is a good solution, but again, only with a doctor's prescription.

Jess plus for endometriosis. Oral contraceptives Jess plus are used in the complex treatment of endometriosis along with other drugs. COCs are needed to balance the hormonal balance in the female body.

Compound

One COC Jess Plus tablet contains the following: active substances:

• – 3 µg; has antiandrogenic activity.
• Ethinylestradiol (aethinyloestradiolum) - 20 mcg; analogue of endogenous estradiol.
• Calcium levomefolate (calcii levomefolinas) - 451 mcg; biologically active formula of folic acid. This is a medicinal substance designed to eliminate folate deficiency in the female body. The presence of this component in the composition is the difference between Jess plus and

In total, the blister contains 28 tablets (24 active + vitamins and 4 just vitamin).

Excipients:

• lactose monohydrate - 45.329 mg
• microcrystalline cellulose - 24.8 mg
• croscarmellose sodium - 3.2 mg
• giprolose (5 cP) - 1.6 mg
• magnesium stearate - 1.6 mg

Action Jess Plus

• Suppress ovulation, i.e. interfere with the development and release of the egg
• They make the cervical mucus thick, and therefore the cervix becomes impassable for sperm
• They change the structure of the endometrium (the lining of the uterus), as a result, the fertilized egg cannot attach to the walls of the uterus
• Compensate for the lack of folate in the body of a woman

A detailed annotation is included in each package of Jess plus.

Price where to buy

It is impossible to give a 100% correct answer to the question “how much does Jess Plus cost?” the price of the drug varies from the place of purchase (city, pharmacy, etc.)

The average cost of a package of 28 pieces (per month) ranges from 915 to 1112 rubles. The average price for 84 tablets (packing for 3 months) is from 2678 to 2986 rubles. Again, these are just indicative prices.

You can buy Jess plus in pharmacies. Hormonal pills are dispensed by prescription.

Beware of fakes!

Instruction: admission rules

You need to take COC Jess Plus every day at the same time, without taking a break between packs.

Because in the Jess Plus package there are 28 tablets (24 active and 4 vitamin), then there is no need to take a break in taking: as soon as one blister is over, we start a new one the next day.

When can you not protect yourself?

The most popular question on the Internet related to OK Jess Plus is “How long can you go without protection?”

So when does the contraceptive effect come?

If you have not taken OK before (how to take it for the first time):

• You start taking Jess Plus on the first day of your cycle. In this case, after the lapse of menstruation, you may not be protected additionally during sexual intercourse.
• If you started taking OK for 2-3 days, then you can also not use protection.
• If you started taking OK after the 3rd day of the cycle, then we recommend using additional contraceptives for another week.

The second package of Jess Plus should be started immediately without interruption.

If you are switching from other OKs, you need to finish a pack of previous COCs. If there were 21 tablets in the pack, then you need to take a break for 7 days, and on the eighth start taking Jess Plus. If the pack had 28 tablets, then upon completion, you need to start taking Jess Plus immediately without interruption.

After the abortion(on early dates) reception can be started immediately - additional contraception is not needed.

After an abortion (second trimester) or miscarriage reception begins on the 21-28th day.

ATTENTION! during lactation ( breastfeeding) taking COCs is not recommended.

Jess plus and smoking incompatible. Especially after 35 years.

Jess plus and alcohol. The compatibility of these two substances is questionable. Yes, the instructions do not say about the prohibition of alcohol while taking Jess Plus. As well as it is not said whether it is possible to drink alcohol with Jess Plus.

When taking them together, be prepared for the consequences. COCs already thicken the blood, affect pressure and put a heavy burden on the liver. Plus, under the influence of alcohol, you can simply forget to take a pill on time. 1-2 glasses of wine from time to time may not be scary, but you can’t abuse alcohol while taking OK. This can lead to health problems. So think twice before drinking alcohol while taking Jess Plus.

Missing a pill

If you forgot to take a pill, then you need to act according to the following scheme:

• If no more than 12 hours have passed since missing the pill, then take the drug as soon as possible. The next tablet will need to be taken on your regular schedule.
• If more than 12 hours have passed since missing a pill, then take a pill immediately (the rest will be taken according to the usual schedule). You will also need to rule out pregnancy. Plus, you will need to use additional contraception for seven days.
• If you miss more than one tablet (2 or 3), then withdrawal bleeding may begin. The first step is to exclude pregnancy (do a test or go to a gynecologist) and take a pill, because. you can not take a break in the middle of taking OK. Use additional contraception during the week.

ATTENTION! Diarrhea or vomiting less than 5 hours after taking an OC is equivalent to missing a pill. In this case, proceed as if you were skipping.

In case of skipping inactive pills, nothing bad will happen. But you must start taking active tablets on time, namely on the first day of the next cycle (on the 29th day from the start of the previous package).

If you take an extra pill, then there is nothing wrong. Continue taking as usual.

Cancel Jess Plus

You can stop taking COCs only after you have finished taking all the active tablets from the blister. It is undesirable to stop taking Jess plus in the middle of the pack, because. hormonal failure and deterioration of well-being may occur against the background of side effects of a sharp interruption of the course. You can abruptly stop taking OK only with a doctor's prescription and only in exceptional cases.

ATTENTION! When taking COCs, visit an obstetrician-gynecologist at least once every six months.

Side effects

• Weight fluctuations (weight gain, weight loss)
• Raise blood pressure(HELL)
• Liver dysfunction
• Allergic reactions to the components of the drug (urticaria, itching, redness, rash, etc.)
• Decreased libido (sex drive)
• Nausea, vomiting, stomach pain
• Mood swings, apathy, depression, anxiety
• Headache
• Dizziness
• Swelling of the mammary glands
• Pain in the mammary glands
• Failure of the menstrual cycle
• Breakthrough bleeding
• Intermenstrual discharge of unknown origin
• Thromboebolism (venous, arterial)
• Erythema multiforme
• Varicose veins

Rare but possible:

• hypertension
• Chloasma
• Tumors
• Liver dysfunction
• erythema nodosum
• Crohn's disease
• Worsening of symptoms of angioedema
• Nonspecific ulcerative colitis
• Influence on insulin resistance, change in glucose tolerance

Interaction with other drugs

Simultaneous use with antibiotics and enzyme inducers can cause breakthrough bleeding and reduced protection.

Simultaneous administration with a number of drugs (barbiturates, primidone, carbamazepine, phenytoin, rifampicin, etc.) increases the clearance of sex hormones.

Read the instructions carefully and consult with a specialist.

Contraindications

• Intolerance to the components in the composition of the drug
• Venous and arterial thrombosis
• Thromboembolism
• Cerebrovascular disorders
• angina pectoris
• transient ischemic attacks
• Migraine
• Diabetes
• Pancreatitis
• Liver failure
• kidney failure
• Lactation period (breastfeeding)
• Pregnancy
• Hormone-dependent malignant neoplasms
• Smoking
• Obesity
• Ulcerative colitis
• Crohn's disease
• Cerebral circulation disorders
• myocardial infarction
• lactose intolerance
• Systemic lupus erythematosus
• sickle cell anemia
• Hemolytic uremic syndrome
• Phlebitis of superficial veins
• Climax

Content

Protecting from unwanted pregnancy, women often use combined oral contraceptives. Many gynecologists prescribe the drug Jess Plus: the reviews of women who took these pills speak of a positive effect on the body and full protection against pregnancy.

What is the difference between Jess and Jess Plus

With one regular sexual partner, many women refuse to use condoms, preferring oral contraceptives. One of the proven and popular remedies is Jess Plus, a low-dose monophasic hormonal drug based on a combination of estrogens and gestagens.

The Bayer manufacturer offers women two types of drugs - Jess and Jess Plus. Each of them has certain features that allow the gynecologist to prescribe this or that medicine in different cases. To understand the difference, it is recommended to consider a comparison of Jess and Jess Plus.

Which is better - Jess or Jess Plus

The main difference between these two contraceptives is the presence of an additional component in the composition. For example, only ethinylestradiol and drospirenone are present in Jess tablets, while calcium levomefolate is additionally included in Jess Plus.

To understand which drug is better, you should refer to the comparison:

1. Available in Jess Plus calcium levomefolate additionally replenishes folic acid reserves in the body. This contributes to the normal functioning of the reproductive system in women of reproductive age.
2. Calcium levomefolate will help prepare the female body for childbearing, even if at this stage the patient is using oral contraceptives.

Based on these features, Jess Plus, whose photo is presented in this section, will be better: it will help prevent the risk of developing pathologies of the neural tube of the fetus if a woman suddenly becomes pregnant after stopping the contraceptive.

Is it possible to get pregnant while taking Jess Plus

The chance of pregnancy while taking the pill is very low, however, it can happen in some cases. If a woman takes the remedy, violating the rules in the instructions and advice of the doctor, then the risk of becoming pregnant increases.

Another factor that affects the possibility of pregnancy during the reception is skipping pills. Gynecologists say: when skipping, it is important to listen to the instructions of the drug, as well as to carry out additional contraceptive measures for several days.

Pregnancy after canceling Jess Plus

The most common question is - can conception occur during withdrawal? Yes, this can happen, because several factors contribute to this:

• with a six-month use of tablets, pregnancy can occur within 3 months;
• when used for more than a year, conception may occur within 1-2 years after withdrawal.

The body of each woman is individual, so pregnancy can come even a few months after the cancellation. This is due to new changes in the body after the abolition of the contraceptive.

Important! Gynecologists advise not to rush into pregnancy planning after Jess Plus. The optimal waiting period will be 2-3 months, until the body fully recovers from the drug.

Pharmacotherapeutic group and properties

According to the RLS website, Jess Plus belongs to a pharmacotherapeutic group called “Estrogens, gestagens; their homologues and antagonists in combinations. This group is characterized by the presence of drugs based on hormonal components. The group includes a huge number of contraceptives, as well as about 36 substances, including ethinylestradiol in combination with drospirenone and calcium levomefolate.

The effect of contraception is based on the suppression of ovulation, as well as increasing the viscosity of the secretion of uterine mucus. In addition, the drug has a positive effect on the endometrium. It has the following properties:

1. Antiandrogenic action. Helps reduce the production of androgens - hormones responsible for male sexual characteristics. When their number increases, changes occur in the female body - the timbre of the voice changes, vegetation increases. In this case, antiandrogenic drugs are prescribed.
2. Stable weight - there is no weight gain of the patient during the reception.
3. High contraceptive properties - protection against unwanted pregnancy.
4. Effective treatment for premenstrual pain.

The tool has a good effect on PMS, eliminating pain and reducing the duration of discharge.

Composition of Jess Plus

To understand what effect the drug has on a woman, it is necessary to understand the constituent components. Composition of Jess Plus tablets:

• ethinylestradiol- a synthetic analogue of estradiol;
• drospirenone is a synthetic analogue of progesterone;
• calcium levomefolate- folic acid;
• lactose monohydrate- adds sweetness to tablets, increasing shelf life;
• corn starch- connecting component;
• magnesium stearate - gives the tablets shape;
• croscarmellose sodium- contributes to the dissolution of the tablet in the body;
• pink varnish - tablet shell;
• hypromellose - an auxiliary substance for hardening the shell;
• macrogol 6000 - improves absorption;
• talc - necessary for passage through the esophagus;
• titanium dioxide - gives the drug whiteness;
• iron dye oxide red- a dye that gives a red tint.

One pack contains 28 tablets, of which: 24 active combination tablets and 4 supplementary vitamin tablets based on folic acid.

Indications for use

Full instructions for the use of Jess Plus says: this drug is prescribed not only as a contraceptive. It can be prescribed for other reasons:

1. Treatment of moderate acne.
2. Treatment of severe symptoms of premenstrual syndrome.
3. Treatment of folate deficiency.

In addition to the main protective effect against unwanted pregnancy, contraceptives can be prescribed as a therapeutic therapy for gynecological diseases.

Jess plus for endometriosis

In the treatment of endometriosis, gynecologists often prescribe hormonal drugs, among which the use of Jess Plus is noted. The instructions indicate that the tablets have a positive effect on the condition of the endometrium, so the treatment will be effective.

Comment! The composition has a therapeutic effect in endometriosis due to a special mechanism of action on the endometrium.

In the second phase of the menstrual cycle, the woman's body begins to prepare for possible pregnancy. In this case, the endometrium gradually grows. The drug suppresses ovulation without changing the structure and size of the endometrium.

Contraindications to Jess Plus

Contraceptive Jess Plus, like other hormonal drugs, has a number of contraindications:

• pregnancy;
• lactation;
• the presence or tendency to form blood clots;
• pancreatitis;
• diabetes with vascular complications;
• oncology;
• kidney and liver diseases;
• discharge of blood from the vagina of unknown etiology.

How to take Jess Plus

The most common method of taking oral contraceptives is to start using them from the first day of the menstrual cycle. According to special cases, in the treatment or protection against pregnancy, the method of administration will be slightly different.

How to switch from Jess to Jess Plus

The transition from one contraceptive drug to another is carried out according to a single scheme. To switch from Jess tablets to Jess Plus, you must adhere to the following rules:

1. Finish taking the started pack of Jess tablets.
2. The day after the end of the Jess intake, start drinking the first pill from the Jess Plus pack.

This method is suitable for those women whose menstrual cycle is 28 days. If a pack of Jess is over, and a new menstrual cycle has not begun, you can take a break. As soon as menstruation begins, it is necessary to start a new pack of Jess Plus, while using additional contraceptives for 7 days.

How to take Jess Plus for the first time

If no contraceptive has been previously used, then the reception begins on the first day of the menstrual cycle. As soon as spotting begins, you need to open the pack and take the first tablet from the plate.

Warning! You need to take a contraceptive regardless of meals, drinking clean water.

If it was decided not to start taking from the first day, or this could not be done, and the reception began from the 2-5th day of the cycle, then additional contraceptive measures, such as condoms, are used for 7 days. Further reception is carried out according to the arrow on the pack.

You can learn more about the instructions from the video:

How to take a second pack of Jess Plus

1. Open the package.
2. Stick a strip with the names of the days of the week so that the first day of taking the pills is exactly the one on which the woman started using the contraceptive.
3. Take the first pill and continue taking it according to the learned scheme.

Menstruation often begins as early as 2-3 days of using inactive tablets that contain the vitamin. If auxiliary pills have not been used, and menstruation has already begun, it is better not to take them, but to start a new second pack of contraceptive.

What to do if you miss a pill Jess Plus

The manufacturer Bayer took care of the instructions, where he described in detail what to do if a tablet was missed. Taking missed pills Jess Plus looks like this:

• skipping light orange pills can be ignored- they do not contain active substance;
• from 1 to 7 days - take a pill immediately when the woman remembered the pass, even if the dose is 2 tablets: you need to additionally protect yourself for 7 days;
• from 8 to 14 days - immediately take one or two tablets, while continuing to take according to the scheme: additional contraceptive measures are not required;
• from 15 to 24 days - if during the 7 days preceding the missed pills were used according to the scheme, additional contraceptive measures will not be required.

If before skipping the pill at the stage from 15 to 24 days there were violations of the rules of admission during the previous 7 days, then it is necessary to use additional contraception during the week. The risk of reliability of protection is reduced, as the stage of taking inactive tablets is coming.

What to do if you missed 2 tablets of Jess Plus

Since doctors recommend taking no more than 2 tablets per day, so as not to exceed the permissible dose of the hormone, if you miss 2 tablets of Jess Plus, you should consult a doctor. This case is characterized by the accumulation of the effect of reducing the reliability of protection, so an unwanted pregnancy may occur.

Important! The more pills missed before approaching the light orange pill phase, the higher the risk of pregnancy.

The gynecologist will advise you to take additional contraceptive measures, as well as tell you how to proceed.

Cancellation of Jess Plus

To stop taking a contraceptive, it is enough to stop drinking the remaining pills in the pack. The peculiarity of the contraceptive is that a woman does not have to wait for the end of the package or menstruation. After cancellation, remember:

1. If pregnancy is not planned, you should replace the drug with another contraceptive.
2. If pregnancy is planned it is worth waiting for the start of a new menstrual cycle, and then planning a conception.

Many women note the appearance of unwanted problems after the withdrawal of hormonal drugs. This effect occurs due to the individual characteristics of the patient's body.

Side effects of Jess Plus

Gynecologists and the manufacturer note some side effects Jess Plus. They do not appear in every woman - this is due to the length of the adaptation period and the individual characteristics of the body. Side effects include:

• pain in the mammary glands;
• dizziness;
• nausea;
• irregular uterine bleeding;
• thromboembolism;
• mood swings.

A small percentage of women who take a contraceptive experience an increase in body weight. If during the adaptation period the patient feels unwell, you should consult a doctor to cancel the contraceptive or change it.

Special instructions and precautions

There are some risk factors in which the use of tablets should be done with caution so that the drug does not serve as an impetus for the development of pathologies:

1. Venous thromboembolism - the risk of development is maximum in the first year of admission if the patient has problems with the cardiovascular system.
2. The risk of developing thrombosis increases when taking a contraceptive and smoking at the same time, obesity, after major operations, migraines, heart disease and arterial hypertension.
3. There is a slightly increased risk of a breast tumor - it disappears within 10 years after taking combined oral contraceptives.

In addition to these factors, there is a risk of cervical cancer, but it is also insignificant. Jess Plus should be taken with caution in patients with renal insufficiency and a history of pancreatitis.

drug interaction

If, simultaneously with the specified contraceptive, the girl takes drugs that induce microsomal liver enzymes, then it is necessary to use additional contraceptive measures - they should be used for the entire period of using Jess Plus. These drugs include barbiturates, phenytoin, topiramate.

Another interaction is represented by the following provisions:

• HIV or hepatitis C protease inhibitors may increase or decrease plasma hormone levels;
• some substances, for example, methotrexate, sulfasalazine, can reduce the calcium concentration of levomefolate in the blood;
• antifungal drugs from the azole group, as well as antibiotics of the macrolide group, lower the clearance of the contraceptive.

These factors must be considered if a woman simultaneously takes Jess Plus and uses other medicines to treat other diseases.

Compatibility Jess Plus and alcohol

Alcoholic drinks have a strong effect on the liver, forcing it to work in an intensive mode. At this point, the hormones that enter the bloodstream with the contraceptive are also affected. The concentration of hormones in the preparation decreases, the woman remains unprotected from pregnancy.

Comment! Between taking Jess Plus and alcohol should take at least 3 hours.

If you can not give up alcohol, you should choose a quality product and a moderate dosage.

Jess Plus price in pharmacies

The cost of Jess Plus will vary according to the place of sale of the drug. For example, in a city pharmacy, a drug may have one price, and in an online pharmacy - a different one. The average price is:

• 1022 rubles for a pack of 28 pieces;
• 2812 rubles for a pack of 84 pieces.

It is beneficial to purchase a large package if the woman has already passed the adaptation period, and the drug suits her. Then the doctor prescribes a course for several months: a large package is enough for 3 months.

Jess Plus analogs

The combined oral contraceptive Jess Plus is based on a similar composition with other contraceptive drugs. Instead, doctors may recommend:

• Yarina Plus;
• other contraceptives based on ethinyl estradiol and drospirenone in combination with calcium levomefolate.

The latest drugs include Vidora, Midian, Yarina, Dimia. Yarina Plus has the same composition as Jess Plus: the difference is that Yarina Plus contains a little more ethinyl estradiol. Therefore, it is optimal to take Jess Plus: analogues in composition and cheaper will be slightly different.

Many people know that women taking COCs can easily postpone their menstruation to a more favorable time. At least 70% of them are aware of the possibility of delaying their period, and 30% have already used this option 1 .

long-awaited vacation or romantic date I don't want to be bled at all. The reason for the delay can also be a business trip, sports competitions, an upcoming exam or some important event.

Gynecologists, in turn, successfully use the prolonged regimen of taking COCs for therapeutic purposes. Women with chronic anemia, menstrual migraine, after treatment for abnormal uterine bleeding, with endometriosis and severe PMS, need to live for some time without monthly spotting.

An extended regimen of COCs should be recommended if treatment is being carried out with drugs that reduce the effectiveness of COCs (antiretroviral drugs, phenytoin, barbiturates, primidone, carbamazepine, rifampicin, oxcarbazepine, topiramate, felbamate, griseofulvin and preparations containing St. John's wort).

Most patients easily agree to "postpone" menstruation for therapeutic purposes.

- It must be so. It's nothing you can do…

The question is, how right are women who seek to avoid menstrual-like reactions with COCs because of a whim: a desire to swim in the sea, meet a loved one, enter a cage with tigers, or take part in a bicycle race?

- Drink two packs without a break? But it's scary, harmful and dangerous! Is it possible to interfere with the natural cycle?

What about breaking the cycle?

The menstrual cycle is called a cycle because in a healthy woman's body there are daily changes that repeat cyclically. Approximately every 28 days. The main purpose of these changes is to prepare for pregnancy and get pregnant.

Changes during a 28-day menstrual cycle (without fertilization)

Menstruation is a report of the body: “Mistress, the pregnancy did not work out. I reset all preparation and start a new cycle. Each day of the normal menstrual cycle is slightly different from the previous one. That is why, evaluating the ultrasound picture or examining a woman, the gynecologist necessarily compares the picture with the day of the patient's menstrual cycle.

Against the background of taking COCs, there is no “natural” cycle. Even monotonous intake of pills does not allow the follicles to actively grow, reach ovulatory sizes and burst, releasing an egg into the world. Accordingly, the uterus is in a calm state and does not prepare a “warm meeting” for the fetal egg. All days of taking the tablets correspond to the early follicular phase and are similar to each other.

Bloody discharge in the hormone-free interval while taking COCs, in fact, is withdrawal bleeding, however, in order not to frighten people with the word “bleeding”, gynecologists use the term “menstrual-like reaction”. Since no cyclic changes occur, it is possible to keep the body in a peacefully dormant state for much longer than 21 days. In the end, the body is illiterate and does not know how to count. No pills for several days - menstrual-like reaction. The body will give it out both if you accidentally miss several tablets in a package, and during a planned hormone-free interval.

"21 + 7" is already history

The cyclic mode of taking COCs (21 days of drinking + 7 days of rest) was proposed back in 1961 by the creators of the first contraceptive pill, Gregory Pincus and John Rock. Firstly, women really needed to “rest” from the huge hormonal load. Each tablet of the world's first COC contained an amount of estrogen equivalent to 103 micrograms of ethnylestradiol (5 modern tablets!). Secondly, John Rock was a Catholic and hoped that if the pills would mimic the natural cycle of a woman, the method would be approved by the Catholic Church.

For almost 40 years, the classic 21 + 7 COC regimen was the only possible one, but researchers and practitioners have accumulated a number of complaints. It turned out that every fourth COC user in a 7-day hormone-free interval can “wake up” the hypothalamic-pituitary system and begin to command, starting the growth of follicles and the maturation of eggs. In some women, PMS symptoms, pelvic pain, or deterioration in well-being resume.

The second major problem was the untimely start of the new packaging. Almost 40% of women admit that the 7-day interval sometimes turns into an 8-day and even 10-day interval. Such "lateness" is already fraught with ovulation and unwanted pregnancy.

This problem was solved by proposing a new reception mode "24 + 4". A hormone-free interval shortened to 4 days does not allow the body to “wake up properly”, demonstrates better tolerability and contraceptive efficacy. In this mode, today they take Jess / Jess Plus (Dimia, Vidora micro, Modell Trend) and Zoeli.

Seasonale has been registered in the United States for many years, containing a combination of 30 micrograms of ethnylestradiol and 150 micrograms of levonorgestrel for use in the 84 + 7 regimen. This allows a woman to have 4 periods per year - in winter, spring, summer and autumn.

"120 + 4": real life without menstruation

Researchers have carefully studied the safety of long-term continuous use of COCs - the frequency and severity of side effects for the classic and prolonged regimens turned out to be the same, but the contraceptive effectiveness was higher in the fans of the "life without menstruation" 2 .

The maximum duration of continuous COC use is currently 120 days, after which it is worth stopping for 4 days and allowing the body to reject the functional layer of the endometrium.

The main problem of women taking long-term COCs is breakthrough bleeding. Most often they occur in women taking the drug for the first 3-4 months, then their probability decreases. Scanty spotting is not a breakthrough bleeding and does not require any activity. Breakthrough bleeding is usually more profuse, but not accompanied by painful sensations; during examination and examination, the doctor cannot find any obvious causes.

Despite the regular intake of tablets, in such cases, pregnancy should be carefully excluded. If spotting appears while taking pills from the 25th to the 120th day, then the body “tells” that it would be good to pause right now. In this case, you should make a 4-day interval and continue taking the drug. It is this flexible prolonged dosing regimen that was officially registered in the Russian Federation in 2015.

The ability to push back your period, experts call the "second revolution" after the ability to plan the timing of the birth of their children. A parting word to gynecologists from specialists who have carefully studied the problem sounds like this: “There is no medical or physiological reason to force patients on COCs to have monthly withdrawal bleeding. Every woman who takes contraceptive pills should have a choice - to reduce the number of periods or completely eliminate them. Don't assume she doesn't have period problems just because she hasn't told you about them.

1. Management of the menstrual cycle: new opportunities. Innovations in contraception - flexible prolonged regimen and digital dosing technologies: information bulletin / M. B. Khamoshina, M. G. Lebedeva, N. L. Artikova, T. A. Dobretsova; ed. V. E. Radzinsky - M .: Editorial Board of Status Praesens, 2016. - 24 p.
2. Klipping C. et al. Contraceptive efficacy and tolerability of ethinylestradiol 20 µg/drospirenone 3 mg in a flexible extended regimen: an open-label, multicentre, randomised, controlled study // J. Fam. Plann. reproduction. healthcare. 2012. Vol. 38. P. 73–83.
3. Yureneva S. V., Ilyina L. M. Flexible regimen: the “second revolution” in the use of combined oral contraceptives // BC. 2016. No. 6. S. 298–303.

Oksana Bogdashevskaya

Photo thinkstockphotos.com

Oral contraceptives are one of the most reliable ways to prevent unwanted pregnancy. The Pearl Index, which reflects the number of pregnancies that occurred per year in women using a particular method of contraception, is the lowest and is equal to 0.15-0.5. For comparison, a condom has this figure at 12. Many drugs have additional effects. For example, Jess contraceptive pills have an antiandrogenic effect and are able to eliminate some cosmetic skin defects.

What is included?

One blister contains 28 tablets. 24 of them are active, contain a hormonal component, and the last 4 tablets are pacifiers. They are necessary to maintain the rhythm of taking the drug.

The active active ingredient is the estrogenic and progestogen components, which are represented by the following substances:

• ethinylestradiol in the form of betadex clathrate - 20 mcg;
• drospirenone - 3 mg.

The composition of Jess and Jess plus is distinguished by the presence of an additional substance - Metafolin - in the composition of the latter. It is included in the active 24 tablets and is also the main component of 4 additional tablets.

Pharmacological effects

The action of a hormonal drug is based on the ability to suppress. The maturation of the egg does not occur, which means that pregnancy is impossible. The state of cervical mucus changes: it becomes more viscous, so most of the spermatozoa do not penetrate into the uterine cavity. Subject to the instructions, pregnancy when taking Jess is practically excluded.

Positive effects on the menstrual cycle include:

• the duration of the cycle is leveled;
• the pain of menstruation decreases;
• the intensity of bleeding decreases.

Reducing blood loss has a positive effect on the general condition of the body. In women with a tendency to anemia, the hemoglobin level comes to a normal value.

A preventive effect on the incidence of ovarian and endometrial cancer has been proven.

Gestagennoe action provides drospirenone. It has an antimineralocorticoid effect, which manifests itself in the following:

• a decrease in the severity of edema before menstruation, which occur under the influence of estrogens;
• prevents a set of excess body weight due to the removal of fluid;
• helps to cope with manifestations.

Drospirenone acts as an antiandrogen drug. This reduces the greasiness of the skin, hair, eliminates acne (acne). In combination with the estrogen component, drospirenone normalizes the blood lipid profile by increasing HDL.

What is the difference between Jess and Jess plus?

As mentioned above - in an additional component. Calcium levomefolate, or Metafolin, is a biologically active form of folic acid (vitamin B₉). Folates are involved in nuclear division of cells. With their deficiency, cell reproduction suffers, the process of formation of red blood cells is also disrupted, which leads to folic acid deficiency anemia.

The need for vitamin B₉ increases during pregnancy and lactation. The inclusion of folate in the composition ensures the saturation of the body with this vitamin. Therefore, after discontinuation of the drug or skipping pills and accidental pregnancy, the woman is protected from folic acid deficiency, and the fetus from neural tube defects. Also, folates are involved in the process of hematopoiesis and the formation of hemoglobin, which has a positive effect on the blood picture.

Who is Jess shown to?

The main effect of the drug is contraceptive, so the indications for taking are based on it, taking into account additional effects:

• Contraception in women with severe edematous syndrome before menstruation.
• Contraception with increased greasiness of the skin and a tendency to acne.
• Prevention of folate deficiency in combination with contraception in women planning a future pregnancy.
• Severe forms of PMS in combination with protection from pregnancy.

Jess refers to monophasic low-dose contraceptives. It is ideal for first use in teenagers. A prerequisite is that the girl has menstruation. Before the onset, it cannot be taken. The contraceptive action will save the girl from unwanted pregnancy at this age, and the antiandrogenic effect will improve the condition of the skin, which is often found in adolescents with increased greasiness and acne.

In what cases is the drug not suitable?

Before you start taking the drug, you should discuss with your doctor the existing individual contraindications. Against the background of its use, some painful conditions may intensify.

Contraindications for taking Jess

• Individual intolerance to one of the components of the drug or an allergic reaction.
• Venous or arterial thrombosis that has happened before or is on this moment. The manifestation of this condition is myocardial infarction, stroke, pulmonary embolism, and cerebrovascular disorders.
• If there are conditions that precede the development of thrombosis or can go into it: transient ischemic attacks, angina pectoris.
• In women with a diagnosed hereditary tendency to thrombosis of arteries or veins with a deficiency of antithrombin III, a lack of protein C or S, an increased concentration of homocysteine ​​in the blood, the presence of antibodies to phospholipids (to cardiolipin, as well as lupus anticoagulant).
• In conditions in which the risk of thrombosis increases: surgery, leg injuries, prolonged bed rest.
• Diagnosed migraine with focal neurological symptoms in history or at present. In the pathogenesis of migraine development, the concentration of estrogens is important. In some cases, with an increased amount of the hormone, the manifestations of migraine increase. If it is preceded by an aura, then the risk of ischemic stroke increases. Therefore, women suffering from migraine are prescribed progestogen contraceptives ().
• Diabetes mellitus in the stage when vascular complications have developed (lesions of microvessels of the retina, kidneys, limbs, heart).
• Pancreatitis, in which there is a pronounced increase in blood triglycerides.
• Acute liver diseases, chronic diseases in the acute stage, conditions accompanied by liver failure. It is allowed to take the drug with the normalization of liver tests in women with acute diseases.
• Acute renal failure or severe kidney pathology.
• Adrenal insufficiency.
• Malignant and benign liver tumors in history or at present.
• Diagnosed malignant hormone-dependent tumors in the past or at present, especially of the reproductive organs and mammary glands.
• Unidentified cause of vaginal bleeding. In some cases, the appearance of spotting may be associated with a tumor process. The use of hormones often accelerates the progression of the pathology.
• Pregnancy or the assumption of it.
• breastfeeding period.

The drug contains lactose, so it is not used for lactase deficiency, lactose intolerance, glucose-galactose malabsorption syndrome.

There are relative contraindications that must be taken into account in each case individually and correlate the possible risk of deterioration and the benefits of using the drug. So, Jess is taken with caution when:

• Hereditary predisposition to thrombosis. It is determined by the presence of such a disease in the next of kin. The younger the age when vascular accidents occurred, the higher the likelihood of recurrence in the patient while taking Jess.
• Controlled arterial hypertension, migraine without focal neurological symptoms, congenital and acquired heart valve defects.
• Hereditary angioedema is a disease associated with insufficiency of the complement system, which is manifested by sudden swelling of the limbs, larynx, which leads to suffocation.
• Diseases with possible impairment of peripheral circulation: uncomplicated diabetes mellitus, systemic lupus erythematosus, Crohn's disease, ulcerative colitis, hemolytic uremic syndrome, sickle cell anemia, phlebitis of superficial veins.
• Other liver diseases that are not listed in the absolute contraindications. It should always be taken into account that the condition while taking COCs may worsen or go from remission to exacerbation.
• Hypertriglyceridemia is a condition of increased concentration of triglycerides in the blood. It can be complicated by acute cardiovascular diseases, acute pancreatitis.
• Jaundice that developed during pregnancy, itching on the background of cholestasis, cholelithiasis. As well as Sydenham's chorea, herpes, porphyria, which arose during the period of bearing a child.
• In the postpartum period, if less than 21-28 days have passed since the birth. You also need to avoid breastfeeding.

If conditions arise that force you to stop taking Jess or Jess plus, then you must use non-hormonal contraceptives until you consult your doctor.

Association with pregnancy and lactation

In pregnant women, the use of a hormonal drug is prohibited. If, against the background of using a contraceptive, as a result of non-compliance with the instructions, pregnancy is suspected, then you should immediately stop drinking hormones and consult a doctor.

The conducted studies did not reveal a negative effect of low-dose oral contraceptives on the conception or development of a child if they were taken before pregnancy or through negligence in the initial period.

The drug is contraindicated for lactating women. For those who want to combine breastfeeding and hormonal contraception, gynecologists recommend the drug Lactinet or the Nova-Ring hormonal vaginal ring.

Pitfalls in the form of unwanted effects

Any drug in individual patients can cause undesirable effects. Their appearance is optional, but when they appear in most cases, it may require discontinuation of the drug. The most common side effects of Jess are as follows:

• nausea;
• pain in the mammary glands;
• irregular uterine bleeding.

The most severe adverse reactions are arterial or venous thromboembolism.

During clinical trials, the following possible effects were identified, which are listed in order of decreasing frequency of their occurrence.

1. From the side nervous system often there is a migraine, rarely peresthesia can disturb.
2. Possible mental disorders: mood swings, turning into a depressed mood or depression. Less commonly, there is a decrease in sexual desire or complete, anorgasmia. Some women complain of insomnia.
3. Impact on the cardiovascular system: venous or arterial embolism is a serious complication, but according to studies, it rarely develops. These conditions include peripheral deep vein occlusion, pulmonary embolism, myocardial infarction, cerebral stroke, or infarction. The appearance of tachycardia, nosebleeds is noted.
4. For digestive system the use of hormones can cause nausea, abdominal pain, flatulence, bloating, constipation. Sometimes there is pain in the right hypochondrium.
5. On the part of the skin, the development of multimorphic erythema, the appearance of itching, rashes, eczema, dry skin, alopecia, contact dermatitis is possible.
6. For the genital organs, it is possible to develop candidal vulvovaginitis, rare or scanty menstrual-like bleeding, vaginal dryness, positive. Rarely develops a cervical polyp, ovarian cyst, endometrial atrophy.
7. Blood reactions may include anemia and thrombocytopenia.

Common reactions to the use of a hormonal agent can be asthenia, a feeling of malaise, the appearance of peripheral edema. The appearance of any undesirable effect requires the abolition of Jess.

How to take Jess?

The general rules are as follows:

1. On the first day of menstruation, drink the first tablet, indicated by the number 1 on the package.
2. Every day, at about the same time, drink the next tablet in number. It is washed down with a small amount of water.
3. You can't skip taking the pill.
4. You can not change the numbering of tablets, it is worth moving strictly by numbers.
5. Packing is designed for 28 days.
6. After finishing one pack, start the next one the next day.

Menstruation when taking Jess begins 2 days after the transition from active pills to placebo. They do not stop immediately after switching to a new package, but can last another 2-3 days.

There are some features of using the drug after certain conditions:

• Switching to Jess after another oral contraceptive, hormonal ring or: the first pill is drunk the next day after the previous drug has been discontinued. If switching from a patch or a vaginal ring, then the pill is drunk on the same day when a new patch is to be pasted.
• Switching from a mini-pill: can be done any day, without interruption.
• Removal: transition to Jess on the same day, but during the first 7 days you need to use additional barrier methods of contraception.

How to take Jess for the first time after an abortion?

It depends on the timing of the termination of pregnancy. Women who have had an abortion before 12 weeks take a pill on the day of the procedure. If an interruption was performed up to 21 weeks for medical reasons, as well as after childbirth, Jess is drunk on days 21-28. If you start drinking hormones later, then you need to protect yourself for 7 days barrier contraceptives. Those women who have had sexual intercourse before taking it should make sure that they are not pregnant and wait for the first menstruation.

Actions in case of a pass

What should I do if a woman misses a pill? It all depends on the number of the missed tablet. If it is inactive one of the last, then the pass has no consequences, it can be ignored and you can start using a new package at the required time.

Lateness less than 12 hours does not reduce the contraceptive effect. It is necessary to drink the forgotten pill as soon as possible, and the next one at the usual time. If the break is more than 12 hours, then the contraceptive effect may be reduced.

Missed any 1 to 7 pills

Take the missed tablet immediately. Sometimes this means taking the missed and the next pill at the same time. It takes 7 days to restore the hypothalamic-pituitary-ovarian connection, so a condom is used during this time.

8 to 14 tablets

Drink the missed tablet and the next one, sometimes at the same time. If in the previous 7 days the woman took the drug according to the instructions, then there is no need to use additional contraceptive measures. If not, then you need to use a condom for an additional 7 days.

15-24 days

If there were no other errors in the use of the drug in the previous days, then you can not worry and take, as before, the missed dose and the next one at the right time. If there were errors, there are two options:

1. Take the missed dose, then the required pill at the right time. The package is drunk to the inactive phase. The remaining 4 tablets are thrown away and immediately begin a new package, without waiting for the onset of menstruation.
2. After the pass, 4 days are counted and a new package is started. The remaining contraceptives are thrown away. If bleeding has not started in these 4 days, then you need to consult a doctor and make sure that there is no pregnancy.

With vomiting that occurred within 4 hours after taking the drug, a decrease in the contraceptive effect is possible. In doing so, the following rules are followed:

1. Take a pill according to one of the schemes, as when skipping a dosage in time.
2. Use the dose with the same number from the additional package.

Some features of the reception

It must be remembered that hormonal contraceptives can increase the likelihood of developing thromboembolism. Therefore, if there are conditions that further increase the same risks, careful use of hormonal pills and additional examination is necessary. These are the following states:

• smoking in women over 35;
• obesity;
• arterial hypertension;
• prolonged lying position due to injuries, surgical operations.

If the operation is planned, then it is necessary to stop taking Jess and any other COCs for a month. After prolonged immobilization, the use of hormones can be resumed no earlier than after 2 weeks.

Brown discharge in the middle of the cycle may be disturbing during the first two months after starting Jess. Therefore, the first three cycles are called the adaptation period and are not taken into account when assessing bleeding.

If bleeding appeared after normal cycles or does not stop after an adaptation period, then a thorough examination is needed to exclude an oncological neoplasm.

Sometimes after the end of active pills when switching to placebo pills, there is no monthly period. If this happened only once, then there is no cause for concern. But in the absence of menstruation for two cycles, you need to see a doctor.

The use of Jess in endometriosis can have a positive effect. The action of the drug does not allow the endometrium to grow actively, the normal hormonal rhythm is imposed on the body. Under the influence of these factors, foci of endometriosis can reduce their activity. But with severe endometriosis, the use of COCs for the treatment is ineffective.

In some cases, a delay in the onset of menstruation is required. This can be done with a hormonal contraceptive. To do this, after the end of taking active pills, you need to start a new pack the next day, ignoring the placebo pills. Drink the second package should be to the end. But too often resorting to this method is not recommended. This can lead to hormonal imbalance.

Interaction with other drugs

Sometimes you have to use combined oral contraceptives at the same time as other drugs. The effectiveness of either side may change, in COCs the contraceptive effect may decrease or adverse reactions may increase.

Most drugs are metabolized in the liver. This can happen in different ways: with the help of microsomal oxidation, by conjugation with proteins, through the cytochrome P-450 system. Some substances are able to enhance or inhibit these processes, which affects the metabolism of drugs.

Drugs that are able to induce microsomal liver enzymes cause an increase in the clearance (neutralization coefficient) of sex hormones. These are such medicines:

• Phenytoin;
• Carbamazepine;
• Rifampicin;
• barbiturates;
• Primidon;
• Griseofulvin.

St. John's wort has a similar effect.

The compatibility of the drug Jess and alcohol depends on the dose. At a low dose (a glass of wine), there will be no significant effect on metabolism. But with the constant use of alcohol, microsomal liver enzymes are also induced, which means that the effectiveness of Jess may decrease.

Jess and antibiotics can be combined, but when treating some of them, additional ones are needed. Penicillins and tetracyclines are able to reduce the circulation of estrogens in the liver by reducing the concentration of ethinylestradiol, the main component of Jess. If necessary, simultaneously take antibiotics such as Ampicillin, Amoxicillin, Tetracycline, throughout the entire period of treatment and within a week after it, use a condom.

Drug withdrawal and pregnancy planning

At some point, a woman decides that she needs pregnancy and decides how to stop drinking Jess. The best way is to drink the package to the end and not start a new one. The contraceptive effect can be maintained for a week. But within 2-3 days, as usual, menstruation should begin. The next menstruation should also start on time, but it may be more intense. You can also stop taking Jess from any day.

A delay in menstruation after the abolition of Jess for the next cycle may occur due to pregnancy. It is necessary to do a test and make sure or visit a doctor and take a blood test for hCG.

If the COC was prescribed for a short period of 3-6 months, then after the drug is discontinued, the menstrual cycle is restored immediately. Therefore, pregnancy can be planned in the first cycle after cancellation. Oral contraceptives, which are prescribed for a short time, have a rebound effect (recoil effect). This property is due to the fact that under the influence of the hormone, the ovaries receive a period of time for rest, but after its cancellation they are actively included in the work. Therefore, in healthy women who took Jess for a short time, conception can occur in the next cycle after cancellation. The likelihood of multiple pregnancy increases.

If COCs have been used for a long time without interruption, especially for 1-2 years, then discontinuation is sometimes accompanied by a recovery period of the cycle. The body needs 2-3 months to normalize its own ovarian function. This is especially true for women over 30 years of age. To avoid such consequences, it is recommended to take a break for 1-2 months every year in the use of a contraceptive.

Given the high Pearl Index for COCs, the question of whether it is possible to get pregnant while taking Jess is irrelevant. Subject to the instructions for the medicine, the absence of missed pills or the correct actions in case of such an oversight, the probability of conception tends to zero.

Special packaging

Manufacturers took care of forgetful women, and specially designed such packaging so that it would be easy to navigate not only in the order of reception, but also correlate it with the days of the week.

A blister is glued into the folding package, in which there are 24 pink tablets containing the active ingredient and 4 orange tablets with a placebo effect.

There is also a block of stickers of 7 strips, each of which starts with one of the days of the week, and then the rest follow in order. When a woman starts taking Jess, she must determine the current day of the week and select the strip that begins with it. The sticker is transferred to the front of the blister above the first one next to the tablets, starting from the starting one. So it will always be possible to find out by the days of the week whether the required dose has been taken, how many days have been missed and when to start drinking the next package.

Jess or another drug?

The pharmacy chain has a large number of combined oral contraceptives. At first glance, they are analogues of Jess in composition, but this is not always the case. Only a doctor can determine what is best for a particular patient. Many of the drugs have additional effects or, despite the similar composition, a different dosage. Some trade names can be compared with each other. So Jess or...

...Yarina

The composition of the preparations is similar, but the dosage of the active substances is increased to 30 μg of ethinylestradiol and 3 mg of drosperinone. It also has a nathiandrogenic effect, but more pronounced than Jess. Therefore, it is recommended for severe PMS, as well as significant signs of hyperandrogenism. The purpose of prescribing the drugs is the same.

The transition from Jess to Yarina may be required if a medicine with a lower dosage has not reduced the severity of PMS, swelling. A reverse transition may be required in cases where the side effects of Yarina are a concern. It has been found that sometimes with a decrease in dosage, the severity of the undesirable effect also decreases.

…Dimia

The preparations are complete analogues in composition. The only difference is that Dimia is a generic Jess. Those. this hormonal remedy is produced under license from the pharmaceutical company that developed Jess, but by a different company. She did not participate in the development, did not incur material costs, so the cost of a generic is lower than the original drug. Sometimes there are differences in the preparation of raw materials and some technological aspects, so many consider generics to be less effective. Both of these COCs are recommended for use at a young age in nulliparous adolescents as the safest.

…Klaira

The differences between them are significant. Qlaira refers to three-phase hormonal agents. There are five types of tablets in its package. The first type contain only estradiol valerate. The second type is supplemented with dienogest, a progestogen component. In the third type, the combination is similar, but the dose of gestagens is increased. The fourth type of tablets (1 piece) also contains only estrogen. The last two are placebo. There are 28 pieces in total in the package.

Dienogest in the composition of Qlaira also has an antiandrogenic effect. Klaira is recommended for women with high concentrations of estrogen in the blood, as well as heavy long menstruation. Most often, these patients are older than 40 years. Also, the estrogenic component fights such age-related changes as vaginal dryness.

…Janine

The doctor will help you choose the right hormonal remedy, because. both drugs are monophasic oral contraceptives. But in the composition of Jeanine, drospirenone is replaced by dienogest, another form of progestogen, which also has an antiandrogenic effect. Some women report more pronounced side effects from taking Jeanine. Therefore, COCs can be tried to be replaced if one of them is intolerant.

…Logest

The composition uses gestodene as a progestogen component. But he does not have additional effects characteristic of Jess. Therefore, it is used only for the purpose of contraception. Can be used in teenage girls after the onset of the first menstruation.

... Diane-35

It has a contraceptive, estrogenic, antiandrogenic and progestogenic effect. This is ensured by the composition of the drug, which includes ethinylestradiol at a dose increased to 35 μg, and cyproterone acetate. Against the background of the use of Diane-35, weight gain may be noted. Additional effects are used for acne, androgenetic alopecia, seborrheic dermatitis, hirsutism, i.e. more pronounced manifestations.

…Regulon

The composition includes ethinylestradiol and desogestrel. The latter has weak antiandrogenic and anabolic activity. When using Regulon, side effects such as decreased sexual desire, depressed mood, and depression are less pronounced. It is uncharacteristic of spotting in the middle of the cycle. But there may be some weight gain and breast engorgement.

The choice of a hormonal agent should be made by the doctor, based on the patient's condition, her lifestyle, existing diseases. It is also necessary to take into account the following features, in which some COCs are especially effective, while others can only increase undesirable manifestations:

• for acne, you need to choose Jess, Yarina, Diana-35, Dimia;
• with engorgement of the mammary glands, it is necessary to reduce the dosage of ethinylestradiol to 20 mcg, which is possible in Jess and Dimia;
• three-phase contraceptives, for example, Qlaira, cope with vaginal dryness;
• with a decrease in libido, spotting in the middle of the cycle, Qlaira, Lindinet, Yarina, Femoden, Regulon, Rigevidon, Zhanin are needed;
• Novinet, Miniziston, Mercilon will help from heavy menstruation;
• absence of menstruation - three-phase COC.

Combined oral contraceptives are a means of preventing unwanted pregnancy, but they are unable to protect against genital infections. Therefore, when having unprotected intercourse with a new partner, you need to use a condom.

The modern woman is faced with the solution of the problem of contraception. Many of the fair sex choose hormonal drugs that have many benefits. Among other oral contraceptives, Jess is also popular. Gynecologists recommend it to their patients.

In women who take Jess contraceptive pills, the menstrual cycle becomes regular, the pain during menstruation disappears or becomes less pronounced, and there is a decrease in the abundance of blood discharge.

Thanks to drospirenone, when taking the drug, body weight does not increase, and edema does not occur. In addition, the substance has a positive effect on the premenstrual cycle. Pain, irritability and other signs of PMS go away. Drospirenone also has an antiandrogenic effect, and therefore, when taking the drug, acne and pimples on the face and body disappear.

The main purpose of Jess is contraception. But it is also prescribed in the treatment of acne or severe PMS. It is not surprising that the majority of reviews of Jess contraceptive pills are positive. Taking the drug allows you to perfectly protect yourself from unwanted pregnancy, maintain a slim figure and improve skin condition.

• thrombosis of any kind;
• diabetes mellitus with vascular complications;
• kidney failure;
• liver failure or liver tumor;
• pancreatitis;
• adrenal insufficiency.

You should also refuse to take the drug if you:

• pregnant;
• breastfeed your baby;
• have hypersensitivity to one of the components of the drug.

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How to take birth control pills Jess: instructions for use

Jess contraceptive pills are available in blister packs of 28 pieces. The package contains 24 active tablets and 4 inactive. For the convenience of women, there is a self-adhesive calendar in the package, in which you can mark when the pill is drunk. According to the instructions for Jess' birth control pills, you need to drink them regularly, without taking a break between packs. It is advisable to take the tablets every day at the same time.

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How to take a contraceptive Jess for the first time?

If you have not previously taken any hormonal contraceptives, then the first Jess tablet should be drunk on the first day of menstruation. You can also start taking it on another day of menstruation, in which case the first 7 days must be additionally protected by barrier contraceptives, for example, condoms.

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How to switch from hormonal contraceptives to Jess contraceptive pills?

If you have previously taken other combined hormonal oral preparations, then you can start drinking Jess the next day. It is important not to take breaks between drugs. Additional contraception in this case is not required. But if you took mini-pills, then the first 7 days after switching to Jess, additionally protect yourself with condoms.

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What to do if Jess contraceptive pills are missed?

If for some reason you missed taking the drug, then immediately drink it as soon as you remember. If you follow the instructions for taking contraceptive pills Jess, then the contraceptive must be taken regardless of the time of taking the next pill. Maybe even two at once, if it's time.

If you missed a pill, you should know what to do:

1. If 36 hours have not passed since the last dose, then it is enough to immediately drink a pill, and then take the drug at the set time.
2. If more than 36 hours have passed, then you need not only to drink the missed pill, but also for 7 days after that, additionally protect yourself with barrier methods.

Keep in mind that the risk of getting pregnant in the case of a missed pill increases regardless of whether there was sexual intercourse before or after.

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Contraceptive pills Jess: reviews of doctors and patients

On many sites on the Internet, you can easily find reviews of Jess contraceptives. Most women respond positively to the drug. While taking Jess contraceptive pills, disruptions in the menstrual cycle disappear, the skin becomes clearer. But most importantly, women note that the drug is highly effective and does not contribute to weight gain, like some hormonal contraceptives.

Reviews of gynecologists about Jess's birth control pills put them in a favorable light. Doctors often prescribe this drug to women who have severe PMS or skin problems.

Sometimes, due to the individual characteristics of the body, when taking Jess, headaches, loss of consciousness, an increase in heart rate, a decrease in libido, or other side effects may occur. In this case, you should immediately contact your doctor so that he picks up another drug.

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Jess Plus in tablets - scheme and indications for admission, side effects, active substance and reviews

Every woman should take care of contraceptive measures herself. Jess Plus tablets deserve special attention, the action of which is reliable, and side effects are extremely rare. Before buying, you need to consult with a local gynecologist. Contraceptive pills Jess Plus are intended for oral administration, suppress the process of ovulation, and prevent an extremely unwanted pregnancy. It is important to know what kind of medication it is, how it affects the female body.

What is Jess Plus

According to pharmacological properties, it is a monophasic contraceptive with antiandrogenic action for oral administration. The use of active tablets helps a woman protect herself from unwanted pregnancy, normalize the menstrual cycle, and solve a number of problems in a feminine way. This is one of the reliable barrier methods of contraception, which, with a minimal hormonal component, successfully suppresses ovulation and prevents conception. detailed instructions Jess Plus should not become a guide to use, it is important to discuss oral contraceptives with your doctor.

This medication has a direct effect on the hormonal background, guarantees additional contraception, normalizes the abundance of menstrual bleeding, gently and purposefully acts on the reproductive system of the fairer sex. When choosing this kind of oral contraception, it is important to be aware of all its advantages and disadvantages. Here are the positive aspects of such a pharmacological appointment:

• stable contraceptive effect;
• ensuring regular menstrual cycles;
• enrichment of the female body with valuable vitamins;
• reduction of discomfort during the next menstruation;
• prevention of sickle cell anemia;
• reduced risk of developing ovarian and endometrial cancer;
• no harm to intrauterine development during unexpected pregnancy.

The effect of the drug on the woman's body determines the dosage and chemical composition of the oral contraceptive. Active ingredients of synthetic origin - drospirenone, ethinyl estradiol and calcium levomefolate, which enhance the therapeutic effect of each other. The chemical composition of these hormonal tablets contains auxiliary components, among which it is important to place special emphasis on the presence of sodium and magnesium.

Active ingredients of the active tablet

In 1 blister there are 24 main tablets of a round shape and pink color with an engraving in the center "Z +". Each active component of these oral tablets reduces the likelihood of pregnancy, directly affects the reproductive system and the menstrual cycle, and demonstrates a therapeutic and preventive effect in the body of women of reproductive age:

1. Drospirenone has a depressing effect on the natural process of ovulation. The active ingredient has an antimineralocorticoid effect, removes fluid from the body, and has antiandrogenic properties.
2. Ethinylestradiol reduces the pain of menstrual flow, is the prevention of oncology, inhibits the activity of sex hormones, does not cause an addictive effect after stopping use.
3. Calcium levomefolate is actively absorbed in the female body (even better than folic acid), while satisfying daily requirement the female body in foliates, prevents intrauterine pathologies during progressive pregnancy.

The composition of the auxiliary tablet

Each pack contains 4 round, pale pink inactive pills that act as vitamins. The tablets are convex, have a risk in the center and the letter “M +” pushed aside on the surface. The active ingredient is calcium levomefolate, necessary to reduce the risk of spread iron deficiency anemia, strengthening weakened immunity.

Release form

The release of drugs for oral contraception in most cases is represented by tablets for oral administration. Pack of 28 Jess Plus tablets. 1 blister contains 24 rich pink tablets, plus 4 auxiliary pills of a pale shade, as a useful vitamin complex. For a woman's health is simply irreplaceable. Jack Plus low-dose, instructions for use are attached.

How do contraceptives Jess Plus work?

You can protect yourself with a monophasic oral contraceptive, which acts locally in the female body. With prolonged use of contraceptives, reproductive functions are inhibited, but the risk of developing side effects in the form of obesity and increased vegetation on the body is minimal. With irregular use, the effect of contraceptives is unreliable, since the concentration of hormones in the blood is insufficient to suppress ovulation.

The principle of action of Jess Plus is as follows: after oral administration of the required dose, the ability of ethinylestradiol to suppress the natural processes of ovulation and slightly change the physical characteristics and composition of cervical mucus progresses. With irregular bleeding, drospirenone normalizes the menstrual cycle, removes fluid from the body and reduces swelling, removes signs of acne, controls the patient's weight, restores placebo, and provides a visible weight loss effect.

Indications for use

This low-dose monophasic contraceptive is recommended as protection against highly unwanted pregnancies. In addition, oral tablets not only protect, but also successfully treat, and are prescribed in the following clinical pictures:

• premenstrual syndrome;
• menopause, menopause;
• acne, acne;
• folate deficiency;
• hormone-dependent fluid retention in the body.

Jess plus - instructions for use

If pregnancy is not in the plans of a woman, oral administration of COC should not be delayed. It is necessary to use Jess Plus strictly according to the instructions, while not missing a single session. Women who use a contraceptive do not expect obesity or a sharp deterioration in general well-being, however, an overdose of the drug, in any case, must be avoided in every possible way. So, throughout the entire period it is shown to take 1 tablet per day at the same time, with water. Starting a new pack of Jess Plus is required after the previous intake of the contraceptive.

How to take Jess for the first time

The medication can only be taken on the advice of a doctor. It is required to start from the 1st day of the menstrual cycle, but no later than 2-5 days. Each package contains 7 self-adhesive strips that correspond to the days of the week. It is necessary to find out on what day intensive therapy began and “sign” the pill. This is necessary for clarity, so as not to stray from the set course. The contraceptive acts almost immediately, therefore, in additional protection with caps, condoms, etc. the need does not arise.

When at the beginning of the hormonal course there is a risk of bleeding, the drug should be discontinued. The effect of adverse reactions on the female body is temporary, but may worsen general well-being representatives of the weaker sex. In such a clinical picture, it is shown to urgently stop taking it, contact a gynecologist and, together with a specialist, search for a more effective medication for the implementation of hormonal contraception.

Dosage regimen when switching from other oral contraceptives

With the manifestation of spotting, it is better to immediately change the oral contraceptive. The patient should take a break between taking one and another medication for no more than 7 days, and it is necessary to start a hormonal course only according to the annotation. You can enter the shift the next day after the previous tablet. An unscheduled visit to a specialist is indicated to eliminate the risk of developing drug interactions.

Taking Jess Plus after gestagens

The level of bioavailability of the progestogen is high, so this indicator is important to regularly monitor during hormone therapy. If a woman decides to take such oral contraceptives for protection, it is necessary to first consult with a local gynecologist, especially for patients with diabetes mellitus, hormone-dependent patients. There is no need to take a break after taking gestagenic agents, use Jess Plus the very next day. However, during the week it is desirable to use other, additional methods of contraception.

Features of use after childbirth

The risk of a decrease in estrogen in the blood after taking a characteristic medication is minimal, but there are some peculiarities of oral administration. For example, after childbirth, it is allowed to continue taking pills for 21-28 days, while using additional methods of protection during the next week. Tablets contain hormones, so it is contraindicated to disturb the concentration of their entry into the blood.

Taking missed pills Jess

Missing active tablets may be preceded by a woman's inattention or increased employment. However, for the female body, this is not an excuse, therefore, if possible, it is required to take the missed dose. Time and day of the week do not matter, even if you have to drink two active pills at the same time. This is important so as not to deviate from the set course and not reduce the contraceptive effect of Jess Plus.

Missing inactive pills is not a problem, and the patient can simply throw away the unused medication, do not drink it late, do not violate the prescribed regimen. In this case, the planned effectiveness of calcium is somewhat reduced, but does not cause colossal harm to health. So, due to inattention and forgetfulness, such a single dose can be disposed of.

Side effects of Jess Plus

Before ordering from a photo and buying this medical product at an online pharmacy, it is important to read the instructions and carefully study potential anomalies. For example, at the very beginning of the hormonal course, bleeding may develop, which requires the urgent cancellation of the contraceptive, the introduction of a replacement. Other side effects are detailed below:

• breast pain;
• nausea, an attack of vomiting;
• uterine bleeding;
• hormonal imbalance;
• thromboembolism;
• depression of psychomotor functions;
• bouts of high blood pressure;
• chloasma may develop;
• allergic reactions;
• dysfunction of the liver.

Contraindications

The drug is contraindicated in patients with liver and kidney failure, with progressive thromboembolism, increased sensitivity of the female body to active substances of synthetic origin. Jess Plus is not prescribed for angioedema, and other medical contraindications are detailed below:

• malignant tumors;
• migraine attacks;
• diabetes;
• lactose intolerance;
• tendency to uterine bleeding;
• periods of pregnancy, lactation;
• in chronic liver diseases.

During pregnancy and breastfeeding

If an adult woman takes a contraceptive in an "interesting position", bleeding may suddenly develop, the appearance of chloasma in pregnant women is not excluded. Therefore, in order to reduce the risk of complications, oral pills must be urgently stopped. The risk of intrauterine pathologies is minimal, therefore, if desired, a progressive pregnancy is allowed to be saved.

When breastfeeding, it is advisable for a young mother to temporarily refuse such an appointment, since the synthetic components of Jess Plus in high concentrations are excreted in breast milk, which can damage the health of the baby. However, it is important to understand that there must be reliable protection, since during lactation the risk of re-pregnancy is possible.

With renal and hepatic insufficiency

Since the drug helps to remove fluid from the female body, it is not recommended to take it with serious violations of the kidneys. This is an absolute contraindication, non-observance of which can provoke a painful attack of the underlying ailment. You should not trust your own health to a medicine for chronic liver diseases.

Interaction with other drugs

Before you start taking synthetic hormones, you need to study drug interactions. For example, the simultaneous use of several contraceptives at once causes the risk of uterine bleeding, as with menstruation. In addition, in combination with medications that induce microsomal liver enzymes, doctors do not exclude an increase in the clearance of sex hormones. There is also a deviation of the therapeutic effect of fourth-generation antibiotics from the planned norm.

Jess plus and alcohol

To eliminate the symptoms of intoxication of the body, it is not recommended to combine oral contraceptives with alcoholic beverages. The presence of ethanol in the blood plasma leads to severe poisoning, and the patient complains of nausea, dizziness, prolonged vomiting, acute allergic reactions, changes chemical composition urine.

Jess plus price

The official cost of the drug in city pharmacies is much more expensive than on the Internet. In the second case, it is much more profitable to make a purchase in an online store, while there is no doubt about the high quality of the specified pharmacological products. Delivery of a characteristic medication is not difficult, but many patients go to the official pharmacies of the city. Moscow rates are as follows:

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Reviews

Marina, 31 years old

This medication is not suitable for me for reliable contraception, so I chose the budget analogue of Jess Plus for myself. The gynecologist complained to me about Dimia pills, which are much cheaper, but just as effective. I take pills regularly, there are no side effects, and pregnancy is not planned in the near future either.

Karina, 24 years old

I studied the radar guide for a long time until I decided on the most suitable oral contraceptive. Jess Plus pills for a month were perfect for me, because the menstrual cycle returned to normal immediately, wrinkles disappeared, I began to sleep better and be less nervous over trifles. Pregnancy also does not occur, so I have no complaints about such an appointment.

Alla, 37 years old

I used to have irregular periods, and these pills helped to regulate my menstrual cycle in just a couple of months. I take one pill every day, and during this period I have not recovered by 1 kg. Just an excellent means of protection, which reliably protects against pregnancy, and eliminates a number of problems in a feminine way.

sovets.net

Jess - birth control pills, clear instructions

Article content:

Release form and active ingredients

Such a contraceptive drug as Jess is available in tablet form, 28 pieces per plate. All but four of them are pink in color and contain ethinyl estradiol (0.02 mg) and drospirenone progestogen (3 mg). Oral contraceptive Jess refers to the type of drugs in which the tablets contain an identical amount of substances that prevent pregnancy. Tablets without active ingredients are colored white, their number is 4 pieces, and the remaining 24 (pink) contain active ingredients. All of them (28 pieces) are the contents of one blister. The medicine package can contain one or three tablets with tablets. There are also analogues of this drug. They have the same composition as the hormonal birth control pills Jess.

The main positive properties of Jess tablets are their effect on the female body, namely:

1 Reducing oily skin;

2 Complete or partial prevention of acne;

3 The ability to use the drug in order to improve the condition of the skin from adolescence, if there are no contraindications;

4 Relieve pain during menstruation;

5 Maintain body weight by removing water.

Such useful properties this drug has due to the suppression of male hormones, which leads to the elimination of acne. It should be noted that Jess does not retain fluid in the body, which distinguishes it from other oral contraceptives.

Taking contraceptive Jess, how to start taking?

For the first time, it is better to drink a pill either on the first day of menstruation, or within the next 5 days after they have gone.

If the start was made from the first day of the cycle, then you need to use the first active tablet and continue to drink one tablet daily. It is better to choose a specific and most convenient time for this action so that the effectiveness of the medicine does not decrease. Pink tablets are enough for 24 days, and after them it is necessary to make the transition to the 4th white. As soon as one pack of the drug ends, you need to start using the next one without interruption.

Taking pills at the same time as the onset of menstruation means that the drug has been effective from that moment on and there is no need to use auxiliary contraception at the same time as it. With the correct and timely intake of the medicine, you will not need to use anything else to protect yourself on the days of using inactive tablets.

In the case of the first dose not at the beginning of menstruation, it is necessary to use auxiliary drugs for a week. protective equipment not to get pregnant. You should also consider having unprotected sex that took place in the previous days before the woman started taking Jess oral contraceptives. During this period, pregnancy could well happen. An article on how to properly take hormonal birth control pills may also be helpful.

These tablets have a hormonal composition. In this regard, light periods may go, which is quite normal after taking the first pink pills. Sometimes menstruation at this time may be completely absent, which is also acceptable. For some period (a couple of months), slight spotting may appear, which should also not cause concern.

It is important to consider that Jess contraceptive pills should be taken every day at the same time, regardless of meals. The package indicates the order in which you need to take each unit of the drug. So it will be clearer to a woman on which day which pill she needs to take. All pink units have an identical composition, so if they are not used in the above sequence, nothing will happen. When a white tablet is taken instead of a pink tablet, the effect of the drug may be weakened.

There is no need to pause between each subsequent plate of hormonal birth control pills. As the first one ends, you immediately need to start taking the next blister. Menstruation can go while taking the last units from the plate, but regardless of their presence or absence, it is not necessary to interrupt the drug. In any case, you should continuously drink tablets. It is also important to know what are the pros and cons of using hormonal contraceptive pills, read more about this in the article: types of contraceptive pills, pros and cons of use.

How long should I wait before the first results of the action of Jess contraceptive pills?

As previously mentioned, the hormonal contraceptive Jess begins to act if the first pill is taken on the first day of the cycle. In the opposite case, you can stop using auxiliary protection after the 7th tablet drunk, on the day of taking which the medicine itself begins to effectively protect against unwanted pregnancy.

Change of previous oral contraceptives OK to Jess

To switch from a blister for 28 tablets, you need to start Jess the next day after it runs out. If there were 21 units in the plate with the previous drug, then you can either switch according to the same scheme, or take a week break, and drink Jess on the 8th day.

The contraceptive hormonal ring or hormonal contraceptive patch can be changed to oral contraceptive Jess on the day one of these non-oral contraceptives is taken off. The same applies to the intrauterine device: when it is removed, Jess contraceptive pills should be started on the same day, but for another week it is recommended to use condoms during sex as an additional means of protection against pregnancy. When changing the oral contraceptive Jess to other types of birth control pills, gynecologists usually advise using drugs such as OK Lindinet 20, contraceptives Midiana, Yarina or hormonal OK Novinet.

What happens if you miss the contraceptive pill Jess

If you miss a tablet with inactive content, it must be thrown away. In such a situation, there will be no bad consequences. For pink units, you should find out how much time has passed since the moment when it had to be taken. If this period lasted no more than half a day, then you can immediately take the missed pill when the woman remembered about it, but no more than 12 hours after the allotted time. Having managed to take the drug in the specified period, you can not worry about reducing its effectiveness.

It is necessary to worry about the effect of the drug when more than 1.5 days have passed since the last dose. In this case, you should pay attention to which tablet was missed.

What if I missed Jess's first 14 pieces?

If you miss one of the first 14 pieces, you should take that missed dose, even if you need to drink two servings of the medicine at once. After that, another week to use auxiliary contraception. If you do not take the pill from No. 15 to No. 24 in time, you can do the same as in the previous case, but with some peculiarities: after drinking the previously forgotten unit, you must continue taking the 24th inclusive, and after it, the next day, start a new one. package, not taking white pills at all this month, but using additional condoms for additional protection during the week. There is also another way to resolve this situation. It lies in the fact that when one missed tablet is found in the last considered interval (15-24), it is necessary to discard the current package, and after 4 days on the 5th start a new blister. In this case, there is no need to protect yourself in any way, the drug will act immediately with sufficient efficiency.

What should I do if I miss taking inactive Jess tablets?

As for inactive tablets, skipping them in no way will affect the effectiveness of the drug. To prevent the extension of the reception of these units, you should simply get rid of the missed one by throwing it out. You should also remember that you should not skip taking other birth control pills, whether it's Midian or Yarina's hormonal contraceptive. The use of a course of any kind of contraceptive pills must be strictly observed, taking into account the schedule prescribed by the gynecologist.

What if I forgot to take some white Jess tablets?

If you skip a few doses of white Jess, nothing will happen, it's better to throw them all away. If you miss a couple of pink tablets in the first 14 days of taking them, you should use them for two days in a row, two doses (missed and current). After that, you need to continue to drink the drug according to the schedule - one tablet daily at the allotted time. In order not to become pregnant, after skipping a dose, you should use additional contraceptives for a known time.

What happens if I miss a few Jess pills at 3 or 4 weeks of taking OK?

If 2 passes were made from the 3rd to the 4th week of admission, then you need to start a new pack of the drug, which was started on the first day of menstruation. If the start of the intake did not coincide with the beginning of the cycle, then it is necessary to continue taking the tablets from the current package for as many days as have passed from the first day of menstruation to the moment of the first use of the drug, and then get rid of this pack and start a new one. This situation obliges a woman to protect herself from pregnancy for another 7 days with condoms.

What should I do if I miss 3 Jess contraceptive pills?

With the passage of 3 tablets at once, things are similar to the previous case with some remarks. In this situation, when more than 2 doses have not been carried out in a row, it is necessary to consult a doctor. This should be done, as such women are significantly more likely to become pregnant due to missing pills. Before contacting a gynecologist, it is better to use condoms to prevent an unwanted pregnancy if it has not come earlier or if the woman is not yet sure that she is pregnant. Also, due to the omission of several tablets, discharge similar to menstruation may appear, but they do not pose any danger and, if Jess is taken in a timely manner, will soon disappear.

What happens if I take 2 Jess tablets in one day, what should I do in this case?

2-3 tablets taken in one day do not leave any consequences. With rare exceptions, there may be signs of an overdose in which the woman may feel sick or vomit.

Light spotting spotting while using birth control pills

In the first months of taking Jess, the appearance of spotting should not disturb a woman. This phenomenon is observed in almost everyone who uses this contraceptive. There is no need to stop taking the pills. Usually, such discharges do not last long. Sometimes they appear when a dose of the drug is missed, which is also safe for a woman, and in this case it is better for her to act according to the recommendations given in the instructions for the drug.

Transfer of the date of the beginning of menstruation (menstruation)

At your discretion, you can manage your period with the help of Jess. In order to postpone menstruation for some time, you need to drink the drug for 24 days, and then start a new package with the first pink tablet in it. Inactive units should not be taken and breaks should not be made either.

If you take the tablets according to this scheme, then when using half of the second blister, mild and short-term discharge may occur. When it comes to inactive units, then menstruation will begin. The effectiveness of the drug is not reduced. It should also be borne in mind that it is possible to postpone the date of menstruation, provided that Jess was taken for at least 1 month before. If your period started prematurely, detailed information about this problem can be found in the article: reasons for the start of menstruation 2 weeks early.

How does taking other medications affect Jess contraceptive pills?

Some medications, if taken at the same time as oral contraceptive Jess, can reduce the effect of birth control pills. This applies to antibiotics, anticonvulsants and medicines that contain St. John's wort. They can also cause minor bleeding. At the same time, there is no threat to health and life, and the contraceptive should be taken as usual. It is better to prevent pregnancy with additional means when taking other drugs at the same time as the hormonal contraceptive Jess, and after the end of treatment, you need to insure for another week.

Lack of menstruation (menstruation) when using Jess

When menstruation does not go when taking the second package of the drug and before that all the rules were observed for the whole month, then you should stop taking the remedy and consult a doctor. The absence of menstruation in this case may mean that the woman is pregnant.

If birth control pills are not taken properly and skipped, pregnancy can occur, which is the reason for the absence of menstruation. In this situation, a woman needs to stop drinking the medicine and make sure that she does not become pregnant.

If you suspect that any of the actions in the previous month could lead to a decrease in the effectiveness of Jess, you should definitely go to the gynecologist. An article may also be useful: menstruation does not occur after the cancellation of OK (a course of oral contraception).

How to react to menstruation when taking pills with the active ingredients of Jess?

Often, during the first months of using this drug, various spotting appears. They are not dangerous and do not affect the effectiveness of the drug, so you do not need to stop drinking birth control pills. On the contrary, if you refuse the hormonal contraceptive Jess in the presence of secretions, severe blood loss may begin.

The frequency of examinations by a gynecologist during the use of Jess

Every year, every woman should undergo a preventive examination. It is important even if there are no complaints and visible health problems. While using the contraceptive Jess, you need to undergo an examination as usual. If any contraindications to taking the pills are found, the gynecologist will inform the patient about this.

Can I take birth control pills in preparation for surgery?

When a woman knows in advance that she is scheduled for surgery, she needs to stop drinking Jess contraceptive pills a month before the manipulation. This reduces the likelihood of the formation of blood clots (thrombi) in the vessels during surgery. If you need an urgent operation, you need to tell the doctor who will perform it about the use of oral contraceptives. If the specialist is informed in a timely manner, he will be able to do everything to prevent the appearance of blood clots during surgery.

In the postoperative period, birth control pills should not be taken. Their use can be resumed only with the permission of the doctor and not earlier than two weeks after the operated woman can move freely without assistance.

Vomiting and diarrhea when taking birth control pills, OK Jess

In the event of the appearance of such troubles within a few hours after taking the hormonal birth control pills Jess, you need to drink another pill with the same content. When these side effects last for a long time, condoms must be additionally protected for the duration of their continuation and for another week after they have ended.

Does drinking alcohol affect the contraceptive Jess?

Alcohol, drunk in small quantities, has no effect on the tablets. The optimal amount of alcohol allowed for each person is individual and depends on many parameters. On average, the maximum amount of alcohol that does not affect the effectiveness of the drug should be equivalent to its content in 50 ml of vodka. If the indicated dose is exceeded, after that, condoms should be used during sex for about 7 days without stopping taking the pills.

How to use birth control pills Jess after artificial termination of pregnancy?

An abortion before 2.5 months allows you to start taking a hormonal contraceptive on the day of the operation. If a longer pregnancy was interrupted, then you can drink pills 3-4 weeks after the interruption. It is also better to use auxiliary protection for seven days after starting the medication. Before using birth control pills, you should make sure that you are not pregnant.

Oral contraceptive Jess in the postpartum period

After childbirth, it is allowed to start using the tablets after 3-4 weeks. At first, you will need to use other means to prevent pregnancy. During breastfeeding, Jess is prohibited. Also, a woman should make sure that she has not become pregnant before taking the drug.

What should a woman do if she becomes pregnant while using OK Jess?

When a woman is convinced that she is pregnant, she should stop taking the pills and go to the doctor. To maintain pregnancy, it is recommended to take folic acid. Jess tablets do not affect the development of the fetus at the beginning of pregnancy. This fact confirms that a sudden pregnancy can not be interrupted.

womanchoise.ru

Contraceptive pills Jess, effectiveness, mode of administration, contraindications: Contraception

Oral contraception (OC) is by far the most effective protection against unwanted pregnancy. However, at the same time, it has obvious disadvantages, due to which women are in no hurry to give preference to birth control pills as a means of protection against the onset of an unplanned pregnancy. Modern contraceptive Jess combines ease of use and a minimum of side effects.

Jess is a monophasic oral contraceptive of a new generation. The principle of action of these contraceptive pills is similar to other oral contraceptives, but their formula is somewhat improved, more advanced. This is due to the presence in their composition of drospirenone, a fourth-generation progestogen, the action of which is as close as possible to natural progesterone. Drospirenone blocks estrogen-induced sodium and fluid retention in the body, 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 drug tolerance. In addition, drospirenone has a positive effect on premenstrual syndrome, especially alleviating the condition in case of a severe form of the disease (relieves severe psychoemotional disorders, headache, back pain, joint and muscle pain, and facilitates breast engorgement).

Jess oral contraceptives contain a minimal amount of estrogen in comparison with other contraceptive pills - 20 mg versus 30 mg in other OKs. From here we can talk about the safety of this drug. Microdoses of hormones have a gentle effect on the female body, thereby significantly reducing the development of complications and side effects. The main indications for the use of Jess tablets are contraception, acne treatment, and the treatment of severe PMS.

The positive effect of the drug Jess.

Women who take Jess regularly note the normalization of 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 developing inflammatory diseases of the female genital area. Also, the drug relieves or weakens the discomfort that occurs in the middle of the cycle and before the onset of menstruation. It is worth noting that data from epidemiological studies show that combined oral contraceptives reduce the risk of developing endometrial cancer, ovarian cancer and other neoplastic diseases of the female genital area.

In addition, due to antiandrogenic activity, it gives a therapeutic effect in certain skin diseases (acne), improves the condition of nails, reduces oily skin and hair. Many women notice breast enlargement by one or two sizes while taking Jess. Also, the 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 for taking the drug are violated or if it is abandoned. It should be noted that this method of contraception does not protect against STDs and genital infections, therefore, if there are doubts about the partner, barrier contraceptives should be additionally used.

receive mode.

Each package of 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 medicinal properties, are used as a remedy, 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 closer to the maximum and prevent skipping a pill or starting a new package. The 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 packages (one ends, purchased another beforehand). As a rule, menstruation begins on the second or third day of taking the "dummy pill" and can continue even when you start taking a new package of the drug.

Start taking the drug.

If you have not taken any hormonal oral contraceptives in the previous month, then you should start taking the drug on the first day of menstrual bleeding (onset of menstruation). It is allowed to take pills on the 2nd-5th day of the menstrual cycle, only in this case 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, Jess should be taken the next day after taking the last active tablets 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 tablet (in the case of drugs with 28 tablets in the package). When switching from a vaginal ring or contraceptive patch it is recommended to start taking the drug Jess on the day the vaginal ring or patch is removed, but no later than the date when a new ring should be inserted or a new patch should be pasted. intrauterine contraception with a progestogen - on the day of its removal, from contraceptive injections - on the day when the next injection should be made. At the same time, in all cases, it is necessary to use additional contraceptives (condom) during the week of taking the pills. After an abortion in the first trimester, Jess can be used immediately, and additional contraception is not required. start on the 21-28th day after childbirth or abortion. At a later date of taking the drug, it is recommended to use additional protective equipment for seven days. At the same time, if a woman had sexual intercourse before taking the drug, it is necessary to exclude pregnancy by taking a test or waiting for menstruation. therefore, apply additional methods of protection during sexual intercourse. If a woman needs to delay the onset of menstruation, it is necessary to continue taking the tablets from the next Jess package, while skipping the placebo tablets 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, spotting or breakthrough uterine bleeding may be observed. Regular intake of Jess resumes after the end of the phase of taking inactive tablets.

Side effect:

• headache, migraine;
• nausea, vomiting;
• pain in the mammary glands;
• uterine bleeding of an irregular nature;
• uterine bleeding of unspecified origin;
• arterial and venous thromboembolism;
• psychoemotional disorders;
• mood swings;
• decreased sex drive.

As a rule, the above negative manifestations can be observed only within one or two months of taking the drug, while the body is adapting. If such symptoms continue, then it is necessary to consult with your gynecologist. Only a specialist can prescribe other contraceptives or cancel them due to intolerance.

Contraindications Jess.

• hypersensitivity to any of the components of the drug Jess;
• breastfeeding period;
• malignant and benign liver tumors;
• pregnancy or suspicion of it;
• various thromboses and thromboembolism, as well as conditions preceding them, 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 inadvertently used in early pregnancy, you should not worry, because studies have shown that the drug does not carry any increased risk of developmental defects in children. It is worth saying that if any of the above is observed for the first time while taking the drug from his reception must be immediately abandoned.

Jess contraceptive pills can be taken for quite a long time, both for young girls and mature women. This drug has proven its contraceptive and therapeutic efficacy (treatment of PMS and acne).

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