To prevent unwanted pregnancy, women use oral hormonal contraceptives. Such drugs are convenient to drink, they have a pronounced effect, they can eliminate premenstrual syndrome. One of the popular pills (both among practicing gynecologists and among women taking pills) are OK (oral contraceptives) "Janine". Next, reviews of women about the drug, indications for use, contraindications, features of admission, recommendations of doctors and the like will be considered.
The effect of the drug on the body
Janine is a new generation contraceptive based on progestogen and estrogen. The action of the drug is achieved through a complex effect on the female body:
- cervical mucus becomes impervious to spermatozoa, thicker;
- the structure of the endometrium changes in such a way that a fertilized egg cannot attach to it;
- ovulation suppression.
According to the doctors, "Janine" has minimal side effects and is characterized by a low content of biologically active substances. However, the reception should be carried out with extreme caution, especially in the first few months. There are situations when the use of pills as a means of contraception, in general, is contraindicated. In this case, you need to use other methods of contraception.
Indications for use
Contraceptive pills are used by women to prevent unwanted pregnancies. The likelihood of contracting sexually transmitted infections, taking Janine or other oral contraceptives has no effect. Only barrier contraception can protect against STDs.
According to reviews, "Janine" not only allows you not to worry about the onset of unwanted pregnancy, but also helps with endometriosis, amenorrhea, premenstrual syndrome, dysfunctional uterine bleeding, reduces the amount of vaginal discharge, promotes weight loss and reduces oily skin.
In some cases, oral contraceptives are prescribed for women who cannot conceive a child. The fact is that after the abolition of pills, an increased frequency of pregnancy is observed, because the ovaries begin to work more actively. Jeanine contraceptives, according to women, really helped some couples become parents after a number of unsuccessful attempts.
Listcontraindications
"Janine" is strictly contraindicated during pregnancy. A hormonal contraceptive (if you continue to take pills for a long time after conception) increases the risk of congenital malformations in a child. Any negative effect of OK, taken in the early stages (until the moment when the woman found out about the pregnancy), was not revealed. The tablets can change the composition of breast milk and suppress lactation, so it is forbidden to prescribe during lactation.
Contraceptives should be discontinued before elective surgery, after serious injuries and with prolonged limitation of motor activity for any reason. The list of contraindications also includes:
- certain heart and vascular diseases: heart rhythm disturbances, valvular disease, high blood pressure, coronary artery disease;
- pancreatitis;
- conditions preceding arterial or venous thrombosis;
- angina pectoris, ischemic attacks;
- migraines;
- diabetes mellitus with vascular complications;
- thromboses, both currently present and those that appear in the anamnesis;
- hormone-dependent malignant diseases or suspicion of similar pathologies;
- unexplained vaginal bleeding;
- liver failure, some liver diseases.
According to reviews, "Janine" after 40 years helps to cope with the symptoms of approaching menopause, but you need to remember the recommendations of doctors. So, gynecologists allow taking oral contraceptives only up tocessation of menstruation, that is, the onset of physiological infertility. During menopause, it is forbidden to take Janine.
Relative contraindications
"Janine" (according to reviews of gynecologists and patients who experienced side effects on the background of certain diseases) should be taken with extreme caution in the following cases:
- obesity and other pronounced disorders of fat metabolism;
- Dubin-Johnson, Rotor, Giotber syndromes;
- otosclerosis with hearing loss;
- diabetes mellitus;
- Crohn's disease;
- hypertension;
- lupus erythematosus;
- thrombophlebitis;
- uremic syndrome;
- some form of anemia.
Immediately after determining pregnancy, the pill should be discontinued. Taking contraceptives in the early stages cannot provoke pathologies or a difficult course of pregnancy, which is unambiguously confirmed by numerous studies.
Instructions for use
Reviews about "Janine" recommend not to deviate from the instructions for the drug and the doctor's recommendations. Otherwise, the contraceptive will be ineffective, and additional side effects and other he alth problems may occur. OK taken every day, preferably at the same time. Take the tablets with drinking water. The duration of one course is 21 days. Then a break (a week) is needed, during which menstrual-like bleeding is usually observed.
Choosing the first day of taking "Janine"
Ifa woman has not previously taken oral contraceptives, then it is necessary to start drinking pills on the first day of the menstrual cycle, that is, on the day the bleeding starts. You can start taking it on the second to fifth day of the cycle, but in this case, you should additionally use barrier contraceptives for another week.
Did you take another contraceptive in the previous cycle? Then the reception of "Janine" can be started the next day after the last tablet of the previous OK. So, there is no break between two cycles of taking different pills to prevent unwanted pregnancy.
Admission after childbirth or abortion
According to reviews and instructions, "Janine" after an abortion can be taken on the same day, additional barrier contraception is not required. After an abortion in the second trimester or premature birth, the use of tablets should be started on the 21-28th day. Before taking the pills, you need to make sure that you are not pregnant, so after giving birth or an abortion, it is better to wait for your period first, and then start taking oral contraceptives according to the scheme indicated above.
Medication violation
If the regimen is violated, the contraceptive effect is not reduced only if the delay is less than 12 hours. In such a situation, you just need to take the pill as soon as possible. No further measures are required, and the next pill is taken as usual.
If the delay is more than 12 hours, there is a possibilityconception. Further actions depend on which week of admission this happened. It is important to remember here that you should not stop using pills for a period that exceeds seven days, and in order to achieve a contraceptive effect, you need to take Janine for at least a week.
Missing a pill in the first or second week
In the first week, you need to take a pill as soon as possible, and if the delay approaches the day, then you should immediately take two pills. Then you can return to the usual scheme, but during the week you can additionally use barrier contraceptives. In the second week, the actions will be the same, only additional protection measures will not be required.
Skip in the third week of intake
In the third week, if you miss a pill, there is a risk of reducing the contraceptive effect, then the risk of unwanted pregnancy. You can either take "Janine" as soon as possible, and then drink the drug according to the usual scheme, but without a weekly break between cycles, or immediately take a weekly break, after which you continue taking the pills from the next package.
Possible side effects
When taking oral contraceptives "Janine" (reviews of women confirm this), side effects may be observed, including:
- reduced sex drive;
- edema and fluid retention in the body;
- rash, itching, other dermatological reactions;
- spotting and bleeding on pill days;
- abdominal pain;
- migraines,nausea, vomiting and diarrhea;
- discharge from mammary glands;
- leg pain, cramps;
- change in body weight.
Additional recommendations
The use of "Janine" (reviews of gynecologists point to the following with particular importance) should occur under the supervision of a physician. Seek further advice if you experience any unusual headache, problems with vision and speech, coughing without a cold, sudden shortness of breath, dizziness and weakness, severe pain in the abdomen or chest, swelling of the legs.
Reviews of the Janine tablets confirm that before using hormonal contraceptives, it is necessary to undergo a general medical and gynecological examination, and also to exclude the presence of pregnancy. With long-term use of oral contraception, one every 6 months should be examined by a gynecologist and therapist.
Availability in pharmacies and cost
"Janine" can be easily purchased at pharmacies. Tablets are released according to the recipe. Twenty-one tablets will cost about 1,000 rubles (from 972 to 11,190 rubles in various pharmacies), a package containing 63 tablets costs 2,500-2,700 rubles.
Reviews of doctors and patients
Reviews about "Janine" from women who used pills to prevent unwanted pregnancy are generally positive. Doctors often prescribe the drug to patients, which indicates safety and effectiveness.tablets. If you follow the recommendations of the gynecologist and the instructions for use, you can avoid adverse side effects and get a pronounced contraceptive effect.
Special attention is paid to reviews left by patients who took pills prescribed by a doctor to correct certain pathological conditions and treat gynecological diseases. Reviews about "Zhanina" with endometriosis, temporary infertility, amenorrhea and other diseases that are treated, including with the help of oral contraceptives, also indicate the effectiveness of the drug.