What is better janine or. Which is better - janin or yarina. Contraindications to taking these drugs

In our era, a woman has the right to plan her own pregnancy. This can be done in several ways, but one of the most convenient and effective is hormonal contraception.

The first anti-pregnancy pills contained a rather large portion of the active substance and inevitably led to side effects, such as weight gain. Modern hormonal contraceptives are distinguished by the fact that the dose of the active ingredient in them is negligible. This allows a woman to keep her weight under control. Moreover, new generation oral contraceptives can significantly improve the condition of the skin and hair, eliminate slight swelling during menstruation.

One of the modern means to prevent unwanted pregnancy is the Silhouette pill. Reviews about this tool can be found varied. Let's take a closer look at the features of this drug.

If we consider this pharmaceutical product in terms of belonging to clinical group, then it is a monophasic contraceptive with antiandrogenic properties intended for oral use.

In what form is it produced?

Contraceptive pills "Silhouette", reviews of which are mostly positive, have White color, round biconvex shape and "G53" engraved on one side. The blister contains 21 pieces.

The composition of the drug

One tablet of the drug contains the following main active ingredients:

• Ethinylestradiol in the amount of 30 mcg.
• Dienogest at a concentration of 2 mcg.

Also in the composition there are auxiliary components: lactose monohydrate, corn starch, hypromellose, talc, potassium polyarylate and magnesium stearate.

How does the drug work?

Tablet "Silhouette", reviews of which indicate its acceptability for young women, is a combined remedy with a pronounced antiandrogenic effect. It contains the hormones ethinylestradiol, which has the function of estrogen and dienogest, which is a progestogen. This contraceptive performs the following functions in a woman's body:

• Inhibits ovulation.
• Increases the viscosity of cervical mucus.
• Changes peristalsis fallopian tubes.
• Transforms the structure of the endometrium.

The two main active ingredients in combination with each other have the effect of reducing plasma androgens.

For many women, the Silhouette tablet (reviews are confirmation of this) helps to cope with the problem of mild to moderate acne, as well as seborrhea.

The hormone dienogest is a derivative of norethisterone. It has less than 10 times the affinity for progesterone receptors than other synthetic substances in this group. Features of dienogest are that it does not have pronounced androgenic, glucocorticoid and mineralocorticoid properties. Independent use of this hormone at a dosage of 1 mg per day leads to a decrease in ovulation.

What is the pharmacokinetics of the contraceptive?

As mentioned earlier, the Silhouette tablet, reviews of which speak of its popularity, has two active ingredients that behave differently in the human body.

Ethinylestradiol, when it enters the small intestine, is rapidly absorbed and reaches its maximum concentration after 1.5-4 hours. A significant proportion of the substance is metabolized by the liver. The absolute bioavailability of ethinylestradiol is 44%. This substance is 98% bound to blood albumin, increasing the concentration of globulin. This protein binds sex hormones. In the second half of the course of taking the drug, the achievement of the maximum equilibrium content of ethinylestradiol is noted.

This substance is metabolized in the intestinal mucosa and in the liver through aromatic hydroxylation with a large number of derivatives. Decay products are excreted by the liver and kidneys in two stages:

• The first is 1 hour.
• The second period is 10-20 hours.

Ethinylestradiol is not excreted unchanged from the human body.

Dienogest is also absorbed into the bloodstream through the wall of the small intestine and reaches its maximum concentration after 2.5 hours after taking the contraceptive. Its bioavailability with ethinyl estradiol is 96%. Dienogest binds only to albumin. Its equilibrium maximum plasma concentration is reached within 4 days of taking the drug.

Dienogest is metabolized by hydroxylation and glucuronidation. The products of this breakdown are inactive and quickly leave the blood plasma.

Dienogest in a small amount in an unchanged form is excreted by the kidneys. With the consumption of 0.1 mg / kg of the substance, about 86% are excreted from the body in the first 6 days by the intestines and kidneys, and about 42% of the substance is removed in the first day with urine.

What dose of the drug should be taken?

Contraceptive pills "Silhouette", reviews of which are positive, should be taken every day and at a certain time. If necessary, you can drink a small amount of water. Be sure to follow the order indicated on the package.

The main guide for taking Silhouette (tablets) correctly is the instruction. Reviews about this contraceptive indicate the availability of the presentation of the method of its use in the attached annotation. It indicates a scheme according to which one tablet of the drug is taken once a day for a period of 21 days. Then there is a seven-day break before starting a new pack of medicine. During this period, "withdrawal bleeding" is observed. Usually this phenomenon begins 2-3 days after taking the last pill and ends after 4-5 days. By this time, it becomes necessary to take pills from a new blister.

There is a very important nuance, which characterizes the initial intake of the pill "Silhouette". Instructions for use (reviews of doctors to confirm this) indicates the need to take a contraceptive on the 1st day of menstruation. This condition is mandatory for those who have not previously used hormonal contraceptives or have not used these drugs for a month or more.

Features of taking a contraceptive

If a transition was made from a combined oral contraceptive to the Silhouette tablets, instructions for use, doctors' reviews recommend that the first dose of the drug be taken at the usual time the next day after the last tablet was used.

If there is a need to switch from contraceptives containing only progesterone, then this can be done on any convenient day. If the patient removes an implant, such as an IUD, then on the same day she can already take Silhouette. If a woman took a contraceptive in the form of injections and decided to switch to the described tablet contraceptive, then she should take the first dose at the time when the scheduled injection should be made.

If a woman has a miscarriage in the 1st trimester of pregnancy, and she plans to take Silhouette hormonal tablets, the instructions, reviews and recommendations of doctors indicate the possibility of immediate use of this pharmaceutical product. If the abortion occurred at a later date, then there is a need to pause at 21-28 days and use condoms during this period.

What to do if a pill is missed?

In the event that the delay in admission does not exceed 12 hours, the strength of contraception does not decrease. The woman should take the tablet as soon as possible and take the next one at the usual time.

In the event that the delay was a time period greater than 12 hours, then you should act in accordance with the basic rules for taking a contraceptive:

• Do not interrupt the use of funds for more than a week.
• In order for the drug to work, you need at least 7 days of continuous use.

• If a missed dose occurred in the first week of using the drug, then the woman should immediately take a pill, and use the next one at the usual time. At the same time, you need to use a condom for the next week.
• If this happened in the second seven-day period, then the pill is taken immediately, and there is no need for barrier methods of contraception.
• On the third week, a failure in taking the drug needs the algorithm described in the first paragraph. After that, you should proceed to the next blister without a break. In this case, there will be no "withdrawal bleeding", but there may be spotting.

You can also delay the onset of bleeding with the Silhouette tablet. Reviews of doctors about this manipulation recommend in this case to continue taking the drug, replacing the completed blister with a new one. During the use of the second package of the medicine, a woman may notice spotting uterine discharge.

Can an overdose occur?

The toxicity of an increased dose of hormones that are part of the tablets "Silhouette" is low. In case of an overdose, nausea, vomiting, vaginal discharge or bleeding is noted. There is no need for therapy.

Can Silhouette be taken with other medicines?

It has been noted that co-administration with drugs that activate microsomal enzymes can lead to breakthrough bleeding and a decrease in the contraceptive effect. Such drugs include Phenobarbital, Rafampicin, Hydantoin, Primidon, Carbamazepine, Rifabutin, Efavirenza, Nevirapine, Oxycarbazepine, Felbamate, Griseofulvin, Topiramate ”, “Ritonavir” and phytopreparation St. John's wort perforatum.

Taking some antibiotics, such as tetracycline or ampicillin, together with Silhouette also reduces its effectiveness. In the case of combinations with any of the above drugs, there is a need for additional barrier protection for a period of 7 days, and with Rifampicin - for 28 days.

What are the side effects of the drug?

You can not independently decide on the choice of this means for contraception. Remember that "Silhouette" is hormonal pills. Reviews of doctors about the side effects of this contraceptive indicate that it contributes to the formation of blood clots in the arteries and veins.
This phenomenon can be exacerbated by smoking, hypertension, disorders of normal blood clotting, varicose veins veins, obesity, thrombosis and thrombophlebitis.

Among the frequently encountered side effects also noted:

• Migraine.
• Nausea and vomiting.
• Increase in body weight;
• Painful sensations in the mammary glands and their increase;
• emotional instability;
• Pain in the back;
• Cramps in the muscles of the calves.

Many women refuse to use oral contraceptives for fear of gaining weight. Are these concerns justified? One of important sources information about whether it is possible to gain weight from taking "Silhouette" pills - reviews. The increase in body weight notes quite most of women. That is why this effect from taking this contraceptive is the most common.

The following side effects differ from the intake of the drug "Silhouette" with a lower frequency of manifestation in patients:

• Arterial hypotension or hypertension.
• Thrombophlebitis and varicose veins.
• Migraines and dizziness.
• Increased excitability.
• Stomach ache.
• Infectious diseases of the urinary system.
• Acne, exanthema, allergic and acneiform dermatitis, alopecia, erythema, itching, chloasma.
• Increased appetite or weight loss.
• Vaginal candidiasis, vaginitis.
• Fatigue, malaise, swelling.
• Acyclic and painful bleeding, endometrial hyperplasia, endometritis, salpingitis.

Some other, but less frequent, side effects from taking the Silhouette tablet have also been noted. Instructions for use, reviews of patients and doctors indicate the following undesirable manifestations:

• Anemia.
• Diseases of the cardiovascular system.
• Circulatory disorders of the brain.
• visual disturbances.
• Sinusitis, bronchitis, asthma.
• Digestive disorders.
• Hypertrichosis, eczema, seborrhea, angioedema.
• Decreased appetite.
• Allergy.
• Scanty discharge, changes and tumors of the mammary glands, leiomyoma.
• Insomnia, depression.
• Arthralgia, myalgia.

There are also very rare side effects that can occur as a result of taking the drug "Silhouette". Tablets, reviews confirm this, with a frequency of less than 1 case out of 10,000, they can provoke myocardial infarction, stones in gallbladder, cholecystitis and endometrial cancer.

Contraindications

The drug "Silhouette" can not be taken in the presence of certain ailments. It:

• Diseases of the veins and arteries, a tendency to thrombosis.
• Pancreatitis.
• Porfiry.
• Jaundice or congenital syndromes of hyperbilirubinemia.
• Smoking after 35 years.
• Severe liver damage, including cancer.
• Vaginal bleeding of unexplored origin.
• Migraine.
• Epilepsy.
• Sickle cell anemia.
• Pregnancy and lactation.
• Lactase intolerance.
• Allergy to the components of the drug.

With any of these diseases, taking the contraceptive "Silhouette" is contraindicated.

Treatment of endometriosis

Endometriosis is a disease that is quite common in women.
It is treated with conservative or surgical methods, depending on the circumstances of the disease. "Silhouette" (tablets) reviews for endometriosis deserved positive. This drug is often prescribed to patients as an analogue of the Zhanine contraceptive. At the same time, gynecologists note its relative safety and good efficacy.

"Silhouette" leads to gradual atrophy of endometriosis foci, regardless of where they are located. It reduces the synthesis of estrogens, suppresses ovulation and blocks the proliferation of cells of this tissue outside the uterine cavity. There is also a good anti-inflammatory effect from taking the drug "Silhouette". Tablets reviews for endometriosis are positive - women note the disappearance of signs of dysmenorrhea, polymenorrhea and pain during sexual intercourse.

In addition, the active components of the drug "Silhouette" reduce the blood supply to endometriosis foci. As a result, this tissue stops growing. The normal level of hemoglobin is restored.

It is worth noting once again that taking this drug should only be recommended by a doctor after a complete examination of the patient for the presence of diseases and conditions preceding them. Unauthorized use of hormonal contraceptives threatens with serious undesirable reactions of the body.

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Pills Silhouette reviews in the treatment of endometriosis

Not infrequently, when diagnosing a disease, gynecologists prescribe Silhouette, the reviews of patients with endometriosis are quite good. Women who come to the gynecologist once a year for prevention, such a disease as endometriosis, is definitely not familiar. However, it is quite common and has brought many women a lot of health problems. Is it possible to conceive with endometriosis? What threatens this disease, what drug is the best? What symptoms precede the disease and how can it be cured?

Brief description of the disease

As you already understood, endometriosis is a very serious and insidious disease, in which tissue can grow on any internal organs of a woman, similar in composition to the layer lining the uterus.

Usually these changes can be seen in the pelvic cavity, namely on the ovaries, bladder, fallopian tubes, skin, vagina and other places.

There is an opinion that this disease can develop into something worse, namely cancer. However, such a judgment is erroneous, since endometriosis does not have cellular atypia, but with all this, it tends to grow and damage healthy tissues. It should also be said that only women of predominantly reproductive age suffer from this disease.

1. Critical days. Experts have found that there is a kind of ejection of blood along with endometrial cells into the abdominal cavity. After a while, they freely pass into closely spaced tissues.
2. Downed hormonal background. With this diagnosis, there is almost always a strong LH surge.
3. No matter how trite it sounds, but heredity plays an important role in this matter.
4. Weak immunity. If a woman's immunity is normal, it simply destroys all endometrial cells that have left the uterine cavity. And if it is weak, then these cells grow freely anywhere.
5. Metaplasia. There is a statement that cells that have left the uterine cavity tend to transform from one tissue to another.

Since this is a very serious ailment, therapeutic treatment is usually carried out conservatively or surgically. The method of treatment is chosen depending on the location of the ectopia, and its stage. It is important to know that the detection of this disease passes only through laparoscopy. After the operation, you will still need to undergo a course of treatment to prevent a recurrence. With this disease, most often doctors prescribe pills silhouette, janine and a number of other means.

Medications that are most often prescribed for this ailment:

• Contraceptive pills, or as they are also called - oral contraceptives, this is janine, as well as yarina.
• Danazol.
• Tablets byzan, utrozhestan, duphaston.

Each drug has a different effect on the female body, so now we will study them in more detail.

Drugs for the treatment of endometriosis

Silhouette medicine is more popular, but its analogues are no less effective. To compare indications and side effects, you will need an instruction.

General information about "Silhouette"

The drug is a new generation product, manufactured by Gedeon Richter. This is an analogue of "Janine", and the tablets have similar properties. I would like to note that the drug silhouette due to its low cost is more accessible to our citizens. Dienogest, a component of this drug, has a mineralocorticoid, glucocorticoid effect on the human body. Among other things, dienogest is a safe substance, so almost everyone can use the tablets, there are no prohibitions on its use. Also in this medication there is also a second component - ethinylestradiol, this radical provides excellent absorption of the compounds, which gives the stability of the action of ethinylestradiol. Reviews about the silhouette can be found different, both positive and negative. The thing is that the drug can act differently for each person and this must always be taken into account.

Janine and Yarina with endometriosis

The exact cause of the appearance of endometriosis has not been established to this day, but experts say that in the development this process hormonal imbalances are to blame. The drug Janine, as well as Yarina are very effective in endometriosis and this is due to the mechanism of their action. In the second stage of the cycle after immediate ovulation, an increased preparation of the body for pregnancy was noted. Janine and Yarina do not allow the eggs to come out of the ovaries, they simply block them. Contraceptives primarily anesthetize, normalize the disturbed menstrual cycle, and eliminate symptoms. Contraceptive medications do not allow ovulation to occur, because the endometrium cannot grow much. Among other things, contraceptive medications normalize the menstrual cycle.

As mentioned above, the drugs Janine and Yarina are quite effective in endometriosis. The components of these medicines exhibit powerful activity in the human body, which makes it possible to use them in small doses.

There are several effective schemes for taking these medicines. But, despite this, only the doctor selects methods of treatment on an individual basis. In order for the treatment to be successful, these medicines should be taken for at least six months without a break. If the result is positive, then the attending physician, as a preventive measure, may recommend taking the medicine for another three months. Reviews of women confirm the positive effect of such therapy.

These drugs have in their composition the female hormone, in connection with which they are very effective in combating this disease.

Medicines reduce the production of estrogen, which in turn inhibits the growth of the endometrium.

Therapy lasts approximately seven months, and sometimes even more, so prepare yourself mentally and physically for a long road to recovery. Tablets must be taken following the directions for use. You can’t stop halfway and stop taking pills, it’s very dangerous and threatens to relapse!

Danazol and adenomyosis

If someone does not know, then dianasol is a hormone of synthetic origin, if a girl uses it, then her body will stop producing sex hormones, thereby the adenomyosis foci will significantly decrease. For best effect Dinazol is recommended to be taken for at least six months. There should be no problems with the application, the instruction is available in several languages.

This drug was previously widely used in other countries, but patient reviews have slightly changed the opinion of doctors. Women began to complain about side effects, namely:

• Pain in the chest;
• Swelling of the mammary glands;
• Jumps in blood pressure;
• Violation of the cycle;
• Hair loss;
• acne;
• Facial hair growth.

Other treatments

It is not always possible to cope with the disease with a therapeutic method; in severe form, the doctor may recommend surgery.

Operational treatment

The chronic type of adenomyosis responds well to conservative therapy.

Sometimes no medicines can help, and even such a drug as janine, and then surgical intervention is required. Here is a list of diagnoses that require urgent surgical intervention:

• ovarian cyst;
• The drug did not help;
• The presence of several diseases of the uterus at once;
• The risk of developing a tumor in the ovaries.

Laparoscopy is a surgical method that involves an operation using a laser. It is to them that the doctor cauterizes the foci of the disease, but, of course, here you still can’t do without drugs, the drug Zhanin is perfect in this case. First, the doctor prescribes to drink pills in a course, after which the operation is performed.

It should be noted that after surgery, women can count on the restoration of childbearing function, in addition, if the patient drinks a course of janine, dinazol, or yarin, she will feel relief during the menstrual cycle - discomfort will pass and decrease pain.

ethnoscience

As a therapy for this ailment, it has long been used folk remedies. However, you should immediately understand that traditional medicine is not a substitute for surgery or drug therapy. It is very important, before you decide to use folk remedies, to visit your doctor and consult with him on this issue.

Since the body of each person is individual, it is very difficult to predict the reaction of the body to a particular treatment in advance, so consultation with a specialist is important.

1. Acupuncture. It takes place under the supervision of a doctor, the procedure takes about four hours, it is necessary to complete a course of ten sessions.
2. Hirudotherapy. The use of medicinal leeches, as a rule, has a beneficial effect on each patient. The saliva of leeches has analgesic and anti-inflammatory effects.
3. Red brush. It is an excellent remedy for this disease, it normalizes the hormonal background.
4. Upland uterus, nettle, plantain. All these remedies help with this disease.

Adenomyosis and future pregnancy

Many women wonder - is it possible to get pregnant with this disease? In this case, this is not a sentence, since the disease does not lead to infertility, but only creates some problems on the way to conceiving a child. There were cases that they managed to get pregnant, but it is almost impossible to bear a child with such a diagnosis. In this regard, it is necessary to emphasize for yourself that only the right therapy will help you become a mother.

Usually, after the completed course, after six months, you can count on pregnancy.

But if after a therapeutic course it was not possible to conceive a child within a year, it is recommended to contact the gynecologist again to identify other reasons that prevent pregnancy. Do not panic and give up, because today's medicine has gone far ahead and you can always find some alternative. If you want to have children, be sure to visit a gynecologist every six months so that you do not have any problems in the future.

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Effectiveness of Silhouette in the treatment of endometriosis

Using birth control pills to treat endometriosis is a great alternative to surgery or hormonal injections. The drug Siluette, consisting of 2 components, provides a good therapeutic effect in endometriosis and protects a woman from unwanted pregnancy. The doctor will prescribe a specific pill regimen in order to create the maximum therapeutic effect and remove the unpleasant symptoms associated with endometrioid disease. Side effect hormonal pills is minimal, and a significant advantage of the drug is the preservation of a woman's ability to bear children. Reviews of women taking Siluet for long courses convincingly prove that with the right pills, you can forget about the pain and disruption of menstruation that occurs against the background of genital endometriosis.

The composition of the drug

The hormonal contraceptive Siluette consists of 2 parts:

• estrogen component, the dose of which is 30 mcg;
• gestagenic drug Dienogest (2 mg).

Both hormones are as close as possible in structure to the natural biologically active substances produced by the woman's ovaries. At the same time, estrogen is a typical component used in the vast majority of contraceptives, and Dienogest is a modern, highly effective drug with additional positive properties. It is due to this part of the contraceptive that the effectiveness of the impact on endometrioid disease is very high. To useful properties Dienogest include:

• targeted and local effect on endometrial cells located anywhere;
• hormonal influence comparable to the action of natural progesterone;
• suppression of the growth of endometrial cells that occurs in the 2nd phase of the menstrual cycle;
• decrease in the production of own hormones-gestagens and androgens.

The multifaceted effect of the drug in endometriosis provides an excellent therapeutic effect and reliable protection against unplanned conception. However, it should be remembered that Siluet is a hormonal remedy, so the drug should be used according to indications and after consulting a doctor.

Indications for admission

Contraceptive pills Siluet can be taken in the following cases:

• protection from unwanted conception;
• long-term therapy for endometrioid disease;
• correction of menstrual irregularities with the restoration of hormonal balance;
• treatment of skin diseases associated with an increase in androgen hormones in the blood (acne, seborrhea).

Often a woman has several problems at once, which can be solved with the help of long-term use of highly effective drugs. Silhouette will help protect against unplanned pregnancy, will have a therapeutic effect on endometriosis and acne. But the doctor will decide on the possibility of using the drug, because it is necessary to take into account contraindications and side effects.

Contraindications

Hormonal pills have a serious effect on the female body. The instruction to the drug defines all contraindications in which it is undesirable to use the medicine for the treatment of endometriosis and contraception. You can not drink Siluet against the background of the following factors:

• any manifestations of a tendency to blockage of blood vessels (thrombosis, thromboembolism, heart disease, varicose veins with thrombophlebitis, stroke, heart attack);
• diseases of the liver and pancreas (tumors, hepatitis, pancreatitis, cholelithiasis);
• high arterial pressure;
• endocrine pathology (diabetes, problems with thyroid gland, obesity);
• epilepsy and migraine;
• gestation and breastfeeding;
• allergic reactions to hormonal substances.

Women who smoke should not take any oral contraceptives, because harmful substances from tobacco adversely affect blood vessels, increasing the risk of thrombosis and thromboembolic complications.

Treatment regimens

The drug Silute provides several important effects:

• suppression of ovulation and prevention of unwanted pregnancy;
• reduction in the severity of pain associated with the progression of endometrioid disease;
• regulation of cyclic processes in the female body with a guaranteed restoration of hormonal balance;
• reduction of menstrual blood loss;
• prevention of endometriosis in women with a hereditary predisposition to the disease;
• prevention of recurrence of endometriosis.

Instructions for use indicate the regimens for taking tablets, but the choice of therapy regimen should be selected together with the doctor. The doctors' comments are unambiguous - self-administration of pills without taking into account the variant of endometrioid disease and possible contraindications may be the reason for dangerous complications. Or will not give the desired beneficial effect. The following schemes are usually used:

• contraceptive (it is necessary to start taking pills with the onset of critical days, duration 21 days);
• prolonged (continuous daily intake of the drug, duration 6-9 months);
• long-term (constant taking of pills, interrupted for a period of scanty spotting, simulating menstruation).

The contraceptive regimen is optimal for women who do not have typical symptoms of endometrioid disease. The absence of premenstrual pain and a regular cycle are the basis for the standard use of a hormonal drug.

If signs of endometriosis occur, it is necessary to select treatment individually, using a prolonged or long-term regimen.

Side effects

Almost all hormonal contraceptives can have a negative effect on the female body, which is associated with the influence medicinal product to all organs and systems. The most unpleasant side effects are:

• recurring headaches of varying severity;
• nausea and vomiting;
• increased soreness in the mammary glands in the coming days before the onset of critical days;
• weight gain;
• psycho-emotional disorders, decreased sexual desire;
• convulsive pain in the muscles of the legs;
• change in eating behavior (increased appetite);
• increase in vaginal whites.

Most of these problems occur in the first months of taking Siluet. However, this is not a reason to refuse treatment for endometrioid disease. After consulting with the doctor, it is necessary to continue therapy, creating conditions for combating the unpleasant manifestations of hormonal drugs. Usually, after a certain period of time, all these problems disappear or become less significant. Great importance in the fight against excess weight, rational diet therapy, reasonable physical activity and the correct water regime are allotted.

According to doctors' reviews, the use of an individually selected Siluette contraceptive pill regimen will help a woman cope with the negative impact of endometrioid disease and preserve her ability to bear children. The best option endometriosis therapy - a temporary cessation of menstrual function associated with gestation, the birth of a baby and prolonged lactation. However, if a woman has fulfilled her childbearing function and does not want to give birth, then everything possible must be done to effective treatment endometrioid disease. An additional positive effect of the drug is the effect on the skin, due to which some women can get rid of acne problems.

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The use of Silhouette in endometriosis

Among these drugs is Silhouette, reviews for endometriosis, which, as a medicine, are quite contradictory.

What it is?

Silhouette is a hormonal pill that prevents pregnancy and directly affects all female processes, including the production of appropriate hormones in the body and ovulation itself.

The drug is produced in the form of tablets with a protective engraving on each, and it consists of the following components:

• dienogest - active substance;
• ethinylestradiol - active substance;
• potassium polyacrylate - an auxiliary connecting component;
• glucose monohydrate - an auxiliary filling component;
• corn starch - an auxiliary filling component;
• magnesium stearate is an auxiliary connecting component.

In addition to the drug itself, the tablets have a shell, with a rather complex and often causing allergies, composition:

• macrogol 6000;
• titanium dioxide;
• polyvinyl alcohol;
• talc.

Such a rich composition of the shell guarantees the drug a good degree of protection against dissolution in the esophagus, which prevents a possible decrease in the action of active substances, therefore, increases the protection of a woman from the risk of becoming pregnant.

Other drug effects

However, this drug has quite interesting, from a gynecological point of view, pharmacological effects observed with its long-term use:

• cervical mucus becomes more viscous;
• endometrial tissue thickens, its structure is significantly toned;
• ovulation is inhibited, normalized;
• The peristalsis of the fallopian tubes changes, their swelling and narrowing disappear.

The health of the female reproductive system is normalized in general, even significant pathologies stop and begin to regress.

These properties of the Silhouette prompted gynecologists to use a drug intended to protect against pregnancy for completely different purposes, namely, to improve the condition women's health with a number of pathologies of a gynecological nature, including endometriosis.

Quite a lot of modern hormonal contraceptives have such a feature of the impact as improving the general state of women's health, which gives rise to a kind of controversy about which drug is better. For example, what to give preference to - Jeanine or Silhouette, in the event that there are pathologies, the same endometriosis, or any other problems in women's health.

However, despite all the positive reviews about Silhouette in endometriosis, it must be remembered that this drug is still not a remedy for improving women's health, but a serious hormonal remedy designed to protect against the risk of pregnancy, which has a fairly large list of contraindications.

Contraindications to taking the drug

It is impossible to use the Silhouette, either as a protection or for the purpose of curing endometriosis, for women whose medical card contains the following ailments:

• diabetes mellitus, of any type and in any form, including a tendency to it and a hereditary factor;
• arterial hypertension, at any stage of development;
• lack of protein and protein in the body, both congenital and acquired as a result of long-term diet food;
• lupus anticoagulant;
• benign tumors of the kidneys, gallbladder or liver;
• cancers and tumors of any internal organ and at any stage of development;
• lactose intolerance or indigestion;
• vaginal, uterine bleeding, a tendency to them, for unknown reasons;

• migraine;
• epilepsy and schizophrenia;
• atrial fibrillation, heart failure, heart defects, valve pathology;
• angina pectoris and arrhythmia;
• bacterial endocarditis;
• thrombosis of both superficial and deep veins;
• ischemic disease hearts;
• hemorrhagic formations;
• pulmonary embolism and its complications;
• congenital hyperbilirubinia;
• porphyria in any form.

However, these contraindications, despite the rather categorical position of pharmacologists in this regard, their indications sometimes do not stop gynecologists from prescribing Silhouette. For example, diabetes. With it, the doctor simply adjusts the dosage and dosage regimen, while, as reliable protection from the risk of pregnancy, Silhouette is no longer considered, its effect is limited to general improvement hormonal background and women's health.

How to take Silhouette?

Like any hormonal drug designed to protect a woman from pregnancy, Silhouette is packaged in blisters, on which is drawn detailed diagram reception.

Silhouette must be taken daily, starting from the first day monthly cycle with a break of a week, after drinking the primary blister, before starting the next one. So they take the drug to protect against pregnancy and in the same way they take it to improve women's health with endometriosis.

However, if there are any contraindications available, then the attending gynecologist will prescribe a different basic scheme using the Silhouette. And also when side effects appear, the doctor, as a rule, changes the dosage and the scheme indicated in the instructions, of course, about the reliability of the drug as a contraceptive, in such a situation there is no longer any question and cannot be.

Side effects

Regardless of the purpose for which the use of this drug was started, taking Silhouette can lead to two types of side effects:

• passing side effects, that is, adaptive;
• long-term side effects, that is, complications.

The first pass independently and quickly enough, and they occur due to hormonal reconfiguration in the body and changes in its overall hormonal balance.

These manifestations include:

• dryness on the lips, nose and mouth;
• general muscle weakness and sweating;
• dizziness, blurred vision and migraine encircling the head;
• short-term vaginal discharge and bleeding.

The second side effects include signs that report individual intolerance to either the drug itself, or the amount in which it is taken.

Complications, as a rule, are as follows:

• sinusitis, with their rapid development;
• diarrhea that persists even when taking stool-fixing drugs;
• exacerbation of gastritis, peptic ulcer;
• insomnia, from three or more days;
• signs of fatigue, drop in body temperature, weakness;
• disturbances in cerebral circulation, manifested by a feeling of pinpoint spasm or piercing;
• visual disturbances, quite long and serious, often with headache and intraocular pain;
• dryness of the mucous membranes, not passing and increasing, cracks on the lips;
• development bronchial asthma, even in its initial absence;
• general anemia;
• progressive bradycardia.

With severe complications, you must immediately stop taking the drug and immediately consult a doctor. Depending on how and what symptoms appear, the doctor will either reduce the dose and change the dosage regimen.

Quite often it turns out that the cause of complications was not the drug itself, but its combination with other drugs or alcohol.

Compatibility of the drug with drugs

Silhouette, it's not easy "pills from children", it is a direct supplier of hormones to the body that change its balance, while the drug is in the general bloodstream and affects, one way or another, the whole organism as a whole and, of course, entering into combinations with everything, what he encounters, including with the active substances of various drugs, which does not always have positive consequences.

The silhouette is incompatible with drugs of the following pharmacological groups:

• antifungal;
• antiviral;
• antibiotic.

Yarin tablets contain 3 mg and 30 mcg .

Additional substances: titanium dioxide, corn starch, talc, lactose monohydrate, magnesium stearate, hypromellose, macrogol 6000, povidone K25, pregelatinized starch, iron oxide.

Release form

Light yellow tablets engraved with " DO» in a hexagon, 21 tablets in a blister, one or three blisters in a cardboard box.

pharmachologic effect

Contraceptive and estrogen-gestagenic action.

Pharmacodynamics and pharmacokinetics

Pharmacodynamics

The abstract describes the drug as a monophasic low-dose oral combined estrogen-progestogen.

The action of Yarina is carried out by blocking ovulation and increasing the viscosity of cervical mucus.

In women using birth control pills Yarina, the menstrual cycle is normalizing, menstrual-like painful bleeding is less common, the intensity and duration of bleeding decreases, resulting in a decrease in the likelihood iron deficiency anemia . There is evidence of a reduced risk of ovarian cancer and .

Contraindications

Contraindications to the use of Yarin tablets:

• current and past and thromboembolism (including , ), cerebrovascular changes;
• current and past hypertriglyceridemia ;
• current and past pre-thrombotic conditions (including, ischemic attacks );
• current and past with neurological symptoms;
• with vascular complications;
• risk factors vascular thrombosis e.g. complicated heart valve changes, vascular diseases brain or heart, surgery followed by prolonged immobilization, smoking after 35 years;
• decompensated or acute insufficiency kidney function;
• insufficiency of liver function or severe liver disease (before normalization of tests);
• current and past liver tumors;
• hormone-dependent or suspected of them;
• bleeding from the vagina of unknown origin;
• pregnancy or suspected pregnancy;
• hypersensitivity to the components of the drug.

If any of the above disorders develop for the first time while taking the medicine, it should be canceled immediately.

Yarin Hormonal Tablets should be taken with extreme caution in the presence of any of the following conditions or diseases:

• risk factors for thrombosis: smoking , arterial hypertension, dyslipoproteinemia , extensive trauma, migraine , prolonged immobilization, heart valve defects, surgical interventions, hereditary predisposition to develop thrombosis ;
• other diseases that can provoke changes in the peripheral circulation or superficial phlebitis ;
• hypertriglyceridemia;
• hereditary genesis;
• liver disease;
• postpartum period;
• diseases that have arisen or become complicated during pregnancy or the past reception of sex hormones ( porphyria , jaundice , pregnant, cholelithiasis, otosclerosis, Sydenham's chorea ).

Side effects

As with other combined contraceptives, Yarina's side effects are very rarely possible, such as thromboembolism or thrombosis .

Side effects of Yarina:

• from the side genital area: discharge from the vagina or mammary glands, pain and enlargement of the mammary glands;
• from the side digestion: vomiting, abdominal pain, nausea, ;
• from the side vision: discomfort when using contact lenses;
• disorders on the part nervous activity: mood deterioration, mood changes, weakening or strengthening libido , migraine ;
• leather: erythema nodosum , rash, , erythema multiforme ;
• on the part of metabolism: weight change, water retention in the body;
• other disorders: .

Application instruction of Yarina (Way and dosage)

Tablets should be taken orally in order, according to the instructions on the package, at the same time, every day, with water.

Yarina tablets, instructions for use

The drug is taken 1 tablet per day for 3 weeks. Taking tablets from the next pack should be started after a seven-day break with a usually developing " withdrawal bleeding ". It starts about 3 days after the last tablet and can continue until the use of tablets from a new blister.

Start of reception

How to take Yarina for the first time?

In the absence of the use of any hormonal contraceptives in the previous month, the use of the drug begins on the 1st day of the menstrual cycle. It is also acceptable to start using on the 2-5th day of the menstrual cycle, but in this case, you need to use a barrier method of contraception in the 1st week of admission.

If the patient switches from another oral combined contraceptives, contraceptive patch or vaginal ring , then it is advisable to start using the drug on the day following the last tablet of the "old" drug, but no later than the next day after the standard 7-day break (for products containing 21 tablets) or after taking the final inactive tablet (for products including 28 tablets ). When using a vaginal ring or contraceptive patch, the drug should be started on the day the patch or ring is removed, but no later than the day the new ring or patch is inserted.

Transition from contraceptive ( , containing only gestagen ) to Yarina can be done on any day (without a temporary break). Transition from implant containing only gestagen , or progestogen-releasing intrauterine contraceptive - on the day of its removal. Transition from injection form – from the date on which the following procedure is to be carried out. In all of the above cases, you need to use a barrier method of contraception in the 1st week of admission.

After childbirth or performance in the second trimester, the medication should be started no earlier than 4 weeks after the last birth (provided that the mother is not breastfeeding) or an abortion. If the use is started later, you need to use a barrier method of contraception in the 1st week of admission. But if the patient has already had sexual intercourse, pregnancy should be excluded or the 1st menstruation should be excluded before the start of Yarina's use.

After an abortion in the 1st trimester of pregnancy, it is allowed to start taking the medication - on the day of the abortion. When this condition is met, the patient does not need additional methods of contraception.

Missed pills

less than 12 hours late , contraceptive protection is not reduced. A woman needs to take the pill as soon as possible, the next pill is taken at the usual time.

If the medicine was taken with over 12 hours late , contraceptive protection is reduced. The more pills missed, the greater the chance of pregnancy. If 1 tablet is missed, the chance of getting pregnant is minimal. If you are late for more than 12 hours, follow the recommendations below.

The pass was made in the first 7 days of taking the drug

You should take the last missed tablet as soon as possible, even if you need to take 2 tablets together. The next tablet is taken at the usual time. It is recommended to use a barrier method of contraception for another week. If sexual intercourse has taken place within 7 days before missing the tablet, the possibility of pregnancy must be considered.

The pass was made on the 8-14th day of taking the drug

You need to take the last missed tablet as soon as possible, even if you need to take 2 tablets together. The next tablet is taken at the usual time. If the patient has taken the pills correctly over the past 7 days, then there is no need to use additional contraceptive measures. Otherwise, or if you miss 2 or more tablets, you must additionally use barrier methods of contraception for another week.

The pass was made on the 15-21st day of taking the drug

The risk of pregnancy increases due to the upcoming temporary break in taking the drug. The patient must perform one of the following two options. In this case, if during the last week the pill regimen was observed, then there is no need to use additional methods of contraception.

• You need to take the last missed pill as soon as possible, even if it means taking 2 pills at the same time. Subsequent tablets from the current package are consumed as usual until they run out. The next pack should be started without interruption. Until the pills from the second pack run out, withdrawal bleeding is unlikely, but breakthrough bleeding and spotting during the use of the pills cannot be ruled out.
• You need to stop using the pills from the current blister and start a seven-day break, and then start taking the medicine from the new blister. If the patient violated the pill regimen and during the seven-day break she did not develop withdrawal bleeding, pregnancy should be excluded.

For vomiting and diarrhea

When vomiting or within four hours after taking the tablets, their absorption may not be complete. In such a case, additional contraceptive measures should be taken, and it is also necessary to focus on the above recommendations when skipping pills.

How to change the first day of the menstrual cycle?

To postpone the 1st day of menstruation, you need to continue taking Yarina from a new package without a seven-day break and take the pills as needed. This may result in spotting or bleeding.

Overdose

The list of symptoms that occur with an overdose: vomit , bleeding from the vagina , nausea .

Overdose therapy is symptomatic. There is no electoral.

Interaction

The use of drugs that stimulate the work of hepatic microsomal cells can cause an increase in genital excretion, which causes breakthrough bleeding or weakening the reliability of contraception. These drugs include , barbiturates, and others.

Arterial thromboembolism can lead to death.

Risk of occurrence thrombosis and thromboembolism increases:

• in smokers;
• with age;
• with obesity;
• in the presence of thromboembolism ever with immediate family or parents;
• with prolonged immobilization, surgical intervention, operations on the lower extremities (in these situations, it is advisable to stop the use of combined contraceptives and not resume it within 15 days after immobilization is completed);
• at arterial hypertension ;
• at dyslipoproteinemia ;
• with diseases of the heart valves;
• at migraine ;
• at atrial fibrillation .

Increased frequency and severity of seizures migraine during the period of use of combined contraceptives may be a reason to stop taking them.

Rarely, against the background of the use of combined contraceptives, the appearance of benign liver tumors was observed, and extremely rarely - malignant ones.

In patients with hypertriglyceridemia increase in the likelihood of developing pancreatitis when taking medications such as Yarina.

In women with hereditary angioedema exogenous estrogens capable of causing or worsening the course of the disease.

While taking combined contraceptives, irregular bleeding or spotting may occur, especially during the first months of use. Therefore, the assessment of irregular bleeding of any nature should be carried out only after the completion of an adaptation period of approximately 3 cycles.

If the above bleeding is repeated, then it is necessary to conduct an examination and examination to rule out malignant tumors or pregnancy.

Which is better: Midian or Yarina?

and Yarina are complete analogues in composition and quantitative ratio of components in the preparation. Reviews indicate the absence of cardinal differences in the effect of these two funds. Midian is cheaper in cost. The choice should be made on the basis of economic considerations and individual tolerance.

Which is better: Novinet or Yarina?

and Yarina differ somewhat in active ingredients, but not in the mechanism of action. At a cost, Novinet is almost 2 times cheaper, and in addition to the contraceptive effect, it reduces the risk of developing iron deficiency anemia . The choice is made based on the recommendations of the doctor and economic considerations.

Which is better: Yarina or Regulon?

and Yarina are analogues and only slightly differ in the structure of active substances. The mechanism of action is identical. Reviews do not record differences in the incidence of side effects. The price of Regulon is about 2 times lower than the price of the described medicine.

Which is better: Yarina or Klaira?

unlike Yarina, it has a lower concentration of hormonal components and is recommended for more mature women. Drug prices are comparable. The choice is based on the recommendations of the attending physician and individual indications.

Diana 35 or Yarina - which is better?

And Yarina is analogous in terms of the mechanism of action and the effect it has. However, it is worth noting that the former has a lower concentration of hormonal components and a higher price. Side effects and therapeutic effect depend on individual characteristics.

Yarina and Yarina Plus

Differences Yarina and consist in the fact that the last drug contains additionally calcium levomefolate reducing the deficit folate in the body of a woman and fetus in case of an unplanned pregnancy. Drug prices are comparable.

Jeanine or Yarina - which is better?

and Yarina are analogues. According to statistics, Yarina demonstrates a greater ability to provoke side effects. The prices of drugs are almost equal.

children

Alcohol compatibility

Alcohol is not a contraindication for taking Yarina and does not reduce its contraceptive properties.

During pregnancy and lactation

The drug is not prescribed for detected pregnancy and lactation.

If pregnancy was detected during the use of Yarina, then the medicine should be immediately canceled. Studies have not found an increased risk of developmental defects in newborns whose mothers took sex hormones before or during pregnancy. early dates. At the same time, the use of combined contraceptives can reduce the volume breast milk and change its composition, so the use of such drugs is not recommended until breastfeeding is completed.

Endometriosis is considered common female disease about which women may not guess for a long time. If a pathology of this kind is detected, gynecologists will prescribe hormonal preparations, the most popular of which are Yarina, Janine and Jess.

The funds are effective developments of the latest generation, so the natural question often arises, which is better for endometriosis Yarina or Zhanin.

What is the hormonal drug Yarina?

Yarina is a drug that is prescribed for the diagnosis of endometriosis. Due to the content of estrogen and progesterone, with regular use, it has the following effect:

• restores hormonal balance;
• stops tissue growth, contributing to the treatment of endometriosis;
• contributes to the restoration of hormonal levels;
• allows the resorption of neoplasms;
• reduces the severity of bleeding during menstruation.

The drug is used in the same way as most oral contraceptives. The standard course involves taking within 21 days and there is a special markup on the package to facilitate control. After the completion of the tablets, a break is made for a seven-day break, after which the course is resumed again.

During a week's rest from the medicine, menstrual bleeding occurs. In some cases, the gynecologist may prescribe a regimen for taking the drug without interruption to achieve the following result:

• stopping menstruation, preventing ovulation;
• blocking the possibility of throwing blood secretions into the pelvic area;
• causing reverse changes in the foci of endometriosis.

The duration of the course of treatment for endometriosis depends on the degree of development of the pathology, but the total duration of therapy does not exceed 6 months.

Yarina, Janine and Jess: features of the action of drugs

Janine and Yarina belong to a group of hormonal contraceptive drugs that are produced by the German manufacturer Bayer and are designed to prevent pregnancy. The medicine is prescribed by doctors if necessary to stop the development of endometriosis.

There is no direct answer to whether Yarina or Zhanin is better for endometriosis, since each case is individual and the appointment of a gynecologist depends on the clinical picture. Both drugs have a similar effect:

• change the course of menstruation with heavy and prolonged bleeding;
• prevent the growth of benign tissue;
• contribute to the reduction of uterine secretion, which prevents conception;
• contribute to the removal of excess fluid;
• neutralize hormones that increase appetite;
• block the nutrition of the endometrium.

Medicines have a number of contraindications, including a tendency to form thrombosis, pregnancy, the presence of oncological formations and a number of other prohibitions.

Due to the fact that both drugs are effective and have a number of contraindications, recommendations for admission should initially be determined by a gynecologist.

What are the similarities and differences in the composition of medicines?

Zhanin and Yarina have in their composition one similar component in the form of ethinylestradiol in the amount of 30 μg. This is where the similarities end and the differences are expressed as follows:

• the active ingredient of Janine is dienogest;
• the active element in Yarin and Jess is drospirenone.

Ethinylestradiol is an artificial analogue of the natural hormone estrogen, due to which the secretion of gonadotropins is blocked, the work of the ovaries on the synthesis of hormones is suppressed and the vaginal secretion thickens, and the growth of endometrial cells is suppressed.

Dienogest is a hybrid compound, has antiandrogenic properties, has a positive effect on lipid content, the development of corticosteroid changes.

Drospirenone prevents weight gain and, by removing water from the body, reduces the problem of swelling. Along with the direct appointment in the form of preventing conception and blocking the development of endometriosis, such an active ingredient helps to relieve the symptoms of PMS in women

Janine and Yarina - what to choose?

Yarina is considered a newer development, which allows you to more effectively cope with pathological changes. The main differences between the drugs:

• Yarina has a shorter absorption time of 1.5 hours, Janine has an indicator of 2 to 2.5 hours;
• the list of Yarina's contraindications is slightly less compared to Zhanin;
• Zhanine is not indicated in case of metabolic disorders and the presence of a tendency to gain extra pounds, Yarina is indicated for the purpose of reducing and normalizing body weight;
• after the end of Yarin's intake, for some time it continues to have a positive effect on the woman's body, Zhanin is effective only during the course of administration.

Gynecologists often prescribe Zhanin if the patient has a negative reaction of the body to Yarin's drug and negative feedback after its use.

It is worth considering that in case of disruption of the digestive tract and problems with the absorption of incoming substances in the stomach, the effectiveness of both drugs can be reduced. Often the effectiveness of hormonal therapy is reduced when taking antibiotics.

What do the reviews say?

The duration of the course of taking Zhanin and Yarina is prescribed by a gynecologist or endocrinologist. In the treatment of endometriosis, Yarina is taken on average for 6 months. After a recurrence of the disease is detected, the possibility of re-treatment should be determined by a gynecologist. The advantage of Zhanin is that it can be prescribed at different stages of endometriosis. In each case, the doctor draws up an individual scheme and, on average, the drug is taken for 2 months, that is, 63 days.

Contraception is important element Everyday life any modern woman reproductive age. Each seeks to choose the method that suits her based on the criteria of efficiency and safety. The drugs "Jess" and "Yarina" belong to the group of oral contraceptives and are often used not only for the purpose of individual contraception, but also for the treatment of certain gynecological diseases.

In order to choose the right tool, you need to understand in more detail the structure of each of them.

Jess and Yarina - what is it?

Preparations "Jess" and "Yarina" belong to the group combined oral contraceptives. This means that they contain two hormones: estrogen and progestogen. Ethinylestradiol acts as an estrogen - it is a synthetic hormone, an analogue of endogenous estradiol. In isolation, it is used with a pronounced lack of sex hormones in the female body.

The gestagen in the preparation is drospirenone- a synthetic hormone that inhibits folliculogenesis by a feedback mechanism and, accordingly, prevents ovulation.

Pregnancy occurs only if the male sex cell connects with the female during a certain period of the cycle. There is a misconception that outside the period of ovulation, unprotected intercourse cannot lead to conception. It should be borne in mind that both male and female germ cells can survive in the internal environment of the female body for up to several days, so the "calculation" method may not work.

The mechanism of action of oral contraceptives is based on the unique ability of the female body to ovulate. The drug suppresses the natural cycle and introduces the ovaries, as it were, into a “sleep mode”. In this case, the release of the egg does not occur, which means that its fertilization is not possible. In addition to suppressing ovulation, the drug changes the chemical composition of the mucous secretion of the cervix, which creates a kind of barrier to spermatozoa and enhances the effect of the remedy.

To evaluate the contraceptive effect created pearl index. It is calculated as the number of women who become pregnant per 100 women using a particular method of contraception. The use of the drug "Jess" or "Yarina" guarantees a Pearl index (that is, the risk of pregnancy) of less than 1, which is one of the best indicators on the oral contraceptive market.

The second component of the drugs - drospirenone, also has antimineralocorticoid and antiandrogenic effects. These hormones lead to a number of problems in the female body:

• Weight set.
• Fluid stagnation.
• Acne.
• Oily skin and hair.

Thanks to drospirenone, unwanted hormonal effects in the body are eliminated, which in some cases determines the indications for the use of the drug.

The most common side effects when taken are:

1. Nausea, vomiting.
2. Engorgement and soreness of the mammary glands.
3. Irregular uterine bleeding of unspecified origin.

Bleeding while taking the drug often occurs when the concentration of synthetic hormones in the drug is insufficient to completely replace the body's natural hormones. Such bleeding is often not heavy, but requires a doctor's consultation to exclude a different nature of occurrence.

Not the most common, but rather formidable complication is thromboembolism. The effect is associated with thickening of the blood and the formation of blood clots - blood clots, which, if they enter small-caliber vessels, can completely close them.

In this regard, the drug is contraindicated in persons with an increased risk of thrombosis, impaired peripheral circulation, liver disease. To protect yourself, before taking the pills, you should consult with your doctor and find out if there are individual contraindications for taking COCs.

Taking the drug in the initial period of pregnancy, which often happens through negligence, does not adversely affect the development of the fetus, but there are no reliable studies on the further development of children. During breastfeeding, oral contraceptives should not be taken, since some of the gomons can be excreted with milk, which in no case should be allowed. The ingestion of foreign hormones into the body of a child can lead to a violation of his sexual development.

Similarities and differences

"Jess" and "Yarina" are two drugs that are as similar as possible to each other. Due to the identical composition, their therapeutic and side effects do not differ from each other, which makes the choice between them more difficult. Nevertheless, there are still differences.

The first and most significant difference is the concentration of active substances. The amount of drospirenone in the preparations is the same and is 3 mg. The whole difference lies in ethinyl estradiol. For "Jess" the concentration is 20 micrograms, and for "Yarin" - 30 . For hormonal drugs, this is a huge difference, so Yarina is considered the most powerful oral contraceptive on the market.

The next important difference is the method of application of drugs. In the case of Yarina, everything is quite simple - there is 21 tablets, which must be taken from the first day of menstruation at approximately the same time. After the end of the pack, a seven-day break is made, and on the 8th day, a new pack is taken.

"Jess" has two modes of application. Mode "24 + 4" involves the continuous intake of tablets, strictly according to the arrows indicated on the package. It is important to follow the order of the tablets, as some of them are pacifiers. Inactive pills are designed to keep you on track and make mistakes at the start of your next cycle.

The "flexible" regimen allows you to take active pills without interruption for 120 days, after which you must take at least 1 four-day break. This schedule only works for a special device - the Click dispenser.

Application area

The main indication for the use of these drugs is contraception. Jess is also used to treat acne and severe premenstrual syndrome. In some cases, the drug may be prescribed by a gynecologist for the treatment or prevention of other diseases.

Yarina is not so widely used due to the high concentration of hormones. The drug is more suitable for women with children or who have had a pregnancy, as they have an increased amount of hormones in the body.

Thus, the only criterion for choosing between the drugs "Jess" and "Yarina" is the concentration of natural hormones in the blood, and otherwise the drugs are absolutely identical.

Nowadays, oral contraceptives occupy a leading position among the means to prevent unwanted pregnancy. At a young and middle age, up to 35 years old, gynecologists recommend that patients with a "boyish" constitution (tall stature, thin physique, small breasts) take low-dose hormonal drugs with antiandrogenic effects: Diana, Silhouette, Jeanine, Trimersi, Jess plus, Lindinet . This list also includes contraceptive Yarina, reviews of doctors, pros, cons allow a woman to evaluate possible risks Long term use is OK.

And they, undoubtedly, exist, since forcible intervention in the processes occurring in the female body is fraught with remote negative consequences. For someone - mild and minor changes, and for some - serious and irreversible. After all, hormone therapy “turns off” the ovaries, changes the thickness of the inner lining of the uterus (endometrium), the viscosity of cervical mucus, and even affects the functioning of certain parts of the brain.

Yarina - tablets with a therapeutic and cosmetic effect

Since the appearance on the market of pharmacological products, in 2001 in the USA, it was found that Yasmin, in Russia the medicine is called Yarina (pills), not only prevents ovulation, but also perfectly solve skin problems, in particular with acne, and hair ( increased greasiness, prolapse). The creators did not initially focus on such properties of the main active substance, drospirenone. Later it turned out the new progestin also promotes weight loss. Attractive bonuses and a wide advertising campaign led to the growth of Yarin's popularity, the use of the drug, I must admit, in terms of improving the appearance, fully justifies expectations.

In addition, he, like other OK, helps to normalize the menstrual cycle, relieves pain on critical days, heavy and prolonged bleeding, relieves PMS symptoms. This is achieved due to the state of artificial pregnancy, which, by the way, lasts not 9 months, but several years, during the entire time Yarin is taken. The use of the drug in this regard significantly increases the load on the heart, blood vessels, kidneys, liver. A weak body with such a burden may not be able to cope. “Answer” with pancreatitis, cholecystitis, varicose veins, tumors, including malignant ones, strokes, heart attacks and other equally unpleasant sores.

Therefore, the responsible doctor before prescribing this drug will not be limited to a routine examination, but will refer the patient for a consultation with an ophthalmologist, mammologist, ultrasound of the mammary glands and pelvic organs. For blood tests, biochemical, lipid, hormones, coagulogram. Cope with health, established diagnoses, bad habits and family heredity. In an accessible form, she will explain why she is not suitable or, on the contrary, Yarina is shown. Reviews of doctors, pluses, minuses of therapy also need to be consecrated in detail. The final decision still falls on the shoulders of the woman herself, different opinions, reliable information will obviously not be superfluous in this case.

Yarina: reviews of gynecologists

Yulia Sergeevna, practicing female doctor

I think that the fears about oral contraceptives, third- and fourth-generation pills, are definitely exaggerated. The advantages of these OK are much greater than the disadvantages. And they are prescribed not only for protection. For example, with the help of Yarin, dysmenorrhea, endometriosis, and polycystic ovaries are successfully treated. Studies have confirmed that thanks to this drug, inflammatory and oncological diseases of the genital area, mastopathy, atheroskerosis, osteoporosis, which overtakes women in old age, can be avoided. Significantly reduce the chance of ectopic pregnancy.

The instructions for use indicate the presence of contraindications and possible side effects in Yarin. But antibiotics also have them, but this is not a reason for refusing the medication prescribed by the doctor. In order not to be afraid in vain, it is enough to undergo the necessary examinations and be regularly observed by a specialist.

Pavel Valentinov, obstetrician-gynecologist

Unfortunately, there is little demand for hormonal contraceptives in our country, they are used by only about 10% of women. Meanwhile, in America and Europe, the figures are much higher - more than 50%. Jess plus, Yarina reviews are mostly good, they have proven themselves well with long-term use (several years). By the way, according to the recommendations of the World Health Organization, you should start taking OK 3-4 months after the first menstruation, and continue until the onset of menopause (a year after menopause). Naturally, with interruptions in pregnancy and breast-feeding. And be sure to destination and under the supervision of the attending physician.

Yarina: reviews of those who took

Olga, 28 years old

Whatever they say, I personally like Yarina. Reviews of doctors, pluses, minuses experienced on myself. From the positive: monthly painless, and before pills she swallowed packs, even injections sometimes. I completely forgot about the migraine. Outwardly, she got prettier: she lost 5 kg, her skin cleared up, her hair became thicker. However, I understand that you have to “pay” for convenience (primarily for protection with a 100% guarantee). For me, this is still regular, once every 3-4 months, visits to the gynecologist. On his advice, I periodically drink medicines to maintain the liver, vitamin and mineral complexes. I try right