Yarina is a monophasic oral contraceptive. This means that all tablets in a package contain the same dose of hormones. One tablet of Yarina contains 30 micrograms (0.03 mg) of Ethinylestradiol and 3 mg of Drospirenone.

One package contains one blister (plate) of Yarina to be taken within one month.

WARNING: The drug has contraindications. Do not start using this drug without first talking to your doctor.

Analogues

What reduces the contraceptive effect of Yarina?

The contraceptive effect of Yarina can be reduced by vomiting, diarrhea, taking large doses of alcohol, and taking certain medications. Read more about it here:

How to delay menstruation with Yarin?

If you need to delay your period, then after finishing one pack of Yarin the next day, start a new blister without taking a 7-day break. In this case, menstruation will be delayed by 2-4 weeks, but there may be slight bloody spotting around the middle of the next package.

Please note: you can postpone your period only if you took Yarin at least one month before unwanted menstruation.

Do I need to take long breaks while taking Yarina?

If you have been taking Yarina for more than 6-12 months, you may want to consider taking a break for a few months. You can read about how useful such breaks are by clicking on the link:

What to do if there is no menstruation during a 7-day break in taking Yarin?

Carefully remember whether you took all the pills correctly in the past month.

If last month you had errors in taking pills (misses, delays), then stop taking Yarin's pills until you are sure that you are not pregnant.

What should I do if I become pregnant while taking Yarina?

Pregnancy in case correct reception Yarin tablets are extremely rare. It is more likely that the pregnancy came as a result of the errors that you made in the previous month.

So, what to do if the test unexpectedly showed 2 strips? First of all, stop taking the pills and consult a gynecologist.

Yarina's reception early dates pregnancy can not harm the health of your unborn child, so you can safely leave the pregnancy. In this case, start taking as soon as possible.

Yarina's reception before surgery

If you are to planned operation, then taking Yarin tablets should be stopped a month (4 weeks) before surgical intervention. This will reduce the risk of blood clots in the vessels. If the operation is required urgently, then be sure to tell the surgeon that you are taking birth control pills. In this case, the doctor will take additional measures to prevent the formation of blood clots (with the help of drugs).

You will be able to start taking Yarin 2 weeks after you can walk on your own after surgery.

How often do you need to visit a gynecologist while taking Yarin?

Even if nothing bothers you, then you need to visit a gynecologist prophylactically at least once a year.

Hello. I have been taking contraceptive Jess for a year now. Always in the evening. The day before yesterday I missed a pill, but the evening before yesterday I had sex. I seem to be on the 14th day of the cycle - I don’t know what to do? Yesterday, when I was taking a pill, I noticed a pass, but I took a pill, today I also drank it, but my friend says that I can get pregnant. What to do??????

Yanina, 32 years old

There's an answer

Responsible Yulia Viktorova obstetrician-gynecologist

Yanina, the instructions for the preparation contain detailed recommendations for such cases. If the delay in taking the pill was less than 12 hours, then the contraceptive effect of the background is not reduced, in this case, you need to take the drug as soon as you remember, and the next pill - according to the schedule. If the delay in admission is more than 12 hours, then the likelihood of pregnancy increases. In this case, for reliability, it is necessary to use additional contraceptives.

Not a single contraceptive gives a 100% guarantee of non-pregnancy. What should you do? Do not be nervous. You should know that pregnancy can occur anyway. There is only one reliable way of "protection" - complete abstinence. Nature can take her own, despite all human attempts to deceive her. We advise you to read the article

Birth control pills are oral contraceptives that prevent unwanted pregnancy. To achieve the effect, it is necessary to take the drug regularly at the same time, without gaps.

A break in taking birth control pills up to 7 days is allowed. During this period, the mucous layer of the uterus is rejected, and a menstrual-like reaction develops.

The contraceptive effect of the drug is maintained for the duration of the break - provided that the tablets were previously taken correctly.

Instructions for skipping birth control pills

The course of action depends on the chosen drug and the day of the cycle in which the woman forgot to take the contraceptive.

COC based on ethinyl estradiol

If a break in taking the drug was less than 12 hours, you need to take the missed pill as soon as the woman remembers about it. The contraceptive effect is preserved, additional protection measures against unwanted pregnancy not required.

If a break in reception COC amounted to more than 12 hours, you should follow the instructions for skipping the tablet attached to the drug. The contraceptive effect is reduced, an unplanned pregnancy is possible.

Action plan:

• First week. You need to take the missed pill as soon as possible, even if you have to take two pills. The next tablet should be taken at the usual time according to the instructions. Additionally, it is recommended to use a condom or other means of barrier contraception within the next 7 days.
• Second week. You need to take the missed pill as soon as the woman remembers about it. Additional contraception is not indicated, but only on the condition that up to this point the woman has taken the drug correctly and without gaps. If there were errors, you should use a condom for 7 days.
• Third week. There are two options: 1) take the missed pill, use a condom for 7 days, start a new pack without a 7-day break; 2) take a 7-day break and after it start taking pills from a new pack. In any of these situations, intermenstrual bloody issues from the genital tract.

Important aspects:

• It takes at least 7 days to achieve a contraceptive effect.
• The interval between taking the tablets should not be more than 7 days.
• The closer the missed tablet is to the 7-day break in taking the drug, the higher the likelihood of an unwanted pregnancy.
• With vomiting or diarrhea within 4 hours after taking the tablet, the absorption of the drug will be incomplete. You should be guided by the scheme proposed when skipping the pill.

COCs based on natural estrogens

Actions when skipping a tablet are considered using the example of Qlaira. It contains estradiol valerate -. If a woman is taking another contraceptive based on the active substance, she is advised to follow the instructions included in the package for the drug.

If the gap in taking the drug was less than 12 hours, its effect is not reduced. Additional measures are not shown.

If the pass was more than 12 hours, you need to act according to the scheme:

• 1-17th day. Missing dark yellow, pink or pale yellow tablets. It is recommended to take forgotten pill As soon as possible. Then use additional means of contraception (condom) for 9 days.
• 18-24th day. Missing pale yellow tablets. You should throw away the current package of the drug and start taking pills from a new pack without gaps. Do not forget about additional contraception for the next 9 days.
• 25-26th day. Missing red pills. Take the missed tablet as soon as possible. Additional medications are not shown.
• 27-28th day. Missing white pills - placebo. It is recommended to throw away the forgotten pill and continue taking the drug according to the usual scheme. Barrier contraception is not required.

mini pili

The contraceptive effect of purely gestagenic drugs lasts up to 36 hours.

Action plan:

• If one tablet was missed for no more than 12 hours, you should take the next dose of the drug. The contraceptive effect is preserved, additional protection is not required.
• If the break in taking the pills was more than 12 hours, you need to use barrier contraceptives for the next 7 days.
• If the tablet was missed in the first week of taking the contraceptive, pregnancy should be excluded.

Rules for canceling birth control pills

Indications for the abolition of a contraceptive:

• Planning for pregnancy.
• Treatment incompatible with (surgery, immobilization, etc.).
• Changing the form of contraceptives.
• The unwillingness of the woman to continue taking the drug.
• The appearance of unwanted side effects that are dangerous to health and life.
• The onset of pregnancy while taking the drug.

In all situations, except for the last two, the cancellation of the contraceptive occurs only after the completion of taking all the pills from the package. You can't interrupt the course. It is recommended to take all the tablets from the package according to the instructions, without skipping. Abrupt withdrawal of the drug threatens hormonal failure and development uterine bleeding .

Emergency withdrawal of the drug is allowed if there are undesirable side effects dangerous to women's health. You should stop taking contraceptives and consult a doctor immediately.

When pregnancy occurs while taking the drug, you must first get a consultation with a gynecologist and only then stop taking the drug. The doctor may prescribe other hormonal agents to maintain pregnancy.

Contraceptives are not used during gestation, however, accidental use of the drug is not dangerous for the fetus, does not lead to malformations and is not an indication for abortion.

Breaks in taking medications are not recommended. A healthy woman can take the drug for as long as she needs it. There is no need to take a break for 1-3 months every year or every five years. In such a short period, you can only get hormonal disbalance and unplanned pregnancy.

Ovulation after stopping birth control pills

After stopping the drug, a menstrual-like reaction develops. The contraceptive effect lasts up to 7 days. If, after a break, a woman does not resume taking the drug, its effect on the body is reduced. Hormonal changes develop, leading to the maturation of follicles and the start of ovulation. On average, the release of the egg from the ovary occurs 14-18 days after the drug is discontinued.

Most women manage to conceive a child within 1-6 months after stopping the contraceptive. The older the woman, the less often ovulation occurs in the ovaries, and the longer the recovery period. If for a year of sexual life without using contraceptive pregnancy does not occur, it is necessary to consult a doctor.

Contraceptive Pill Withdrawal Syndrome

After stopping taking birth control pills, certain changes occur in a woman's body:

• Recovering hormonal background.
• The maturation of follicles starts.
• Ovulation occurs.
• The endometrium prepares for the possible implantation of the fetal egg.
• The viscosity of the cervical mucus decreases.

Possible problems:

• Delayed menses. It is noted for up to 35-40 days, less often up to 2-3 months.
• Return premenstrual syndrome.
• Deterioration of the skin and hair.
• Mood change.

All these symptoms are temporary, and usually the woman's condition stabilizes within 3-6 months. No special treatment is required. With amenorrhea for more than 2 months, a consultation with a gynecologist is indicated.

Average per recovery menstrual cycle it takes 1-3 months. During this period, the likelihood of conceiving a child increases significantly. In medicine, this phenomenon is called the rebound effect. Superovulation occurs, and often there is a maturation of two or more eggs at once. Multiple pregnancy is possible.

The rebound effect is used in gynecology to treat some forms of endocrine infertility. The appointment of COCs for 3 months, followed by the withdrawal of the drug, contributes to the onset of pregnancy. Majority healthy women are able to conceive a child already in the first spontaneous cycle after stopping the use of COCs. If pregnancy is undesirable, care should be taken.

main reason that most women start drinking hormonal contraceptives, is the reliable protection against unplanned pregnancy that they provide. Another advantage of this method is its versatility and convenience. True, only if the contraceptive is taken according to all the rules.

How do birth control pills work?

The female cycle is subject to hormones. It is they who determine its duration, the time of onset of ovulation and menstruation. The action of most hormonal contraceptives is based on three mechanisms:

1. Inhibition of the maturation of the next egg, the result of which is the absence of monthly ovulation.
2. Thickening of mucus that forms in the cervix. The thicker it is, the more difficult it is for sperm to penetrate inside.
3. Thinning of the inner mucous layer of the uterus - the endometrium, so that the fertilized egg, if this happens suddenly, could not gain a foothold on it.

The onset of ovulation, the concentration of cervical mucus and the thickness of the endometrium are determined by the level of estrogen in the woman's blood and depend on a certain day of the cycle.

Contraceptives artificially maintain the level of hormones at which ovulation and fertilization becomes impossible.

What determines the reliability of contraceptives?

In order for the reliability of funds to be measured and compared, scientists developed the Pearl Index. This is a number that shows the number of pregnant girls out of a hundred who took a particular drug during the year. The lower this figure, the more reliable the contraceptive is considered.

In most modern contraceptives, this indicator is in the region of one. This means that out of a hundred women who constantly use hormonal contraceptives, only one pregnancy happened.

However, this figure is not an absolute guarantee. Much will depend on whether the drug is drunk correctly. The main condition for their reliability is a constant reception hormonal drugs, which should not be forgotten. Ideally, at the same time of day and without passes.

But what if you forgot to take your birth control pill? Everything will be determined by what kind of drug the doctor prescribed. All hormonal contraceptives are divided, depending on the concentration of the main active ingredients and their types, into four groups: monophasic, biphasic, triphasic and mini-pills.

Monophasic

They differ in that they contain a single dose of estrogen or progestogen hormones. For example, Jeanine, Regulon or Lindinet.

What to do if I missed 1 birth control pill of a monophasic contraceptive? If a maximum of twelve hours have passed, then you can calmly exhale, nothing terrible has happened, the effect of the contraceptive has been fully preserved. You just need to take another pill as soon as possible.

If more time has passed:

• When the contraceptive is drunk only the first week, you need to swallow the forgotten pill as soon as possible, even if you have to drink two at once. At the same time, in the next seven days, for greater reliability, it is better to use another method of protection against unwanted pregnancy.
• If the drug has been drunk for the second week, you will also need to take the forgotten pill as soon as possible, but it is not necessary to use additional protection methods. Of course, provided that it was a single pass.
• If the third week of admission has gone, then you need to act in the same way as in the first week. The fact is that due to the need for another break between two packages, in the third week the effect of the drug may be weaker than necessary. Therefore, it is better to play it safe and use other methods of contraception.

Seven days of continuous use is a prerequisite for creating reliable protection, no matter what kind of birth control you drink. If you had sex during the week before the pass, then it is impossible to completely exclude the possibility of pregnancy.

If during the required week break after the end of the next pack you do not have your period, rule out the possibility of pregnancy by taking a test and be sure to visit a doctor.

Two-phase

They differ in that they contain different quantity hormonal substances in tablets intended for administration in the first and second phases monthly cycle. Such a concentration that changes over the days of the cycle makes biphasic contraceptives more natural for the female body.

An example of such a contraceptive is Anteovin. A feature of biphasic drugs is that a reliable effect develops only in the second half of the cycle. Therefore, when starting to drink such drugs, one must be especially careful. So, what to do if you missed the birth control pill in the case of a biphasic drug?

If this trouble occurred in the first phase of the cycle, then for the next seven days it is better to use an additional method for protection. Forgot to take your birth control pill in the second half of your cycle? Here, as with monophasic contraceptives, everything will be determined by how much time has passed since the skip:

• If less than 36 hours, then the properties of the drug are fully preserved and you just need to take the missed pill as soon as possible.
• If more than 36 hours, then the next dragee is also worth drinking, but in this case, the contraceptive effect may not be sufficient. Therefore, it is better to think about additional methods of protection.

Three-phase

Thanks to low content active substances and their changing, by days of administration, quantity, intervention in female body minimum. This means that the unpleasant effects of such medicines occur much less frequently. An example of such funds is Tri-regol or Tri-merci.

If right time missed in the case of a three-phase contraceptive, but the gap did not exceed twelve hours, then its reliability does not decrease. Again, to maintain this effect, you need to drink the next pill as soon as possible.

If the gap is more than twelve hours, then in any case you need to take the missed dose, and then everything will be determined by what week the drug is drunk in a row:

• If you missed the birth control pill in the first week, then you will have to use additional protection for the next seven days.
• In the second week - the main effect of the remedy is preserved, but only if before that all the pills were drunk on time. But if this is not the first pass, then additional methods of protection will also need to be used.
• The same rules apply for the third week as for the second. That is, if this is the first pass and before that everything was taken on time, the effect of the drug is preserved. If not, then again an additional method of protection will be needed.

mini pili

This term refers to a group of drugs containing only one single hormone - progestin, which is synthetic analogue progesterone. Another name for this group is progestin preparations. These include, for example, Charosetta or Exkluton.

If you are using a progestin, then in the event of a pass from which less than 12 hours have passed, you need to drink another pill as soon as possible. If more time has passed, then in the next seven days, for a guarantee, it is worth using other methods of contraception.

An additional or barrier method of protection in the case of taking hormonal drugs can be condoms or candles with a contraceptive effect, such as, for example, Pharmatex, Benatex or Patentex Oval.

But funds intended for emergency protection, such as, for example, Escapel, Genale or Postinor, should not be taken for this purpose. They contain too large doses hormones that can cause serious complications.

Each of hormonal drugs has its own characteristics, so be sure to read the instructions before you start drinking it.

What should I do if I suddenly experience vomiting or diarrhea? Again, regardless of the type of drug, its main effect can be reduced. Therefore, the next seven days will have to use other methods for protection.

If more than two doses are missed in a row, then it does not matter which drug was used and in what phase of the cycle you forgot to take it. In any case, the action will not be saved and you will have to start everything from a new package. But only after the next menstruation comes and you are convinced that in the near future you will not become a mother.

What should I do if I miss another COC pill?

Skipping the next dose of 1 or 2 active (hormonal) pills or starting the next pack of pills later than the due date by 1 or 2 days

Is it really? Is there a way to "save the situation"? Doctors advise to pay attention, first of all, to the type contraceptives that you are using.

If the delay exceeds 12 hours, contraceptive protection may be reduced. In this case, you can be guided by two basic rules:

1. Taking pills should never be interrupted for more than 7 days;

Risk assessment

In this case, the risk is minimal, but if this happened during the expected ovulation, it is better to use additional remedy contraception (such as a condom) before your next period. The features of the action of modern COCs are such that skipping a pill for less than 12 hours does not affect the contraceptive effect of the drug.

If you miss two pills in the third week of your menstrual cycle, or if you miss three or more pills during any of the first three weeks after taking the first pill, then you should start a new pack of pills as soon as you realize that you forgot to take birth control pills, and discard the partially used packaging. Take one tablet daily and use condoms for seven days. Be aware that if you start a new pack before you have finished the previous one, you risk not having your period because your hormones will not return to normal (you will not have a "cancellation" week). But you may very well have breakthrough bleeding, which usually occurs after missing a few pills.

What should I do if I missed one birth control pill?

If you miss taking hormone pills

Missed hormone pill may increase the risk of unwanted pregnancy.

• If you missed one birth control pill, then take this tablet as soon as you remember it, and the next one at your usual time, even if that means two tablets a day. Although the chances of pregnancy are low, an additional method of contraception (such as a condom) should be used before the next menstrual period. If you are late with taking the pill no more than 12 hours, then additional precautions after taking the pill are not required.

In this case, a woman needs:
- Take one contraceptive pill as soon as possible
- Continue taking the tablets as usual, i.e. one tablet per day.

If duration postpartum period does not exceed 6 months, then in this case the application additional method contraception is not required.

Notes

According to the expert working group, irregular or incorrect use of contraceptive pills is the main cause of unwanted pregnancy. Experts highlight the importance daily intake PTP at about the same time of day. Considered to be reliable contraceptive effect(change in the properties of cervical mucus) is provided after approximately 48 hours after the start of taking anti-TB drugs.

Question in a systematic review

Pills containing only progestin Progestin-only pills to be taken daily at the same time. If the tablet is taken more than 3 hours later, another method of contraception must be used for the next 48 hours to avoid pregnancy. If you miss just one pill, you need to use another method of contraception until the next period, in order to avoid pregnancy. You should not take an extra pill, as with combined birth control pills, to make up for a missed dose.

According to an expert working group of the World Health Organization, irregular or incorrect use of birth control pills is the main cause of unwanted pregnancy. A reliable contraceptive effect (prevention of ovulation) is achieved by regular use of COCs. Women who often forget about the next pill intake are advised to use a different method of contraception.