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nikhilsinghji00o · 3 years

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DIFFERENCE BETWEEN OVRAL L AND OVRAL G

Most brands of this medicine may likewise be utilized to treat skin inflammation in ladies 14 years old and more established who can utilize contraception pills and have had a period. A particular brand name of this medicine may not be accessible in the entirety of the structures or endorsed for the entirety of the conditions examined here. Too, a few types of this medicine may not be utilized for the entirety of the conditions talked about here. Your primary care physician may have proposed this medicine for conditions other than those recorded in these medication data articles.

In the event that you have not talked about this with your primary care physician or don't know why you are taking this prescription, address your PCP. Try not to quit taking this medicine without talking with your PCP. Try not to give this drug to any other person, regardless of whether they have similar manifestations as you do. It tends to be hurtful for individuals to take this medicine if their PCP has not recommended it.

Difference between ovral l and ovral g

Nonmedicinal fixings: lactose, magnesium stearate, microcrystalline cellulose, and polacrilin potassium. This prescription doesn't contain gluten or tartrazine. Numerous things can influence the portion of medicine that an individual requirements, for example, body weight, other ailments, and different drugs.

In the event that your primary care physician has suggested a portion unique in relation to the ones recorded here, don't change how you are taking the drug without speaking with your PCP. Talk with your primary care physician about the best an ideal opportunity to begin your pills. The primary day of your feminine period draining is known as "Day 1. The pills ought to be taken around a similar time each day, ideally after the evening supper or at sleep time. These pills can be taken with or without food.

You should utilize a second technique for conception prevention e. Numerous ladies have spotting or light draining or may feel wiped out to their stomach during the initial 3 months taking the pill. In the event that you do feel debilitated, don't quit taking the pill — the issue will normally disappear. In the event that it doesn't disappear, check with your PCP or facility. In the event that you have spewing or looseness of the bowels, or on the off chance that you take certain prescriptions like anti-microbials, your pills may not function as well.Medically audited by Drugs.

Keep going refreshed on Jan 11, Some of the dose structures recorded on this page may not have any significant bearing to the brand name Ovral. Cigarette smoking builds the danger of genuine cardiovascular results from oral preventative use.

Ovral Side Effects

This danger increments with age and with hefty smoking at least 15 cigarettes each day and is very set apart in ladies more than 35 years old. Ladies who utilize oral contraceptives ought to be firmly exhorted not to smoke. Albeit not these results may happen, on the off chance that they do happen they may require clinical consideration. These results may disappear during treatment as your body changes with the medication.

Likewise, your medical services proficient might have the option to enlighten you regarding approaches to forestall or diminish a portion of these results. Check with your medical care proficient if any of the accompanying results proceed or are troublesome or on the off chance that you have any inquiries regarding them:. The recurrence of the announced results is obscure, be that as it may, an expanded danger of the accompanying results has been related with the utilization of oral contraceptives : thrombophlebitis, blood vessel thromboembolismpulmonary embolismmyocardial dead tissue, cerebral hemorrhagecerebral apoplexy, hypertension, gallbladder sickness, hepatic adenomas, carcinomas, or generous liver tumors.

Recurrence not detailed : Breakthrough bleedingspotting, feminine stream changed, amenorrheacervical disintegration change, cervical emission change, diminished lactation, vaginal candidiasispremenstrual syndromecystitis - like condition, vaginitis, dysmenorrhea [ Ref ].

Recurrence not announced : Mesenteric apoplexy, nauseavomiting, gastrointestinal side effects, stomach cramps, bloatingcolitispancreatitis [ Ref ]. Recurrence not revealed : Hepatic adenoma, hepatic carcinoma, favorable liver tumor, bosom carcinoma, carcinoma of conceptive organs [ Ref ]. Recurrence not detailed : Thrombophlebitis, blood vessel thromboembolism, myocardial localized necrosis, hypertension, cerebral-vascular infection with mitral valve prolapsevenous apoplexy, varicose veins disturbed [ Ref ].

Recurrence not announced : Hemolytic uremic disorder, sickle-cell illness, hemolytic uremic condition [ Ref ]. Recurrence not detailed : Temporary barrenness following suspension, bosom delicacy, bosom amplification, bosom discharge [ Ref ].

Recurrence not announced : Gallbladder illness, cholestatic jaundiceBudd-Chiari condition [ Ref ]. Recurrence not detailed : Depressionnervousness, drive changed, state of mind changed [ Ref ]. Recurrence not detailed : Cerebral discharge, cerebral apoplexy, migraineheadache, wooziness, fuel of chorea [ Ref ].

Recurrence not revealed : Retinal apoplexy, waterfalls, optic neuritis [ Ref ]. Recurrence not announced : Lupus - like disorder [ Ref ]. Recurrence not detailed : Appetite changed, glucose resistance diminished, serum folate discouraged [ Ref ]. Recurrence not announced : Pulmonary embolism [ Ref ]. Recurrence not announced : Renal capacity hindered [ Ref ]. Recurrence not revealed : Melasmaallergic rash, hirsutismloss of scalp hair, erythema multiforme, erythema nodosum, hemorrhagic ejection, skin break out, urticariaangioedema [ Ref ].

Cryselle 28 ethinyl estradiol-norgestrel. Elinest ethinyl estradiol-norgestrel.Side impacts, weight acquire, mind-set swings, and so on The depo shot and the pill are altogether different from numerous points of view. I have been on both and am presently on the pill.

If I somehow managed to offer you my own input, I would propose you put your girl on the pill. It very well may be paused and is out of your framework inside the following 24 hours after your last pill. Depo takes anyplace between about a month and a half to year and a half to leave your framework and its not reccomended for young ladies who are as yet developing. At any rate, the shot contains medroxyprogesterone acetic acid derivation, a manufactured type of the female chemical progesterone.

It works by hindering ovulation and thickening cervical mucuos, aswell as diminishing the uterine covering.

contrast between ovral l and ovral g

Its It just should be allowed like clockwork by a medical caretaker at any neighborhood family arranging facility. The most well-known result of depo is sporadic dying. A few ladies quit draining alltogether for quite a long time and drain one day arbitrarily, others drain whimsically from the beginning.

Others drain once like clockwork, however it is absolutely impossible to tell how your body will respond, draining shrewd. Four out of each 10 ladies utilizing depo will have no dying. The remainder of the unfortunate rate drain unpredictably and regularly intensely. Henceforth why I changed to the pill. The pill is a blend of ethinyl estradion, an engineered form of estrogen, matched with one of eight distinct progestins to emulate progesterone.

The estrogen in the pill kills undesirable draining and helps in halting ovulation however accompanies something reasonable of results for certain young ladies. Normal results incorporate slight sickness, migraines, bosom delicacy and emotional episodes.

These results regularly die down throughout 90 days, so its essential to adhere to a similar pill brand. Pills that function admirably for beginners are Triphasil and Nordette or Oralcon. These are genuinely low portion pills.By continuing, I acknowledge the Terms and Conditions.

Ovral l versus ovral g. I'm 25 years of age, 2 months back I have gone through a medical procedure because of ectopic pregnancy Dr endorsed me to have ovral l tablet for 1yr View answer. On second day of taking ovral g I had unprotected sex are there any odds that I can be pregnant this month.

My significant other had a premature delivery as of late. The gynecologist recommended to utilize ovral-L tablets for a period We have gained from the net and other Hi Doctor I began strange draining in the wake of taking ovral g. Would it be advisable for me to be concerned?

Which is better for me, Ovral L or Ovral G?

I began taking this tablet on sixth of May. Sir currently am taking ovral g tablet for 10 days earlier month specialist recommended to taken ovral l tablet for 18 days from fifth mentrual day that I beginning to accept ovral l however some As prompted I took it and after I finished the whole pack I got my period Not to stress, sporadically thse progressions are very normal. Ovral G is a low portion joined oral preventative pill. Sevista 60 is additionally an Oral prophylactic.

Job is they go about as contraception to forestall undesirable pregnancy.

distinction between ovral l and ovral g

Expectation it made a difference. Covid Doctor Consultation Are you a Doctor? Login Register. Your Name :. Your email :.Generic Name: norgestrel and ethinyl estradiol Dosage Form: tablets. Medicinally checked on by Drugs. Keep going refreshed on Jan 22, Patients ought to be guided that oral contraceptives don't ensure against transmission of HIV AIDS and other physically communicated illnesses STDs like chlamydia, genital herpes, genital moles, gonorrhea, hepatitis B, and syphilis. In the event that nonexclusive forms of this item have been supported by the FDA, there might be conventional reciprocals accessible.

Blend oral contraceptives act by concealment of gonadotropins. Albeit the essential component of this activity is restraint of ovulation, different modifications remember changes for the cervical bodily fluid which increment the trouble of sperm passage into the uterus and the endometrium which lessen the probability of implantation.

Oral contraceptives are shown for the avoidance of pregnancy in ladies who choose for utilize oral contraceptives as a technique for contraception. Oral contraceptives are profoundly viable. Right and reliable utilization of strategies can bring about lower disappointment rates. Crisis Contraceptive Pills: The FDA has inferred that specific consolidated oral contraceptives containing ethinyl estradiol and norgestrel or levonorgestrel are protected and successful for use as postcoital crisis contraception. Source: Trussell J.

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peacchygogh · 7 years

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I don't know if you've ever answered this question, but do you have any skin care tips? Your skin always looks so beautiful.

Thank you love💝 I've been using the clinique face wash and a face sponge to gently exfoliate because I have very oily skin(by the end of the day I usually look like a glazed donut) and I've been using the Neutrogena Stubborn Acne daily face mask to get rid of the small bumps on the skin. I also just started Nordette so maybe that also has a factor to it :)

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conlasamigasyenlacasa-blog · 7 years

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Cabras queridas <3. No sabemos si es el verano, la ola de calor o qué pero hemos recibido muchas consultas sobre la anticoncepción de emergencia y/o píldora del día después. Vamos a resumir acá la info para que compartan Este método consiste en usar por vía oral (tragada) 1,5 mg de levonolgestrel, ya sea todo en una sola píldoras, dividido en dos píldoras de 0,75mg cada una o en las que sean necesarias para completar esa dosis. Este método no es abortivo, pues su función es retrasar la ovulación para impedir la concepción. Si la concepción ya ocurrió, el método no funciona. Entonces, si has tenido un contacto sexual heterosexual no protegido, la anticoncepción de emergencia se puede usar hasta 72 hrs después siguiendo los siguientes pasos: 1. Acude al servicio de urgencia municipal (sapu) o al consultorio más cercano y solicita la pastilla. En los consultorios o centros de salud familiar comunales deberían entregarla o al menos darle la receta para comprar. También en las urgencias de los hospitales. Cuando la entregan en el centro de salud, te exigen que te la tomes ahí mismo. 2. Puedes comprarla, con o sin receta, en la farmacia, como píldora del día después, escapel 2 o postinor 2. Se toman dos píldoras, pueden ser las dos de una vez o una cada 12 horas. También existe escapel 1 que trae toda la dosis en una pastilla y se toma una sola vez. (Se supone que debería poder comprarse sin receta pero hemos reunido testimonios de que en algunas farmacias no se las han vendido. Peléenla no más cabras). 3.- Si no te la vendieron, o no te alcanza la plata, o en el sapu u hospital no te dieron la pastilla, no estás inscrita en el consultorio (aunque deberían dársela a mujeres no inscritas), estás lejos de un centro de salud, o simplemente no quieres ir, puedes usar los siguiente métodos alternativos con fármacos de bajo costo que se compran en la farmacia SIN RECETA: Levonolgestrel o microval (son las píldoras anticonceptivas que se usan cuando la mujer está amamantando y tienen una dosis muy bajita de levonolgestrel cada una) 25 píldoras cada 12 horas. (este método es más efectivo y tiene menos efectos adversos que los dos siguientes). Anovulatorios Microdosis, Microgynon, Nordette, Anulette, Norvetal, Innova CD. 4 píldoras cada 12 horas Anulette 20, Norvetal 20 y Miranova 5 píldoras cada 12 horas Estos dos últimos métodos tienen una menor efectividad y provocan más efectos adversos como náuseas e intenso dolor de cabeza. 4. Recuerda que el sexo lésbico es 100% anticonceptivo y altamente placentero. Qué mejor que el verano, la playa y las vacaciones para abandonar los mandatos heterosexuales. Cualquier día es bueno para ser lesbiana. Por ejemplo hoy, por ejemplo mañana. #PorUnVeranoTortillero (lustración: Aniko)

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buladeremedios · 6 years

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Composição de Nordette

cada comprimido contém etinilestradiol 0,03 mge levonorgestrel 0,15 mg.

Indicações de Nordette

venda sob prescrição médica.

Apresentação de Nordette

cartucho com 1 ou 3 blisters de 21 comprimidos.

NORDETTE foi primeiro visto em: Site de Bulas

#buladeremedio #saúde #remédio #bula #medicamento

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gotoocollectorheart-blog · 6 years

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Know about Contraception

Overview Choosing a birth control method is one of the most personal health care decisions a woman makes. In nearly four decades of childbearing years, your need for birth control will most likely change many times. But at each life stage, you can make informed decisions by learning about all your contraceptive options and selecting one or more that best fits your reproductive health needs. Many women are not adequately protected from an unwanted pregnancy by their choice of birth control method. In fact, according to the Guttmacher Institute, about one-half of all pregnancies in the United States are unplanned. There are several reasons for failure of contraception, including inappropriate use (for example, not inserting a diaphragm the right way or not using enough spermicide); failure to continue use of the method (for example, forgetting to take your birth control pills or not using a condom every time you have sex); and failure of the contraceptive method itself. Of the women who experience unplanned pregnancies each year in the United States, 41 percent use birth control, but these women use birth control inconsistently. Of women who use birth control consistently, only 5 percent become pregnant per year. This illustrates the importance of consistent birth control use. Myths or personal concerns about the risks and safety of certain birth control options also contribute to incorrect use of birth control. Women may use a particular method only occasionally, for example, thinking that less frequent use is safer than continuous use. Or they may stop using a particular method because of bothersome side effects. Age-related changes can lead women to believe they no longer need to use contraception. For example, women nearing menopause may mistakenly think they are no longer fertile because their menstrual cycles are no longer regular. However, according to the American Congress of Obstetricians and Gynecologists (ACOG), about 75 percent of pregnancies in women over 40 are unintended. Although menopause does mark the end of a woman's childbearing years, you have not gone through menopause until 12 consecutive months without a period. You can get pregnant even if your periods are irregular. Today, American women have more contraceptive options to choose from than ever before. So you should be able to find one that works well for you and fits your lifestyle. Other things to consider before making a contraception choice: Find out how much the contraceptive costs. Most oral contraceptives and some other contraceptives are now free under the Affordable Care Act, but check with your insurance provider to be sure. Ask yourself if you can realistically use this method. Are you sure you understand how to use it properly? Will this method embarrass you or your partner? Does it fit with your lifestyle? Find out how to use the method correctly and what to do if you forget to use it occasionally. Ask your health care professional about side effects. What should you expect? What should you do about them if they occur, and when should you expect them to stop? Will this method cause any unacceptable weight gain? You can probably think of many more questions about birth control. Learn as much as you can about your options and make an informed decision about which method is the best and safest for you. Consider your needs and discuss them with your health care professional during your next medical appointment. To get you started, here is some basic information about contraceptive options approved by the U.S. Food and Drug Administration (FDA), and resources you can use for more in-depth research. For a comparison of how effective each type of contraception is for preventing pregnancy, please see the chart, "Contraceptive Failure Rates" at the end of this entry. Contraceptive Options The contraceptive options women may choose are: Birth control pills, also called oral contraceptives Hormonal contraceptive patches Hormonal contraceptive vaginal rings Long-acting hormonal methods, such as shots and implants Intrauterine devices (IUDs) Barrier methods such as condoms, diaphragms, contraceptive sponges and cervical caps Spermicides Natural family planning (also called fertility awareness or the "rhythm" method) Permanent contraception (sterilization) Emergency contraception Remember that most methods of birth control do not protect against sexually transmitted diseases (STDs) such as HIV, gonorrhea, chlamydia, genital herpes and human papillomavirus (HPV). Latex condoms, when used consistently and correctly, provide the best available means of reducing the risk of many STDs, according to the United States Centers for Disease Control and Prevention. If you are not in an exclusive relationship with someone who has been tested for STDs, you should use condoms along with any other form of birth control. Birth Control Pills There are three types of BCPs on the market today: the combination pill, the mini-pilland the emergency contraceptive pill. The combination pill is the most widely prescribed. It contains two hormones: estrogen and progestin. It works by suppressingovulation each month. Learn more: Birth Control Pills Long-Acting Hormonal Methods Several options are available to women who want long-term, but not permanent, protection against pregnancy, including intrauterine devices, hormonal patches and vaginal rings. These options rely on estrogen-progestin or progestin alone to prevent ovulation. Learn more: Long-Acting Hormonal Methods Barrier Methods Barrier methods are less effective than hormonal methods but cause fewer side effects and are associated with less risk. They include condoms, diaphragms, the contraceptive sponge and cervical caps Learn more: Barrier Methods Natural Family Planning A calendar, body temperature and physical symptoms, such as the consistency of cervical mucus, are used to determine when ovulation is likely, and you avoid intercourse during this time. Learn More: Natural Family Planning Permanent Contraception Female sterilization closes a woman's fallopian tubes by blocking, tying or cutting them so an egg cannot travel to the uterus. Birth Control Pills (BCPs) There are three types of birth control pills on the market today: the combination pill, the mini-pill and the emergency contraceptive pill. Combination Pill The combination pill is the most widely prescribed. It contains two hormones: estrogen and progestin. It works by suppressing ovulation each month, thinning the uterine lining and changing the consistency of the mucus in a woman's cervix, making it harder for sperm to move into contact with an egg. Low-dose combination birth control pills contain 10 to 50 mcg of estrogen, a lower dose (one-fourth or less) than the birth control pills marketed 30 to 50 years ago. They come in different formulations. Some require taking a constant dose of both medications for 21 days followed by one week of placebo tablets. Others vary the dose of estrogen and/or progestin that a woman gets throughout her cycle (multiphasic) or add additional days (tablets) of estrogen at the end of the 21- or 24-day cycle. The FDA also has approved continuous-use birth control pills that contain ethinyl estradiol and levonorgestrel. Brand names include Lybrel, Alesse, Lessina, Nordette and others. It is a monophasic pill (containing the same levels of estrogen and progestin throughout the entire pill-taking schedule) that comes in a 28- or 21-day pack and is designed to be taken continuously, with no break between pill packets. That means you won't have a period. You may have some spotting or breakthrough bleeding, particularly when you first start using continuous birth control pills. But most women will have no bleeding (or hardly any) by the end of a year. Seasonale is a 91-day oral contraceptive regimen also designed to reduce the number of months you have a menstrual cycle. Tablets containing progestin and estrogen are taken for 12 weeks (84 days), followed by one week of placebo tablets. Therefore, the number of expected menstrual periods is reduced from once a month to about once every three months, or four times a year. Seasonique is the same as Seasonale except with Seasonale, women take inactive pills during their four yearly periods and with Seasonique, they take a low dose of estrogen during their periods. Recently, Lo-Seasonique was approved by the FDA as well. It is similar to Seasonique but with lower doses of hormones. If and when you decide to get pregnant and stop taking birth control pills, you may get pregnant immediately—there are no long-term effects on your fertility from birth control pills. Benefits. Birth control pills are now also prescribed by health care professionals because of their long- and short-term health benefits for women. Birth control pills can help: Regulate, shorten or eliminate a woman's menstrual cycle Decrease severe cramping and heavy bleeding Reduce anemia Reduce ovarian cancer risk. According to the American Cancer Society, women who have taken birth control pills for five years or more have about half the risk of ovarian cancer compared to women who have never taken the pill. May reduce colorectal cancer risk. Reduce the development of ovarian cysts Decrease benign breast disease Provide reliable birth control without affecting future ability to become pregnant Reduce the severity and incidence of pelvic inflammatory disease (PID)—infection primarily of the fallopian tubes and/or the female reproductive tract Protect against ectopic pregnancy (pregnancy outside the uterus, in the fallopian tubes) Reduce the risk of uterine (endometrial) cancer. Studies find that oral contraceptives protect against this disease by providing the progestins needed to oppose the stimulation of the uterine lining caused by estrogen. The risk is lowest in women who have taken the pill for a long time, and it appears to continue for at least 10 years after a woman has stopped taking the pill. Minimize perimenopausal symptoms, such as irregular menstrual bleeding Reduce acne Treat the emotional and physical symptoms of premenstrual dysphoric disorder (PMDD), a severe form of PMS. Two combination oral contraceptives—called Yaz and Beyaz—have been approved by the FDA for use as an oral contraceptive and as a treatment for the emotional and physical symptoms of PMDD. Both Yaz and Beyaz contain the progestin drospirenone and ethinyl estradiol, a form of estrogen. Beyaz also contains folic acid. Risks. Women with certain health conditions may not be able to use birth control pills. These include: Heart disease or stroke Liver disease Blood clots in the deep veins or lung (risk may vary by formulation so check with your provider) Breast cancer Severe or uncontrolled diabetes. The estrogen in birth control pills may increase glucose levels and decrease the body's insulin response, while the progestin in the pills may encourage overproduction of insulin. Use of birth control pills by diabetic women should be limited to those who do not smoke, are younger than 35 and are otherwise healthy with no evidence of persistent high blood pressure, kidney disease, vision problems or other vascular disease. Smokers 35 or older. Women age 35 or older who smoke and take birth control pills have a significantly higher risk of ischemic stroke. Certain types of migraine headaches. Women who take birth control pills and have a history of migraines have an increased risk of stroke compared to nonusers with a history of migraine. Your risk is greatest if you have migraines with "aura"—blurred vision, temporary loss of vision or seeing flashing lights or zigzag lines. As a result, the World Health Organization (WHO) has concluded that women with migraines with aura should not take birth control pills. For women over age 35 who get migraines without aura, the risks of oral contraceptive use usually outweigh the benefits. For women under 35, ACOG gynecologists and the WHO state that combined birth control pills may be considered for women with migraines only if they do not experience aura, do not smoke and are otherwise healthy. Severe hypertension. Birth control pill users with a history of high blood pressure faced a substantially higher relative risk of ischemic stroke (blood clot in the brain) than nonusers with no such history. Oral contraceptives have been associated with a small, but significant increase in ischemic stroke risk in many, but not all, studies. This was a particular concern with early birth control pills that contained higher doses of estrogen, but newer pills containing less estrogen are associated with a lower risk of stroke than high-dose pills. In otherwise healthy young women (nonsmokers without persistent high blood pressure), the risk is low. Smoking cigarettes while taking birth control pills dramatically increases risks of heart attack and stroke for women over age 35. Smoking is far more dangerous to a woman's health than taking birth control pills, but the combination of oral contraceptive pill use and smoking has a greater effect on heart attack and stroke risk than the simple addition of the two factors. Some women worry that birth control pills may increase their risk for cancer, particularly breast cancer. Research has shown women using birth control pills have a slightly higher risk of breast cancer than women who never used them. Newer low-estrogen birth control pills do not carry the risk of increased breast cancer that higher-dose estrogen pills did. An August 2014 study published in Cancer Research that looked at breast cancer risk and birth control pill use in women ages 20 to 49 found breast cancer risk was higher in women who had previously taken high-dose estrogen birth control pills, but not in women who had taken low-dose estrogen pills. Discuss the risks and benefits of birth control pills with your health care professional. There is some evidence that long-term use of birth control pills may increase the risk of cancer of the cervix (the narrow, lower portion of the uterus). There is also some evidence that birth control pills may increase the risk of certain benign (noncancerous) liver tumors. Side effects and warnings. Nausea, breast tenderness and bleeding are the most common side effects of all birth control pills. Most side effects decrease or disappear after three months of continuous use. Switching to another pill formulation can also relieve side effects. A serious issue often overlooked by both health care professionals and women is that interactions with other medications can reduce the effectiveness of birth control pills. Medications known to interact with birth control pills are rifampin (an antibiotic) and some anticonvulsants. If you take these drugs regularly but are still interested in using the pill as your birth control method, talk with your health care professional. "Mini-Pill" A second birth control pill option is referred to as the "mini-pill." One pill, which contains only progestin, is taken every day. These pills work by preventing ovulation and thickening cervical mucus to prevent sperm from reaching the egg. They also keep the uterine lining from thickening, which prevents a fertilized egg from implanting in the uterus. However, with progestin-only birth control pills, ovulation isn't consistently suppressed, so the actions on cervical mucus and the endometrium are the critical factors. They may not be as effective as combined birth control pills. Progestin-only pills must be taken at exactly the same time, every day. However, the progestin-only pill is often an option if you want to use oral contraception but can't take estrogen or have a history of or increased risk of estrogen-related blood clots. If you are breastfeeding or experience uncomfortable side effects from estrogen, such as headaches, this could be the best option for you. Protection against ectopic pregnancy is not as strong with the mini-pill as it is with combination pills. The main side effect from mini-pills is menstrual irregularity; you may not have any bleeding for months or you may have some spotting between periods. As with combined birth control pills, the mini-pill does not protect you from sexually transmitted diseases, so condoms are necessary if you or your partner is at risk. Emergency Contraception This type of contraception is used after unprotected intercourse or failure of a barrier method. Emergency contraceptive pills contain the same hormones as birth control pills. In fact, some birth control pills can be used as emergency contraception with a health care professional's guidance. Emergency contraceptive pills should not be used for routine birth control. Commonly called "the morning after pill," there are several FDA-approved emergency contraception pills in the United States: Plan B One-Step, Next Choice and generic levonorgestrel tablets, all of which contain the progestin levonorgestrel, and ulipristal acetate tablets, sold under the brand name "ella." ella can prevent pregnancy when taken orally within five days (120 hours) after unprotected sex. It is a progesterone agonist/antagonist whose likely main effect is to inhibit or delay ovulation. ella cuts the chances of becoming pregnant by about two-thirds for at least 120 hours after unprotected sex, studies have shown. Plan B One-Step should be taken within 72 hours of unprotected sex. Recent research shows that the levonorgestrel pills may be effective up to 120 hours after unprotected sex but are more effective the sooner they are taken. Next Choice and generic levonorgestrel tablets works similarly to Plan B One-Step, but consists of a two-dose regimen, with the first dose taken within 72 hours of unprotected sex and the second 12 hours later. Newer studies indicate that both pills may be taken together as soon as possible after unprotected sex. You can buy the levonorgestrel emergency contraceptive pills over the counter without a prescription. You must ask for them at the pharmacy counter. ella is available only by prescription, but women could keep a supply at home. For information on emergency contraception, visit www.not-2-late.com or call 1-888-NOT-2-LATE or 1-800-230-PLAN to locate a health care professional who can help you. The website and hotlines also provide information on which pharmacies sell emergency contraceptives because not all pharmacies carry them. Side effects and warnings. Emergency contraceptive pills should not be used regularly as birth control because they can disrupt your menstrual cycle. They are also not 100 percent effective and can cause side effects such as nausea and vomiting, headaches, breast tenderness, dizziness and bloating. Medication may be prescribed with emergency contraceptive pills to minimize nausea and vomiting. Emergency contraceptive pills that contain only progestin cause fewer side effects. Because emergency contraceptive pills are intended for use only as their name implies—during an emergency when other contraceptives failed or were not used—women who might otherwise not be able to take birth control pills on a regular basis may be able to use emergency contraceptive pills. Discuss your options with a health care professional. And if you waited longer than 72 hours after unprotected sex, you have another option. An IUD can be inserted by a health care professional up to 120 hours (five days) after unprotected sex and should prevent a fertilized egg from implanting in most cases. The same precautions apply for using an IUD as an emergency contraceptive as for choosing it as a birth control method: If you are at risk for sexually transmitted diseases (if you have multiple sexual partners) or if you have a recent history of pelvic inflammatory disease, you aren't a good candidate for this type of emergency contraception. Vaginal Contraceptive Ring One of the newest contraceptives on the market, NuvaRing, is available by prescription only and consists of a soft, flexible, transparent ring that measures about 2 inches in diameter. It contains a combination of estrogen and progestin hormones (ethinyl estradiol and levonorgestrel). It is inserted into the vagina like a tampon, where the hormones are slowly released on a continual basis. You need to insert a new ring each month for continuous contraception. You can insert the ring yourself into your vagina, where it should remain for three weeks. Then you remove the ring for one week, during which time you have your period. Benefits. NuvaRing only needs to be inserted once a month, making it a convenient form of birth control. And, like oral contraceptives, NuvaRing is highly effective when used according to the labeling. For every 100 women using NuvaRing correctly for an entire year, only one will become pregnant. Side effects and warnings. Side effects of the NuvaRing may include vaginal discharge, vaginitis and irritation. Like oral contraceptives, NuvaRing may increase the risk of blood clots, heart attack and stroke. Women who use NuvaRing are strongly advised not to smoke, as it may increase the risk of heart-related side effects. Skin Patch The contraceptive Ortho Evra is a transdermal (through the skin) patch approved by the FDA in 2001 that contains ethinyl estradiol and the progesterone norelgestromin. The one-and-three-quarter-inch patch is applied to the skin (abdomen, buttocks or upper torso, but not breasts) where it slowly releases hormones for a week. It must be replaced every week. After three weeks (and three new patches) you have one week that is patch-free, during which you get your period. Benefits. The Ortho Evra patch is 91 percent effective in preventing pregnancy when used correctly. It also removes the problem of having to remember to take a pill every day or insert a device before intercourse. Side effects and warnings. In clinical trials, the patch was less effective in women weighing more than 198 pounds. Also, some women experienced breast symptoms, headache, a reaction at the application site, nausea and emotional changes. Other risks are similar to those from using birth control pills, including an increased risk of blood clots, heart attack and stroke. Women who use Ortho Evra are strongly advised not to smoke, as it may increase the risk of heart-related side effects. The Ortho Evra label carries an FDA-required warning that the birth control patch delivers a higher dose of estrogen than the birth control pill and therefore may increase the risk of blood clots and other serious side effects. Women taking or considering the birth control patch should talk to their health care professional about these risks. Barrier Methods Barrier methods are less effective than hormonal methods but cause fewer side effects and are associated with less risk. The effectiveness of barrier forms of contraception can be increased when used with spermicide. The male condom. The condom is a sheath made of latex or polyurethane that is placed on the penis just prior to intercourse to prevent sperm from entering the uterus. Latex condoms, when used consistently and correctly, provide the best available means of reducing the risk of transmission of many sexually transmitted diseases (STDs), including gonorrhea, chlamydia, HIV and trichomoniasis. Condoms also can reduce the risk of genital herpes, syphilis, chancroid and human papillomavirus infection, but only when the infected areas are covered or protected by the condom, according to the United States Centers for Disease Control and Prevention.Condoms made of lambskin, however, do not offer such protection because they have microscopic holes that may stop sperm but are large enough to allow viruses to pass through.The FDA approved the female condom in 1993. It is a soft, thin, polyurethane sheath with two flexible rings, one that contains the closed end of the sheath and is inserted into the vagina. The other ring stays outside the vagina. Spermicides. Spermicides are nonprescription, nonhormonal chemical products containing the active ingredient nonoxynol-9 (N-9). They can be used alone or in combination with other barrier contraceptives. Spermicides are available as foam, cream, gel, suppository and film, and, when used with other barrier contraceptives, are more effective than either method used alone. Diaphragms and cervical caps. These barrier contraceptives require a prescription and initial fitting by a health care professional. The diaphragm is a soft rubber dome with a flexible rim that covers the cervix. The cervical cap fits snugly on the surface of the cervix. Both devices block sperm from entering the uterus but should be used along with a spermicide.Both the diaphragm and the cervical cap can be inserted up to six hours before intercourse and should remain in place for six to eight hours after intercourse. You must remove a diaphragm after this period of time but you can leave a cervical cap in place for up to 48 hours.These devices are easy to insert and remove for most women, although some women can't use the cervical cap because they have an irregularly shaped cervix. Proper fit of either device is important. If you choose one of these options, see your health care professional once a year to have it replaced. Pregnancy and childbirth can change how these devices fit. You should also carefully examine your diaphragm or cervical cap before each use to be sure it is not punctured or torn.Benefits. One benefit of the barrier method is availability: Condoms and spermicides can be purchased over the counter (without a prescription).Side effects. Some women and men experience allergic reactions to certain spermicides or to rubber or latex used in condoms, diaphragms or cervical caps. Consult with a health care professional if you develop any symptoms after using contraception. Symptoms might include: Rash Respiratory distress Swelling Hay fever-type reactions such as itchy, swollen eyes, runny nose and sneezing Asthma-type symptoms such as chest tightness, wheezing, coughing and shortness of breath Diaphragm and spermicide use has been associated with an increased risk of urinary tract infections (UTI) and yeast infections. Emptying your bladder immediately after intercourse and removing the diaphragm after six hours may decrease your chances of developing a UTI. The Contraceptive Sponge. The vaginal sponge (Today), which had been withdrawn from the market, won FDA re-approval in April 2005. The one-gram sponge is available over the counter, is 80 to 91 percent effective in preventing pregnancy and contains the spermicide nonoxynol-9. It is more effective in women who haven't given birth. When moistened with water and placed in the vagina, it releases the spermicide and begins working right away and for the next 24 hours (and it can be used repeatedly within this timeframe). The sponge should be left in place for at least six hours after intercourse. Don't leave it in place for more than 30 hours. Natural Family Planning Couples using this method identify a woman's most fertile period by tracking her menstrual cycle. A calendar, body temperature and physical symptoms, such as the consistency of cervical mucus, are used to determine when ovulation is likely, and you avoid intercourse during this time. Benefits and risks. The most obvious benefit to natural family planning is that no artificial devices or hormones are used to prevent pregnancy. Little to no cost is involved. But, experts say, while these methods can work, a couple needs to be extremely motivated to use them effectively and accurately to prevent pregnancy. Permanent Contraception (sterilization) Permanent contraception is the most common type of contraception overall, and it is a particularly common choice for women age 35 and older. Female sterilization closes a woman's fallopian tubes by blocking, tying or cutting them so an egg cannot travel to the uterus. There are two primary forms of female sterilization: a fairly new nonsurgical implant system (sold under the brand name Essure), and the traditional tubal ligation procedure (done via laparoscopy or minilaparotomy), often called "getting your tubes tied." Nonsurgical permanent birth control. Sometimes called fallopian tube occlusion, the nonsurgical permanent contraception procedure can be performed in your doctor's office with local anesthesia. The Essure system uses specially designed spring-like coils called micro inserts. (Essure contains nickel and shouldn't be used by women with a nickel allergy.) During the procedure, your doctor uses a special instrument called a hysteroscope to place the insert through your vagina and cervix into the opening of your fallopian tube in your uterus. There is no incision. Within three months, the insert causes your body to form a tissue barrier that prevents sperm from reaching the egg. During this three-month period, you need to use another form of birth control. After three months, you have to return to your doctor's office for a special x-ray to make sure your tubes are completely blocked. In clinical studies, most women reported little to no pain and were able to return to their normal activities in a day or two. Tubal ligation. With this type of sterilization procedure, your fallopian tubes are blocked with a ring or burned or clipped shut. This procedure is typically performed under general anesthesia in a hospital. It can be done via a laparoscopy or a minilaparotomy. Laparoscopy:The surgeon makes a small incision through the abdomen and inserts a special instrument called a laparoscope to view the pelvic region and tubes. He or she then closes the tubes using clips, tubal rings or electrocoagulation (using an electric current to cauterize and destroy a portion of the tube). The patient can usually go home the same day and resume intercourse as soon as it's comfortable. Risks include pain, bleeding, infection and other postsurgical complications, as well as an ectopic, or tubal, pregnancy. Minilaparotomy.During a minilaparotomy, the surgeon makes a small incision (about two inches long) and ties and cuts the tubes without the use of a viewing instrument. In general, minilaparotomy is a good choice for women who undergo sterilization right after childbirth. Patients usually need a few days to recover and can resume intercourse after consulting with their doctors. Vasectomy. Male sterilization is called a vasectomy. This procedure is performed in the doctor's office. The scrotum is numbed with an anesthetic, so the doctor can make a small incision to access the vas deferens, the tubes through which sperm travels from the testicle to the penis. The doctor then seals, ties or cuts the vas deferens. Following a vasectomy, a man continues to ejaculate, but the fluid does not contain sperm. Temporary swelling and pain are common side effects of surgery. A newer approach to this procedure can reduce swelling and bleeding. Benefits and risks. Sterilization is a highly effective way to permanently prevent pregnancy—it's considered more than 99 percent effective, meaning less than one woman in 100 will get pregnant after having a sterilization procedure. However, a vasectomy is not effective for about three months; a doctor will perform a sperm test to determine when the vasectomy can be relied on to prevent pregnancy. Surgery for female sterilization is more complex and carries greater risk than surgery to sterilize men, and recovery takes longer. Reversing sterilization in men and women is extremely difficult, however, and often unsuccessful. There is a small possibility of getting pregnant after sterilization; some evidence suggests that women who are younger when they are sterilized have a higher risk of getting pregnant. Couples who are not sure about sterilization but want to postpone having children for at least five to 10 years should first consider using long-acting contraceptive methods such as IUDs or hormonal shots or implants before choosing sterilization. Facts to Know Many women do not get the protection they expect from their birth control methods because they do not use the methods correctly. Nearly half of women using birth control experience unplanned pregnancies, even though many methods are nearly 100 percent effective when used properly. Birth control pills, also called oral contraceptives, are now available in a variety of low-dose options that are safe and effective for most healthy women. Birth control pills include combination pills, which contain estrogen and progestin, and a "mini-pill" option that does not contain estrogen. Oral contraceptives may reduce the risk of ovarian and uterine cancers and provide other health benefits such as regulating menstrual cycles; one brand of oral contraceptives has been shown to be effective for treating symptoms associated with premenstrual syndrome. When used consistently and correctly, condoms offer the best available means of reducing the risk of infection from the following STDs: gonorrhea, chlamydia and trichomoniasis. Condoms can also reduce the risk of genital herpes, syphilis, chancroid and HPV infection, but only when the infected areas are covered or protected by the condom. Women who have medical or religious concerns about artificial birth control methods can use fertility awareness methods, sometimes called natural family planning. These methods require that couples be motivated and adhere to a schedule that avoids sex when a woman is ovulating and most likely to be fertile. According to the Guttmacher Institute, seven in 10 teens have had intercourse by their 19th birthday. A sexually active teenager who doesn't use contraception has a 90 percent chance of becoming pregnant within one year. Studies show that teens who talk to their parents about sex, pregnancy, birth control and sexually transmitted diseases are less likely to become sexually active at an early age and more likely to use protection when they do have sex. Sterilization is the second most popular form of birth control in the United States, right after the pill. It is considered a permanent form of birth control. It can be helpful to review your contraceptive options as you age to make sure your current birth control method continues to fit your lifestyle and reproductive health needs. Key Q&A What do I do if I miss a day of taking my birth control pills?The pills you have to worry most about missing are the ones right before and right after the seven placebo pills in your pack. Known as the pill-free interval, the placebos are designed to be taken the week you have your period to help you stay in the rhythm of taking a pill every day. If you start a new pack late or take longer than seven days "pill free," you might ovulate and could become pregnant. Read the package insert that came with your pills; it will explain what to do about missed pills. Or call your health care professional. In the meantime, use backup contraception just to be safe. In general, if you miss a pill, take it as soon as you remember and then continue taking one pill each day as prescribed (depending on when you missed your pill, you may take two pills on the same day). If you miss two or more pills in the first week of your pill cycle and you have unprotected intercourse during this week, consider using emergency contraception. If you miss pills in the fourth week of a 28-day pack, those pills are likely placebo if you're using a 21/7 regimen. However, some of the newer formulations may contain active pills, so read the package insert for instructions. I've heard that I can't get pregnant while I'm breastfeeding. Does that mean I don't need a contraceptive?The lactational amenorrhea method (LAM) refers to the natural cessation of a woman's menstrual period while she is breastfeeding. Ovulation doesn't occur at this time, so birth control is automatic. LAM is only effective in preventing pregnancy if the mother is breastfeeding exclusively; her baby is less than six months old; and the mother's periods have not yet returned. If a woman starts to get her period again, it's a pretty good indication that she's ovulating and able to get pregnant. But, in general, even though breastfeeding does provide some contraceptive protection, it is not a completely reliable form of contraception. There are several birth control options that are safe for breastfeeding women and their babies, so why take chances? Here are your options: The mini-pill is a progestin-only pill that usually has no negative impact on milk production (combination pills can dry up milk) and may even provide a little boost in milk volume. You can start this pill right after delivery under the guidance of your health care professional. Nonhormonal contraception methods such as barrier devices and copper IUDs are preferred in women who are nursing because they don't contain hormones that could affect milk supply or pass through the milk. If hormonal methods are the only option, progestin-only birth control is preferred in women who are breast-feeding. Barrier methods such as condoms and spermicides have no impact on breastfeeding and may be helpful in overcoming vaginal dryness caused by breastfeeding (use lubricated condoms). They can be used immediately postpartum. If you want to use a diaphragm or cervical cap, wait until after your sixth postpartum week; diaphragms and cervical caps need to be fitted after you completely heal, and it's not advisable to use them until you've stopped bleeding. You can have an IUD inserted between six and eight weeks postpartum. I've been taking birth control pills for several years. Do I need to give my body a rest and stop taking them for a while?There is no scientific evidence that taking oral contraceptives does any long-term harm to your endocrine system, which regulates hormones. My partner hates to use condoms because he says they make sex less pleasurable. Is there anything else I can do to protect myself from STDs?You could try the female condom, which has a looser fit. There are also male condoms designed to enhance pleasure, which are sold over the counter.You might try a few things to make condom use more fun. How about unrolling it onto your partner's penis yourself?Condoms sometimes help men maintain an erection; tell your partner you want to use a condom so sex will last longer. If all else fails, refuse to have sex with him if he doesn't use a condom or find other ways to enjoy each other sexually. (Keep in mind that avoiding penis-vagina contact is the only way to stay safe from pregnancy, but other sexual acts, such as oral sex, still put you at risk for some STDs.) How do I keep a condom from slipping?First, check during sex that the condom is still where it should be. Second, make sure your partner knows to withdraw soon after ejaculation, before the penis gets smaller. And third, while he is withdrawing, he should hold the rim of the condom. I've heard that birth control pills cause cancer, but I've also heard they can protect against cancer. Which is true?Newer low-estrogen birth control pills do not carry the risk of increased breast cancer that higher-dose estrogen pills did. An August 2014 study published inCancer Research that looked at breast cancer risk and birth control pill use in women ages 20 to 49 found breast cancer risk was higher in women who had previously taken high-dose estrogen birth control pills, but not in women who had taken low-dose estrogen pills.There is also evidence, however, that use of birth control pills decreases the incidence of uterine, ovarian and possibly colorectal cancer. The longer a woman uses the pill, the more her risk of developing these cancers is reduced. Birth control pills may also protect against developing breast and ovarian cysts. Discuss the risks and benefits of birth control pills with your health care professional. I've had all the children I want, but I'm not ready for sterilization. I've been considering the IUD. Is it safe?Yes. The fears surrounding intrauterine devices (IUDs) stem mainly from problems with the Dalkon Shield, an IUD introduced in the 1970s. The construction of the Dalkon Shield increased the risk of bacterial infections, which resulted in pelvic inflammatory disease for many women. Today's IUDs are constructed differently and are safe and highly effective. IUDs are not good options for women at risk for contracting sexually transmitted infections, however. I am 16 years old and would like to use birth control pills. The problem is that I smoke cigarettes. My mom used to smoke and was told she couldn't use them. Can I?In women younger than 35, the benefits of birth control pills appear to outweigh the risks, even in heavy smokers, unless there is a family history of blood clots. However, smoking puts you at risk for numerous serious health problems, including cancer and heart disease, so you should talk to your health care professional about ways to help you kick the habit. Read the full article

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safegen-blog · 6 years

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https://safegenericpharmacy.com/blog/contraception/

Overview

Choosing a birth control method is one of the most personal health care decisions a woman makes. In nearly four decades of childbearing years, your need for birth control will most likely change many times. But at each life stage, you can make informed decisions by learning about all your contraceptive options and selecting one or more that best fits your reproductive health needs.

Many women are not adequately protected from an unwanted pregnancy by their choice of birth control method. In fact, according to the Guttmacher Institute, about one-half of all pregnancies in the United States are unplanned.

There are several reasons for failure of contraception, including inappropriate use (for example, not inserting a diaphragm the right way or not using enough spermicide); failure to continue use of the method (for example, forgetting to take your birth control pills or not using a condom every time you have sex); and failure of the contraceptive method itself.

Of the women who experience unplanned pregnancies each year in the United States, 41 percent use birth control, but these women use birth control inconsistently. Of women who use birth control consistently, only 5 percent become pregnant per year. This illustrates the importance of consistent birth control use.

Myths or personal concerns about the risks and safety of certain birth control options also contribute to incorrect use of birth control. Women may use a particular method only occasionally, for example, thinking that less frequent use is safer than continuous use. Or they may stop using a particular method because of bothersome side effects.

Age-related changes can lead women to believe they no longer need to use contraception. For example, women nearing menopausemay mistakenly think they are no longer fertile because their menstrual cycles are no longer regular. However, according to the American Congress of Obstetricians and Gynecologists (ACOG), about 75 percent of pregnancies in women over 40 are unintended. Although menopause does mark the end of a woman’s childbearing years, you have not gone through menopause until 12 consecutive months without a period. You can get pregnant even if your periods are irregular.

Today, American women have more contraceptive options to choose from than ever before. So you should be able to find one that works well for you and fits your lifestyle.

Other things to consider before making a contraception choice:

Find out how much the contraceptive costs. Most oral contraceptives and some other contraceptives are now free under the Affordable Care Act, but check with your insurance provider to be sure.

Ask yourself if you can realistically use this method. Are you sure you understand how to use it properly? Will this method embarrass you or your partner? Does it fit with your lifestyle?

Find out how to use the method correctly and what to do if you forget to use it occasionally.

Ask your health care professional about side effects. What should you expect? What should you do about them if they occur, and when should you expect them to stop?

Will this method cause any unacceptable weight gain?

You can probably think of many more questions about birth control. Learn as much as you can about your options and make an informed decision about which method is the best and safest for you. Consider your needs and discuss them with your health care professional during your next medical appointment.

To get you started, here is some basic information about contraceptive options approved by the U.S. Food and Drug Administration (FDA), and resources you can use for more in-depth research.

For a comparison of how effective each type of contraception is for preventing pregnancy, please see the chart, “Contraceptive Failure Rates” at the end of this entry.

Contraceptive Options The contraceptive options women may choose are:

Birth control pills, also called oral contraceptives

Hormonal contraceptive patches

Hormonal contraceptive vaginal rings

Long-acting hormonal methods, such as shots and implants

Intrauterine devices (IUDs)

Barrier methods such as condoms, diaphragms, contraceptive sponges and cervical caps

Spermicides

Natural family planning (also called fertility awareness or the “rhythm” method)

Permanent contraception (sterilization)

Emergency contraception

Remember that most methods of birth control do not protect against sexually transmitted diseases (STDs) such as HIV, gonorrhea, chlamydia, genital herpes and human papillomavirus (HPV). Latex condoms, when used consistently and correctly, provide the best available means of reducing the risk of many STDs, according to the United States Centers for Disease Control and Prevention. If you are not in an exclusive relationship with someone who has been tested for STDs, you should use condoms along with any other form of birth control.

Birth Control Pills There are three types of BCPs on the market today: the combination pill, the mini-pilland the emergency contraceptive pill. The combination pill is the most widely prescribed. It contains two hormones: estrogen and progestin. It works by suppressingovulation each month. Learn more: Birth Control Pills

Long-Acting Hormonal Methods Several options are available to women who want long-term, but not permanent, protection against pregnancy, including intrauterine devices, hormonal patches and vaginal rings. These options rely on estrogen-progestin or progestin alone to prevent ovulation. Learn more: Long-Acting Hormonal Methods

Barrier Methods Barrier methods are less effective than hormonal methods but cause fewer side effects and are associated with less risk. They include condoms, diaphragms, the contraceptive sponge and cervical caps Learn more: Barrier Methods

Natural Family Planning A calendar, body temperature and physical symptoms, such as the consistency of cervical mucus, are used to determine when ovulation is likely, and you avoid intercourse during this time. Learn More: Natural Family Planning

Permanent Contraception Female sterilization closes a woman’s fallopian tubes by blocking, tying or cutting them so an egg cannot travel to the uterus.

Birth Control Pills (BCPs)

There are three types of birth control pills on the market today: the combination pill, the mini-pill and the emergency contraceptive pill.

Combination Pill

The combination pill is the most widely prescribed. It contains two hormones: estrogen and progestin. It works by suppressing ovulation each month, thinning the uterine lining and changing the consistency of the mucus in a woman’s cervix, making it harder for sperm to move into contact with an egg.

Low-dose combination birth control pills contain 10 to 50 mcg of estrogen, a lower dose (one-fourth or less) than the birth control pills marketed 30 to 50 years ago. They come in different formulations. Some require taking a constant dose of both medications for 21 days followed by one week of placebo tablets. Others vary the dose of estrogen and/or progestin that a woman gets throughout her cycle (multiphasic) or add additional days (tablets) of estrogen at the end of the 21- or 24-day cycle.

The FDA also has approved continuous-use birth control pills that contain ethinyl estradiol and levonorgestrel. Brand names include Lybrel, Alesse, Lessina, Nordette and others. It is a monophasic pill (containing the same levels of estrogen and progestin throughout the entire pill-taking schedule) that comes in a 28- or 21-day pack and is designed to be taken continuously, with no break between pill packets. That means you won’t have a period. You may have some spotting or breakthrough bleeding, particularly when you first start using continuous birth control pills. But most women will have no bleeding (or hardly any) by the end of a year.

Seasonale is a 91-day oral contraceptive regimen also designed to reduce the number of months you have a menstrual cycle. Tablets containing progestin and estrogen are taken for 12 weeks (84 days), followed by one week of placebo tablets. Therefore, the number of expected menstrual periods is reduced from once a month to about once every three months, or four times a year. Seasonique is the same as Seasonale except with Seasonale, women take inactive pills during their four yearly periods and with Seasonique, they take a low dose of estrogen during their periods. Recently, Lo-Seasonique was approved by the FDA as well. It is similar to Seasonique but with lower doses of hormones.

If and when you decide to get pregnant and stop taking birth control pills, you may get pregnant immediately—there are no long-term effects on your fertility from birth control pills.

Benefits. Birth control pills are now also prescribed by health care professionals because of their long- and short-term health benefits for women. Birth control pills can help:

Regulate, shorten or eliminate a woman’s menstrual cycle

Decrease severe cramping and heavy bleeding

Reduce anemia

Reduce ovarian cancer risk. According to the American Cancer Society, women who have taken birth control pills for five years or more have about half the risk of ovarian cancer compared to women who have never taken the pill.

May reduce colorectal cancer risk.

Reduce the development of ovarian cysts

Decrease benign breast disease

Provide reliable birth control without affecting future ability to become pregnant

Reduce the severity and incidence of pelvic inflammatory disease (PID)—infection primarily of the fallopian tubes and/or the female reproductive tract

Protect against ectopic pregnancy (pregnancy outside the uterus, in the fallopian tubes)

Reduce the risk of uterine (endometrial) cancer. Studies find that oral contraceptives protect against this disease by providing the progestins needed to oppose the stimulation of the uterine lining caused by estrogen. The risk is lowest in women who have taken the pill for a long time, and it appears to continue for at least 10 years after a woman has stopped taking the pill.

Minimize perimenopausal symptoms, such as irregular menstrual bleeding

Reduce acne

Treat the emotional and physical symptoms of premenstrual dysphoric disorder (PMDD), a severe form of PMS. Two combination oral contraceptives—called Yaz and Beyaz—have been approved by the FDA for use as an oral contraceptive and as a treatment for the emotional and physical symptoms of PMDD. Both Yaz and Beyaz contain the progestin drospirenone and ethinyl estradiol, a form of estrogen. Beyaz also contains folic acid.

Risks. Women with certain health conditions may not be able to use birth control pills. These include:

Heart disease or stroke

Liver disease

Blood clots in the deep veins or lung (risk may vary by formulation so check with your provider)

Breast cancer

Severe or uncontrolled diabetes. The estrogen in birth control pills may increase glucose levels and decrease the body’s insulin response, while the progestin in the pills may encourage overproduction of insulin. Use of birth control pills by diabetic women should be limited to those who do not smoke, are younger than 35 and are otherwise healthy with no evidence of persistent high blood pressure, kidney disease, vision problems or other vascular disease.

For more Information visit us our website: safegenericpharmacy.com

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themidwifeisin · 7 years

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I had unprotected sex. My boyfriend finished inside, after I told him not to (Wed @ 10am). I took ECP. Nordette was phased out so I took pills from local brand with Ethinyl Estradiol, Levenorgestrel, and ferrous Fumarate. I took 4 @8pm and 4 after 12 hrs. Saturday round 12pm, I was able to get Plan B. I don't know if it worked because I was on my Fertile window according to my period tracker. womenonwaves website is blocked in my country. abortion is illegal Please I need your advice. Thank you

This sounds super scary, I’m so sorry you’re in this predicament.

Here are some posts that might be able to help you out:

Finding an abortion in the USA when you don’t have money/time/resources

Finding an abortion online.

Finding an abortion in countries where it’s illegal

What to do if the Women on Waves website is blocked? (copy and pasted from the WoWs website)

For smart phone users: You can download the Women on Waves safe abortion app from google play store and Itunes app store and complete the online consultation there.Here is one appHere is another app

You can also send an email to [email protected] and ask for the consultation or general information about medical abortion. The form will be emailed to you. Please always check your spam box for the reply.

You can also download and use the TOR browser. If the Tor Project's official website and mirrors are also blocked, you can use TOR GetTor via SMTP (email). Send an email to [email protected] with one of the following options in the body of the message:windows: If the user needs Tor Browser for Windows.linux: If the user needs Tor Browser for Linux.osx: If the user needs Tor Browser for Mac OS X.GetTor robot will reply with links to download Tor Browser.

Try to redirect with a short URL. Sometimes the URL's are blocked but you can access the website's through a short URL. For Women on Web you can try the following short URL: goo.gl/S7hpVE

Use online translations services to bypass the block. Go to one of the Online translation services like AltaVista, BabelFish, Google Translate and fill in www.womenonweb.org or www.womenonwaves.org. and click translate even if you don’t need to and Google or AltaVista or Babelfish will fetch the website.

General info about abortions:

What happens during a medication abortion?

What happens during a first trimester abortion?

How to prepare for an abortion

Good luck, sending you love and light.

#abortion #medication abortion #first trimester abortion #plan b #birth control #emergency contraception #women on waves #women on web #illegal abortion #finding an abortion #how to get an abortion #unwanted pregnancy #unplanned pregnancy #unprotected sex #Anonymous

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5millionfriends · 7 years

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The Fit Girl's Guide to Birth Control

Women are such amazing creatures that it’s downright mind boggling at times. I know what you’re thinking – you and I are both women, so such self-praise sounds a bit excessive.

But really, think about it for a minute. Our physical makeup is dramatically different from that of our male counterparts. We have to train nearly twice as hard to make any substantial gains in the gym, and we’re genetically preprogrammed to store more fat than men, all because of the differences in our hormonal makeup.

Let’s face it, ladies, our bodies are built for child rearing, not heavy lifting or figure competitions. Regardless of whether those babies are a goal of yours or not, your system will always do its best to ensure a soft & comfortable atmosphere for that baby’s development during the first nine months of its existence.

Nature’s plan.

What’s even more interesting is the fact that if you’re actively working on preventing pregnancy, you’ll likely have an increased hormonal imbalance and even more pronounced effects of the estrogen hormone doing its job.

Not sure what I’m talking about? There is a phrase that will conjure up memories of bloat, fat gain, nausea, spotting or breakthrough bleeding, mood swings, and even severe headaches. It’s a short phrase with a lot of power. Ready?

“The Pill.”

Most of those who’ve tried birth control pills are well aware of their possible side effects. These are to be expected; anytime hormone levels are changed in any way, the body is bound to let you know of the changes.

Birth control pills are comprised of synthetic estrogen and progesterone (or in some cases, just one of those two). Since the menstrual cycle and ovulation are regulated by these hormones, this increase results in a variety of changes within the reproductive system, which results in pregnancy prevention.

Now, as any woman in the fitness industry knows, we try our very best to decrease the female hormones in our bodies. We all know that increased levels of testosterone, along with decreased estrogen hormones, are essential to the sense of well-being and overall health.

It’s testosterone that helps us gain lean mass, reduce fat storage, increase sexual desire, ward off that “I’m PMS’ing-leave-me-alone” mood, keep our skin healthy, and our minds sharp. Excessive levels of its opposing hormone, estrogen, produce the exact opposite effect on our bodies.

Clearly, increasing your very own estrogen levels by going on the pill sounds more than just a little crazy. It is, however, seen as an absolute necessity by most women. Many of us just accept the unfortunate side effects and learn to deal with the consequences of a less than perfect hormonal balance.

After all, what else is there?

That’s the question we’ll answer in this article. I’ve done some extensive research on the topic, including interviewing numerous fitness and figure competitors regarding their personal experiences with birth control pills. Each of these girls has discovered what works for her; whether it’s a lower dose estrogen pill or a viable alternative that does the job while keeping those hormone levels at least somewhat conducive to her hardcore fitness lifestyle and ultra-lean body goals.

The Pill Types of Birth Control Pills

There are two basic categories: those containing progestin only, and combination pills containing both progestin and estrogen.

Progestin-only pills contain no estrogen. These are sometimes referred to as the “mini-pill,” and are considered ideal for breastfeeding women since the presence of estrogen reduces milk production.

The mini-pill works by thickening the cervical mucus, thereby preventing sperm from entering the uterus. They must be taken at the same time every day.

While these pills don’t contain any estrogen, they’re not considered figure-friendly by any means. You see, the pill’s progesterone component has been shown to increase appetite – which of course makes it very difficult to diet, resulting in weight gain.

Some of the other side effects of the mini-pill include irregular or heavy bleeding, spotting, and severe headaches. Additionally, progestin-only pills have been shown to be slightly less effective than their combination counterparts – so that the chance of becoming a mommy is actually increased when choosing these over estrogen containing birth control pills.

Combination pills are ones containing both estrogen and progestin. This category can be broken down into three different types, which are as follows:

Monophasic pill. This is the original birth control pill. Each pack of these pills consists of 21 active pills containing the same amount of estrogen and progestin in each pill, and 7 placebos, which contain no hormones.

The second type of the combination pill is called multiphasic.Also referred to as biphasic and triphasic, multiphasic oral contraceptives contain varied amounts of hormones and are designed to be taken at specific times over the pill-taking period.

Each of the pills in this pack contains different levels of estrogen and progestin so that the hormones are varied throughout the month. They were developed for the specific purpose of reducing side effects of oral contraceptives. Women taking multiphasic pills report having fewer episodes of breakthrough bleeding and spotting, but as of now, those are the only sides that have been shown reduced.

The last type of the combination pill is the continuous use pill. This is the brand new one of the bunch, being approved in the spring of ’07. The best known brand of the continuous use pill is Lybrel, which also happens to be a multiphasic pill. It comes in a 28-day pack and is meant to be taken without any breaks in between pill packets, which basically means not having a period at all.

Some of the side effects associated with all combination oral contraceptives include most of the ones you’d normally hear about, including nausea, severe headaches, possible vomiting, irregular bleeding, and weight gain resulting from the changes in the body’s hormonal makeup.

Birthcontrol

Birth Control Options for Fit Girls

Now that we’ve gone over the basic differences among the pills, let’s take some time discussing ones that seem to be popular with women who are in the fitness industry.

Those ladies who are on the pill and training hard almost always opt for low dose pills. Low dose birth control pills are mostly monophasic pills that have an estrogen component of less than 35 micrograms. Some examples of this type of pill include LoOvral, Nordette, and Ortho-Cept.

There are also two newer formulas of low dose pills on the market, both of which have become a quick favorite among many figure competitors. Cyclessa is a brand new low dose oral contraceptive that’s also multiphasic. The low estrogen in its varying-hormone package has actually been shown to result in weight loss for many women who begin taking it… and those who didn’t lose any noticeable weight, didn’t gain any fat, according to the studies.

Yasmin is another newer low dose pill with many fit ladies in its fan club. Because of a more natural progestin in its formula, it’s been associated with improved skin texture for those who are naturally oily or acne-prone, an improved sense of well-being, and even weight control help due to reduced water retention.

Ultra low dose pills exist as well, and these are ones that have the lowest amount of estrogen in a birth control pill, which is 20 micrograms. This dose of estrogen is sufficient for contraception, however these pills oftentimes result in more spotting and breakthrough bleeding than pills containing 30-35 micrograms of estrogen, which is why most women who’ve tried them end up opting for the low dose pills instead.

If you’re interested in trying an ultra-low oral contraceptive, two of the most popular ones are Alesse and Mircette, with the prior being a favorite of three figure competitors I’d interviewed.

One other factor that’s interesting when it comes to all oral contraceptives (even low dose ones) is that they’ve been shown to decrease total and free testosterone by almost half, while increasing total cortisol levels. This, of course, is quite a negative effect for all of us trying to build muscle – it’s just bad news from the anabolic perspective.

Tired of taking pills? Read on!

Pill Alternatives

Now if none of the aforementioned sides scare you, and the only thing you dislike about the oral contraceptives is the oral part, there are a couple of alternatives that work in ways very similar to that of the low dose pills, without having to take the actual pill!

These are the NuvaRing and the Patch. Both work by supplying the same amount of hormones as low dose pills, so side effects along with benefits are very similar. Ladies who dislike taking pills may find it easier to go with either of these two, though each of the two has its own inconveniences.

NuvaRing is a small, flexible ring inserted into the vagina once monthly. It’s left in place for three weeks, and then taken out for a week. Once that week’s passed, a new ring is inserted for the following three-week period.

A few of the fitness ladies I spoke with find the NuvaRing to be very practical. One of them mentioned that it’s helped her get rid of the terrible migraine headaches she used to get with the low dose pill while also helping her lose some water weight she’d been carrying.

The Patch operates by delivering the hormones directly into the bloodstream through the skin via a thin patch. It must be replaced once weekly for three weeks straight, taking a break on the fourth week. The Patch may be applied just about anywhere on the body, and needs to stay in place at all times – regardless of the activity (yes, even training, cardio, or bathing).

As you’d suspect, this wasn’t a favorite of any of the girls’ I’d spoken with. Two of them had experimented with it as it seemed like a convenient, easy birth control method; both were quickly disappointed as the Patch began irritating their skin after just a couple of cardio sessions. My guess is it just wasn’t created with fitness-oriented ladies in mind.

The Patch

There’s just one other thing I’d like to mention about the NuvaRing and the Patch. Both have caused quite a bit of controversy since their FDA approval. Over the past several months, there’ve been a number of lawsuits filed against both companies, claiming that the birth control devices are responsible for blood clots, resulting in stroke, heart attacks, and even death.

Neither of the devices has been taken off the market, and both companies are maintaining innocence, stating that their products have proven to be safe in most cases.

My personal advice? Do your own research and be sure that your decision is an informed one.

Non-Hormonal Alternatives

For those of you hoping to stay away from anything that will alter your natural hormone levels, there are alternatives. The majority of fitness and figure girls I’ve spoken with, have opted for hormone-free birth control methods – everything ranging from male and female condoms, diaphragms, cervical caps, and lea’s shields (all of which work by creating a physical block), to longer lasting methods, such as the IUD… to permanent ones, like tubal ligation.

Since the IUD seemed to be the most obvious choice for most of the competing ladies, I’d like to discuss that in depth. An IUD is a tiny, T-shaped device that gets inserted directly into the uterus by your OB/GYN. It’s made of soft plastic and contains either copper or hormones.

The non-hormonal ones are the ones I’d like to focus on, as these are the ones most popular in the fitness world. These are known as the ParaGard Copper T 380A IUD, contain copper, and can be worn for up to 12 years. They are effective as soon as they’re inserted and can be removed at any time.

Mirena IUD

Keep in mind that ovulation still occurs when you use an IUD, so you’ll still have your period. Many women complain of more intense cramps and heavier or irregular periods, but most of the fitness-oriented girls find these sides to be a small price to pay for stable hormone levels and the ability to maintain a higher level of testosterone.

Another detail to keep in mind is the IUD installation process itself. It isn’t a pleasant experience by any means – many of the ladies I spoke with said it was one of the most painful experiences they’d endured. But really, just put things into perspective for a second: the insertion lasts for about five minutes, and you’ll most likely be worry-free for a period of over 10 years!

If you don’t already have kids, the IUD may not be suitable for you. The company states that women who have never been pregnant before have an increased risk of expulsion (expelled by the body, usually within the first year) due to a smaller uterus and difficulty with insertion. Check with your doc and follow his or her recommendations when it comes to your particular case.

I’d also like to note that many women are concerned about the safety of copper IUD’s. This concern is mostly grounded in a few events that took place in the 70’s when the very first IUD to hit the market (known as the Dalkon Shield) had to be recalled after 12 of its 2.8 million users died.

The Dalkon Shield was pulled out of doctor’s offices immediately, and although no other IUD since that period has ever been found unsafe, their reputation remains somewhat tarnished. If you begin to seriously consider this device, be sure to do your research just as you would with anything else – plenty of information is available upon an Internet search. Summary

And that, ladies, pretty much sums up your birth control options. My only hope is that this article gave you a starting point for your own research and made you a more informed patient, one who’ll enter the OB/GYN’s office armed with knowledge.

Keep in mind that the effects any birth control pill will have on anyone will depend on not only the combination and the dose you’re taking, but also on your individual hormonal makeup and response. Because of this, the final decision is best left to you and a doc you trust.

Source by Olesya Novik

#Design

0 notes

runkellyrun-blog · 12 years

Text

Has anyone taken Nordette as a birth control?

I'm switching from Cryselle & I was wondering about side effects.

Mainly concerned about depression and/or weight gain ?

#birth control #help #nordette #side effects #please help me #nervous

0 notes

5millionfriends · 7 years

Text

The Fit Girl's Guide to Birth Control

Women are such amazing creatures that it's downright mind boggling at times. I know what you're thinking – you and I are both women, so such self-praise sounds a bit excessive.

But really, think about it for a minute. Our physical makeup is dramatically different from that of our male counterparts. We have to train nearly twice as hard to make any substantial gains in the gym, and we're genetically preprogrammed to store more fat than men, all because of the differences in our hormonal makeup.

Let's face it, ladies, our bodies are built for child rearing, not heavy lifting or figure competitions. Regardless of whether those babies are a goal of yours or not, your system will always do its best to ensure a soft & comfortable atmosphere for that baby's development during the first nine months of its existence.

Nature's plan.

What's even more interesting is the fact that if you're actively working on preventing pregnancy, you'll likely have an increased hormonal imbalance and even more pronounced effects of the estrogen hormone doing its job.

Not sure what I'm talking about? There is a phrase that will conjure up memories of bloat, fat gain, nausea, spotting or breakthrough bleeding, mood swings, and even severe headaches. It's a short phrase with a lot of power. Ready?

"The Pill."

Most of those who've tried birth control pills are well aware of their possible side effects. These are to be expected; anytime hormone levels are changed in any way, the body is bound to let you know of the changes.

It's testosterone that helps us gain lean mass, reduce fat storage, increase sexual desire, ward off that "I'm PMS'ing-leave-me-alone" mood, keep our skin healthy, and our minds sharp. Excessive levels of its opposing hormone, estrogen, produce the exact opposite effect on our bodies.

After all, what else is there?

That's the question we'll answer in this article. I've done some extensive research on the topic, including interviewing numerous fitness and figure competitors regarding their personal experiences with birth control pills. Each of these girls has discovered what works for her; whether it's a lower dose estrogen pill or a viable alternative that does the job while keeping those hormone levels at least somewhat conducive to her hardcore fitness lifestyle and ultra-lean body goals.

The Pill Types of Birth Control Pills

There are two basic categories: those containing progestin only, and combination pills containing both progestin and estrogen.

Progestin-only pills contain no estrogen. These are sometimes referred to as the "mini-pill," and are considered ideal for breastfeeding women since the presence of estrogen reduces milk production.

The mini-pill works by thickening the cervical mucus, thereby preventing sperm from entering the uterus. They must be taken at the same time every day.

While these pills do not contain any estrogen, they're not considered figure-friendly by any means. You see, the pill's progesterone component has been shown to increase appetite – which of course makes it very difficult to diet, resulting in weight gain.

Combination pills are ones containing both estrogen and progestin. This category can be broken down into three different types, which are as follows:

The last type of the combination pill is the continuous use pill. This is the brand new one of the bunch, being approved in the spring of '07. The best known brand of the continuous use pill is Lybrel, which also happens to be a multiphasic pill. It comes in a 28-day pack and is meant to be taken without any breaks in between pill packets, which basically means not having a period at all.

Some of the side effects associated with all combination oral contraceptives include most of the ones you'd normally hear about, including nausea, severe headaches, possible vomiting, irregular bleeding, and weight gain resulting from the changes in the body's hormonal makeup.

Birthcontrol

Birth Control Options for Fit Girls

Now that we've gone over the basic differences among the pills, let's take some time discussing ones that seem to be popular with women who are in the fitness industry.

There are also two newer formulas of low dose pills on the market, both of which have become a quick favorite among many figure competitors. Cyclessa is a brand new low dose oral contraceptive that's also multiphasic. The low estrogen in its varying-hormone package has actually been shown to result in weight loss for many women who begin taking it … and those who did not lose any noticeable weight, did not gain any fat, according to the studies .

Yasmin is another newer low dose pill with many fit ladies in its fan club. Because of a more natural progestin in its formula, it's been associated with improved skin texture for those who are naturally oily or acne-prone, an improved sense of well-being, and even weight control help due to reduced water retention.

Ultra low dose pills exist as well, and these are ones that have the lowest amount of estrogen in a birth control pill, which is 20 micrograms. This dose of estrogen is sufficient for contraception, however these pills oftentimes result in more spotting and breakthrough bleeding than pills containing 30-35 micrograms of estrogen, which is why most women who've tried them end up opting for the low dose pills instead.

If you're interested in trying an ultra-low oral contraceptive, two of the most popular ones are Alesse and Mircette, with the prior being a favorite of three figure competitors I'd interviewed.

One other factor that's interesting when it comes to all oral contraceptives (even low dose ones) is that they've been shown to decrease total and free testosterone by almost half, while increasing total cortisol levels. This, of course, is quite a negative effect for all of us trying to build muscle – it's just bad news from the anabolic perspective.

Tired of taking pills? Read on!

Pill Alternatives

NuvaRing is a small, flexible ring inserted into the vagina once monthly. It's left in place for three weeks, and then taken out for a week. Once that week's passed, a new ring is inserted for the following three-week period.

A few of the fitness ladies I spoke with find the NuvaRing to be very practical. One of them mentioned that it's helped her get rid of the terrible migraine headaches she used to get with the low dose pill while also helping her lose some water weight she'd been carrying.

As you'd suspect, this was not a favorite of any of the girls' I'd spoken with. Two of them had experimented with it as it seemed like a convenient, easy birth control method; both were quickly disappointed as the Patch began irritating their skin after just a couple of cardio sessions. My guess is it just was not created with fitness-oriented ladies in mind.

The Patch

There's just one other thing I'd like to mention about the NuvaRing and the Patch. Both have caused quite a bit of controversy since their FDA approval. Over the past several months, there've been a number of lawsuits filed against both companies, claiming that the birth control devices are responsible for blood clots, resulting in stroke, heart attacks, and even death.

Neither of the devices has been taken off the market, and both companies are maintaining innocence, stating that their products have proven to be safe in most cases.

My personal advice? Do your own research and be sure that your decision is an informed one.

Non-Hormonal Alternatives

For those of you hoping to stay away from anything that will alter your natural hormone levels, there are alternatives. The majority of fitness and figure girls I've spoken with, have opted for hormone-free birth control methods – everything ranging from male and female condoms, diaphragms, cervical caps, and lea's shields (all of which work by creating a physical block) , to longer lasting methods, such as the IUD … to permanent ones, like tubal ligation.

Since the IUD seemed to be the most obvious choice for most of the competing ladies, I'd like to discuss that in depth. An IUD is a tiny, T-shaped device that gets inserted directly into the uterus by your OB / GYN. It's made of soft plastic and contains either copper or hormones.

The non-hormonal ones are the ones I'd like to focus on, as these are the ones most popular in the fitness world. These are known as the ParaGard Copper T 380A IUD, contain copper, and can be worn for up to 12 years. They are effective as soon as they're inserted and can be removed at any time.

Mirena IUD

Keep in mind that ovulation still occurs when you use an IUD, so you'll still have your period. Many women complain of more intense cramps and heavier or irregular periods, but most of the fitness-oriented girls find these sides to be a small price to pay for stable hormone levels and the ability to maintain a higher level of testosterone.

Another detail to keep in mind is the IUD installation process itself. It is not a pleasant experience by any means – many of the ladies I spoke with said it was one of the most painful experiences they'd endured. But really, just put things into perspective for a second: the insertion lasts for about five minutes, and you'll most likely be worry-free for a period of over 10 years!

If you do not already have kids, the IUD may not be suitable for you. The company states that women who have never been pregnant before have an increased risk of expulsion (expelled by the body, usually within the first year) due to a smaller uterus and difficulty with insertion. Check with your doc and follow his or her recommendations when it comes to your particular case.

I'd also like to note that many women are concerned about the safety of copper IUD's. This concern is mostly grounded in a few events that took place in the 70's when the very first IUD to hit the market (known as the Dalkon Shield) had to be recalled after 12 of its 2.8 million users died.

The Dalkon Shield was pulled out of doctor's offices immediately, and although no other IUD since that period has ever been found unsafe, their reputation remains somewhat tarnished. If you begin to seriously consider this device, be sure to do your research just as you would with anything else – plenty of information is available upon an Internet search. Summary

And that, ladies, pretty much sums up your birth control options. My only hope is that this article gave you a starting point for your own research and made you a more informed patient, one who'll enter the OB / GYN's office armed with knowledge.

Keep in mind that the effects any birth control pill will have on anyone will depend on not only the combination and the dose you're taking, but also on your individual hormonal makeup and response. Because of this, the final decision is best left to you and a doc you trust.

Source by Olesya Novik

#Design

0 notes