Femoston is a drug that contains synthetic analogues of female hormones - estrogen and progesterone. The drug is prescribed to normalize hormonal levels during menopause. However, recently, doctors have begun to prescribe Femoston when planning a pregnancy, despite the fact that pregnancy, in accordance with the instructions, is a contraindication to treatment with the drug. Why gynecologists prescribe medicine when planning conception and how justified its use is, we will consider further.
Femoston is prescribed during premenopause as HRT (hormone replacement therapy) and is aimed at eliminating the symptoms of menopause. Estradiol replenishes estrogen, dydrogesterone (an analogue of progesterone) promotes endometrial secretion.
But some manifestations (androgen deficiency and thin endometrium) also occur during reproductive age. It helps thicken the mucous membranes of the uterus, restore ovulation, which helps the fertilized egg attach to the uterine wall.
The drug is available in the following dosages: 1/5, 2/10, 1/10 (the number before the fraction indicates the amount of estradiol, after - dydrogesterone).
Femoston is prescribed according to an individual regimen and taken on the days of the cycle indicated by the attending physician.
There is no consensus among gynecologists regarding the validity of prescribing Femoston when planning pregnancy. You definitely should not take the medicine without a doctor's prescription.
Description of the drug
Medicine has long stepped forward. If earlier even menstrual irregularities could not be treated, now more serious things can be corrected with the help of certain medications. Femoston refers to hormone replacement therapy. HRT itself causes stress to the female body, but sometimes there are cases when it cannot be abandoned.
Femoston is often prescribed for menopause. The medicine consists of estradiol and a natural progesterone substitute, dydrogesterone. The first substance is responsible for compensating estrogen, and the second is responsible for replenishing progesterone.
There are three types of Femoston available in pharmacies:
- 1/5,
- 1/10,
- 2/10.
The tablets also contain excipients. So, they contain:
- silica,
- magnesium stearate,
- lactose monohydrate,
- starch,
- hypromellose.
If we talk about the use of the drug at the stage of pregnancy planning, then the opinions of doctors differ radically. Some are convinced that taking it stimulates the conception of a baby, while others believe that the release of an egg and fertilization is possible only after stopping the pills.
How to take pills to get pregnant
The medicine is taken 1 tablet daily for 28 days, after which they begin to drink the second package. When treating absence of menstruation, menstruation begins at the beginning of the second package.
When prescribing Femoston 2/10, during the first 2 weeks of the cycle, drink 1 pink tablet, and for the next 2 weeks, drink yellow tablets. There should be no breaks in treatment; you need to take pills daily.
Taking the drug should not be interrupted due to the risk of hormonal imbalance, bleeding, and a decrease in the likelihood of pregnancy. If pregnancy occurs while taking Femoston, stop taking the medication.
There were no complications associated with pregnancy during treatment with this drug, and the drug does not affect the fetus. In order not to worry about pregnancy while taking Femoston, it is recommended to use non-hormonal contraception.
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Dosages and rules of use
Femoston 1/5 is also known to pharmacists as “Femoston conti”. It contains the smallest amount of estradiol (1 tablet – 1 mg). Dydrogesterone here does not exceed 5 mg.
The instructions for use say that the medicine is used continuously, that is, it is necessary to drink a full course. Only one capsule is usually prescribed per day. It must be taken at the same time. As for the attachment to food, it is absent.
If the patient for some reason misses taking the drug, he has no more than 12 hours to correct the situation. Otherwise, it is better to skip a day. For menopause, Femoston is prescribed one year after the last menstruation.
Femoston 1/10 – this contains exactly 10 mg of estradiol and dydrogesterone. One package is valid for 28 days. It contains two types of capsules: white ones contain estradiol, and gray ones contain estradiol and dydrogesterone. The drug is prescribed from the 15th day of the cycle. You need to take the medicine for 2 weeks (type 1), and the next two weeks (type 2).
The box of Femoston 2/10 contains orange and yellow tablets. The first contains 2 mg of estradiol, the second also contains 10 mg of dydrogesterone. The medicine must be taken continuously. The regimen is similar to the previous subtype.
Usually doctors initially prescribe 1/10. it does not give a result, then 2/10 is entered. Both types can be used six months after the end of the last menstruation.
Operating principle
The drug Femoston is a pill containing 2 mg of estradiol and 10 mg of dydrogesterone. Hence the clarification in the name “2/10”. You can also find other dosages in pharmacies: Femoston 1 (1/10), (1/5). The purpose of using the drug is hormonal therapy for patients experiencing estrogen deficiency. You can take Femoston 2/10 only on the recommendation of a doctor. An individual amount of hormones is selected for each patient.
The effect of the drug is due to its components. Both active ingredients are identical to female sex hormones produced during the menstrual cycle.
Estradiol reduces the manifestations of vegetative symptoms that develop with a lack of estrogen: insomnia, deterioration of the skin, increased sweating, decreased libido, vaginal dryness and others. At the same time, it affects the lipid profile, which is accompanied by a decrease in cholesterol and low-density lipoprotein levels, as well as an increase in high-density lipoproteins.
The second component, dydrogesterone, controls the condition of the endometrium, transferring it to the secretory phase. As a result of the use of the medication, the likelihood of hyperplasia and other pathological changes in the functional layer of the uterus is reduced.
There are no indications for using Femoston during pregnancy in the instructions. However, the drug is prescribed to patients suffering from hormone imbalance. At this moment, many of them have doubts about whether Femoston will interfere with pregnancy planning. Gynecologists claim that the medication cannot reduce the likelihood of conception.
Read a detailed article about planning pregnancy.
Positive Impact
As we have already found out, Femoston contains a whole complex of female sex hormones. Dosages correspond to those in which they are produced naturally in the ovaries. However, what about those who do not produce these substances independently? Then a full course of treatment is prescribed.
During menopause, the functions of the ovaries practically cease to be performed. There are cases when these organs are removed according to doctor's indications. Femoston helps prevent various negative changes in the body that can occur due to the lack of sex hormones. If they do occur, the degree will be less pronounced.
The drug helps prevent physical, autonomic and psycho-emotional changes:
- tides,
- heat,
- problems in the functioning of the cardiovascular system,
- decreased uterine tone.
Who is prohibited from taking the drug?
Femoston when planning pregnancy, as well as to eliminate signs caused by estrogen deficiency, is not prescribed for the following conditions:
- pregnancy and breastfeeding;
- breast cancer;
- hormone-dependent oncological diseases;
- bleeding from the genital tract of unknown origin;
- thrombosis and thromboembolism;
- acute liver disease;
- endometrial hyperplasia;
- porphyria;
- intolerance to the constituent components.
The medication is prescribed with caution for: estrogen-dependent benign tumors, hypertension, liver tumors, epilepsy, diabetes, a tendency to migraines, bronchial asthma, and other autoimmune diseases.
Side effects of the drug are observed in some patients:
- engorgement of the mammary glands;
- bleeding from the genital tract;
- dyspeptic disorders;
- headache, dizziness;
- depression;
- changes in the functioning of the cardiovascular system;
- allergic reactions;
- swelling;
- changes in vision functions;
- weight gain.
It is possible, and sometimes even necessary, to take Femoston when planning a pregnancy. In certain conditions, the medication helps to get pregnant, but if infertility is caused by other reasons, then even long-term use of Femoston will not help conception.
Effect on egg release
How are Femoston and ovulation related? Can this remedy be used when an egg is released? From a theoretical point of view, it contains estrogen and progesterone, so endometrial growth resumes. For this reason, tablets are often prescribed for the treatment of infertility, when insufficient thickness of the mucous membrane or hormonal imbalance is detected.
Appropriate therapy is not always effective and is not widely used. Duphaston is usually prescribed because it is better tolerated by the female body.
Statistics say that 50% of patients experience a long-awaited pregnancy after a course of treatment. Their own ovulation was restored after Femoston.
Can it be used?
Is it possible to use this remedy during ovulation and why do it? Theoretically, since this remedy contains progesterone and estrogen, it is able to restore the growth of the endometrium, activating it, and replenish the lack of estrogen in the body. For this reason, some doctors even prescribe this drug in the treatment of infertility caused by a thin endometrium with poor blood supply, or hormonal imbalance.
But such therapy is not very popular and effective. For such treatment, it is often recommended to take Duphaston, due to the fact that Femoston is poorly tolerated and causes many side effects, and in addition, is not effective enough. Only half of the patients become pregnant after completing the course of treatment.
Contraindications
There are cases when tablets cannot be taken, since there are many contraindications:
- porphyria,
- thromboembolism,
- disruption of normal blood circulation in the brain,
- endometrial hyperplasia,
- lactation and pregnancy,
- breast cancer,
- bleeding from the uterus of unknown origin,
- high degree of sensitivity to the active substance.
In general, it is not recommended to take the drug for patients under 18 years of age.
Side effects of Femoston 2/10
Uncontrolled use of Femoston 2/10 may cause side effects. You should immediately seek advice from your doctor if you experience:
- uterine bleeding;
- aching or cutting pain in the lower abdomen;
- swelling and pain in the mammary glands, increased sensitivity;
- nausea and vomiting;
- diarrhea;
- liver dysfunction;
- headache or migraine;
- depression;
- nervousness;
- allergic reaction;
- vaginal discharge;
- neoplasms in the mammary glands;
- an increase in the size of uterine fibroids.
Many patients taking the drug complain of weight fluctuations. Side effects such as peripheral edema, urticaria, dysmenorrhea, skin rashes and redness have also been recorded.
Rarely, PMS (premenstrual syndrome), deviations in corneal curvature, non-acceptance of contact lenses or complete rejection of contact lenses occur. There is also a risk of stroke, heart attack, anemia, dyspepsia, pancreatitis, and a sharp increase in blood pressure.
Conclusion
Thus, Femoston is a drug that compensates a woman for progesterone and estradiol if the ovaries cannot produce these hormones on their own. The effect of Femoston on the body is very great, just look at its side effects, ovulation is also affected. It must be used continuously and only with the permission of a doctor. As for the effect of Femoston on ovulation, it is present, so it is better to choose another drug for the treatment of infertility.
Reviews of “Femoston “2/10”
You can find both positive and negative reviews about the drug "Flemoston". In negative comments, patients complain about side effects from taking the drug. However, most reviews about the medicine are positive. Many gynecologists prescribe Flamston as part of complex therapy for infertility and menopause symptoms.
Read
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