The contraceptive drug "Jess Plus" contains active and auxiliary tablets, the active components of which contribute not only to effective contraception, but also to the correction of certain disorders. If it is necessary to completely discontinue the medication or switch to another means of protection against unwanted pregnancy, you must strictly follow the instructions and recommendations of the supervising doctor. Abrupt or illiterate termination of drug use leads to the development of undesirable consequences and serious complications.
How to stop drinking Jess Plus
The use of hormonal contraceptive pills is currently the most popular and reliable method of contraception. Many women are prescribed the latest generation combination drug “Jess Plus”, which is well tolerated and allows not only to prevent unwanted pregnancy, but also to get rid of some endocrine system disorders.
Taking a contraceptive in accordance with the instructions usually does not raise any questions, but if it is necessary to cancel it, most patients experience difficulties and fear. Let's look at how to stop drinking Jess Plus without harm to your health, as well as the distinctive features, composition and methods of using the drug.
Menstruation after stopping Jess
As a rule, stopping the use of Jess should be accompanied by a visit to the gynecologist. You should not stop taking the pills in the middle of the cycle, when the entire blister is not used. The peculiarity of the intake includes taking capsules for 28 days and you should stop taking the product after taking all the capsules and this is not discussed.
When a situation arises that requires urgent withdrawal of the drug, do not be afraid. Nothing bad will happen, you just need to understand that each body can react differently to the withdrawal of Jess and menstruation may be scanty.
Important: after stopping Jess, menstrual flow is often brown and very scanty. In rare cases, periods are heavy or they simply do not exist, and a long delay occurs. This is the body’s reaction to a sharp decrease in the level of sex hormones.
Spotting instead of normal periods can last up to 10–14 days. Situations where the discharge is too heavy and lasts longer than normal periods require consultation with a specialist.
Birth control pills provide all the hormones to the body and it has “forgot how” to produce them on its own. especially if taking OK was long-term. But within 2-3 cycles, menstruation should recover completely.
Menstruation after discontinuation of Jess is affected by:
- Woman's age . After 35 years, the body’s own reserves are depleted, so full restoration of menstruation can take up to 6 months.
- Duration of reception . If a woman takes Jess for many years, normalization of hormonal levels can last up to one year. Experts recommend taking a break of 3 months after one year of taking hormonal hormones.
Interesting: if a girl takes Jess for 1-2 months, after stopping it, two eggs can mature in the ovary at once. The body seems to stimulate its own ovulation, after which the chances of getting pregnant increase sharply.
The method of taking hormonal contraceptive pills is often used by doctors for infertility of unknown origin.
Description and composition
The package contains a blister with 28 tablets coated with a varnish film of different colors, a cardboard insert and stickers for keeping an appointment calendar.
The type and appearance of the components of the drug, as well as the active ingredients are shown in the table:
The active components of the contraceptive in combination act in two directions:
- Suppress the transition of the menstrual cycle to the ovulatory phase, preventing the maturation of the egg.
- They increase the viscosity of the cervical secretion, making it practically impenetrable to sperm and infection.
After administration, the active ingredients of the tablets are quickly absorbed. The maximum concentration of hormonal components in the blood is achieved after 1.5-2.0 hours. Metabolites of the main and auxiliary components are excreted through the kidneys and gastrointestinal tract within several days, the half-life is about 40 hours.
There are no periods when taking Jess
Starting to take “Jess” assumes the absence of menstruation, this is considered normal. However, with any delay in menstruation, girls tend to panic. The first thing to do if there is a delay is to check for pregnancy using a test. If it is negative, you are healthy, but there are no periods, then most likely it is because you drink “Jess”.
The first month of taking the pills rebuilds the established functioning of the hormonal system. Whatever the length of your normal cycle, under the influence of “Jess” it will be adjusted to 28 days. A delay in menstruation longer than this time should be a reason for a visit to the gynecologist.
The action of "Jess" is to suppress the reproductive cycle of a woman.
This means that the drug:
- inhibits the functioning of the ovaries, preventing the maturation of the egg;
- prevents the formation of the endometrium (inner epithelium of the uterus);
- changes the composition of cervical fluid;
- changes general hormonal levels.
Suppression of ovulation by hormones means that the egg does not mature. The body, accordingly, does not receive the command to prepare a place for it in the uterus. The epithelium does not change, whereas, in preparation for fertilization, the inner layer in the uterus increases up to 10 times. When the process is suppressed, the endometrium is present, but in much smaller quantities. There is nothing to reject - periods do not begin, or they are scanty.
The stress of taking the drug serves as an excuse for missing periods only after the first month of taking it. Subsequently, the cycle becomes stable, although there is much less discharge than before the start of contraception.
Violation of the dosage regimen
You must take birth control pills strictly according to the schedule, every day, preferably at the same time.
Menstruation may stop while taking Jess due to irregular taking of pills or skipping them.
Interruptions in the supply of contraceptives reduce the effectiveness of protection. In this case, pregnancy may occur.
Disorders in the digestive system, such as vomiting and diarrhea, are considered a pass. If one of these troubles happened less than 4 hours after taking the pill, then this should be considered a miss, since the main part of the drug is excreted from the body. When you don't have your period while systematically taking Jess, you may have forgotten about the party.
Alcohol
Alcohol in large quantities reduces the contraceptive effect of contraceptives. The maximum safe dose of strong drinks when taking “Jess” is 50 ml, wine, champagne 200 ml, beer 400 ml.
If you had to drink more than the permitted amount, then you should use mechanical methods of contraception for a week (while taking Jess).
Benefits and indications
Drospirenone, which is part of the drug, prevents the formation of edema, and also has a pronounced antiandrogenic effect, that is, it inhibits many unpleasant symptoms associated with the increased production of male sex hormones.
The main component of additional tablets is calcium levomefolate, which is a more active and easily digestible analogue of folic acid. Taking it allows you to fully satisfy the female body's need for folate and significantly reduce the risk of complications during subsequent pregnancy.
Taking into account the listed advantages, the drug "Jess Plus" is recommended as a means of contraception for groups of patients with the following disorders:
- fluid retention in the body when using hormonal drugs;
- moderate acne and seborrhea;
- lack of folate;
- severe premenstrual syndrome.
Why are periods delayed when using Jess?
There may be delays when taking Jess. This is usually due to the onset of menstruation. It is worth noting that the effectiveness of the medication can be reduced by:
- different times of taking the medicine;
- presence of problems with the digestive system;
- other medications taken.
This video talks about the features of restoring the cycle after taking OK:
If there is a delay while taking a contraceptive, the first thing to do is take a pregnancy test.
Contraindications
The Jess Plus contraceptive is strictly contraindicated in the following cases:
- hypersensitivity to the components of the hormonal drug;
- thromboembolism and thrombosis, as well as any previous conditions and predisposition;
- diabetes mellitus complicated by vascular disorders;
- any neoplasms, especially those localized in the pelvic area and mammary glands;
- kidney pathologies, including renal failure;
- dysfunction of the liver, gall bladder in severe acute or chronic form;
- migraine accompanied by neurological disorders;
- bleeding from the genital tract of unknown etiology;
- hereditary lactose intolerance.
In addition, the drug should not be used during pregnancy and breastfeeding. If a possible pregnancy is suspected, the prescribed COC should be discontinued immediately.
The components of the tablets significantly impair the taste and nutritional characteristics of breast milk and reduce its production. A small amount of active substances can penetrate into the mammary glands, but at the moment there is no reliable evidence of their harm to the child’s health.
The drug "Jess Plus" should be used with caution in case of high body mass index, high blood pressure, systemic lupus erythematosus, ulcerative colitis and some other diseases that are not absolute contraindications.
Alcohol and some medications, including most antibiotics, significantly reduce the activity of the active ingredients of the drug, so during the treatment process you should take care of additional barrier contraception.
Due to the wide list of contraindications, before starting to take a hormonal drug, each patient must undergo an examination to collect a family and hereditary history, including a biochemical blood test, coagulogram or hemostasiogram, cytological examination of the cervix, blood pressure measurement and other examinations as prescribed by the doctor.
During the entire period of use of contraceptives, regular medical examinations should be carried out at least once every 6 months.
Side effects
The most common side effects that occur while taking a contraceptive include:
- mood swings, depression;
- sleep disorders;
- headache and dizziness;
- increased blood pressure;
- nausea, lack of appetite;
- sensitivity of the mammary glands;
- absence or excessive intensity of menstrual bleeding;
- relapses of chronic inflammatory diseases of the female genital area.
The most serious side effect requiring immediate attention is thromboembolism and similar conditions.
Delayed menstruation not related to “Jess”
There are situations when a girl drinks Jess for more than one month, having a regular cycle. And suddenly my period doesn’t come. The first step, as always when there is a delay, is to take a pregnancy test. If your test shows a negative result, then this is the most unpleasant thing that can happen to a woman of reproductive age - the absence of menstruation for no apparent reason.
The options are as follows:
- Physical overload of the body;
- Nervous exhaustion;
- Diseases of the female genital area;
- Common colds or infectious diseases;
- Taking certain medications;
- Moving with a change of time zone;
- Weight changes;
- Climax.
Any of the listed reasons can serve as a trigger for a malfunction of the reproductive organs.
Physical and nervous exhaustion
When a girl is young, full of strength and desires, it is easy to cross the boundaries of the body’s self-healing. Working hard, chronic lack of sleep, intense sports or excessive entertainment lead to physical exhaustion. The body can compensate for the lack of rest by “winding down” some non-vital “programs”. For example, childbirth programs.
Nervous exhaustion is also perceived as a threat to life and health. Wise nature prevents the emergence of life in a “sick” body by delaying or stopping menstruation. Stress and professional burnout can cause infertility even with a regular cycle.
Diseases
Delayed menstruation due to illness is the most common cycle disorder. In case of a general illness, drink “Jess” according to the scheme, without interruption, in parallel with the prescribed therapy. Menstruation returns on its own as soon as the girl recovers.
Painful symptoms in the lower abdomen against the background of “missing” periods are a signal for an urgent visit to the gynecological clinic. It might start like this:
- polycystic disease;
- inflammation of the appendages or ovaries;
- myoma;
- oncological formations;
- pathological proliferation of the epithelium.
If these diseases are not treated in time, then everything can end in irreversible infertility.
Long, heavy menstruation brings no less problems to women. The monthly blood loss can become so significant that it causes anemia. If you have any problems (or suspected problems) in the female genital area, you should immediately contact a gynecologist.
Medicines
If your period does not start on time, the medications you are taking may be to blame. For example, for girls who go to the gym and take anabolic steroids, the absence of menstruation or an extremely irregular cycle is a common problem.
The same thing happens with taking antidepressants against the background of chronic fatigue and nervous overload.
Some antibiotics prescribed for infectious diseases can hypothetically cause the effect of disrupting the monthly cycle. However, it is impossible to say for sure what exactly was the cause - the prescribed treatment or the disease itself.
Weight fluctuations
The normal functioning of the reproductive system directly depends on the state of adipose tissue in a woman’s body. For example, underweight girls are delayed in sexual and physical development. Their menstruation begins late, is scanty, and is extremely irregular.
A similar effect is observed with sudden weight loss even in adult women. In this case, the absence of menstruation is the body’s protective reaction to lack of nutrition.
A significant supply of fat does not add health to a woman either. Obesity leads to an excess of estrogen. This condition is fraught with the onset of heavy bleeding outside the monthly cycle.
Moving
Simply moving, for example on vacation, to a distance with a change in time zones, leads to a disruption in the monthly cycle. Menstruation may be delayed by two weeks.
Mode of application
According to the annotation, Jess Plus contraceptive pills are taken orally daily, maintaining the same time intervals. Simultaneous food intake does not affect the absorption of active substances. The product is swallowed without chewing or crushing, and washed down with several sips of clean water.
One package should be used twenty-eight days in advance (one tablet per day) in strict accordance with the labeling, starting with the first tablet containing hormonal components.
Despite the fact that all active ingredients contain identical concentrations of active substances, they should be drunk strictly in order. This will help avoid possible confusion and omissions. A new package begins the next day after the previous one is completed; breaks are not allowed.
You need to take COCs from the first day of your cycle. If the patient started using Jess Plus for the first time, without previously taking other hormonal contraceptives, the active components of the drug begin to act immediately, and additional protection is not required. It is allowed to delay the start of contraception until the fifth day of the cycle inclusive, but in the first week of taking the pills, a condom should be used during sexual intercourse.
Use after childbirth and abortion
If a pregnancy is terminated (spontaneous or surgical) in the first trimester, COCs must be taken immediately. In this case, you do not need to use additional mechanical means of protection against unwanted conception.
After an abortion in the second trimester or the birth of a child, the drug can be used starting from 21-28 days (in the absence of breastfeeding). It is recommended to use a condom during the first week.
Changing contraceptives
Let's look at how to switch from other contraceptives to Jess Plus: instructions and basic rules:
- When switching from external contraceptives (spiral, intravaginal ring or patch), the first pink tablet should be taken on the day the previous drug is removed.
- When switching from other hormonal drugs for oral administration, Jess Plus should be taken the next day after completing the packaging of the previous protective agent. If the package of previous OCs included 21 tablets, you can start taking the new drug on the eighth day after a week-long break.
You can switch to “Jess Plus” from its analogues (“Jess”, “Dimia”) at any time, since the composition and concentration of the active ingredients are completely identical. Regardless of the previous contraceptive, gynecologists recommend using additional mechanical means of protection in the first 7 days after the transition.
Skipping a drug
If a woman does not take the pale orange (inactive) pills within the allotted time, this will not affect the contraceptive effect of the drug, since the placebo does not contain hormones. Missed doses can be ignored. It is recommended to get rid of untaken tablets so as not to confuse them with active ones in the future.
Actions to take when missing hormonal (active) components of the drug depend on the day of administration and the time of delay:
In case of vomiting or intestinal upset within three to four hours after using a COC, you must follow the same rules as when skipping the drug. If your health does not improve over a long period of time, you should take care of additional barrier protection during sexual intercourse.
You should not voluntarily change the recommended scheme for using Jess Plus in case of delay or omission. If you try to make up for the resulting hormone deficiency by simultaneous use of three or more tablets, symptoms of overdose may occur (feeling worse, nausea, spotting). The drug should be taken under the constant supervision of a doctor.
Discharge when taking Jess Plus
Most patients report irregular periods while taking Jess Plus. As a rule, breakthrough bleeding or slight spotting brownish discharge occurs in the first 2-4 months after starting to use birth control pills. The presence of menstrual-like symptoms during this period is the norm and occurs as a result of hormonal changes in the body.
Withdrawal bleeding usually begins on the second or third day after starting the pale orange (inactive) tablets and lasts for several days. During the use of placebo, the function of the reproductive system is partially restored, resulting in symptoms of hormonal adaptation that are mistaken for menstruation.
If bleeding while taking Jess Plus does not stop for three or more cycles or becomes excessively abundant, you should immediately consult a doctor. In this case, the drug is discontinued and a comprehensive and thorough examination is carried out to exclude pregnancy, malignant tumors or other severe pathologies.
In 10-15% of patients, withdrawal bleeding does not develop. The absence of menstruation when taking Jess Plus for one or two cycles is normal. If discharge does not begin for a long time, you should stop taking the contraceptive to exclude possible conception.
To delay the onset of bleeding, you must skip the placebo and immediately start the next pack of the drug. If the active tablets in the second pack run out, the third pack cannot be started until the 4 remaining auxiliary tablets have been consumed.
Bleeding when taking Jess in the middle of the cycle
Bleeding while taking birth control is not uncommon, Jess is no exception. Gynecologists prescribe the drug to women as contraception. It belongs to a group of hormonal oral medications that protect against unplanned pregnancy. Why does bleeding occur when taking Jess?
How can you explain the bleeding when taking Jess?
Jess contains ethinyl estradiol and drospirenone. The medicine has an antiandrogenic effect, that is, it lowers the level of male hormones and also reduces menstrual pain.
The drug is prescribed by a doctor according to a specific regimen, from which you cannot deviate. Unfortunately, Jess also has some unwanted effects.
Bloody discharge is a side effect when using this and other contraceptives. They usually have a spreading consistency and are typical in the first weeks after the start of use.
Normally, the discharge should disappear within the first three months of use; in rare cases, this period may extend to six months.
But there are patients whose bleeding does not stop even after adaptation to the medicine.
What is the reason for discharge on unusual days of the month?
The female menstrual cycle is a sequence of hormone fluctuations in the blood and female organs. In the first days of the cycle, a large amount of estrogen hormone is produced, culminating in ovulation. Then, if pregnancy does not occur, the amount of estrogen drops and the amount of progesterone increases.
Under the influence of progesterone, the endometrial layer is detached and menstruation begins. Menstrual bleeding is the secretion of the endometrial surface of the uterine layer.
The female body is designed in such a way that different hormones are produced at different stages of the cycle. And contraceptives contain very little hormones. The body does not have enough of this volume, and endometrial detachment begins before a certain period. It takes time for the female body to get used to such low levels of hormones.
Light bleeding after starting to take the contraceptive is not considered a reason to discontinue it. They usually end within some time as the body undergoes restructuring.
Possible negative effects of Jess
Addiction to synthetic hormones continues for the first three months of use. Jess suppresses the activity of the ovaries, as a result they produce less estrogen. A discharge similar to “smear” may occur. The process of addiction in rare cases lasts up to six months.
Menstruation returns to normal after 21 days of using Jess. If blood begins to be released earlier, this indicates low suppression of estrogen production in the body. In such a situation, the gynecologist prescribes a stronger medicine with an increased level of female sex hormones.
When taking Jess, menstrual dysfunction is possible, when menstruation does not appear for a long time. This means that the medicine suppresses the activity of the ovaries too much.
There are other reasons for the absence of menstruation:
- nervous tension, stress;
- Drinking alcohol reduces hormone levels.
Doctors consider the absence of menstruation during the use of Jess as a variant of the norm, especially in patients who previously had scanty menstrual flow.
Sometimes regular menstruation begins when using Jess. This phenomenon is medically called breakthrough bleeding. It happens because the level of hormones in the blood decreases, and the uterus has not had time to rebuild.
During this period, the contraceptive effect of the drug is low. If bleeding occurs at the beginning of use, there is no need to worry. It usually stops on its own. In other situations, medical consultation is necessary.
When using Jess, bleeding can be explained by the presence of female diseases: polyps, damage to the uterine pharynx. These conditions require a gynecological examination: medical examination, ultrasound examination.
If the woman does not have gynecological pathologies, the doctor adjusts the dose of the drug.
After stopping Jess, your periods may not come for several months. This situation is considered normal; the body is being rebuilt, and this can take up to six months.
It is forbidden to abruptly discontinue the drug on your own, even in case of sudden bleeding. Abrupt withdrawal may increase blood loss. You should tell your gynecologist about all disturbing symptoms, who will make the right decision on adjusting or replacing the drug.
What to do with bleeding?
If the discharge is from a spotting structure, subtle hygiene products can handle it, there is no cause for concern. The body will adapt after some time, and the bleeding will stop.
Such light discharge does not pose a health threat. Doctors usually observe the patient at the beginning of taking Jess. The discharge should gradually decrease in volume. The contraceptive effect is retained.
You need to take the pills strictly as prescribed by your gynecologist.
Sexual intercourse during bleeding.
Patients often ask doctors whether it is possible to have sexual intercourse with discharge?
Adaptive scanty bleeding does not exclude sexual intercourse. Blood can frighten a sexual partner; the woman should explain that this is a normal option.
The bleeding did not stop after the adaptation stage.
Several months passed and the bleeding still did not stop. How to be in this case?
- There is blood at the beginning and middle of the Jess pack. If the adaptation time has passed, and bleeding is still observed in the middle of the cycle, this means that the dose of estrogen is too small. It is worth consulting with a doctor who will select a drug with a higher concentration of the hormone.
- Discharge towards the end of the Jess pack indicates a small amount of the gestagen complex. The gynecologist will also select another remedy with a different gestagenic hormone.
- Heavy bleeding. Heavy bleeding is explained by rapid atrophy of the endometrial layer under the influence of progestogen substances in the drug, and there is too little estrogen to stop the bleeding. In the natural cycle, an increase in the amount of estrogen in the female body stops menstruation. When taking medications, this process does not occur as completely.
Other causes of heavy bleeding while using Jess:
- non-compliance with medical instructions when taking the drug (skipping a pill);
- vomiting, diarrhea (reduce the effect of the contraceptive);
- antibacterial drugs;
- herbal remedies, for example, St. John's wort decoction.
If bleeding increases during the period of taking Jess, accompanied by abdominal pain, you should urgently see a doctor, as there is a danger of developing anemia and other serious complications.
Source: https://BolezniKrovi.com/krovotecheniya/pri-prieme-dzhes.html
Withdrawal of the drug
The main reasons for the need to discontinue the drug can be divided into two groups:
1. Not directly related to the woman’s health status
- pregnancy planning;
- lack of sexual intercourse;
- fears of long-term use of hormonal contraceptives or other psychological factors.
2. Related to the patient’s well-being
- identification of diseases that are a contraindication to taking the drug;
- a sharp deterioration in health after starting to use COCs;
- pregnancy diagnosed while taking a hormonal remedy;
- switching to another contraceptive due to side effects.
Let's take a closer look at how to stop drinking Jess Plus tablets without harm to your health and the risk of dangerous complications.
Rules for canceling COCs
When the active components of the product stop entering the body, a significant hormonal imbalance occurs, which affects the general well-being of the woman.
In order for the cancellation of contraception to be painless, the following rules must be followed:
- First consult with a gynecologist to identify possible contraindications and draw up an optimal dosage reduction regimen, taking into account the individual characteristics of the patient. This is especially important for women who use pills not only to protect against unwanted pregnancy, but also for the therapeutic correction of endocrine disorders. If COCs are not discontinued correctly, severe side effects may occur in this case, including serious hormonal imbalance.
- Complete the started dosing cycle in accordance with your doctor’s recommendations.
Abrupt withdrawal of the drug
It is strictly not recommended to abruptly stop taking Jess Plus. In this case, serious complications may develop:
- breakthrough bleeding from the genital tract on the 2-3rd day of withdrawal;
- disruption of the menstrual cycle (amenorrhea, irregular menstrual periods, changes in the amount and nature of discharge);
- irritability, nervousness, sleep disturbances;
- pain and heaviness in the ovarian area;
- headaches, blood pressure surges;
- nausea, dyspepsia, loss of appetite, weight loss;
- decreased sex drive;
- general malaise.
However, emergency cessation of the use of birth control pills may occur in the event of the development or exacerbation of pathological conditions in which this type of contraception is unacceptable, as well as if any surgical intervention is necessary. Immediate treatment is allowed in case of a sharp deterioration in health of unknown origin before visiting a gynecologist or other specialist.
As a rule, severe side effects of COC withdrawal are observed when the patient neglects medical recommendations or voluntarily takes birth control pills without a gynecologist’s prescription.
Severe painful withdrawal symptoms are observed in women with any chronic pathologies and hormonal disorders.
The most dangerous complication of abrupt drug withdrawal is bleeding. If the discharge does not stop within 7-10 days or gets worse over time, you should immediately seek medical help.
Rehabilitation period
When the regular intake of the active components of contraceptives into the body stops, the gonadotropic function of the pituitary gland immediately resumes. This leads to a sharp increase in ovarian function, which results in some side effects. During this period, gynecologists recommend taking care of reliable contraception for those couples who are not planning to conceive.
Restoration of the reproductive system occurs in several stages:
- The secretory and ovulatory phases of the cycle are normalized.
- The uterine endometrium grows, compensating for the atrophic changes that occurred while taking the pills.
- The viscosity and chemical composition of the mucous membranes of the vagina and cervical secretion changes.
The rehabilitation period lasts from several weeks to several months. During this time, most women experience irregular menstrual cycles, including amenorrhea.
In the future, the frequency of the onset of critical days may change compared to the period before the use of COCs. Typically, if a woman has suffered from irregular discharge before, the problem may return and get worse after stopping birth control pills.
If, while taking Jess Plus, the patient followed all the rules and recommendations of the doctor, restoration of the reproductive system proceeds without complications.
Contraindications for withdrawal
There is a group of patients who are not recommended to stop taking COCs without a good reason (contraindications or planning to conceive).
This includes the following conditions and disorders:
- menopause (the risk of osteoporosis increases);
- anemia (the volume of blood lost during menstruation increases);
- chronic infectious and inflammatory pathologies of the genital organs (a decrease in the viscosity of cervical mucus facilitates the access of bacteria to the cervix);
- increased production of male sex hormones (body hair growth sharply increases, skin condition worsens).
Cancellation before planning pregnancy
The summary for Jess Plus states that the patient can cancel the drug at any time. After stopping contraception in accordance with your doctor's recommendations, pregnancy can occur at any time. Due to ovarian hyperactivity in the first few weeks after withdrawal, the likelihood of fertilization increases sharply. Some gynecologists advise those couples who have problems conceiving to take advantage of this moment.
However, most experts recommend taking a break of 3-4 months so that the female reproductive system is fully restored and begins to work as usual. If conception occurs during the period of adaptation of the body after the cessation of the supply of hormones from the outside, the risk of miscarriage and the development of pregnancy complications increases.
Switching to other contraceptives
If you plan to change a contraceptive, you must adhere to the following rules:
- other oral contraceptives begin to be taken the next day after completing the packaging of the previous ones, while 4 auxiliary tablets are allowed not to be taken;
- a patch, implants or intravaginal rings are installed the next day after completing the course of taking active Jess Plus tablets;
- the intrauterine device is inserted on the 3-4th day of withdrawal bleeding after completion of COC use.
You can start taking a similar drug (“Jess”, “Dimia”) on any day of the menstrual cycle, since the composition and concentration of the active ingredients are identical. When switching to mechanical (condoms, caps) or chemical (spermicidal gels and creams), you should finish the started pack of COCs; you may not drink inactive tablets.
Causes
Jess tablets contain drospirenone and ethinyl estradiol. The drug is able to reduce the amount of male hormones and relieve menstrual pain. Take it according to the schedule as prescribed by the doctor, because the medication has many side effects. One of them is breakthrough bleeding.
Often, while taking Jess, in the first weeks of taking it, discharge appears in the form of a spot. They disappear after 1-3 months of use, but sometimes last up to six months. In some patients, spotting continues even after the body gets used to birth control pills.
The reasons for bleeding when taking contraceptives include the following: in the first days of the menstrual cycle, a large amount of estrogen is produced, which culminates in ovulation. If the egg is not fertilized, the concentration of estrogen in the blood drops and the level of progesterone rises. Under the influence of the latter, the endometrial layer of the uterus peels off and menstrual bleeding begins.
The female body is designed in such a way that hormones are produced differently at different stages of the cycle. Contraceptives contain negligible levels of hormones. The body begins to lack this volume, and the endometrial layer peels off earlier than necessary. Light bleeding that occurs after starting to take the pills is not a reason to stop taking them. Most often, the daub disappears as soon as the body readjusts itself.
Important information: What to do if a vessel (capillary) bursts in a child’s (infant) eye and why
Beginning and middle of the cycle
If the body is accustomed to a contraceptive method, but the spotting continues, this means that the chosen method was not suitable for the woman. In this case, it is recommended to replace it with another one. In addition, if a woman starts taking the drug and bleeding occurs in the middle of the cycle, this is due to a lack of estrogen in the contraceptive. It needs to be replaced with another drug with a higher content of this hormone. Jess can be replaced by Yarina.
At the end
Sometimes bloody smear appears at the end of the cycle. In this case, the body does not have enough progestogen hormone. To solve the problem, the doctor prescribes a medication with a different gestagen.
Any time during the cycle
Often, taking pills provokes heavy bleeding, reminiscent of menstrual bleeding. It occurs at any time of the cycle. This type of discharge is called breakthrough bleeding. It appears if the endometrium in the uterus is rejected under the influence of progesterone, and the amount of estrogen in the drug and the body is not enough to stop the release of blood. The following factors provoke this condition:
- violation of the contraceptive use regimen;
- the appearance of vomiting, due to which the drug is poorly absorbed;
- use of medications that affect the functioning of the central nervous system.
It is not advisable to cancel Jess in the middle of the cycle. Due to a sudden interruption of medication, bleeding often increases and leads to the development of side effects such as general malaise and anemia.
Reviews about the drug
Svetlana: “For some time I took the drug Yarina with a higher content of similar hormones. After persistent side effects appeared, on the recommendation of a gynecologist, I switched to Jess Plus. The contraceptive helped normalize the menstrual cycle and improve skin condition.”
Elena: “Out of many hormonal drugs, I chose Jess Plus as the most gentle and at the same time effective. Its cancellation when planning pregnancy was easy, without severe bleeding and pain. Conception occurred a few weeks after the withdrawal.”
Natalya: “I couldn’t drink Jess because of heavy bleeding, pain in the lower abdomen and mood swings. I had to switch to other oral contraceptives.”
Source: DrLady.ru
What are your periods when taking medication?
You can start taking Jess only as prescribed by your doctor. Only a doctor can determine the effectiveness of a particular medicinal contraceptive. At first, the presence of menstrual irregularities is likely.
Menstruation irregularities at first are not a deviation. This is normal. The body begins to actively adapt to the required conditions.
The menstrual cycle will change when taken
Usually the cycle stabilizes after 2.5 months or earlier. Menstruation may change in nature when taking medication. The main characteristics of the changes are described in the table.
Volume | Menstruation becomes more scanty. The volume may be reduced by half. |
Color | The color of menstrual discharge when taking Jess ranges from light red to brown. |
Usually the pain disappears when you start taking Jess. I feel generally satisfactory.
How to stop taking birth control pills
Stopping birth control pills after a certain period of use is usually necessary in two cases:
- the first is a complete refusal of hormonal oral contraceptives;
- the second is changing birth control pills.
In the first case, the question immediately arises of how and when to stop taking birth control hormonal pills so that the withdrawal symptoms of the contraceptive are less painful. To ensure that the period of withdrawal from taking oral contraceptive pills is accompanied by a minimum of adverse reactions, three basic rules should be strictly followed:
- You should not stop taking OK without first consulting a gynecologist;
- you cannot stop taking pills without finishing the cycle;
- cessation of taking contraceptives should not occur abruptly, but in accordance with the dose reduction regimen drawn up by the doctor.
How to replace birth control pills
No one doubts that hormonal contraceptives are unparalleled in preventing unplanned pregnancy. Everyone also knows that the most popular among them are tablet forms. However, situations arise when, after taking birth control pills for a long time, it is necessary to replace them with something. It could be:
- subcutaneous implant,
- vaginal ring,
- hormonal contraceptive patch.
If the situation is such that sexual intercourse has become irregular for some period, it is better to generally resort to temporary means of contraception (for example, spermicidal or barrier contraceptives).
However, we should not forget that only the gynecologist has the right to decide how and with what to replace the previously used birth control pills.
How to properly stop taking hormonal contraceptives?
Many women are very afraid of the consequences of stopping birth control pills and, despite the discomfort and desire to quit, continue to buy new packages of the drug.
As a rule, it is best to discontinue hormonal oral contraceptives after finishing taking the last pill from the pack, after which the woman should begin menstrual-like bleeding, or so-called withdrawal bleeding.
In order for the female body to respond as painlessly as possible to the withdrawal of drug treatment, certain rules should be followed:
- Be sure to consult with a gynecologist (there are situations when canceling treatment is strictly contraindicated, as this will lead to a deterioration in the general condition);
- Take tests to determine the level of sex hormones in the body;
- Finishing the started pack - abruptly stopping the drug in the middle of the cycle - is a big stress for the reproductive system and the uterus will most likely react with heavy bleeding, there will be a kind of withdrawal effect.
It is important to understand that oral contraceptives are a hormonal drug and using them independently without prior examination and consultation with a doctor increases the risk of complications.
Cancellation of OK (oral contraceptives) in the middle of the cycle
Of course, it is advisable to finish the package of tablets to the end if you decide to stop using OCs and minimize negative reactions, but in some cases a woman urgently needs to stop taking it. Such situations include:
- Suspicion of pregnancy;
- Development of thrombosis;
- Detection of malignant neoplasms;
- Development of liver diseases;
- Diabetes;
- Arterial hypertension.
After abrupt withdrawal of the drug, a woman should be regularly examined by a gynecologist, since in such situations the risk of developing serious complications increases.
Withdrawal bleeding: how long does it last after stopping taking OK, how to stop
Withdrawal bleeding for women who take oral contraceptives to prevent unwanted pregnancy is considered normal.
They should be warned about this by the attending physician who prescribes this or that drug.
As a rule, the annotations for contraceptives do not contain information on how to properly stop taking medications. Therefore, women believe that they can stop taking oral contraceptives on any day of the menstrual cycle.
Attention! This is wrong - you need to stop taking the pills only after the entire package is finished and your period comes. After this, the woman may no longer start a new package.
If you abruptly stop taking the pills, severe bleeding may occur, which is triggered by a sharp increase in hormonal levels.
What it is?
Withdrawal bleeding is artificially induced menstruation.
That is, a woman takes an oral contraceptive according to the schedule during the cycle, and after the drug is stopped, menstruation or withdrawal bleeding occurs.
If it is not profuse, there is no need to stop it, but if the bleeding lasts more than a week or the volume of blood lost is significant, you should consult a doctor to prescribe a hemostatic agent.
Important! The issue of discontinuing an oral contraceptive must be approached very responsibly, since in some cases, after withdrawal bleeding, a woman requires curettage, and this procedure postpones the possibility of conception for several months.
Breakthrough bleeding while taking OCs (oral contraceptives)
Bleeding while taking birth control pills is a common side effect of this group of drugs. If the bleeding is light, it can be considered a side effect of the body becoming accustomed to birth control pills.
Reference! According to statistics, 40% of women experience bloody spotting in the first couple of months of taking the drugs. In some cases, such an adaptation period can last six months, and in 5% of women it lasts for an even longer time.
If the bleeding is heavy and resembles menstruation, it is breakthrough bleeding.
The reasons for this phenomenon lie in the fact that during the adaptation period, atrophy of the endometrial layer increases. This is due to the influence of progesterones, while the estrogen concentration in the oral contraceptive is so low that it cannot provide a hemostatic function.
During the natural menstrual cycle, the level of estrogen in the female body increases, so endometrial detachment stops and menstruation ends. When taking synthetic hormones, these processes do not always go smoothly.
In addition, breakthrough bleeding can be caused by the following reasons:
- The presence of gynecological pathologies in a woman - uterine fibroids, endometriosis, polyps in the uterus and others.
- The bad habit of smoking has an anti-estrogenic effect, which means that women who smoke are more at risk of bleeding.
- Taking the pills incorrectly means abruptly stopping or skipping them.
- Concomitant use of certain medications with birth control pills.
- Vomiting or diarrhea, in which the absorption of drugs does not occur.
- Simultaneous use of oral contraceptives with herbal remedies based on St. John's wort.
- The presence of sexually transmitted infections.
- The presence of individual intolerance to the drug.
If you have finished taking birth control pills, but your period does not begin, and pregnancy tests are negative, you should immediately consult a doctor.
How to stop?
What to do if the discharge is too heavy and lasts for more than a week?
Of course, it is best to talk to your doctor about withdrawal bleeding.
But if this is not possible, you can try taking a double dose of the drug, for example, 1 tablet in the morning and evening:
- In this mode, it is recommended to drink the oral contraceptive until bleeding completely stops, and after that you need to return the previous dosage of the drug.
- Since oral contraceptives are supposed to be taken for 21-24 days, and the number of tablets in the blister corresponds to each day of administration, after taking a loading dose, there may not be enough tablets in the package.
- Therefore, you will have to purchase another blister.
Important! As soon as the opportunity arises to visit a gynecologist, this must be done, since breakthrough bleeding may indicate serious problems with the body or a pregnancy.
In the middle of the cycle
Bloody discharge during the intermenstrual period may indicate insufficient concentration of gestagen or estrogen. In this case, the oral contraceptive taken should be discontinued and replaced with a product with a higher concentration of the active substance.
Most often, bleeding in the middle of the cycle can be observed when taking the following microdose oral contraceptives:
- Jess;
- Logest;
- Novinet;
- Mercilon.
In some cases pink discharge , which indicates that the egg has been released from the follicle, therefore, the woman has a risk of becoming pregnant, despite the fact that she is taking a contraceptive drug. This is not a pathology, but only evidence that the drug being taken does not cope with its tasks.
If bleeding is observed from 6 to 12 days after ovulation , this may indicate pregnancy has already occurred. If bleeding begins when taking the last pills from the package, this indicates a lack of progesterone.
If bleeding begins immediately after starting to take pills from a new package (in the first days after the end of menstruation), this means that the body does not have enough estrogen, which should restore the uterine layer. All such violations must be reported to the attending physician.
What is intermenstrual bleeding when taking birth control pills is explained in the video:
How long does it normally last?
Normally, withdrawal bleeding that occurs after taking the last tablet from the package should last 3-5 days.
If bleeding continues for more than 7 days, this is a good reason to consult a doctor.
When taking Jess Plus
Jess Plus is a multiphase oral contraceptive, which, in addition to the main active ingredient, contains an additional one - calcium.
When taking this drug, patients may experience profuse bloody secretion, which appears more often over time and lasts longer. If such phenomena occur during the first time of taking the drug, they are not considered dangerous, and after the end of the adaptation period they go away on their own.
In addition, at the end of the cycle after taking Jess, there may be no menstrual bleeding at all; instead, spotting may be observed.
They are considered normal in the first three months. Their duration can be long - two weeks, this is also a variant of the norm, provided that the discharge is spotting and not abundant.
Possible negative effects
Side effects of taking Jess are the following:
- Breast engorgement during the first 2-3 cycles of taking the drug. After the body adapts to taking the oral contraceptive, this symptom should go away.
- Spotting during various periods of the cycle. This symptom also in most cases goes away after several cycles of use. If after 3 months a woman continues to observe it, she should consult a doctor - perhaps a stronger analogue will be prescribed.
- Increase or decrease in body weight,
- Increased blood clotting rates.
In addition, in some cases, headaches, nausea, gastrointestinal disturbances, mood swings, and decreased libido may occur.
Breakthrough bleeding when taking Jess is due to the fact that the reproductive organ does not sense natural hormonal surges. In this case, visiting a doctor is charming.
Ways to avoid
You cannot risk your health and hope that taking hormonal contraceptives will not affect the female reproductive system.
Attention! Contraceptive drugs need to be selected correctly, taken according to the schedule and stopped correctly.
In order not to encounter the problem under discussion, stopping pills should follow the following rules:
- You should stop taking oral contraceptives after taking the last pill from the pack.
- Before deciding to cancel, you should consult your doctor.
- You may need to get your hormone levels tested.
Important! It is prohibited to stop taking contraceptives in the middle of the pack.
But in some cases, abruptly stopping taking medications is a vital necessity, for example, with:
- the onset of pregnancy;
- thrombosis;
- diagnosis of malignant neoplasms;
- liver pathologies;
- diabetes mellitus;
- more frequent attacks of hypertension.
In this case, stopping taking the pills should be done at any time, but under the close supervision of a doctor. It is important to understand that in this case withdrawal bleeding is inevitable.
The video explains the basic rules for taking birth control pills:
After discontinuation of Duphaston
Duphaston is prescribed to women to correct the following diseases:
- endometriosis;
- infertility;
- risk of miscarriage;
- premenstrual syndrome;
- uterine bleeding;
- dysmenorrhea;
- secondary amenorrhea.
Despite the fact that this drug treats uterine bleeding, after discontinuation it can itself provoke spotting.
To prevent this from happening, before you start taking it you must:
- Donate blood to determine the concentration of estrogen and progesterone in the blood.
- Do a bacterial culture for the presence of microflora in the vagina.
- Perform an ultrasound of the pelvic organs.
Since the drug must be taken a few days after the start of menstruation, it is necessary to accurately determine the time of ovulation. To do this, you need to measure your basal temperature over a couple of weeks. When ovulation occurs, the basal temperature rises to 37.3-37.5 degrees. As soon as there is a sharp increase in temperature, it is necessary to start taking the drug.
Reference! If a woman needs to stop taking the drug, she should consult a doctor who will explain in detail how to do this correctly. This is especially important for women who have been taking this drug for a long period of time.
After discontinuation of contraceptive drugs, the work of the ovaries can be significantly activated. This increased activity can lead to a number of side effects, but can also be used to speed up the process of conception.
The video describes the action of the drug Duphaston:
Taking oral contraceptives requires a woman to be disciplined and very carefully monitor her health.
Do not think that taking contraceptives means swallowing a pill occasionally or only after sexual intercourse. Each blister of tablets is equipped with a special scheme that must be followed.
Source: https://doctor-krov.com/krovotecheniya/krovotechenie-otmeny.html
OC withdrawal syndrome: adverse effects
In the case when a woman was prescribed oral contraceptives for the treatment of diseases of the reproductive organs and the establishment of the menstrual cycle (fibroids, endometriosis, algodysmenorrhea, uterine bleeding, etc.), the so-called withdrawal syndrome occurs when the drug is discontinued. In this case, signs of the disease may return and intensify.
During abrupt withdrawal of the drug, a woman may experience the following adverse reactions:
- Development of persistent depression;
- Skin rashes, acne;
- Excessive hair growth;
- Weakness and irritability;
- Changes in sexual desire;
- Development of breakthrough uterine bleeding;
- Strengthening the work of the sebaceous and sweat glands, as a result of which the patient’s hair becomes oily, acne and comedones appear on the skin;
- Headache;
- Nausea, vomiting.
If more than six months have passed since discontinuation of the OC, and withdrawal symptoms persist, you should consult a gynecologist.
How long does it take for the body to recover after stopping contraceptives?
Gynecologists say that if a woman felt well before starting to use the pills and during their use and took the drug solely to protect against pregnancy, then 2-3 months after stopping the use the body will function as before, that is, a complete recovery will occur.
Menstruation when taking Jess and Jess plus
When taking COCs, many women are concerned about how taking birth control pills will affect their menstrual cycle and the nature of the discharge itself.
In this article we will look at the cycle and nature of menstruation when taking Jess and Jess plus.
Both products are monophasic (the ratio of hormones in each tablet is the same) microdosed birth control pills, consisting of a combination of two hormones:
- Ethinyl estradiol (20 mcg) – an analogue of endogenous estradiol
- Drospirenone (3 mcg) – has an antiandrogenic effect
The only difference between them is that the Jess Plus blister contains additional tablets that contain only calcium levomefolate (a biologically active folic acid formula). This is a medicinal substance designed to eliminate folate deficiency in the female body.
Comparisons and analogues of Jess and Jess Plus - read.
Regarding the effect on the menstrual cycle and the characteristics of discharge, we will consider both drugs simultaneously, because in this case the difference between them is insignificant.
When does your period start after withdrawal?
When, i.e. On what day (on which pill) do menstruation begin when taking Jess (Jess plus)? Ideally, of course, when taking COCs, the menstrual cycle is stable, like clockwork.
One blister of Jess (Jess Plus) contains 24 active tablets and 4 inactive ones (in Jess Plus these are vitamin tablets). Taking pills should start on the 1st day of the cycle (the first day of menstruation). After drinking all 28 tablets (both active and inactive), you start a new pack. The beginning of menstruation coincides with the end of the previous pack.
However, if you have just started taking OK, then during the first 1-3 cycles (months) the body will get used to it, the menstrual cycle may malfunction, and the characteristics of the discharge itself may also be disrupted. If at this time you experience a slight spotting or a change in the nature of your periods (decreasing or increasing the abundance of discharge), then this is, in principle, normal.
But (even at an early stage of use) if there are strong deviations from the norm or too unpleasant side effects, for example, periods do not end for a long time, they are too heavy (breakthrough bleeding) or there are none at all, then you should urgently consult a doctor.
Lack of menstruation
If after taking Jess or Jess Plus during a break from active pills, withdrawal bleeding does not occur (menstruation does not come), then the first step is to exclude pregnancy. If the result is negative, and a delay in menstruation occurred during the 1st or 2nd cycle of taking pills, then this is one of the possible phenomena of changes in the body. Let him get used to it, the cycle will soon return to normal.
What causes a delay in menstruation? Here's what the obstetrician-gynecologist says:
“In the first months of use, the cycle may be unstable, because... the body needs to readjust. 1-3 days deviation from the schedule is quite normal.
The main thing is not to stop taking the pills, strictly following the dosage schedule (if there are no other strong side effects), over time everything will even out. It is also advisable to exclude pregnancy and undergo examination by a doctor.
If this situation recurs constantly or there are other menstrual problems, then consultation with a specialist is necessary. Perhaps these OKs are not suitable for you.”
How to take oral contraceptives - read.
If you have been using OK for a long time, but after stopping Jess or Jess Plus you don’t have your period, then this means that your body needs to rest, because. the ovaries “went into hibernation.” Usually the natural cycle is restored 1-6 months after discontinuation of the drug.
For some women, the delay in menstruation after discontinuation is up to 45 days. If you have ruled out pregnancy, then there is no need to panic in the first 2-3 months.
If the menstrual cycle does not return after more than three months, then just in case you should visit a gynecologist to be examined for anemorrhea.
Typically, problems with cycle restoration are associated with the thyroid gland and the initially thin endometrium.
If after stopping Jess (Jess plus) your periods are very scanty, this may mean that the body has not yet recovered.
ATTENTION! The absence of menstruation with nagging pain in the lower abdomen is an urgent reason to consult a gynecologist in order to be examined for the presence of gynecological diseases.
Scanty periods when taking Jess Plus
Jess (Jess plus) makes menstruation more scanty, because... the active ingredient of the drug inhibits the functioning of the ovaries, which affects the production of hormones. The endometrium does not thicken or become porous in the middle of the cycle. Therefore, when the moment of tissue rejection of the uterine mucosa comes, there are significantly fewer of them than in those women who do not take OCs.
Periods don't end
You started drinking Jess or Jess Plus, but your period does not end, it would be a good idea to contact a trusted specialist.
The drug Jess (Jess plus) can provoke heavy periods in some women, for example, with endomentriosis.
Intense discharge is allowed in the first three months of taking the drug, then it should decrease. If this does not happen, then perhaps you are taking a counterfeit drug, or the drug is not suitable for you.
If, at the end of the cycle, menstruation does not stop for a long time, it may be menstrual-like discharge. They are normal if you take Jess or Jess plus for 1-3 months, and can last up to 14 days. But at the same time, the discharge itself should not be abundant. If they are abundant, then this is abnormal - immediately go to a specialist.
My period started early
If Jess or Jess Plus is taken for less than three cycles, then the onset of menstruation ahead of schedule (on the active pill) does not threaten anything. It is necessary to finish the blister completely, because... It is impossible to stop taking OK halfway through the pack (unless, of course, there are indications for urgent discontinuation of the drug), this can only increase bleeding, because There will be a hormonal imbalance.
If menstruation has begun prematurely this is not the first time (and you have been taking OCs for a long time), then you need to consult a doctor; perhaps these OCs are not suitable for you. It is also necessary to do an ultrasound to check for cysts on the ovaries and other malfunctions in the female body.
Repeated bleeding at the end of the package may indicate a lack of the gestagen component and requires selection of a drug with a different gestagen. Monitor the discharge; if the bleeding is heavy and requires more than 1 pad every 1-2 hours, call an ambulance.
Breakthrough bleeding
If, while taking Jess or Jess Plus, you experience breakthrough bleeding (profuse, continuous vaginal bleeding of a bright scarlet or light red color), then you need to call an ambulance as soon as possible.
Bleeding of unknown origin when taking Jess (Jess Plus) indicates that these OCs are not suitable for you, because. contain an inappropriate dose of hormones for your body. You need to immediately contact a specialist.
Breakthrough bleeding may occur due to:
- Individual intolerance to the drug
- Low dose of hormones
- Gynecological pathologies of the ovaries, endometriosis, the presence of neoplasms
- Smoking and alcohol abuse
- Abrupt withdrawal of the drug in the middle of the course
- Missing pills
- Taking antibiotics
- Excessive use of antidepressants
- Vomiting or diarrhea
- Taking St. John's wort
- Presence of sexually transmitted diseases and infections
Discharge when taking Jess (Jess plus)
When taking OCs, there may be intermenstrual spotting (brown or bloody spotting). Brown periods are due to the fact that the drug increases blood viscosity. As a result, it coagulates and oxidizes faster while inside the uterus or vagina.
Spotting may also occur after menstruation (spotting in the first phase or in the middle of the cycle). If it smears brown in the first 1-3 cycles of taking the drug, then there is nothing potentially dangerous about it.
Brown discharge is a reaction of the reproductive system, or rather its adaptation to taking hormonal pills. You should not stop taking Jess (Jess plus) if you notice such discharge.
Abrupt withdrawal of the drug, on the contrary, will contribute to the onset of heavy bleeding.
However, if the spotting continues for more than three cycles from the start of taking the drug, then you need to consult a doctor. How to delay your period
With the help of Jess and Jess Plus, you can delay your periods without taking a break from taking active pills. However, we strongly discourage the abuse of such methods.
Oral contraception and menstruation - read.
Source: https://potaskyn.ru/metody-kontracepcii/gormonalnye/mesyachnye-dzhes-i-dzhes-plyus
What to do if there is no menstruation after stopping OK?
For 2-3 months after stopping use of the drug, a woman may notice a change in the menstrual cycle - shortening or lengthening it. A cycle duration of up to 36 days is considered normal and does not require any special treatment. In some cases, women may experience a delay in menstruation after stopping birth control pills, sometimes for 2-3 months. In most cases, this is the norm, since this period is required by the body to restore its strength and reproductive function. If menstruation is delayed due to OC discontinuation, the patient should definitely undergo an examination by a gynecologist to rule out pregnancy.
Hair loss after discontinuation of hormonal contraceptives
When discontinuing the pills, patients often notice increased hair loss, up to the formation of bald patches. This is caused by a sharp change in hormonal levels and the body needs time to restore the functioning of all organs and systems. In most cases, after a couple of months the condition of the hair follicles returns to normal, but if hair loss continues 2-3 months after stopping the drug, consultation with specialists is required.
Features of discharge when taking Jess and their main causes
Often, taking hormonal contraceptives is accompanied by noticeable changes in the general condition of a woman and the functioning of her reproductive system. Many women are concerned about the cause of discharge when taking Jess and the consequences of such secretion.
In this matter, it is important to pay attention not only to the secretion, but also to the drug itself.
The fact is that spotting is directly related to the effect of the oral contraceptive on the functioning of the reproductive system.
In most cases, there is no reason to worry, but it is useful for a woman taking such drugs to know what discharge and for what period is considered normal, and what indicates abnormalities.
How does the drug affect the body?
Jess is a monophasic oral contraceptive with androgenic properties. There is also Jess Plus, but its hormonal composition is no different from the first option. The main difference is the calcium content in the auxiliary tablet.
The active ingredients of OCs are ethinyl estradiol (a synthetic analogue of estrogen) and drospirenone (a synthetic progestogen). Together, these two components provide a contraceptive effect through their influence on the following areas of the reproductive system:
- Suppression of ovarian function, or rather suppression of ovulation, that is, preventing the release of an egg from the ovary.
- A change in the consistency of vaginal mucous secretions; they become thicker, thereby interfering with the penetration of sperm.
- Influence on the development of the endometrium, after which, as a result, the fertilized egg, if it has formed, cannot gain a foothold in the uterus.
All these factors are, in one way or another, related to menstruation and vaginal discharge. After all, if the mucous membrane of the uterus, endometrium and ovaries work differently, then the menstrual cycle cannot proceed without changes.
But here it is worth noting that not all discharge is considered normal. It is important to take into account their duration, accompanying symptoms, the patient’s age, as well as a history of gynecological diseases, if the woman had them.
As for the patients themselves, there is no need to be overly worried in situations where spotting occurs.
It is much more important to carefully monitor their frequency, character and your well-being while taking Jess, so that you can then tell all this information to your gynecologist.
Discharge at various periods of the cycle under the influence of Jess
Discharge that is brown, bloody, or other variations of secretion can help your gynecologist identify the problem in the body and prescribe appropriate treatment.
It often happens that the acceptable time for the body to adapt to an oral contraceptive has already passed, but the discharge still does not stop. Here, the period of activation of bloody vaginal secretion may indicate the predominance of one or another hormone in the female body.
In such a situation, the doctor, after examining the patient, can select a more suitable contraceptive option based on the symptoms.
Beginning and middle of the cycle
Bloody discharge mid-cycle or spotting brown discharge immediately after your period often indicates insufficient estrogen in birth control pills. You should consult a doctor about this problem. The specialist will select the optimal drug with a stronger dose of this hormone.
At the end of the cycle
During this period, we can no longer talk about a lack of estrogen, but a lack of gestagen in the composition of contraceptives. The situation is similar: the gynecologist studies the case, rules out violations of the pill-taking schedule, and only then decides to prescribe another oral contraceptive.
Any time during the cycle
Sometimes patients experience profuse bloody secretion, which appears more and more often over time. In this case, there is a suspicion of accelerated atrophy of the cells of the internal mucous membrane of the uterine body (endometrium). During the body's adaptation, this symptom is not dangerous. Its cause is a violation of the regimen for taking OK, a hormonal imbalance.
Of course, if there is heavy bleeding, you should consult a doctor, even if you are in the period of adaptation to birth control pills, because all problems are easier to solve at the initial stage.
There is an opinion, which is found even in the instructions for contraceptive drugs, that you can double the daily dosage and continue this regimen until the brown discharge stops. But while taking Jess or other hormonal contraceptives, you cannot change the dosage yourself without consulting a gynecologist.
In addition, we must not forget that it is undesirable to stop the OK course in the middle of the cycle. The fact is that abruptly interrupting the use of hormonal contraceptives can only increase bleeding, as well as cause general malaise and anemia.
Cancellation of contraceptives before pregnancy
Many women are concerned about the question of whether it is possible to get pregnant after stopping the OC and how long after they should plan to conceive. If a woman decides to plan a pregnancy and stops taking birth control pills, then the body needs time for the menstrual cycle to fully recover; for this you should wait 2-3 months. During the use of OCs, the ovaries were in a state of “sleep” for a long time, therefore it is recommended to wait a certain period for their physiological function to resume. Of course, conception can occur immediately after stopping the pills, but such a pregnancy will be at risk, since there is a high chance of spontaneous miscarriage due to progesterone deficiency in the expectant mother’s body.
When is conception possible after stopping OK?
Many women worry that after prolonged use of oral contraception, pregnancy becomes more difficult, but medical practice refutes this fact. On the contrary, for women with ovarian hypofunction, gynecologists prescribe the use of OCs for 2-3 months, after which they recommend planning a pregnancy, since the chances of successful conception increase significantly, in addition, the chances of conceiving twins increase. After stopping the pills and actively planning pregnancy, conception occurs safely within 3-4 months.
Irina Levchenko, obstetrician-gynecologist, especially for the website Mirmam.pro
Source: mirmam.pro
How are your periods after stopping Jess?
After discontinuation, Jess definitely needs to visit her gynecologist. Stopping the medication should not be done in the middle of the menstrual cycle. Be sure to complete the 28-day package.
Emergency cancellation of Jess is also likely. In this case, it is impossible to predict how the body will react to the early termination of taking birth control pills.
After you stop taking the medication, your periods are usually scanty. The color is light brown. Pain in the lower abdomen is mild or completely absent.
The likelihood of conceiving after withdrawal increases sharply
Rarely, after Jess, periods are excessively intense or completely absent. Changes in the nature of menstruation are the result of hormonal fluctuations. Spotting instead of normal discharge can last up to two weeks.
The following factors affect menstruation after stopping the medication:
- the age of the fairer sex, since after 36 years the protective functions become weak, and the recovery period can take up to six months;
- duration of use of the medicine, since with prolonged use it is difficult for the body to quickly return to normal and the recovery period can last up to a year.
After discontinuation of the drug, the likelihood of successful fertilization increases significantly. In the female body, two eggs can mature at once. Natural stimulation of ovulation is activated.