Contraceptive pills "Silhouette": reviews of doctors and women. Bloody, brown and spotting discharge when taking birth control pills I take the silhouette of the period does not end

Oral contraceptives are used by many women to avoid unwanted pregnancies. There are several drugs with proven effectiveness. In addition to their main purpose, these funds are able to improve skin condition, normalize weight and eliminate problems caused by hormonal imbalance. One of these medicines is "Silhouette".

Act

This combined drug has a pronounced antiandrogenic effect. It contains two main and several auxiliary substances: ethinyl estradiol - a hormonal agent of the estrogen series (performs the functions of estrogen); dienogest - a hormonal drug (performs the functions of progestogen); lactose monohydrate, corn starch, magnesium stearate.

Therapy with this drug leads to certain changes in the female body:

• Peristalsis in the fallopian tubes slows down (due to a decrease in the intensity of contractions of muscle fibers, which prevents the movement of the egg).
• Mucus in the cervical canal thickens (which creates obstacles to the advancement of sperm in the genitals).
• By reducing androgens, ovulation is suppressed, and folliculogenesis is also impaired.
• The structure of the endometrium in the uterus changes in such a way that the embryo cannot gain a foothold in it.

Taking dienogest in combination with ethinyl estradiol helps to reduce ovulation and the level of androgens in a woman's body.

Indications for use

• As an oral contraceptive to prevent an unplanned pregnancy.
• In the treatment of girls and women, acne caused by increased levels of androgens.
• For the treatment of endometriosis (thickening of the layer lining the uterus).

Each of the hormones contained in the pills is used in the treatment of infertility, while their combined action has a contraceptive effect.

"Silhouette" for the treatment of endometriosis

This combination medicine is used to treat endometrial overgrowth in young girls and women. In the case when surgical intervention is contraindicated, therapy with the drug Silhouette is performed for endometriosis:

1. Decreased synthesis of estrogen.
2. There is a blockage of the growth of the endometrium outside the uterus.
3. Ovulation is suppressed.
4. Regular intake contributes to the atrophy of the foci of endometriosis (by reducing their blood circulation).

In addition to a complete cure for the disease, many women note that the remedy restores the menstrual cycle, removes pain during sexual intercourse and reduces pain during menstruation.

Contraindications

Since this is a fairly strong hormonal drug, there are a number of conditions of the body in which it is not recommended to use it:

• Cardiovascular diseases (angina pectoris, myocardial infarction, pulmonary embolism, thrombosis, severe arterial hypertension; hereditary tendency to form blood clots).
• Pancreatitis
• Liver dysfunctions (failure, hepatitis).
• Malignant tumors (especially the uterus, appendages and mammary glands).
• Diabetes.
• Epilepsy.
• Sickle anemia.
• Pregnancy and breastfeeding. If pregnancy was detected while taking the drug, it is canceled. The studies did not reveal the effect on the fetus of contraceptives, which were taken inadvertently. The combination of the active substances of the drug can penetrate into the mother's milk and have a negative effect on the child, therefore, during lactation, the use of the drug is prohibited.
• Severe migraines, especially with neurological symptoms.
• Lactose intolerance.
• Vaginal bleeding (with an unexplained cause).

In addition, the contraceptive is prohibited for those who smoke and after 35 years of age. If the disease was detected during the course of treatment with the drug, it should be canceled and immediately consult a doctor.

Side effects

When using the Silhouette birth control pill, women may experience certain body reactions:

• Changes in the emotional background.
• Headaches or migraines.
• Increased heart rate.
• Abdominal pain, nausea, diarrhea.
• Skin rashes.
• Increased (or decreased) appetite.
• Painful sensations in the mammary glands.
• Lack of libido.
• Insomnia.

Many women who have taken Siluet note that the most common symptoms are pulling pain in the lower abdomen (as with menstruation), nausea and headaches. Typically, these symptoms go away within a month after starting the drug.

In addition, some of the side effects can arise from smoking, so a woman is advised to quit this habit before starting the contraceptive pill. The silhouette may cause dry eyes and decreased visual acuity in women who wear contact lenses.

Features:

The instructions for use indicate the following reception schemes:

1. If the drug is used for the first time, it should be started on the first day of menstrual bleeding.
2. If Silhouette replaces another contraceptive, it should be taken 24 hours after the end of the course of the previous drug.
3. It is necessary to use a contraceptive once a day, preferably at the same time, after meals, with plenty of water.
4. You need to drink the product in accordance with the order indicated on the blister pack.
5. If the contraceptive is taken after an abortion in the first trimester of pregnancy, it is prescribed on the day of surgery.
6. For abortion or childbirth in the second and third trimesters, the drug is taken 21-28 days after the intervention or natural childbirth.
7. Breaks during the course of admission are unacceptable, if a woman has forgotten to take a pill, it is necessary to resume taking it as soon as it becomes clear.
8. If side effects from the gastrointestinal tract occur (vomiting 3-4 hours after ingestion), you must take the remedy again.

Before prescribing a course of oral contraceptives, a complete examination of the body should be carried out to identify possible diseases, in which the use of the drug is prohibited. It is also necessary to exclude pregnancy.

The drug should be taken only as described in the instructions, since a deviation from the specified order can cause hormonal changes in the body.

Interaction with other drugs

Taking Siluet at the same time as other medicines can cause vaginal bleeding or a decrease in the contraceptive effect. This can happen when interacting with certain substances:

• Carbamazepine.
• Phenobarbital.
• Ribafutin.
• Ritonavir.
• St. John's wort extract.
• Tetracycline.
• Ampicillin.

In addition, a decrease in the protective effect and vaginal bleeding can occur while taking a contraceptive with drugs that increase the clearance of sex hormones.

Oral contraceptives are used by women to protect against unwanted pregnancies. These drugs allow you to normalize the skin condition and weight, problems with which were provoked by a hormonal imbalance. The silhouette is also used to treat endometriosis.

It should be remembered that prescribing birth control pills on your own can harm the body. Therefore, before starting the course of the Silhouette, it is imperative to consult with a gynecologist and undergo a complete medical examination.

Oral contraceptives are used by many women to avoid unwanted pregnancies. There are several drugs with proven effectiveness. In addition to their main purpose, these funds are able to improve skin condition, normalize weight and eliminate problems caused by hormonal imbalance. One of these medicines is "Silhouette".

Act

This combined drug has a pronounced antiandrogenic effect. It contains two main and several auxiliary substances: ethinyl estradiol - a hormonal agent of the estrogen series (performs the functions of estrogen); dienogest - a hormonal drug (performs the functions of progestogen); lactose monohydrate, corn starch, magnesium stearate.

Therapy with this drug leads to certain changes in the female body:

• Peristalsis in the fallopian tubes slows down (due to a decrease in the intensity of contractions of muscle fibers, which prevents the movement of the egg).
• Mucus in the cervical canal thickens (which creates obstacles to the advancement of sperm in the genitals).
• By reducing androgens, ovulation is suppressed, and folliculogenesis is also impaired.
• The structure of the endometrium in the uterus changes in such a way that the embryo cannot gain a foothold in it.

Taking dienogest in combination with ethinyl estradiol helps to reduce ovulation and the level of androgens in a woman's body.

Indications for use

• As an oral contraceptive to prevent an unplanned pregnancy.
• In the treatment of girls and women, acne caused by increased levels of androgens.
• For the treatment of endometriosis (thickening of the layer lining the uterus).

Each of the hormones contained in the pills is used in the treatment of infertility, while their combined action has a contraceptive effect.

"Silhouette" for the treatment of endometriosis

This combination medicine is used to treat endometrial overgrowth in young girls and women. In the case when surgical intervention is contraindicated, therapy with the drug Silhouette is performed for endometriosis:

1. Decreased synthesis of estrogen.
2. There is a blockage of the growth of the endometrium outside the uterus.
3. Ovulation is suppressed.
4. Regular intake contributes to the atrophy of the foci of endometriosis (by reducing their blood circulation).

In addition to a complete cure for the disease, many women note that the remedy restores the menstrual cycle, removes pain during sexual intercourse and reduces pain during menstruation.

Contraindications

Since this is a fairly strong hormonal drug, there are a number of conditions of the body in which it is not recommended to use it:

• Cardiovascular diseases (angina pectoris, myocardial infarction, pulmonary embolism, thrombosis, severe arterial hypertension; hereditary tendency to form blood clots).
• Pancreatitis
• Liver dysfunctions (failure, hepatitis).
• Malignant tumors (especially of the uterus, appendages and mammary glands).
• Diabetes.
• Epilepsy.
• Sickle anemia.
• Pregnancy and breastfeeding. If pregnancy was detected while taking the drug, it is canceled. The studies did not reveal the effect on the fetus of contraceptives, which were taken inadvertently. The combination of the active substances of the drug can penetrate into the mother's milk and have a negative effect on the child, therefore, during lactation, the use of the drug is prohibited.
• Severe migraines, especially with neurological symptoms.
• Lactose intolerance.
• Vaginal bleeding (with an unexplained cause).

In addition, the contraceptive is prohibited for those who smoke and after 35 years of age. If the disease was detected during the course of treatment with the drug, it should be canceled and immediately consult a doctor.

Side effects

When using the Silhouette birth control pill, women may experience certain body reactions:

• Changes in the emotional background.
• Headaches or migraines.
• Increased heart rate.
• Abdominal pain, nausea, diarrhea.
• Skin rashes.
• Increased (or decreased) appetite.
• Painful sensations in the mammary glands.
• Lack of libido.
• Insomnia.

Many women who have taken Siluet note that the most common symptoms are pulling pain in the lower abdomen (as with menstruation), nausea and headaches. Typically, these symptoms go away within a month after starting the drug.

In addition, some of the side effects can arise from smoking, so a woman is advised to quit this habit before starting the contraceptive pill. The silhouette can cause dry eyes and decreased visual acuity in women who wear contact lenses.

Features:

The instructions for use indicate the following reception schemes:

1. If the drug is used for the first time, it should be started on the first day of menstrual bleeding.
2. If Silhouette replaces another contraceptive, it should be taken 24 hours after the end of the course of the previous drug.
3. It is necessary to use a contraceptive once a day, preferably at the same time, after meals, with plenty of water.
4. You need to drink the product in accordance with the order indicated on the blister pack.
5. If the contraceptive is taken after an abortion in the first trimester of pregnancy, it is prescribed on the day of surgery.
6. For abortion or childbirth in the second and third trimesters, the drug is taken 21-28 days after the intervention or natural childbirth.
7. Breaks during the course of admission are unacceptable, if a woman has forgotten to take a pill, it is necessary to resume taking it as soon as it becomes clear.
8. If side effects from the gastrointestinal tract occur (vomiting 3-4 hours after ingestion), you must take the remedy again.

Before prescribing a course of oral contraceptives, a complete examination of the body should be carried out to identify possible diseases for which the drug is prohibited. It is also necessary to exclude pregnancy.

The drug should be taken only as described in the instructions, since a deviation from the specified order can cause hormonal changes in the body.

Interaction with other drugs

Taking Siluet at the same time as other medicines can cause vaginal bleeding or a decrease in the contraceptive effect. This can happen when interacting with certain substances:

• Carbamazepine.
• Phenobarbital.
• Ribafutin.
• Ritonavir.
• St. John's wort extract.
• Tetracycline.
• Ampicillin.

In addition, a decrease in the protective effect and vaginal bleeding can occur while taking a contraceptive with drugs that increase the clearance of sex hormones.

Oral contraceptives are used by women to protect against unwanted pregnancies. These drugs allow you to normalize the skin condition and weight, problems with which were provoked by a hormonal imbalance. The silhouette is also used to treat endometriosis.

It should be remembered that prescribing birth control pills on your own can harm the body. Therefore, before starting the course of the Silhouette, it is imperative to consult with a gynecologist and undergo a complete medical examination.

Flovit.ru

Siluette tablets - instructions for use of hormonal tablets reviews about Siluette, a contraceptive for endometriosis

Siluet is a contraceptive and antiandrogenic drug. It contains two substances: ethinylestradiol and dienogest. The first component acts as estrogen, and the second as progesterone. The contraceptive effect of Siluet is based, like other drugs, on inhibition of ovulation, thickening of cervical mucus, changes in the state of the endometrium. However, as a rule, Siluet provides not only the prevention of unwanted pregnancy, but also the treatment of conditions associated with an increased concentration of "male" hormones - androgens. Symptoms of this condition include acne, oily seborrhea. This drug is a generic (copy) of the original drug Janine.

Siluet is used for:

• Prevention of unwanted pregnancy;
• Elimination of acne (acne) in women, along with contraception;

Release form Siluet - tablets. The blister contains twenty-one tablets with the same concentration of active ingredients. That is, it is a monophasic hormonal agent. The instruction of the drug Siluet contains recommendations for switching to it, after the abolition of various contraceptives (pills, implants, injections, etc.), as well as after abortions. It also tells you in detail what to do if you miss a pill.

Like other hormonal drugs, Siluet should be taken on the first day. menstrual cycle... Pick one time when you are comfortable with taking your pills and try to stay on that schedule. At the end of taking a pack of Siluet, you need to take a break of seven days. At this time, bleeding usually occurs. The next pack of Siluet should be used a week after the end of the previous one.

Siluet is contraindicated for:

• Various blood clotting disorders - a tendency to thrombosis, increased coagulation and, even in the presence of factors predisposing to such pathologies;
• Pancreatitis and increased cholesterol concentration;
• Certain liver diseases;
• Epilepsy;
• Migraines with neurological symptoms;
• Disorders of carbohydrate metabolism;
• Vaginal bleeding of unexplained origin;
• Pregnancy and lactation;

There are also a number of conditions that require special care when using Siloet. If, when prescribing this contraceptive, the patient had no contraindications, but they arose in the process of taking the drug, you must immediately inform the doctor about it. The specialist may consider it necessary to cancel Silouette.

Side effects of Siluet

The instructions for the drug contain a detailed table of undesirable effects of Stluet. We will list here only those that are common, that is, at least in one case out of a hundred. It:

• Headaches, cramps in calf muscles;
• Weight gain;
• Breast engorgement;
• Nausea;
• Decreased libido and bad mood;

The risk of thrombosis, hypertension, and neoplastic processes in the liver also increases. Other pathologies are possible, the development of which is associated with the use of oral contraception.

Reviews about Siluet

The body's response to the use of different oral contraceptives is individual. This is evidenced by the reviews about Siluet, which can be found on various forums. There are opinions of those who feel great using this drug:

Passed a full examination - hormones, examination, ultrasound. Then the doctor prescribed Siluet to me. I have no side effects - no nausea, no chest pain, and so on. I advise everyone to be examined first, and then choose contraceptives.

Once a month it was severe dizziness... But I can't find any more complaints. I will continue to drink Simluet.

Often, patients worry that they do not have menstrual bleeding during the week's break. Others, on the contrary, are faced with the fact that "menstruation" does not end even when a woman starts drinking the next pack of the drug. But these phenomena are possible. They are not undesirable and should not constitute a reason for canceling Siloet. Such drugs cause some shifts in the hormonal regulation of the body - hence the interruptions in the cycle.

There are a lot of negative reviews about taking Siloet:

I was nauseated all month, dizzy. Barely endured until the end of the pack. I will take Janine again, although it is more expensive.

I accept the Silo as prescribed by the doctor, "to rest the ovaries." I don’t know, yet, how are my ovaries, but overall health has become not very good: now the head hurts, then insomnia, then sick, then depression ...

Indeed, hormone-based birth control can cause a variety of side effects. Sometimes, to find the right drug, you need to try several drugs. It is imperative to conduct such experiments together with a competent doctor. Such tactics will allow you to quickly choose an effective remedy.

zhivizdorovim.ru

Contraceptive pills Silhouette: description and treatment regimen of the contraceptive

Silhouette is a new generation drug belonging to the group of monophasic contraceptives. Available in white biconvex tablets with G23 engraving. One blister contains 21 tablets.

The preparation contains two active ingredients: dienogest and ethinylestradiol.

Dienogest is a substance otherwise called hybrid progestogen. It does not have an androgenic or mineralocorticoid effect on the body, but it gives a pronounced progestogenic effect. Also, this substance is safe for metabolic conversion in tissues, due to which dienogest can be used for long-term therapy.

Ethinylestradiol is an estrogenic substance that is widely used in modern gynecology. The substance contains an ethyl radical, it provides excellent digestibility, and also makes the transformation into low-active forms of female hormones slower and stops the decomposition of the substance. Thanks to this, ethinyl estradiol acts much longer and much more effectively.

Silhouette contraceptive pills contain 30 mcg of ethinylestradiol and 2 mcg of dienogest, as well as auxiliary components: lactose monohydrate, talc, starch, hypromellose, potassium polyarylate, magnesium stearate.

Action of pills Silhouette and dosage

These pills have the following functions in the female body:

1. inhibition of ovulation;
2. increased viscosity of cervical mucus;
3. change in the peristalsis of the fallopian tubes;
4. transformation of endometrial structures.

The active ingredients of the tablets, in combination with each other, effectively reduce the level of androgens in plasma. For some women, Silhouette helps fight acne and seborrhea.

The tablets should be taken strictly following the instructions attached to them. It describes the dosage regimen - one tablet once a day for twenty-one days.

The contraceptive should be taken regularly, at the same time.

After the twenty-first day, a week break is taken before starting a new course. In this seven-day period, what is called withdrawal bleeding should occur. This bleeding should begin two or three days after the end of taking the pills, and its duration is 4 to 5 days. By the time it ends, it becomes necessary to start taking pills from the next blister.

However, there is one important nuance that characterizes the first use of the Silhouette. The instructions for use say that it is necessary to start using a contraceptive on the first day of menstruation. This condition is mandatory only for those women who have not previously taken any hormonal contraceptives or have not used them for more than a month.

Features of taking contraceptive pills Silhouette

If it was decided to use Silhouette pills after combined contraceptives, then, according to the instructions, the first use should be made at the usual time of the next day, that is, after the last pill has been taken.

If a woman switches from a medication that consists only of progesterone, then the switch can be made any day when it is convenient. After removal of the implants, you can take the pill on the same day. If at first the woman used injectable contraceptives, then in order to switch to the pill form, she must take the first pill on the day of the planned injection.

In cases where a woman suffered a miscarriage in the first trimester, neither the instructions nor the doctors prohibit the intake of Siluet as a hormonal agent immediately. If the miscarriage or abortion occurred at a later date, then before you start taking the pills, you need to wait a short time - 21 - 28 days. During this period, condoms should be used during sexual intercourse.

If a woman forgot to drink the medicine on time, and less than twelve hours have passed since that moment, then the strength of the drug's action does not decrease. The tablet should be taken immediately, and the next should be taken at the usual time. But when the reception delay exceeds twelve hours, then you need to adhere to some rules.

Firstly, in no case should you interrupt the intake of funds for more than one week. In order for the drug to have its effect on the female body, it must be consumed for at least seven days continuously. Therefore, gynecologists recommend that in case of missing a dose in the first week of using the Silhouette tablets, immediately drink the missed dose, and take the next tablet at the appointed time, as usual. And insure yourself with condoms for a week.

If the pass happened in the second week of using the drug, then the pill should also be taken immediately, but there is no need for additional means of protection. A failure that occurred during the third week should be corrected in the same way as in the case of the first week. And after that, the next package of the drug begins immediately, without a seven-day break. However, "withdrawal bleeding" in such a case can not be expected, but small spotting is quite possible.

Drug overdose Silhouette

The dosage toxicity of the hormones in the silhouette is quite low. However, overdose is quite possible. In this case, the woman will feel nausea, vomiting is possible. Vaginal discharge and even bleeding are also possible. But with all this, there is absolutely no need for therapy.

Side effects of the drug Silhouette

Since Silhouette is, first of all, a hormonal agent, you need to know that you cannot independently prescribe this medicine to yourself as a contraceptive. Doctors especially distinguish among the side effects the development of thrombosis in the arteries and veins. This effect can be aggravated if a woman smokes, as well as in cases when she suffers from hypertension, pathology in the hemostasis system, varicose veins, obesity or thrombosis.

Among the side effects, you can also often observe:

• migraines and headaches;
• nausea, vomiting;
• cramps of the calf muscles;
• emotional imbalance;
• an increase in the size of the mammary glands;
• pain in the mammary glands;
• back pain;
• increase in body weight.

Such effects are less common:

• arterial hypotension / hypertension;
• varicose veins;
• thrombophlebitis;
• abdominal pain;
• severe excitability;
• acne, dermatitis, itching;
• increased appetite;
• vaginitis;
• rapid fatigue, malaise;
• swelling;
• painful bleeding;
• endometritis, salpingitis;
• allergic reactions;
• anemia, cardiovascular failure;
• insomnia;
• depression and lethargy.

Contraindications to the use of the Silhouette

For some diseases, the drug is strictly prohibited. Among them:

• disease of the veins and arteries;
• pancreatitis;
• porphyria;
• jaundice;
• hyperbilirubinemia;
• severe liver disease;
• epilepsy.

Also, the drug should not be taken by women who:

• are pregnant;
• breastfeeding;
• suffer from lactose intolerance;
• are allergic to any of the components of the medicine.

Endometriosis treatment with silhouette

Endometriosis is a fairly common disease among the female population, which, depending on the degree, can be treated both conservatively and surgically. Treatment of endometriosis with Siluet is often prescribed by gynecologists. These pills have received many positive reviews from gynecologists, who emphasize its safety and effectiveness, and is used as an analogue of the drug "Janine".

The silhouette can be prescribed for endometriosis in cases of:

1. Empiric therapy for newly diagnosed endometriosis.
2. Preoperative preparation with severe forms of the disease.
3. Postoperative therapy as a way to prevent relapse.

Depending on whether a woman plans to become pregnant in the near future, the gynecologist must select an individual dosage and explain to the patient her personal pill-taking regimen. If a woman has been diagnosed with endometriosis, then she should seriously think about the issue of pregnancy, because the processes occurring during this action have a positive effect on the patient's health. Changes in the hormonal background contribute to the atrophy of the endometriosis focus and helps to fade away inflammatory processes. The stable low concentration of estrogen that occurs when using Siluet stimulates the degradation of ectopic formations.

Description of the action of the Silhouette in the treatment of endometriosis

The tablets gradually cause the foci of endometriosis, no matter where they are, to atrophy. Then Silhouette lowers the synthesis of estrogen, suppresses ovulation. After this, the proliferation of tissue cells outside the uterus is blocked. Also, during the treatment process, you can notice a good anti-inflammatory effect from taking the pills.

The drug is prescribed on a cyclical basis if the patient wants to become pregnant or endometriosis was detected at an early stage of her development. The cyclic pattern is also called 21 + 7, which means that the woman must take the medicine for twenty-one days, and then take a week off. Most often, the gynecologist prescribes a course for a period of three to six months. The term varies depending on the general condition of the patient. After the end of the course, the patient is prescribed tests, including a blood test, an analysis of the activity and level of thrombin, ultrasound of the abdominal and pelvic organs. Taking into account the results, the gynecologist is developing further treatment. If a woman does not plan a pregnancy, then after a laparoscopic intervention, taking pills is prescribed according to a prolonged scheme - 42 + 7, 63 + 7 - for a period of several years.

Important information

The attending gynecologist is obliged to warn his patient that the pills should be taken without interruption, otherwise the contraceptive effect and specific therapeutic effect may be violated, and there is also a risk of unplanned bleeding and other negative consequences.

Also, the doctor should advise you to start taking it on the first day of the cycle, because if the patient starts taking pills two to five days after the onset of menstruation, then within a week after the start of taking it will need to be additionally protected with barrier contraception.

drlady.ru

Pill silhouette - Polismed

Silhouette pill is a contraceptive drug that affects the production of female hormones. It directly corrects ovulation and is one of the most reliable means of preventing unwanted pregnancy.

Composition and form of release

The presented drug is produced in the form of tablets, biconvex and engraved with G53. Silhouette tablets contain two main active ingredients - dienogest and ethinyl estradiol. The auxiliary components include:

• magnesium stearate;
• corn starch;
• potassium polyacrylate;
• glucose monohydrate.

The tablets are coated with a film that dissolves in the gastrointestinal tract. Shell composition:

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

Indications for use of Siluet (tablets)

The silhouette of the pill is indicated for admission if you wish to take contraceptive measures with regular sexual relations. In addition, the presented drug is often prescribed for women with a diagnosis of acne, if other methods of treatment do not bring desired result.

Please note: when treating acne, the need for contraception must be considered.

Silhouette - instructions for use

The presented contraceptive drug should be taken daily, preferably at the same time. The order of taking the tablets is indicated on the blister pack. Drinking the first package (blister), the pills are stopped for 7 days - the woman begins to "withdrawal bleeding", only after a week's break can you start drinking the next blister.

Important: if Siluet is taken for the first time, then the first pill should be taken on the day of the onset of menstruation.

Contraindications

Silhouette instructions for use categorically prohibit admission to women who currently have or have had a history the following diseases:

• atrial fibrillation;
• angina pectoris;
• bacterial endocarditis;
• superficial and deep vein thrombosis;
• ischemic disease hearts;
• hemorrhagic disorders;
• pulmonary embolism;
• hyperbilirubia of a congenital nature;
• porphyria;
• diabetes;
• arterial hypertension;
• lack of protein C;
• lupus anticoagulant;
• benign liver tumors;
• liver cancer;
• lactose intolerance;
• vaginal bleeding of unexplained etiology;
• migraine;
• epilepsy.

Please note: diabetes mellitus in some cases may be a conditional contraindication. The doctor must exclude vascular disorders against the background of this disease, and only in such a situation can Silhouette tablets be taken.

Special instructions for the use of the Silhouette and warnings

In the first three months of taking the presented contraceptive, there may be short-term vaginal bleeding (acyclic) - this is considered the norm and refers to the period of adaptation of the body. But if such a phenomenon is regular, then you should consult a doctor - you will need to change the drug.

If there is no "withdrawal bleeding", then this does not mean the onset of pregnancy, but only if the schedule for taking the pills was not violated. If a woman missed taking the next Silhouette pill, then it is worth contacting a gynecologist to confirm or exclude pregnancy.

Regular use of hormonal contraceptives increases the risk of developing thromboembolic diseases. A woman should pay attention to the following symptoms:

• shortness of breath and coughing fits;
• severe pain in the legs and chest (short-term, but recurring regularly);
• visual impairment;
• dizziness and fainting;
• numbness of any part of the body.

If at least one of them appears, it should be the reason for a visit to the doctor. Some studies support an increased risk of developing malignant diseases with prolonged use of hormonal contraceptives - more than 5 years.

Pharmacological action of the drug

The silhouette of a tablet is a combined drug with an antiandrogenic effect. The contraceptive effect is due to the following factors:

• the viscosity of cervical mucus increases;
• the structure of the endometrium changes;
• ovulation is inhibited;
• the peristalsis of the fallopian tubes changes.

Side effects

Regular use of Siluet can lead to the following side effects:

• dizziness and migraine;
• short-term vaginal bleeding;
• dry mouth;
• general weakness.

Such effects disappear after a few days of taking the drug and refer to the period of adaptation of the body. Rarely, but more severe side effects are recorded:

• pain along the veins;
• anemia;
• bradycardia;
• disorders of cerebral circulation;
• visual impairment;
• dry mucous membranes;
• development bronchial asthma;
• sinusitis;
• diarrhea;
• exacerbation of the chronic stage of gastritis;
• insomnia;
• fatigue syndrome.

If any health problems appear, even small changes in well-being should alert the woman - a full examination and consultation of a gynecologist will be required.

Interaction of the silhouette with other medicines

It is believed that taking hormonal contraceptives affects the effectiveness of antibiotics, antivirals and antifungals. In turn, the latter reduce the contraceptive effect. Therefore, when prescribing any course of therapy, it is necessary to warn the attending physician about taking the Siluet tablets.

Interaction with alcohol

Reception of the presented drug simultaneously with the use of alcoholic beverages does not entail a decrease in its effectiveness.

Overdose

No cases of overdose by Siluet in tablets were recorded.

Silhouette of a pill during pregnancy and lactation

During pregnancy, it is forbidden to take any hormonal drug - it can provoke a spontaneous abortion, negatively affects the intrauterine development of the fetus. While breastfeeding the silhouette is prohibited.

Storage terms and conditions of the Silhouette

Store the drug in a dry, dark place and out of reach of children. The shelf life is 3 years.

If a woman's periods do not end for a long time, this is a cause for concern. Normally, the duration of critical days is from 3 to 7 days. However, with a hormonal failure, the picture may change.

Excessive duration of menstruation can be the cause of both stress and serious illness. In any case, a loop failure cannot be ignored.

About the cycle

What should be the menstrual cycle, every woman of reproductive age should understand. This will allow you to understand when something goes wrong in the body:

• Menstruation appears for the first time in adolescence (approximately 12-13 years) and continues until the onset of menopause.
• The duration of the cycle is from 25 to 35 days, which is the norm, and menstruation should be at least three and no more than seven days.
• After conception and during the entire period of bearing a child, a woman does not have menstruation. After childbirth and completion breastfeeding the cycle is gradually restored and normalized.

Your periods don't end

A common question is what to do if your period does not end. In such a situation, it is necessary to consult a doctor and undergo an examination in order to find out the reason.

– benign tumorlocalized in the thickness muscle tissue uterus. Pathology is typical for the body of women of reproductive age who are faced with the problem of hormonal imbalance.

One of the symptoms of fibroids is menstruation, which does not end for a long time, as well as uterine bleeding.

Another gynecological pathology, which is characterized by the germination of the inner layer of the uterine cavity - the endometrium, on the tissues of other organs.

What to do?

Self-medication with prolonged menstruation is excluded. The doctor should be engaged in the selection of therapy after the diagnosis is made.

In some cases, to stop the discharge, they are prescribed, such as:

• Dicinon;
• Tranexam;
• Vikasol.

In other cases, you need to take other drugs, such as hormonal. The purpose of therapy depends on the cause of the problem.

You can stop long periods at home using traditional medicine recipes:

• Horsetail decoction. Pour a tablespoon of raw materials with a glass of boiling water and cook in a water bath for 15 minutes. Take 50 ml twice a day.
• Infusion of oak bark, raspberry and strawberry leaves, yarrow and cinquefoil goose. Pour a tablespoon of the herbal mixture with a glass of boiling water and leave for several hours. Take 50 ml three times a day before meals.

You need to understand that traditional medicine it is better to use it after consulting a doctor and only as an adjunct to the main therapy.

Prolonged periods may indicate the presence of any diseases in the body. Only a doctor after the examination is able to make an accurate diagnosis and prescribe the appropriate treatment.

In order to avoid serious consequences, a woman should be attentive to her well-being and go to a gynecologist if her periods last longer than expected.

On the video about uterine bleeding

Minasyan Margarita

Oral contraceptives contain hormones that are involved in the regulation of a woman's menstrual cycle. A discharge from birth control pills can be normal, signal a drug change, or indicate a health problem.

When discharge shouldn't be a concern

With the use of contraceptives in pills according to the instructions, menstrual flow does not stop. They still make themselves felt every month, but their frequency becomes clear (28 days exactly), and the intensity is moderate.

A daub can be observed on any day of the cycle at the very beginning of taking contraceptives, indicating a restructuring of the body.

Natural acyclic bleeding should have the following characteristics:

• the duration of episodic discharge up to 3 months;
• a small amount (2-3 daily pads per day);
• brown or red (see photo).

This phenomenon does not require canceling the course or replacing the contraceptive. It is enough to wait for the stabilization of the reproductive system and getting used to new conditions.

The protective (contraceptive) function of the drug does not decrease if a woman has periodic bleeding. It is important to adhere to the pill regimen without missing a day, and then such secretion will not be considered a side effect.

Read in one of our articles what other reasons may be.

How long can spotting last?

When taking hormonal pills, obvious bloody issues 40% of women have the first three months. This secretion is a consequence of the contraceptive effect. So much time is needed for the reproductive system to adapt to changes in hormonal balance. And only 10% of the interviewed patients noted scanty blood traces on the daily routine for six months.

Significant disorders in the form of bloody discharge after OC were diagnosed only in 5% of women. Blood secretion continued to persist even after repeated drug changes, so the pills had to be abandoned and also examined at the hospital.

The duration of the period of adaptation to oral contraceptives is increased due to the following factors:

• age;
• instability of hormonal levels;
• too low a dose of hormones;
• the presence of bad habits (smoking, alcohol);
• skipping a pill;
• violation of instructions;
• various diseases of the reproductive system;
• wrong type OK.

Why does this symptom appear

In each period of the monthly cycle, the body produces a certain amount of different sex hormones, the doses of which are responsible for various processes (ovulation, menstruation, etc.). Against the background of taking OK, synthetic hormonal components may simply not be enough in order to block the natural content of estrogens and progestogens. Therefore, the body needs several months to get used to such doses. While the adaptation period lasts, the endometrium is partially rejected, causing the appearance of smearing secretions when taking hormonal contraceptives.

There are other reasons for the presence of blood in vaginal fluid that need to be considered depending on:

• cycle phases;
• an oral contraceptive type;
• the serial number of the tablet (end, beginning of the package).

Influence of cycle time

When more than three months have passed after the start of the course, and when taking contraceptives, a specific period of the monthly cycle is noted, there is no need to immediately suspect the pathology. Minor bleeding may begin due to the characteristics of the hormonal background or the pills themselves.

After menstruation

If a woman takes a break after the blister (21 tablets) or has finished taking placebo pills (28 tablets per plate), then it is allowed to cleanse the uterus for two to three days. The blood clots remaining inside after menstruation come out and arise.

They also arise from too low a dose of estrogen, which, unlike progesterone, stops the rejection of the mucous layer of the uterus. It is necessary to choose another drug, but before that you should consult a doctor, you cannot drink other oral contraceptives of your own choice and desire.

When ovulating

The following factors can provoke when taking contraceptives:

• lack of synthetic estrogens;
• lack of gestagen;
• natural processes.

When taking OK ("mini-pili"), the egg develops and leaves the follicular sac, causing a small amount of blood in the cervical fluid.

After ovulation

Most common cause of bleeding before menstruation after ingestion modern methods contraception is a lack of gestagen. Still, pregnancy cannot be ruled out when the order of the pills was disrupted or a day was missed (bloody secretion 6-12 days after ovulation).

And there are also situations when a woman, instead of menstruation, notes brown discharge when taking OK. Natural progesterone builds up after ovulation, preparing the body for expected menstrual bleeding. When the hormone is not enough, the endometrium is not rejected in time, provoking a delay. But if you take Jess or other micro-dosed contraceptives, then instead of menstruation, pseudo-menstrual periods may appear. In the most advanced cases, a woman's cycle is interrupted, so there is no monthly bleeding. Read about in the article at the link.

Bloody discharge while taking birth control pills can sometimes be observed by girls using contraceptives to prevent unwanted menstruation. In this case, there is no break before the new packaging of the pills, but the next plate is taken immediately. In most cases, menstruation does not begin, but spotting may appear. They are somewhat larger in volume, but do not have signs of bleeding. You can understand this by your well-being and laying. It can bleed so much that a hygienic product becomes unusable in an hour, you feel weakness, dizziness. This is a direct indication of a pathology or hormonal disorder.

Adaptation does not end

The reason for the prolonged daub against the background of taking OK may be a violation of the rules for using a contraceptive or the fact of an incorrectly selected remedy. This explains the side effects. Oral contraceptives are considered safe for a woman's health, and a negative reaction in the form of bleeding is caused by a lack of a dose of one or another hormone.

This situation is clearly visible on the example of a specific stage of the course:

1. The first pills. At the beginning or half of the package, blood may be bleeding due to a lack of estrogen in the drug. If, it is necessary to stop using OK, but it is advisable to consult a doctor and drink the plate to the end.
2. Remains of packaging. From the middle of the total number of tablets to the end of the package, bloody discharge may begin due to the too low content of the progestogen component. And also the gestagen itself may not be suitable, therefore, the selection of another oral contraceptive is required, but it is impossible to stop abruptly using the old drug, otherwise there is a risk of bleeding and other side effects.

Termination of the course

The appearance of discharge after the abolition of contraceptives is allowed for several months. Everything will depend on the ability female body to restore your own hormonal background. But you shouldn't bleed systematically, otherwise you can't do without a medical examination.

Read what should be in the article by clicking on the link.

After the end of the course, secretion with blood may appear after one or two days. It resembles a daub and does not give a woman much discomfort. Sometimes a woman's body reacts more strongly to the termination of the use of OC, therefore, more abundant discharge is not excluded due to a sharp drop in hormone levels.

How many months after OK does the reproductive system stop producing psi-monthly?

In almost half of women who decided to cancel the course of contraception, smearing vaginal secretions with blood disappear after 10-14 days. The following factors affect the duration of adaptation:

1. Age. The older the woman, the slower the state of the reproductive system stabilizes.
2. Total admission time. The shorter the course, the faster there is a chance of getting pregnant. When contraceptives have been used for many years, there is a risk that the body will be destabilized within six months or even 12 months.

Effect on menstruation

If a woman decides to quit drinking oral contraceptives, then it is necessary to prepare for the fact that there will be no heavy periods in the first few months. Monthly bleeding will become more and more over time, until the situation finally returns to normal. The presence of scarce pregnancy is considered normal.

After canceling OK, spotting is normal, and a slight delay is allowed. It can be caused by the following processes in the body:

1. Gradual normalization of the menstrual cycle.
2. Stabilization of temporary atrophic changes in the uterine mucosa.
3. Restoration of the ability of the endometrium to implant.
4. Changes in the microflora of the vagina.
5. Decreased thickness of cervical mucus (after mini-drinking).

As long as these processes continue, the menstrual cycle will not be able to return to the same.

It is necessary to sound the alarm if menstruation is absent for several months, and against this background, the general condition has worsened.

Danger of abrupt interruption

You cannot abruptly stop taking contraceptives, otherwise serious health consequences cannot be avoided. Most often, there is a longer recovery period with spotting discharge instead of menstruation. But the most dangerous consequence of abrupt cessation of the course is uterine bleeding, which requires prompt hospitalization. Therefore, doctors advise taking all the tablets from the package. An exception is the diagnosis of the following diseases:

• hypertension;
• diabetes;
• imbalance of lipid metabolism;
• a sharp drop in vision;
• liver problems.

Therefore, if you want to quit oral contraceptives, you must consult a doctor so that he, based on a specific drug (Silhouette and others), can choose the optimal dose reduction scheme. This is the only way to avoid withdrawal symptoms with unpleasant side effects.

Causes of heavy bleeding when taking OK

The reason for breakthrough bleeding while taking OC may be the following:

• taking a dose incorrectly (missed a day);
• two pills in one day;
• digestive problems (absorption of the active substance decreases);
• antibiotic treatment;
• the use of drugs that affect the central nervous system;
• taking herbal remedies with St. John's wort;
• course of 63 days followed by a weekly break.

Special drugs (and others) will help stop bleeding, but it is undesirable to resort to such remedies without consulting a doctor, the same applies to brewing herbs and other folk recipes.

What is the color of the secretion?

Most women complain of brown discharge when taking birth control pills. Such secretion normally has a smearing character and a darker shade than normal menstruation. Pink or light red discharge is also allowed, when there is more natural mucus than blood due to the influence of an oral contraceptive.

White discharge with a uniform consistency, odorless and unpleasant sensations should also not cause concern. Their appearance is especially important after the abolition of OK, when the body shows that the recovery period is over. Yellow and tolerated, but no itching or burning.

Briefly about the main

If you started taking contraceptives, then you should not immediately suspect pathological processes and serious hormonal disruptions. This is a natural reaction of the body in the first three months. The reason for going to the hospital is a protracted adaptation period, severe bleeding and a sharp deterioration in general health.

Menstruation when taking birth control, how often will they start, what will be their intensity and in what cases should you worry? Let's take a closer look at the different nuances of this important issue.

Regularity and abundance

Lean periods while taking birth control are absolute norm... For most women, during the period of taking oral contraceptives, critical days not only become less abundant, painful, but also end faster. The volume of discharge becomes 40-60 mg for the entire period of menstruation. This has a positive effect on the level of iron in the blood, hemoglobin increases.

Another plus is that menstruation is regular, once every 28 days, usually, it is not delayed.

And if necessary, a woman can continue taking the drug for a seven-day break according to the instructions, and then menstruation will not start at all. But it is not worth practicing this too often, since intermenstrual bleeding is likely.

By the way, when taking oral contraceptives (OC), there is not real menstruation, but a so-called menstrual reaction occurs. The endometrium is rejected due to a decrease in hormone levels when a woman takes a seven-day break. Many women, and doctors too, think OK good remedy to normalize the menstrual cycle. But if irregularities in the cycle have arisen due to some specific malfunctions in the body, a situation may well develop that a delay in menstruation will begin after the abolition of contraceptives, that is, there will be a failure again. OK should not be considered as drug... Well, except when they are taken to improve well-being with PMS or endometriosis.

Intermenstrual discharge

In the first three cycles, it can happen that your period does not stop when you take the contraceptive pill. It is very common of them side effect... It is more often observed in the case of taking low-dose drugs, with a synthetic estrogen level of 20 mcg. Bleeding does not reduce the effectiveness of the drug, but it can significantly worsen a woman's quality of life. What if this side effect lasts more than three months?

If spotting is observed in the first half of the cycle, this means that there is not enough estrogen in them. It must be replaced with a drug with a dosage of 30 mcg. If in the second half of the cycle, you need to replace the type of synthetic progesterone. That is, pick a drug with another.

Intermenstrual flow is not a reason to refuse intercourse. Men should understand that this is just a side effect of the pills, the woman is not sick. But, of course, you need to be especially careful about hygiene. It is advisable to have sex using a condom these days.

It rarely happens that a woman has blood on different oral contraceptives, then there is nothing left but to use another, non-hormonal contraception. Although, there is another option - to try a three-phase drug. These types of oral contraceptives are now less in demand, but sometimes they are more suitable for women.

Fear should be caused if the real menstruation began while taking the contraceptive pills, that is, abundant, and not during the seven-day break. Of course, in this case, it is advisable to see a doctor as soon as possible. But if this is not possible, then the dosage of the drugs taken can be increased from 1 to 2 tablets per day. And after the normalization of the condition, switch back to the standard 1 tablet per day. In this case, you need to take the drug all the same 21 days, no less. Therefore, you will have to buy an extra package of the drug.

If intermenstrual bleeding began suddenly, although this had not happened before, you need to remember if there were any gaps in taking the pills, if any medications - antibiotics especially, folk remedies treatment - St. John's wort. They can lead to a decrease in the effectiveness of hormonal contraceptives, provoke blood anesthesia.

If they don't start

Unfortunately, sometimes a delay in menstruation when taking birth control means an unplanned pregnancy. If within 6 days after the end of the packaging of the drug, a menstrual reaction has not begun, or there is practically no discharge, only a weak daub, you need to do a pregnancy test. And then, only if the result is negative, start a new package. Rarely, but it happens that there is no period when taking birth control pills.

If pregnancy does occur, do not start a new package of the drug! It is necessary to decide whether to leave the child or not. Studies have shown that hormonal contraceptives do not have a negative effect on the fetus, at least if they are taken only in the first days after conception. And it really is. A woman just needs to register for pregnancy and be monitored by a gynecologist before giving birth.

If you decide to have an abortion, then both medical and vacuum aspiration will be available at such an early date.

Periodic inspections

Every woman who has chosen hormonal contraception, in principle, like any other, should visit a gynecologist once a year for preventive purposes. The doctor will conduct an examination, check the cervix, the presence of neoplasms of the ovaries and the body of the uterus (large ones are felt). He will definitely take a smear from the cervix for oncocytology. Possibly perform a colposcopy. But to be tested for hormones during the period of using hormonal contraceptives is almost always a useless exercise. First, you need to stop taking them.

The doctor will find out if the period is going on when taking the contraceptive pills, with what frequency, abundance. And based on this, he will be able to draw conclusions about your health, whether you can continue to take these pills.

After canceling

In most women, the likelihood of pregnancy increases immediately after drug withdrawal. This is called the rebound effect. It lasts up to three cycles. But for some, the opposite happens. The syndrome of ovarian hyperinhibition is diagnosed. With him, no ovulation occurs, menstruation disappears. But it's good that this condition is mostly temporary and goes away on its own within the first three months.

If your menstruation disappeared after taking OK, you need to do an ultrasound of the pelvic organs, donate blood for hormones (LH and FSH are required), and be examined by a doctor.

If pregnancy is planned, but ovulation has disappeared, a drug that stimulates it, "Klostilbegit", is recommended for a woman.

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