What are the periods if you take Yarina. At the start of a new package. Indications and contraindications

One of the most frequent side effects during the reception contraceptives- this is the appearance of spotting in the wrong phase of the cycle. They can be released in different volumes and have a different consistency, ranging from liquid and translucent to dark blood clots.

pharmachologic effect
Contraceptive and estrogen-gestagenic action.

Yarina tablets are no exception: every third woman taking this low-dose drug has experienced unusual bleeding in the middle or end of the cycle. In what situations is this symptom normal, and when should you sound the alarm?

Why does spotting occur?

Spotting discharge with blood impurities, which in everyday life is often called "daub", occurs in about half of women taking oral contraceptives. Most of them forget about this problem after one or two months, but in some cases, these discharges can remain for six months or more. The appearance of spotting bleeding is associated with the amount of hormones in a woman's body, and it is quite natural during the period of adaptation.

For menstrual cycle estrogen levels are constantly in motion, rising in initial phase and dropping in the middle. Unlike the natural level of estrogen in the blood, its amount in modern oral contraceptives is constant and low throughout the entire cycle. Since the body believes that there is not enough estrogen, it begins the process of rejection of the endometrium ahead of time - hence the pink, bloody or brown discharge.

Allocations of this type can not only “smear”: sometimes they resemble ordinary menstruation, scanty and quickly ending. Regardless of the consistency, bleeding during adaptation to the drug cannot be too profuse, and also does not last longer than two or three days.

Most often, spotting bleeding occurs while taking microdosed drugs, such as Jess, Novinet, Mercilon and others. These contraceptives contain smallest dose estrogen, and sometimes the body may consider their amount insufficient even after the adaptation period is over. Low-dose drugs with a higher dose of estrogen are less likely to show this effect, so many women while taking Yarina may not notice spotting in themselves.

When else is spotting normal?

Uncharacteristic bleeding while taking oral contraceptives can speak not only about the adaptation of the body to a new level of estrogen. There are a number of other normal reasons for spotting bleeding, in which you do not need to see a doctor!

At the start of a new package

When the break or placebo pill ends and the cycle starts again, the body can get rid of unnecessary endometrium for a few more days. After menstrual bleeding, part of the discharge may remain in the uterus, and leave it a little later: this phenomenon explains the bleeding two to three days after the end of menstruation.

During ovulation

Closer to the middle of the pack birth control pills when ovulation should begin in the body, may appear different types bleeding. In this phase of the cycle, the body needs the most high level estrogen, and its lack can lead to premature rejection of the endometrium. It can be spotting or regular bleeding that resembles menstruation, but regardless of consistency, it never lasts longer than three days and is never too heavy.

With no break between packs

Birth control pills can be taken continuously to avoid menstruation at an inconvenient moment. Many women adjust their cycles in this way, removing periods from their schedule during vacations or important holidays. However, often with this administration of the drug, spotting, bloody or brown, occurs.

Such an effect can manifest itself both when taking Yarina, and while taking any other oral contraceptive: the specific drug is not important, this reaction depends on the body of a particular woman who is not ready to continue the cycle. This symptom can ruin a woman's plans, but it is not dangerous.

When is spotting dangerous?

In addition to natural, there are also pathological causes of bleeding while taking Yarina and others. contraceptives. Some of them may not be hazardous to health, but they pose a risk of unwanted pregnancy and even hormonal failure.

What could be the reason pathological bleeding when receiving OK?

Inappropriate drug

The most common cause of abnormal spotting is the wrong drug. If a woman has been taking pills for more than six months, but unpleasant symptom has not disappeared - most likely, the dosage of the hormone in this remedy does not suit her, and it is necessary to choose new contraceptive. Depending on the phase in which the spotting appears, the cause may lie in different hormones: discharge at the beginning of the cycle indicates a lack of estrogen, and at the end - a lack of progestogen in the body.

Decreased contraceptive effect

Bloody discharge when taking Yarina, which occurs at the wrong phase of the cycle, may indicate an insufficient level of contraception. Most often, it decreases due to missed tablets: if a day or more has passed since necessary moment taking, and the pill has not been drunk, spotting bleeding may begin Brown color. If this symptom occurs, it is necessary to take care of additional contraception before starting a new cycle.

Also reduce contraceptive effect may take alcohol and certain drugs, with complete list which can be found in the instructions for oral contraceptives.

Disease

The appearance of bleeding while taking oral contraceptives may not be related to the drug: often bloody issues arise for completely different reasons, related to various diseases. The case may be in endometriosis, uterine fibroids, inflammatory and infectious diseases different genesis. Any of these diseases are accompanied additional symptoms: pain in the lower abdomen, burning, itching or unpleasant odor.

Pregnancy

If you start spotting in the middle of your cycle but don't have menstrual-like bleeding at the right time, the cause may be early in your pregnancy. In addition to the absence of menstruation, this condition is characterized by swelling and pain in the breasts, increased drowsiness, nausea and general weakness. Taking oral contraceptives during pregnancy is very dangerous, so if you suspect that it could still come, you should do a test as soon as possible.

Most often, spotting while taking Yarina and other OKs is completely natural for female body phenomenon. But if you suspect pathological cause, contact a gynecologist immediately: you can’t joke with the health of the reproductive system.

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

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

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

Analogues

What reduces the contraceptive effect of Yarina?

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

How to delay menstruation with Yarin?

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

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

Do I need to take long breaks while taking Yarina?

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

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

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

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

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

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

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

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

Yarina's reception before surgery

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

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

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

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

No. 40 724 Gynecologist 01/19/2017

Good afternoon. Such a situation - I have been taking Yarina for the 10th cycle (since April 2015). Everything always went according to schedule, no smears, no extra discharge, no side effects, in general, everything is just perfect. were registered in cosmetic purposes Well, for the prevention of the development of serious female diseases. Woke up last night from severe pain in the right side, concentrating closer to the sacrum (the pain gave to the back and pulled the leg), in the morning and during the day they began to appear brownish discharge. The pain did not subside and flowed smoothly down the abdomen, then back to the lower back. Without hesitation ran to the gynecologist. To which she said that everything is fine, she does not see any problems, but what she smears in the middle of the cycle (day 18) is normal. This morning I took a pill according to the schedule, after 4 hours the blood began to flow, as with normal menstruation, there are 7 more tablets in the package. In connection with what could this happen even on the 10th cycle? What to do? Should I stop taking the pills or take it to the end?

Maria, Moscow

NO ANSWERS

Smirnova Olga (gynecologist, GSMU, 2010)

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

When discharge should not cause concern

Taking contraceptive pills according to the instructions menstrual flow do not stop. They still make themselves felt every month, but their frequency becomes clear (28 days exactly), and the intensity is moderate.

A daub may 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:

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

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

The protective (contraceptive) function of the drug does not decrease if a woman periodically bleeds. It is important to stick 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 else could be the reasons.

How long can bleeding last?

When you receive hormonal pills obvious spotting occurs in the first three months in 40% of women. This secretion is a consequence of the contraceptive effect. How much time does the reproductive system need to adapt to changes in hormonal balance. And only 10% of the interviewed patients noted meager blood marks on daily routines for six months.

Significant disorders in the form of spotting after OK were diagnosed only in 5% of women. The secretion with the blood continued to persist even after multiple changes of drugs, so the pills had to be abandoned, and also undergo an examination in the hospital.

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

• age;
• instability of the hormonal background;
• too low a dose of hormones;
• Availability bad habits(smoking, alcohol);
• skipping pills;
• violation of instructions;
• various diseases of the reproductive system;
• Wrong type OK.

Why does this symptom occur?

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 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 spotting when taking hormonal contraceptives.

There are other reasons for the presence of blood in the vaginal fluid, which should be considered depending on:

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

Influence of cycle time

When more than three months have passed since 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 a pathology. Minor bleeding may begin due to the peculiarities of the hormonal background or the tablets themselves.

After menstruation

If a woman took a break after the blister (21 tablets) or ended taking the placebo pills (28 tablets per plate), then the uterus can be cleansed for two to three days. Remaining inside blood clots after menstruation, they come out, and arise.

They also occur due to too low a dose of estrogen, which, unlike progesterone, stops the rejection of the uterine lining. 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.

At ovulation

The following factors can provoke when taking contraceptives:

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

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

After ovulation

The most common cause of discharge with blood before menstruation after taking modern methods contraception is a lack of progestogen. It is still impossible to exclude pregnancy when the order of the pills was violated or a day was missed (bloody secretion on the 6-12th day after ovulation).

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

Bloody discharge when taking birth control pills can sometimes be observed by girls using contraceptives to prevent unwanted menstruation. A break before a new pack of pills, in this case, is not done, but the next plate starts immediately. In most cases, menstruation does not begin, however, spotting may occur. They are slightly larger in volume, but do not have signs of bleeding. You can understand this by feeling and laying. It can bleed so much that the hygienic product becomes unusable in an hour, weakness, dizziness are felt. This is a direct indication of a pathology or hormonal disorder.

Adaptation never ends

The cause of a 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 justifies side effects. Oral contraceptives are considered safe for women's health, and backlash in the form of blood secretions is caused by a lack of a dose of one or another hormone.

This situation is well seen on the example of a specific stage of the course:

1. First tablets. At the beginning or half of the package, bleeding may be due to a lack of estrogen in the preparation. If you need to stop using OK, but it is advisable to consult a doctor and drink the plate to the end.
2. Remaining packaging. From the middle total tablets before the end of the package, spotting may begin due to too low content progestin component. And also the progestogen itself may not be suitable, therefore, the selection of another oral contraceptive is required, but it is impossible to abruptly stop using the old remedy, otherwise there is a risk of bleeding and other side effects.

Course termination

The appearance of discharge after the abolition of contraceptives is allowed for several months. Everything will depend on the ability of the female body to restore its own hormonal levels. But bleeding should not be systematic, otherwise you can not 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 in one or two days. It resembles a daub and does not cause a woman much discomfort. Sometimes a woman's body reacts more strongly to stopping the use of OK, so more copious discharge due to sharp drop hormone levels.

After how many months after OK, the reproductive system will cease to allocate pseudo-monthly?

Almost half of the women who decide to cancel a course of contraception, smearing vaginal secret disappears with blood in 10-14 days. The following factors influence the duration of adaptation:

1. Age. How older woman, the slower the state of the reproductive system stabilizes.
2. Total admission time. The shorter the course, the faster the chance of getting pregnant appears. 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 stop 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 normalizes. The presence of meager pregnancy is considered normal.

After canceling OK, smearing selections are normal phenomenon, and slight delay allowed. She may be called following processes in the body:

1. Gradual normalization of the menstrual cycle.
2. Stabilization of temporary atrophic changes in the uterine mucosa.
3. Restoring the ability of the endometrium to implant.
4. Changes in the microflora of the vagina.
5. Decrease in the density of cervical mucus (after a mini-pill).

While all these processes continue, the menstrual cycle will not be able to become 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

Don't abruptly stop taking birth control serious consequences health is unavoidable. Most often there is a longer recovery period with spotting instead of menses. But the most dangerous consequence abrupt cessation of the course is uterine bleeding which requires prompt hospitalization. Therefore, doctors advise taking all the pills from the package. The 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 should consult with your doctor so that he can choose the optimal dose reduction scheme based on a specific drug (Silhouette and others). This is the only way to avoid withdrawal syndrome with unpleasant side effects.

Causes of heavy bleeding when taking OK

Cause breakthrough bleeding at the time of receiving OK may be the following:

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

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

What color is the secretion?

Most women complain about the occurrence brown discharge while taking birth control pills. Such secretion normally has a smearing character and a darker shade than that of ordinary menstruation. Still pink or light red discharge is allowed when natural mucus more than blood due to the influence of the oral contraceptive.

White discharge with a homogeneous consistency, odorless and discomfort shouldn't be a cause for concern either. Their appearance is especially important after the cancellation of OK, when the body shows that the recovery period is over. Yellow and allowed, but without itching and burning.

Briefly about the main

If you started taking contraceptives, then you should not immediately suspect pathological processes and severe hormonal imbalances. it natural reaction body in the first three months. The reason for going to the hospital is a long adaptation period, severe bleeding and sharp deterioration general well-being.

If you decide to take oral contraceptives for the first time, then be prepared for the fact that during the addiction period, most likely, you will be accompanied by vaginal discharge while taking contraceptives. It can be both a dark spot and intermenstrual bleeding.

As a rule, in a third of women, spotting when taking contraceptives disappear within the first three months, in some cases, the adaptation period can take up to six months.

Why does bleeding occur when taking contraceptives?

The phases of the menstrual cycle are a well-established process of changing the hormonal background, during which there is a systematic replacement of some hormones by others. So, at the beginning of the cycle, the body secretes the largest number estrogen, preparing the endometrium of the uterus for ovulation, after which the hormonal background shifts towards progesterone. Modern oral contraceptives contain small dose hormones, which in the early stages may simply not be enough to block your natural hormonal background. This provokes bleeding when taking contraceptives before the due date.

If the discharge after taking birth control pills is meager and stops after the adaptation period, then you should not have any problems with this type of contraception. Most importantly, do not forget to take the next capsule on time.

Reasons to consult a specialist can be any non-standard symptoms that accompany discharge when taking OK: pain, pulling sensations in the lower abdomen, the discharge becomes more abundant.

What do the discharges in different phases of the cycle say?

If the body should have already gone through the adaptation period allotted to it, but spotting while taking contraceptives has not passed, then the period of their activation can tell the specialist which hormone dominates in you and prescribe other contraceptives that are more suitable for you.

Brown discharge when taking OCs at the beginning or middle of the cycle may indicate a lack of estrogen in oral contraceptives and you should choose pills with a stronger dosage.

Allocations after taking OK at the end of the cycle indicate a lack of the hormone progestogen in the composition of contraceptives.

Abundant discharge while taking contraceptives, which have a breakthrough character, indicates accelerated atrophy of endometrial cells by the uterus during the period of adaptation of the body and are not dangerous symptom for woman. Another option for such bleeding may be a violation of the regimen of oral contraceptives and a shift in hormonal levels.

Undoubtedly, in case of breakthrough bleeding the best option is a consultation with a specialist. But most contraceptives in their instructions advise doubling the daily hormonal dose until the discharge from taking OK does not stop. Then you should switch back to the usual regimen. In no case should you stop taking contraceptives in the middle of the cycle, otherwise this can only increase bleeding, causing malaise or anemia.

Other causes of bleeding

Other reasons that cause spotting when taking birth control can be:

• smoking: has a significant effect on the hormonal background, suppressing the production of estrogen;
• medications: some medications are not recommended to be taken with oral contraceptives. Therefore, if you regularly take some medicinal product, then be sure to inform the gynecologist about this before he prescribes you OK;
• infections or diseases of the reproductive system: as a rule, such pathologies are accompanied by uncomfortable sensations, pain in the lower abdomen, an uncharacteristic smell of secretions, a change in the consistency of mucus.

If you find any deviations from the norm, you should immediately consult a doctor so that, based on the tests, he can choose a timely and effective treatment.