Jess effect on weight. The likelihood of gaining extra pounds when taking Jess. Dimia or Jess - which is better?

A woman of reproductive age who does not plan to give birth to a child should promptly choose an effective method of contraception. It is recommended to pay attention to the birth control pills Jess Plus (Yaz Plus), which are characterized by a minimal list of side effects and high efficiency. Before purchasing, you need to consult a gynecologist.

Composition of Jess Plus

The drug Jess Plus is a monophasic contraceptive for oral use with an antiandrogenic effect in the female body. This medication is produced in the form of round tablets of pink and orange color, film-coated. Instructions for use are included in each cardboard package. The blister contains 24 deep pink and 4 pale orange tablets. Features of the chemical composition of Jess Plus:

According to the instructions, the chemical composition of the light orange auxiliary tablet is identical, with the exception of the active substance. The active component is calcium levomefolate (micronized) at a concentration of 0.451 mg in 1 tablet. Before choosing such an oral contraceptive method, you need to carefully study the instructions for use and consult with a gynecologist.

Pharmacological properties

Birth control pills Jess Plus, by increasing the viscosity of cervical mucus and suppressing ovulation, provide a stable contraceptive effect. With long-term oral use, the reproductive activity of the female body decreases, but the risk of side effects is minimal (the endometrium does not grow). If you skip a single dose, the desired effect weakens because there is an insufficient concentration of hormones in the blood.

Calcium levomefolate satisfies the female body's need for folate. Ethinyl estradiol not only suppresses the natural processes of ovulation and changes the composition of cervical mucus. Other pharmacological properties of Jess Plus:

• normalizes the menstrual cycle;
• reduces swelling;
• helps remove excess fluid from the body;
• eliminates acne symptoms;
• reduces symptoms of anemia during menstruation;
• maintains normal body weight of the patient;
• helps correct excess weight;
• restores placebo.

After oral administration of the recommended dose, Jess Plus is completely absorbed from the digestive canal. The maximum concentration in plasma of the active substances is reached after 1–2 hours. Two-phase pharmacokinetics occurs in the body: a pool with fast and slow metabolism is observed. The medication is excreted in several ways: unchanged, through the kidneys with urine and the digestive system.

Indications for use

Detailed instructions for use Jess Plus informs that women can use this medication not only for the purpose of reliable contraception. Other medical indications:

• moderate form of acne, acne;
• complicated premenstrual syndrome;
• menopause, menopause;
• ovarian neoplasms (on the recommendation of a gynecologist);
• contraception against the background of folate deficiency, for example, chlestyramine;
• hormone-dependent fluid retention in the body.

How to take Jess Plus

This contraceptive is intended for oral use in a full course. If you use Jess Plus to prevent unwanted pregnancy, it is important to strictly follow the prescribed dosage. The tablets must be swallowed whole (do not chew), washed down with a moderate amount of liquid, taken at the same time of day, and do not skip approaches.

According to the instructions for use, it is recommended to start the course on the first day of the menstrual cycle (at the start of bleeding). Drink 1 tablet per day. The course of drug therapy lasts 28 days. Afterwards, you need to open and use a new pack of oral contraceptives as directed. With diarrhea or vomiting, the desired therapeutic effect is reduced, so it is additionally recommended to use barrier methods of contraception.

special instructions

According to the instructions, if you miss taking active tablets, the next dose must be doubled so as not to violate the treatment regimen prescribed by the instructions. Otherwise, the desired effect is weakened. It is better to throw away inactive light orange tablets; there is no need to double the dose if missed. The instructions for use also contain other valuable instructions for patients:

1. If you take the drug during pregnancy, chloasma develops. Opening bleeding becomes a threat to the intrauterine development of the fetus; the use of Jess Plus must be stopped urgently.
2. During lactation, the hormonal drug is also contraindicated, since the active substances are excreted in mother's milk and can harm the health of the infant.
3. When choosing Jess Plus tablets as a reliable contraceptive, doctors do not rule out the development of venous thromboembolism, represented by deep vein thrombosis and pulmonary embolism. Doctors do not rule out blockage of the blood vessels of the kidneys, liver, and brain.
4. There is a high probability of developing arterial or venous thrombosis in women of advanced age, if the patient has bad habits, or one of the stages of obesity.
5. If, after starting the course, persistent arterial hypertension develops, doctors recommend urgently stopping further treatment and choosing an analogue of Jess Plus.
6. The medication does not protect a woman from HIV infection and sexually transmitted diseases. When choosing this method of contraception, you need to be selective about sexual contacts.
7. Additionally, the chemical composition of the medication contains vitamins necessary to strengthen local immunity.

Alcohol compatibility

When prescribing Jess Plus, you must avoid drinking alcoholic beverages. Otherwise, the risk of intoxication of the female body increases. Patients complain of nausea, dizziness, vomiting, and allergic reactions. Doctors do not rule out changes in the chemical composition of urine. Hormonal drugs and alcohol are absolutely incompatible.

Drug interactions

If you use several oral contraceptives at the same time, the risk of uterine bleeding increases. The reliability of the chosen method of contraception decreases significantly. The instructions for use contain other information about drug interactions:

1. A hormonal contraceptive reduces the therapeutic effect of Nevirapine, barbiturates, Griseofulvin, Felbamate, Topiramate, Primidon, Oxcarbazepine, Rifampicin, Phenobarbital, Carbamazepine, Phenytoin.
2. When used simultaneously with antibiotics and for 7 days after completion of antibiotic treatment, a woman should additionally use barrier methods of contraception.
3. Tetracyclines and penicillins reduce the concentration of ethinyl estradiol in the patient’s blood and disrupt the enterohepatic recirculation of estrogens.
4. If a woman simultaneously takes medications that affect microsomal liver enzymes, the effectiveness of the oral contraceptive Jess Plus is reduced.
5. Folates change the pharmacokinetics or pharmacodynamics of this medication.

Side effects of Jess Plus

The medication is well tolerated, but doctors do not rule out a deterioration in the patient’s well-being. Instructions for use contain a list of side effects:

• digestive tract: nausea, vomiting, liver dysfunction, gastralgia;
• nervous system: depression, dizziness, emotional instability, migraines, decreased libido, depression of psychomotor functions;
• cardiovascular system: arterial or venous thromboembolism;
• reproductive system: vaginal bleeding, breast pain or swelling,
• allergic reactions: erythema multiforme or nodosum, skin rash, urticaria;
• others: ulcerative colitis, hypertriglyceridemia, Crohn's disease, benign or malignant liver tumors.

Overdose

Cases of overdose of the hormonal drug Jess Plus have not been recorded in practice. If the patient systematically exceeds the recommended dose of active pink tablets, spotting from the vagina, attacks of nausea and vomiting cannot be ruled out. The instructions for use do not provide a specific antidote. Treatment is symptomatic.

Contraindications

• complicated liver and kidney failure;
• diabetes;
• profuse bleeding from the vagina;
• cerebrovascular disorders;
• liver tumors of various origins;
• glucose-galactose malabsorption, lactase deficiency, lactose intolerance;
• prolonged migraine attacks;
• periods of pregnancy, lactation;
• increased sensitivity of the body to the hormonal drug and its components;
• thrombosis, thromboembolism and genetic predisposition to them.

This is where the list of absolute contraindications ends. Jess Plus is prescribed with caution in the following clinical cases:

• hypertriglyceridemia;
• overweight, obesity;
• liver diseases;
• presence of bad habits;
• disturbance of peripheral blood flow;
• postpartum period;
• diseases caused by disturbances in the concentration of hormones in the blood.

Terms of sale and storage

The contraceptive Jess Plus is sold in pharmacies and is available with a prescription. According to the instructions, the medicine must be stored in a dry, cool and dark place, out of reach of small children. It is important to limit exposure of the packaging to sunlight. The shelf life of the medicine is 5 years, after which it must be disposed of.

Analogs

If a hormonal contraceptive causes side effects and aggravates the patient's condition, it must be replaced immediately. List of reliable analogues and their brief characteristics:

1. Midiana. This is an oral contraceptive to protect against unwanted pregnancy. According to the instructions, the patient needs to drink 1 tablet for 21 days. at the same time of day. Then you need to take a week's break and resume oral administration of the drug again.
2. Jess. This is a monophasic oral contraceptive with a pronounced antiadrogenic effect. According to the instructions, the patient is required to take 24 active tablets and 4 placebos. The course of treatment is 28 days, which corresponds to a woman’s menstrual cycle. Then, from the first day of menstruation, the implementation of the contraceptive method is resumed.
3. Dimia. This is an oral contraceptive in the form of round white tablets. According to the instructions, the patient is prescribed 1 tablet. inside - every day at the same time of day. The optimal course is 28 days. Upon completion, on the recommendation of the gynecologist, you need to start taking a new pack of medication.
4. Yarina. Another effective contraceptive, which has a minimal list of side effects, is well tolerated by the female body. The instructions for use contain dosages and courses, but before you buy the medicine, you need to consult a gynecologist.

ZdravZone

EuroPharm

ElixirPharm

Samson-Pharma

Hi all!

In the last review, I told Diana-35 about my ups and downs with oral contraceptives (OK) (there is a detailed history of all my sensations and ordeals) and promised to continue the topic, so today I’ll tell you about the Jazz or Jess pills, as they are also called:

I’ll say right away: I have PCOS - polycystic ovary syndrome, so I consider taking hormonal contraceptives justified for myself; under no circumstances prescribe pills for yourself!

Jas (Jess, Yaz) are microdosed tablets, composition:

What I like about them is the convenience– you don’t need to rack your brains, remembering what day you start the pack – you just take them without a break, the last 4 tablets are placebo, you should have your period at this time.

The package itself has stickers with all the options for the days of the week, so you can stick the one you need and, again, not rack your brains, it’s very convenient.

Effect on skin and hair

If anyone doesn’t know, hormonal inflammations are different from ordinary acne: they appear deep in the skin, either they ripen, or they don’t ripen, but they hurt and you can’t remove them, like a simple inflammation - they stay in their place for months and don’t dry out on their own. It’s good if they pass without a trace, but basically, in place of such stagnant processes, a hole or pigmentation is formed.

In a month of Jazz, I’ll hide the photos, they are unaesthetic:

New inflammations hardly appear, but the old ones are in no hurry to disappear, however, by the end of the pack, I noticed that they finally stopped hurting and, so to speak, “the life is fading away” in them - they are starting to slowly heal.
By the way, the instructions say that these tablets can be used for mild form of acne, it’s understandable, because The dosage of estrogen is only 20 mcg versus 35 mcg of Diana’s. Because of this, the effect on acne will be slow, but if, for example, you switch to them from Diane, then they will do a good job of maintaining good skin condition.

Oily face and scalp almost unchanged, maybe decreased quite a bit. My hair starts to fall out less when I start taking the pills.

Effect on breasts

The breasts have become somewhat sensitive, have hardly increased in volume (I don’t need it), and I don’t notice any unpleasant sensations. Compared to Diana-35, I am much more satisfied with this; on Diana, my breasts hurt and are noticeably enlarged.

Effect on period pain

It happens that I endure these days completely calmly, as if nothing is happening at all, sometimes my stomach can tug, but there is no trace of the depressed state in which I find myself without pills (I bear it very hard, sometimes even with nausea).

Influences are not libido I don't notice.

Impact on genital health

I noticed that on the pills I hardly have any problems, while without them I often have thrush and inflammation.

I didn’t have any problems with the cervix, like under Diana (where I describe my ordeals), on these pills.

I wrote about hormones and weight gain in a review on Diana, here is a quote from there:

I took different pills, and believe me, the law is always the same - eat a lot and don’t move - you’ll get fat. And period. Perhaps hormones affect appetite, this is also indicated in the annotation, but the fact remains that in my second year I became very overweight during the winter holidays due to stress, I didn’t even think about taking hormones then, and I lost almost 10 kilograms while sitting on tablets. So if you don’t eat, if you don’t mind yourself, then you won’t gain weight on pills, even on such nuclear ones as Diane.

For me, this is absolutely true even when taking Jazz, now I’ve stopped overeating, I’m trying to play sports - I’m losing weight, everything is fine.

Cancellation effect

One of my doctors advised me to take a break from taking the pills for 2-3 months once a year. I obeyed and again suffered terribly with my skin - it wasn’t even inflammation, but bumps, and you can’t hide them with foundation...

There was no bleeding, as there was after the withdrawal of Diane-35.

Hair begins to fall out as in the “pre-pill” period, but it seems that this is the end of the world, because you quickly get used to good things...

Side effects

I don’t notice them, my varicose veins, which I’m sure Diane-35 is directly related to, don’t seem to be progressing, but I regularly take a drug that supports blood vessels.

However, I must say that when I decided to switch from Jazz to Diana for a while, after two packs I got an exacerbation of varicose veins, about which I complained to the gynecologist and he suggested that I try Flutafarm– this is not OK, but it also has an antiandrogenic effect, I’ll write about it soon.

Conclusions. I’m now taking Jazz again after a year and a half of Femoston (I couldn’t stand the constant inflammation on my face and neck anymore) and I’m happy as an elephant. Unfortunately, PCOS is for life, I’m not going to sit at home depressed for the rest of it, worrying about problematic skin, it gives me real suffering and affects different areas of my life, so for me these microdosed OKs are a compromise.

Very important!

But! As I already said, Under no circumstances should you:

Prescribe yourself any pills without tests or consulting a doctor,

Taking hormones just because you have problem skin - the reason may not be hormones;

Taking hormones just because you want your breasts to get bigger or other far-fetched reasons is simply idiotic! Now I am not taking into account the motives for avoiding an unwanted pregnancy - for these purposes there are tablets with a lower dosage and, in general, many different means. I sincerely hope that Diana is not being prescribed a contraceptive now - this is shooting at sparrows with a cannon, I think so.

Oral contraceptives are one of the most reliable ways to protect against unwanted pregnancy. The Pearl index, which reflects the number of pregnancies occurring per year in women using a certain method of contraception, is the lowest and is equal to 0.15-0.5. For comparison, a condom has this indicator at 12. Many drugs have additional effects. For example, Jess birth control pills have an antiandrogenic effect and can eliminate some cosmetic skin defects.

What does it contain?

One blister contains 28 tablets. 24 of them are active and contain a hormonal component, and the last 4 tablets are pacifiers. They are necessary to maintain the rhythm of taking the drug.

The active ingredients are estrogenic and progestin components, which are represented by the following substances:

• ethinyl estradiol in the form of betadex clathrate – 20 mcg;
• drospirenone – 3 mg.

The composition of Jess and Jess Plus is distinguished by the presence of an additional substance - Metafolin - in the latter. It is included in the active 24 tablets and is also the main component of 4 additional tablets.

Pharmacological effects

The action of the hormonal drug is based on the ability to suppress. The maturation of the egg does not occur, which means pregnancy is impossible. The state of the cervical mucus changes: it becomes more viscous, so most of the sperm do not penetrate into the uterine cavity. If you follow the instructions, pregnancy is practically impossible when taking Jess.

Positive effects on the menstrual cycle include the following:

• cycle duration is equalized;
• the pain of menstruation decreases;
• the intensity of bleeding decreases.

Reducing blood loss has a positive effect on the general condition of the body. In women with a tendency to anemia, the hemoglobin level returns to normal.

Proven preventive effect on the incidence of ovarian and endometrial cancer.

The gestagenic effect is provided by drospirenone. It has an antimineralocorticoid effect, which is manifested in the following:

• reducing the severity of edema before menstruation, which occurs under the influence of estrogens;
• prevents excess body weight gain by removing fluid;
• helps cope with symptoms.

Drospirenone acts as an antiandrogenic drug. At the same time, the greasiness of the skin and hair is reduced, and acne is eliminated. In combination with the estrogenic component, drospirenone normalizes the blood lipid profile by increasing HDL.

What is the difference between Jess and Jess plus?

As mentioned above - in an additional component. Calcium levomefolate, or Metafolin, is a biologically active form of folic acid (vitamin B₉). Folates are involved in cell nuclear division. With their deficiency, cell reproduction suffers, and the process of formation of red blood cells is also disrupted, which leads to folate deficiency anemia.

The need for vitamin B₉ increases during pregnancy and lactation. The inclusion of folate in the composition ensures that the body is saturated with this vitamin. Therefore, after discontinuation of the drug or skipping pills and accidental pregnancy, the woman is protected from folic acid deficiency, and the fetus is protected from neural tube defects. Folates are also involved in the process of hematopoiesis and hemoglobin formation, which has a positive effect on the blood picture.

Who is Jess shown to?

The main effect of the drug is contraceptive, so indications for use are based on it, taking into account additional effects:

• Contraception in women with severe edema syndrome before menstruation.
• Contraception for increased skin greasiness and a tendency to acne.
• Prevention of folate deficiency in combination with contraception in women planning a future pregnancy.
• Severe forms of PMS in combination with birth control.

Jess refers to monophasic low-dose contraceptives. It is ideal for first use in teenagers. A prerequisite is that the girl is menstruating. It cannot be taken before the onset. The contraceptive effect will protect the girl from an unwanted pregnancy at this age, and the antiandrogenic effect will improve the condition of the skin, which is often associated with increased oiliness and acne in adolescents.

In what cases is the drug not suitable?

Before starting to take the drug, you should discuss any individual contraindications with your doctor. Against the background of its use, some painful conditions may intensify.

Contraindications for taking Jess

• Individual intolerance to one of the components of the drug or an allergic reaction.
• Venous or arterial thrombosis that has occurred previously or currently exists. Manifestations of this condition include myocardial infarction, stroke, pulmonary embolism, and cerebrovascular disorders.
• If there are conditions that precede the development of thrombosis or can develop into it: transient ischemic attacks, angina pectoris.
• In women with a diagnosed hereditary tendency to thrombosis of arteries or veins with a deficiency of antithrombin III, a lack of protein C or S, an increased concentration of homocysteine ​​in the blood, the presence of antibodies to phospholipids (to cardiolipin, as well as lupus anticoagulant).
• In conditions that increase the risk of thrombosis: surgery, leg injuries, prolonged bed rest.
• Diagnosed migraine with focal neurological symptoms in history or currently. The concentration of estrogen plays a role in the pathogenesis of migraine development. In some cases, with an increased amount of the hormone, migraine symptoms intensify. If it is preceded by an aura, the risk of ischemic stroke increases. Therefore, women suffering from migraines are prescribed progestin contraceptives ().
• Diabetes mellitus at the stage when vascular complications have developed (damage to the microvessels of the retina, kidneys, limbs, heart).
• Pancreatitis, in which there is a marked increase in blood triglycerides.
• Acute liver diseases, chronic diseases in the acute stage, conditions accompanied by liver failure. The drug may be taken if liver tests are normalized in women with acute diseases.
• Acute renal failure or severe kidney pathologies.
• Insufficiency of adrenal function.
• Malignant and benign liver tumors in history or currently.
• Diagnosed with malignant hormone-dependent tumors in the past or present, especially of the reproductive organs and mammary glands.
• Unknown cause of vaginal bleeding. In some cases, the appearance of bloody discharge may be associated with a tumor process. The use of hormones often accelerates the progression of pathology.
• Pregnancy or suspicion of it.
• Breastfeeding period.

The drug contains lactose, so it is not used for lactase deficiency, lactose intolerance, or glucose-galactose malabsorption syndrome.

There are relative contraindications that must be taken into account in each case individually and the possible risk of deterioration of the condition must be weighed against the benefits of using the drug. So, take Jess with caution when:

• Hereditary predisposition to thrombosis. It is determined by the presence of such a disease in close relatives. The younger the age when the vascular accidents occurred, the higher the likelihood of recurrence in the patient while taking Jess.
• Controlled arterial hypertension, migraine without focal neurological symptoms, congenital and acquired heart valve defects.
• Hereditary angioedema is a disease associated with deficiency of the complement system, which is manifested by sudden swelling of the extremities and larynx, which leads to suffocation.
• Diseases with possible impairment of peripheral circulation: uncomplicated diabetes mellitus, systemic lupus erythematosus, Crohn's disease, ulcerative colitis, hemolytic-uremic syndrome, sickle cell anemia, phlebitis of superficial veins.
• Other liver diseases that are not listed in absolute contraindications. You should always take into account that the condition may worsen while taking COCs or go from remission to exacerbation.
• Hypertriglyceridemia is a condition of increased concentration of triglycerides in the blood. It can be complicated by acute cardiovascular diseases and acute pancreatitis.
• Jaundice that developed during pregnancy, itching due to cholestasis, cholelithiasis. And also Sydenham's chorea, herpes, porphyria that arose during pregnancy.
• In the postpartum period, if less than 21-28 days have passed since birth. No breastfeeding is also necessary.

If conditions arise that force you to stop taking Jess or Jess Plus, you must use non-hormonal contraception until you consult your doctor.

Combination with pregnancy and lactation

In pregnant women, the use of hormonal drugs is prohibited. If, while using a contraceptive, a suspicion of pregnancy arises as a result of non-compliance with the instructions, you must immediately stop taking hormones and consult a doctor.

Studies have not revealed a negative effect of low-dose oral contraceptives on conception or child development if they were taken before pregnancy or due to negligence in the early stages.

The drug is contraindicated for lactating women. For those who want to combine breastfeeding and hormonal contraception, gynecologists recommend the drug Lactinet or the Nova-ring hormonal vaginal ring.

"Pitfalls" in the form of undesirable effects

Any drug can cause unwanted effects in some patients. Their appearance is not necessary, but if they appear, in most cases they may require discontinuation of the medication. The most common side effects of Jess are as follows:

• nausea;
• pain in the mammary glands;
• irregular uterine bleeding.

The most severe adverse reactions are thromboembolism of arteries or veins.

During clinical trials, the following possible effects were identified, which are listed in decreasing order of frequency of occurrence.

1. From the nervous system, migraine often occurs; peresthesia may rarely bother you.
2. Possible mental disorders: mood swings, turning into depressed mood or depression. Less commonly, decreased libido or complete anorgasmia occurs. Some women complain of insomnia.
3. Effect on the cardiovascular system: venous or arterial embolism is a serious complication, but according to research, it rarely develops. These conditions include peripheral deep vein occlusion, pulmonary embolism, myocardial infarction, cerebral stroke or infarction. Tachycardia and nosebleeds are noted.
4. For the digestive system, the use of hormones can cause nausea, abdominal pain, flatulence, bloating, and constipation. Sometimes there is pain in the right hypochondrium.
5. On the skin side, the development of multimorphic erythema, the appearance of itching, rashes, eczema, dry skin, alopecia, and contact dermatitis is possible.
6. For the genital organs, the development of vulvovaginal candidiasis, rare or scanty menstrual-like bleeding, vaginal dryness, positive. Rarely, cervical polyp, ovarian cyst, and endometrial atrophy develop.
7. Blood reactions may include anemia and thrombocytopenia.

Common reactions to the use of a hormonal drug may include asthenia, a feeling of malaise, and the appearance of peripheral edema. The appearance of any undesirable effect requires discontinuation of Jess.

How to take Jess correctly?

The general rules are as follows:

1. On the first day of menstruation, take the first tablet, indicated by number 1 on the package.
2. Every day, at approximately the same time, take the next numbered tablet. It is washed down with a small amount of water.
3. You should not skip taking a pill.
4. You cannot change the numbering of the tablets; you should move strictly according to the numbers.
5. The packaging is designed for 28 days.
6. After finishing one package, start the next one the next day.

Menstruation when taking Jess begins 2 days after switching from active tablets to placebo. They do not stop immediately after switching to new packaging, but can last another 2-3 days.

There are some features of using the drug after certain conditions:

• Switching to Jess after another oral contraceptive, hormonal ring or: the first tablet is taken the next day after stopping the previous drug. If you are switching from a patch or vaginal ring, then take the tablet on the same day that the new patch is to be applied.
• Switching from the mini-pill: can be done any day, without interruption.
• Removal: switch to Jess on the same day, but during the first 7 days you need to use additional barrier methods of contraception.

How to take Jess for the first time after an abortion?

This depends on the timing of the abortion. Women who had an abortion before 12 weeks take the pill on the day of the procedure. If an abortion was performed before 21 weeks for medical reasons, as well as after childbirth, Jess is taken on days 21-28. If you start taking hormones later, you need to use barrier contraceptives for 7 days. Those women who had sexual intercourse before taking it should make sure that they are not pregnant and wait until their first menstruation.

Actions in case of omission

What to do if a woman misses taking a pill? It all depends on the number of the missed pill. If it is inactive and one of the last, then the omission has no consequences, you can ignore it and start using the new packaging within the required time frame.

A delay of less than 12 hours does not reduce the contraceptive effect. It is necessary to take the forgotten pill as soon as possible, and the next one at the usual time. If the break is more than 12 hours, the contraceptive effect may be reduced.

Missed any tablets from 1 to 7

Take the missed pill immediately. Sometimes this means taking the missed pill and the next pill at the same time. It takes 7 days to restore the hypothalamic-pituitary-ovarian connection, so a condom is used during this time.

From 8 to 14 tablets

Take the missed pill and the next one, sometimes at the same time. If in the previous 7 days a woman took the drug according to the instructions, then there is no need to use additional contraceptive measures. If not, then you need to use a condom for an additional 7 days.

15-24 days

If there were no other errors in using the drug in previous days, then you don’t have to worry and take, as before, the missed dose and the next one at the right time. If there were errors, there are two options:

1. Take the missed dose, then take the required pill at the right time. The package is drunk until the inactive phase. The remaining 4 tablets are thrown away and a new package is immediately started, without waiting for the onset of menstruation.
2. After skipping, count 4 days and start a new package. The remaining contraceptives are thrown away. If bleeding does not start within these 4 days, you should consult a doctor and make sure there is no pregnancy.

If vomiting occurs within 4 hours after taking the drug, the contraceptive effect may be reduced. In this case, they are guided by the following rules:

1. Take the tablet according to one of the schemes, as if you missed a dosage over time.
2. Use a dose of the same number from the additional package.

Some reception features

It must be remembered that hormonal contraceptives can increase the likelihood of developing thromboembolism. Therefore, if there are conditions that further increase the same risks, careful use of hormonal pills and additional examination are necessary. These are the following states:

• smoking in women over 35 years of age;
• obesity;
• arterial hypertension;
• prolonged lying position due to injuries, surgical operations.

If the operation is planned, then you must stop taking Jess and any other COCs a month in advance. After prolonged immobilization, the use of hormones can be resumed no earlier than after 2 weeks.

Brown discharge in the middle of the cycle may bother you during the first two months after starting to take Jess. Therefore, the first three cycles are called the adaptation period and are not taken into account when assessing bleeding.

If bleeding appears after normal cycles or does not stop after an adaptation period, then a thorough examination is necessary to exclude an oncological neoplasm.

Sometimes after finishing the active pills when switching to placebo pills, there are no periods. If this happens only once, then there is no cause for concern. But if there is no menstruation for two cycles, you need to consult a doctor.

The use of Jess for endometriosis can have a positive effect. The effect of the drug does not allow the endometrium to actively grow, and a normal hormonal rhythm is imposed on the body. Under the influence of these factors, foci of endometriosis may reduce their activity. But in cases of severe endometriosis, the use of COCs for treatment is ineffective.

In some cases, it is necessary to delay the onset of menstruation. This can be done using a hormonal contraceptive. To do this, after finishing taking the active pills, you need to start a new pack the next day, ignoring the placebo pills. You should drink the second package until the end. But it is not recommended to resort to this method too often. This can lead to hormonal imbalance.

Interaction with other drugs

Sometimes it is necessary to use combined oral contraceptives simultaneously with other drugs. The effectiveness of either side may vary, and COCs may have a decreased contraceptive effect or increased adverse reactions.

Metabolism of most drugs occurs in the liver. This can happen in different ways: using microsomal oxidation, by conjugation with proteins, through the cytochrome P-450 system. Some substances can enhance or inhibit these processes, which affects the metabolism of drugs.

Drugs that can induce microsomal liver enzymes cause an increase in the clearance (detoxification coefficient) of sex hormones. These are the following medications:

• Phenytoin;
• Carbamazepine;
• Rifampicin;
• Barbiturates;
• Primidone;
• Griseofulvin.

The herb St. John's wort has a similar effect.

The compatibility of the drug Jess and alcohol depends on the dose. With a small dose (a glass of wine) there will be no significant effect on metabolism. But with constant consumption of alcohol, microsomal liver enzymes are also induced, which means that the effectiveness of Jess may decrease.

Jess and antibiotics can be combined, but when treating some of them, additional ones are needed. Penicillins and tetracycline can reduce the circulation of estrogen in the liver by reducing the concentration of ethinyl estradiol, the main component of Jess. If necessary, simultaneously take antibiotics such as Ampicillin, Amoxicillin, Tetracycline, use a condom throughout the entire period of treatment and for a week after it.

Discontinuation of the drug and planning pregnancy

At a certain point, a woman decides that she needs to become pregnant and decides how to stop drinking Jess. The best way is to drink the entire package and not start a new one. The contraceptive effect can last for a week. But within 2-3 days, your period should begin as usual. The next menstruation should also begin on time, but its intensity may be greater. You can also stop taking Jess from any day.

A delay in menstruation after stopping Jess for the next cycle may occur due to pregnancy. You need to do a test and make sure or visit a doctor and take a blood test for hCG.

If a COC was prescribed for a short period of 3-6 months, then after discontinuation of the drug the menstrual cycle is restored immediately. Therefore, pregnancy can be planned in the first cycle after discontinuation. Oral contraceptives, which are prescribed for a short time, have a rebound effect (rebound effect). This property is due to the fact that, under the influence of the hormone, the ovaries receive a period of time to rest, but after its cancellation they are actively involved in work. Therefore, in healthy women who have taken Jess for a short time, conception can occur in the very next cycle after discontinuation. The likelihood of multiple pregnancies increases.

If COCs have been used for a long time without interruption, especially for 1-2 years, then cessation of use is sometimes accompanied by a period of cycle recovery. The body needs 2-3 months to normalize its own ovarian function. This is especially true for women over 30 years of age. To avoid such consequences, it is recommended to take a 1-2 month break from using contraceptives every year.

Considering the high Pearl index for COCs, the question of whether it is possible to become pregnant while taking Jess is irrelevant. If you follow the instructions for the medicine, do not miss pills or take the correct actions in case of such an oversight, the probability of conception tends to zero.

Special packaging

Manufacturers took care of forgetful women, and specially developed such packaging so that they could easily navigate not only in the order of administration, but also correlate it with the days of the week.

The fold-out packaging contains a blister containing 24 pink tablets containing the active ingredient and 4 orange tablets containing the placebo effect.

There is also a block of stickers of 7 strips, each of which starts with one of the days of the week, and then the rest follow in order. When a woman starts taking Jess, she must determine the current day of the week and select the strip that starts with it. The sticker is transferred to the front of the blister above the first row of tablets, starting from the starting one. This way you can always find out by the days of the week whether the required dose was taken, how many days were missed and when to start drinking the next package.

Jess or another drug?

The pharmacy chain offers a large number of combined oral contraceptives. At first glance, they are analogous to Jess in composition, but this is not always the case. Only a doctor can determine what is best for a particular patient. Many of the drugs have additional effects or, despite the same composition, a different dosage. You can compare some trade names with each other. So, Jess or...

...Yarina

The composition of the drugs is similar, but the dosage of active ingredients is increased to 30 mcg ethinyl estradiol and 3 mg drosperinone. It also has a nathianrogenic effect, but more pronounced than Jess. Therefore, it is recommended for severe PMS, as well as significant signs of hyperandrogenism. The purposes of prescribing the drugs are the same.

Switching from Jess to Yarina may be necessary if the medicine with a lower dosage does not reduce the severity of PMS and swelling. A reverse switch may be required in cases where the side effects of Yarina are bothersome. It has been found that sometimes when the dosage is reduced, the severity of the undesirable effect also decreases.

...Dimia

The drugs are complete analogues in composition. The only difference is that Dimia is a generic version of Jess. Those. This hormonal product is produced under license from the pharmaceutical company that developed Jess, but by a different company. She did not participate in the development and did not incur material costs, so the cost of the generic is lower than the original drug. Sometimes there are differences in the preparation of raw materials and some technological aspects, so many consider generics to be less effective. Both of these COCs are recommended for use at a young age in nulliparous adolescents, as they are the safest.

...Klaira

The differences between them are significant. Qlaira belongs to three-phase hormonal agents. Its packaging contains five types of tablets. The first type contains only estradiol valerate. The second type is supplemented with dienogest, a progestin component. In the third type, the combination is similar, but the dose of gestagens is increased. The fourth type of tablet (1 piece) also contains only estrogen. The last two are placebos. There are 28 pieces in total.

Dienogest in Qlaira also has an antiandrogenic effect. Qlaira is recommended for women with increased concentrations of estrogen in the blood, as well as heavy, prolonged menstruation. Most often these are patients over 40 years of age. The estrogen component also combats age-related changes such as vaginal dryness.

...Janine

A doctor will help you make the right choice of hormonal medication, because both drugs are monophasic oral contraceptives. But in Janine’s composition, drospirenone is replaced by dienogest, another form of gestagen, which also has an antiandrogenic effect. Some women report more pronounced side effects from taking Janine. Therefore, you can try to replace COCs if you are intolerant to one of them.

...Logest

The composition uses gestodene as a gestagenic component. But it does not have the additional effects characteristic of Jess. Therefore, it is used only for the purpose of contraception. Can be used in teenage girls after the onset of their first menstruation.

...Diana-35

It has contraceptive, estrogenic, antiandrogenic and gestagenic effects. This is ensured by the composition of the drug, which includes ethinyl estradiol in a dose increased to 35 mcg, and cyproterone acetate. While using Diane-35, weight gain may occur. Additional effects are used for acne, androgenetic alopecia, seborrheic dermatitis, hirsutism, i.e. more pronounced manifestations.

...Regulon

Contains ethinyl estradiol and desogestrel. The latter has weak antiandrogenic and anabolic activity. When using Regulon, side effects such as decreased libido, depressed mood, and depression are less pronounced. It is not typical for him to have spotting in the middle of the cycle. But there may be some weight gain and engorgement of the mammary glands.

The choice of hormonal drug should be made by the doctor, based on the patient’s condition, her lifestyle, and existing diseases. It is also necessary to take into account the following features, in which some COCs are especially effective, while others can only increase undesirable manifestations:

• for acne you need to choose Jess, Yarina, Diana-35, Dimia;
• if there is engorgement of the mammary glands, you need to reduce the dosage of ethinyl estradiol to 20 mcg, which is possible in Jess and Dimia;
• Three-phase contraceptives, for example, Qlaira, cope with vaginal dryness;
• with decreased libido, bleeding in the middle of the cycle, Qlaira, Lindinet, Yarina, Femoden, Regulon, Rigevidon, Janine are needed;
• Novinet, Miniziston, Mercilon will help with heavy menstruation;
• absence of menstruation – three-phase COC.

Combined oral contraceptives are a means of preventing unwanted pregnancy, but they are unable to protect against sexually transmitted infections. Therefore, when having unprotected sex with a new partner, you should use a condom.

Obviously, in order to understand exactly how your body will react to taking Jess, you need to start taking it. Unless, of course, there are any contraindications to its use. First, observe the body's reaction. If you notice an increase in appetite, weight gain, swelling of the legs in the evening, or feeling unwell, then try to change the pills, especially since their choice is quite wide. Perhaps we can find more suitable ones.

If, nevertheless, you decide to take hormonal contraceptives, but at the same time you are afraid that you will gain extra pounds, we advise:

Be healthy and beautiful!

Oral contraception (OC) is by far the most effective protection against unwanted pregnancy. However, it has obvious disadvantages, due to which women are in no hurry to give preference to birth control pills as a means of protection against unplanned pregnancy. Modern contraceptive Jess combines ease of use and a minimum of side effects.

The drug Jess is a new generation monophasic oral contraceptive. The principle of action of these birth control pills is similar to other oral contraceptives, but their formula is slightly improved, more advanced. This is due to the presence in their composition of drospirenone - a fourth generation progestogen, the effect of which is as close as possible to natural progesterone. Drospirenone blocks the retention of sodium and fluid in the body caused by estrogen, against the background of which, as a result of taking other oral contraceptives, women experience negative side effects in the form of weight gain and edema, which leads to excellent tolerability of the drug. In addition, drospirenone has a positive effect on premenstrual syndrome, especially alleviating the condition in the case of a severe form of the disease (relieves severe psycho-emotional disorders, headaches, pain in the back, joints and muscles, relieves engorgement of the mammary glands).

Jess oral contraceptives contain a minimal amount of estrogen compared to other birth control pills - 20 mg versus 30 mg in other OCs. From here we can talk about the safety of this drug. Microdoses of hormones have a gentle effect on the female body, thereby significantly reducing the development of complications and side effects.

The main indications for the use of Jess tablets are contraception, treatment of acne, and treatment of severe PMS.

Positive effect of the drug Jess.
Women who take Jess regularly note normalization of the menstrual cycle, it becomes regular, menstruation is less painful, the intensity of bleeding decreases, which prevents the development of iron deficiency anemia. In addition, regular use of the drug reduces the likelihood of developing inflammatory diseases of the female genital area.

The drug also relieves or weakens the discomfort that occurs in the middle of the cycle and before the onset of menstruation. It is worth noting that data from epidemiological studies show that combined oral contraceptive drugs reduce the risk of developing endometrial cancer, ovarian cancer and other tumor diseases of the female genital area.

In addition, due to its antiandrogenic activity, it provides a therapeutic effect for certain skin diseases (acne), improves the condition of nails, and reduces oily skin and hair. Many women note an increase in their breasts by one or two sizes while taking the drug Jess. Also, the oral contraceptive Jess helps slow down the development of osteoporosis and is an excellent preventative against ectopic pregnancy.

And most importantly, Jess provides a high contraceptive effect; pregnancy can occur only if the rules for taking the drug are violated or if you refuse it. It should be noted that this contraceptive does not protect against STDs and sexually transmitted infections, therefore, if you have doubts about your partner, you should additionally use barrier contraception.

Reception mode.
Each package of the drug Jess contains 28 tablets, of which 24 tablets have a contraceptive effect, and an additional 4 have a placebo effect (that is, they do not have medicinal properties, they are used as a remedy, the therapeutic effect of which is determined by the woman’s belief in the effectiveness of the drug). This makes it possible to maximize the effectiveness of the drug and prevent skipping a pill or starting a new package.

The tablets must be taken every day at approximately the same time in the order indicated in the instructions, and you cannot take a break between packages (one runs out, another is purchased in advance). As a rule, menstruation begins on the second or third day of taking the “dummy pill” and can continue even when you start taking a new package of the drug.

Start taking the drug.
If you have not taken any hormonal oral contraceptives in the previous month, you should start taking the drug on the first day of menstrual bleeding (beginning of menstruation). It is allowed to take pills on the 2-5th day of the menstrual cycle, only in this case it is necessary to use additional methods of contraception (barrier) during the first week of taking the drug.

When switching from other combined oral contraceptives, taking Jess should be started the day after taking the last active tablet from the previous package, but no later than the next day after the usual seven-day break (in the case of drugs with 21 tablets), or after taking the last inactive tablet ( in the case of drugs with 28 tablets per package).

When switching from a vaginal ring or contraceptive patch, it is recommended to start taking Jess on the day the vaginal ring or patch is removed, but no later than the date when a new ring should be inserted or a new patch should be applied.

You can switch from a mini-pill to taking Jess any day without a break, from a hormonal implant or intrauterine contraceptive with a gestagen - on the day of its removal, from contraceptive injections - on the day when the next injection is due. In all cases, it is necessary to use additional means of contraception (condom) during the week of taking the pills.

After an abortion in the first trimester, Jess can be used immediately, without the need for additional contraception.

After childbirth or abortion in the second trimester of pregnancy, it is recommended to start taking the drug on the 21-28th day after childbirth or abortion. If you take the drug later, it is recommended to use additional protective equipment for seven days. Moreover, if a woman had sexual intercourse before starting to take the drug, it is necessary to exclude pregnancy by taking a test or waiting for menstruation.

If the drug causes severe stomach upsets that interfere with absorption (vomiting), you must follow the instructions, as if you missed taking a pill, plus use additional methods of protection during sexual intercourse.

If a woman needs to delay the onset of menstruation, she must continue to take tablets from the next package of Jess, while skipping the placebo tablets from the current package. In this case, the cycle is extended for the desired period until the active tablets from the second package run out. However, against this background, spotting or breakthrough uterine bleeding may occur. Regular use of Jess is resumed after the end of the phase of taking inactive tablets.

Side effect:

• headache, migraine;
• nausea, vomiting;
• pain in the mammary glands;
• irregular uterine bleeding;
• uterine bleeding of unspecified origin;
• arterial and venous thromboembolism;
• psycho-emotional disorders;
• mood swings;
• decreased sex drive.

Contraindications Jess.

• hypersensitivity to any of the components of the drug Jess;
• breastfeeding period;
• malignant and benign liver tumors;
• pregnancy or suspicion of it;
• various thrombosis and thromboembolism, as well as conditions preceding them, including a history of cerebrovascular disorders;
• migraine with neurological symptoms;
• diabetes mellitus accompanied by vascular complications;
• hormone-dependent malignant diseases or suspicion of them;
• pancreatitis with severe hypertriglyceridemia;
• severe and acute renal failure;
• liver failure and severe liver disease;
• adrenal insufficiency;
• vaginal bleeding of unknown origin.

It is worth saying that if any of the above is observed for the first time while taking the drug, you should immediately stop taking it.

Jess contraceptive pills can be taken for quite a long time, both by young girls and mature women. This drug has proven its contraceptive and therapeutic effectiveness (treatment of PMS and acne).