"Janine" refers to low-dose estrogen-progestin contraceptives, it inhibits ovulation and changes the viscosity of mucus of the cervical canal, making it impenetrable to sperm. "Janine" is taken daily at the same time for 21 days, then take 7 day break. This break occurs menstrualnopodobnoe bleeding, it is called withdrawal bleeding. It is not menstruation, because ovulation was not, but allows the endometrium to be updated, the woman feels more comfortable, as it saved the usual mode of life. The bleeding is usually 2-3 days after taking the last pill. Start taking the first pill from the next package you need after a 7-day pause, regardless of ended the bleeding or not. Each tablet in the package is signed according to the days of the week. This simplifies control and allows women to start at any day of the week.
Initial reception to begin the first day of the menstrual cycle, i.e. first day of menstrual bleeding. In this case, the contraceptive effect comes to the end of the first day. A woman can begin to take "Janine" up to 5 days of the menstrual cycle, it may be required if you need to shift a withdrawal bleeding for a few days. In this case, you must abstain from sexual relations or use a barrier method during the first week of "Janine".
For women who start taking "Janine" after combined contraceptive transdermal patches or vaginal ring, a special scheme. Welcome "Janine" to begin immediately after taking the last pill out of the blister combined contraceptives. If contraceptives contain 21 pills, then allowed a break, but not more than 7 days. This allows the woman to adjust the timetable of withdrawal bleeding. If in blister packs of 28 pills, the last 7 are inactive, and therefore welcome "Janine"to start immediately after the blistr ended with all the pills. Welcome "Janine" after the removal of the vaginal ring or the patch should begin on the day of removal, but no later than the day that was supposed to be introduced new ring.
When switching from progestin, injectables and implants require additional contraception for 7 days after taking the first pills "Janine". When switching from progestin, a woman may not finish the rest of the package, and once you start drinking "Janine". During the transition from the implant or intrauterine contraceptive should wait for removal or subsequent day of injection, otherwise there will be an overdose of hormones.
"Janine" after an abortion begin to take immediately, in this case, the contraceptive effect is observed on the first day of admission. After birth and after abortion in the second trimester of pregnancy "Janine" begin to take on the 21-28 day, at the same time, if a woman has already had intercourse, pregnancy must be excluded. Typically use the analysis of HCG as method of ultrasound at this time may be uninformative.
If missed pills are made up of less than 12 hours, the missed pills need to be taken immediately, and subsequent to accept as normal. Additional contraceptive measures are required. If missed pills are made up of more than 12 h, it is necessary to take the missed pills immediately and within 7 days to use barrier methods of contraception. Allowed to take two pills in a row. If you had missed pills in the third week of admission, it is recommended to start taking from the next pack without the 7 day break. For correction of day of your period, for example in the holiday period, you can cancel the "Janine" any day of the reception, or to start taking pills from the second pack. Pills of the second package can be taken right up until when they run out. In the case of pregnancy on a background of reception "Janine" you should stop the drug. The woman must consult a doctor. The continuation of the pregnancy is recommended, as "Janine" does have a negative impact on the fetus, but the woman's desire she may be offered a termination of pregnancy.
To assess the effectiveness of oral contraceptives use Pearl index. "Janine," he less than 1. It takes into account the number of pregnancies for every hundred women. Which within a year took the drug according to instructions. That is, the effectiveness of the drug is more than 99%. In reality, the contraceptive effect slightly lower due to carelessness and forgetfulness of women, as skipping pills greatly increases the Refractive index.
If within 4 hours after taking the pills have any vomiting or diarrhea, absorption components can be complete, you need to take the pill again or further precautions for 7 days.