Yarina - cares about women's health - Mechanism of Action

The mechanism of action of the drug Yasmin

Yasmin - a popular contraceptive. The composition of one tablet contains two active ingredients: ethinyl estradiol and 30 micrograms of 3 micrograms drospirinona. A synthetic analogue of the natural female sex hormones - estrogen Estrogen - the key to bone health   and progesterone.

Combined oral contraceptives, which include Yasmin, affect the natural menstrual cycle. During a normal menstrual cycle, the level of sex hormones in the female body changes during each month. With this egg is released from the ovary (ovulation) and the inner lining of the uterus (the endometrium) is preparing for a possible pregnancy. If the end of the cycle the egg is not fertilized, hormone levels are reduced and menstruation begins.

The essence of the daily intake of hormone pills "trick" the body - to make it function as if ovulation Ovulation - How to determine as accurately as possible?   It has already occurred. Due to this, the egg is not mature and released from the ovary. Hormones also compacted natural cervical mucosa, due to which the sperm will be difficult to get out of the vagina to the uterus. Furthermore, ethinylestradiol and drospirinon alter endometrium so that even if fertilization occurs, the likelihood of implantation of the ovum in the uterine wall is very small.

In women taking Yasmin, monthly there are more regular, less long and painful; bleeding weaker than those not taking hormonal contraceptives. So sometimes Yasmin or other combined oral contraceptives are recommended for women whose periods are very painful, or menstrual irregularities.

How to receive

Yasmin is a monophasic oral contraceptives - that is, each tablet contains the same dose of hormones. During the twenty-one days should be taken one tablet, then take a break for seven days. During the seven day break hormone levels in the blood decreases, which leads to the top of bleeding under normal menses. After seven days, you need to start taking the pills again, even if the bleeding has not stopped.

During these seven days you are also protected against pregnancy, provided that you take the pills correctly, and nothing happened, that could reduce the effectiveness of birth control (eg, severe and prolonged vomiting, diarrhea or taking certain medications).

Start taking Yasmin for the first time should be the very first day of menstruation. So you immediately control protection against pregnancy and eliminate the need to use additional methods of contraception. If you could not start receiving the first day of menstruation, it is possible to do so within the first five days of the cycle - then you also will not need additional funds of contraception. However, if you have a short menstrual cycle (monthly start every 23 days or more often) and you started taking Yasmin on the fifth day of the cycle, consult a gynecologist - probably during the first week you will need to use any more contraceptives.

• If you pass the examination, and the doctor to ascertain that you are not pregnant, you can start taking Yasmin at any day of the cycle. However, keep in mind that Yasmin will take effect only after seven days - until that time you can still get pregnant.
• Recently given birth to women who do not intend to breastfeed can start taking Yasmin 21 days after birth.
• In addition, you can start taking Yasmin immediately after miscarriage or abortion occurring before the twenty-fourth week of pregnancy.

Take Yarin need every day at the same time. This not only provides more effective protection, but also reduces the risk of missing a pill.

If you forget to take a pill, or start a new pack a day later, take the missed pill as soon as possible, and then continue to welcome, as usual.

If you forget to take two or more pills or started a new pack after the deadline of two days or more, you need to take one tablet and continue to receive, as usual, but for seven days, you will either have to give up sex, or use additional funds contraceptives such as condoms.

Possible consequences of receiving

If you vomit within two hours after taking the pill, there is a possibility that she could be absorbed properly. As soon as you feel well enough, take another pill and should be taken at the usual time. At the same time, you will still be protected from pregnancy. However, if vomiting lasts for more than 24 hours, contraceptive efficacy can be reduced. Continue to take Yasmin as usual, however, follow the instructions intended for cases where a person forgets to take the pill.

If for more than 24 hours have severe diarrhea, the efficacy of contraceptive pills can also be reduced. Continue to take them at the usual time, but do so in accordance with instructions for when a person misses a pill.

Yasmin will not protect against sexually transmitted diseases through, so in addition to pills is recommended to use condoms.

Women who used Yaryna first time may malfunction menstrual cycle - for example, smearing a mid-cycle bleeding Bleeding in the middle of the cycle - it is dangerous? Or absence of menstruation. Consult your doctor if such failures occur for more than one cycle. If you had no menstrual period for two months in a row, you need to do a pregnancy test before you start taking Jeanine again Jeanine - not only contraception but also protection against acne .

It is important to realize that, as compared with women who did not use a combined hormonal contraceptives in women taking them slightly increased risk of blood clots in the veins of the legs (deep venous thrombosis) or the lungs (pulmonary embolism), as well as in arteries, that can lead to stroke or heart attack. This risk is particularly high among female smokers and those suffering from obesity. Yasmin can cause the formation of blood clots with slightly more likely than contraceptives "second generation" containing levonorgestrel. However, during pregnancy, blood clots are formed with significantly more likely than oral contraceptives, so the risks must always be considered in comparison with the benefits of a dose.

The risk of blood clots in the veins when taking Yasmin temporarily increased by limiting the mobility of the long term - for example, after a serious accident or major surgery. Therefore, doctors usually recommend to stop taking Jeanine for a certain period of time (usually 4-6 weeks) before the scheduled surgery, especially in the abdominal or orthopedic surgery of the lower limbs. If the patient has a long recovery from injury, during which she almost could not get out of bed, from taking Yasmin and should be abandoned. In addition, Yasmin increases risk of blood clots during long journeys, but the risk can be reduced if a regular warm-up (for example, to walk down the aisle of the aircraft) and to wear special stockings on a trip. This can be pre-talk to your doctor.

Hormonal contraceptives slightly increases the likelihood of breast cancer. Women who take oral contraceptives for more than five years, also slightly increased risk of cervical cancer, compared with women not taking such pills. On the other hand, Yasmin and similar contraceptives reduce the risk of ovarian and endometrial cancer.

Stop taking Yasmin and immediately contact your doctor if you have any any of the following symptoms: sudden pain and / or unusual swelling in one leg, pain when breathing or coughing, coughing up blood, sudden shortness of breath, sudden appearance of severe pain in the chest, severe headaches, sudden blurred vision, hearing or speech, sudden weakness or numbness of one side of the body, fainting, collapse, seizure, a significant increase in blood pressure, itching of the whole body, yellowish tint of the skin and whites of the eyes, severe stomach pain, depression, and, if you have a suspicion that you may be pregnant.