Pregnancy after Lindinet 20. Is pregnancy possible while taking birth control pills, and is conception dangerous? With other oral contraceptives
![Pregnancy after Lindinet 20. Is pregnancy possible while taking birth control pills, and is conception dangerous? With other oral contraceptives](https://myzachatie.ru/wp-content/uploads/2018/05/novaring-300x228.jpg)
Many modern women competently approach the issue of protection from unwanted pregnancy, using microdosed combined oral contraceptives (COCs). One of these drugs is Lindinet 20.
Consequences of taking
The action of all COCs is based on:
- inhibition in the ovaries and, as a result, absence;
- increasing the viscosity of cervical mucus, which prevents sperm from penetrating into the uterus.
information Thus, a double effect of protection against unwanted pregnancy is achieved. Moreover, after discontinuation of the drug, restoration of reproductive function and the onset of pregnancy is possible both in the first month and after six months.
When taking Lindinet 20 for a long time, you must:
- be examined by a gynecologist once every six months;
- take a blood test for sugar and liver enzymes;
- If side effects occur (migraine, headache, muscle pain), inform your doctor and decide on the advisability of further use, replacing it or refusing to use it.
Planning a pregnancy
Taking the drug Lindinet 20, then:
- it is recommended to stop taking it 3 months before the planned conception;
- it is necessary to stop taking the tablets in the started package;
- start taking;
- can occur either in the first month of cancellation or after six months;
- If, after a year, attempts to get pregnant are unsuccessful, you should consult a doctor and undergo an examination.
Pregnancy while taking Lindinet 20
There is a possibility of becoming pregnant while taking Lindinet 20. This situation can occur in the following cases:
- Frequent errors in taking the drug. If a pill is missed and more than 12 hours have passed, the contraceptive effect may be reduced.
- IN first month of taking the drug It is necessary to use additional mechanical means of contraception (condom).
- Concomitant use with antibiotics, painkillers and medications for diarrhea and vomiting may lead to a decrease in the effectiveness of COCs.
information Do not be afraid if pregnancy occurs while taking the drug; it is noted that it does not have negative consequences for the fetus. However, as soon as you find out that you are pregnant, the drug must be discontinued.
Some women, fearful of becoming pregnant while taking birth control pills, prefer another method of contraception. And in vain. This method of protection is considered the most reliable of all known. You cannot use hormonal medications on your own. This distinguishes them from the available condoms, suppositories, creams and the like. To get a prescription for a suitable drug and find out about its effectiveness, you need to consult a doctor.
Millions of women use birth control pills. If you take the pills correctly, they will be 99% effective and protect against unplanned pregnancy. The hormones included in the drugs can act on a woman’s reproductive system in two ways:
- increase the level of your own estrogen in the body, due to which the production of follicle-stimulating hormone will be suppressed and, as a result, ovulation will be blocked;
- thicken cervical mucus, which will prevent the penetration of sperm into the uterine cavity and the egg.
The active substance and its concentration in one pill vary. There are minophasic, biphasic and triphasic contraceptives. Medicines can be high-dose, containing 35-40 mcg of active ingredient or more, medium and low-dose. Monophasic agents are recommended for young nulliparous patients with a stable cycle. Women who have given birth are usually prescribed biphasic or triphasic. Mini-pills are suitable for nursing mothers and patients with reduced fertility.
Is it possible to conceive a child with oral contraceptives?
The probability of pregnancy when taking contraceptives tends to zero. However, there is an exception to every rule. If medications are used incorrectly, there is a high probability that they will not work as expected. If contraceptives are prescribed by a doctor taking into account the individual characteristics of a woman’s body, then fertilization is unlikely due to their use. As you know, conception requires 3 conditions:
- ovulation;
- the ability of sperm to penetrate the egg;
- good thickness of the endometrium to accept the fertilized egg.
When using oral contraceptives, ovulation is blocked, the cervical mucus becomes viscous and does not allow sperm to pass through, and the endometrium does not reach a size suitable for pregnancy. However, all drugs are different, so generalizations cannot be made.
With Diana-35
When taking Diane-35, a woman’s body receives ethinyl estradiol, which increases estrogen levels, and cyproterone acetate, which enhances the effect of the first substance and has an antiandrogenic effect. It is not possible to become pregnant while taking this contraceptive if you follow the instructions. The drug not only provides reliable protection against unwanted conception, but also has a positive effect on the condition of the skin and hair, and treats diseases caused by increased levels of androgens.
With Belara
The active ingredients of Belara are ethinyl stradiol and chlormadinone acetate. The contraceptive suppresses FSH, LH, testosterone in a woman’s body, blocking follicle maturation and increasing the viscosity of cervical mucus. The medication is a reliable means of protection against unwanted pregnancy from the first cycle of its use. Conception while using COCs is impossible.
With Klaira
Klaira is classified as a three-phase combined oral contraceptive. It contains natural rather than synthetic estrogen, which reduces the likelihood of adverse reactions. Statistics show that out of 100 women taking the medication for a year, no more than 1 becomes pregnant. This drug is a highly effective contraceptive.
When taking birth control pills Yarina
When using Yarina, ethinyl estradiol and drospirenone enter the woman’s body. The contraceptive is low-dose, monophasic. When used, the menstrual cycle is normalized and premenstrual syndrome is eliminated. Thanks to the inhibition of ovulation, the cycle can be regulated, and you don’t have to worry about accidental pregnancy. It is important to use the tablets regularly. If you miss one pill, take Yarina immediately.
When taking Lindinet 20
Pregnancy while taking Lindinet 20 is just as unlikely as when using its analogues. This drug has a contraceptive effect and helps in the treatment of diseases caused by increased levels of androgens. By taking Lindinet regularly, you don't have to worry about getting pregnant. The active components of the drug not only suppress ovulation, but also minimize the likelihood of side effects, in particular, weight gain.
With other oral contraceptives
Modern pharmacology offers a lot of different drugs that can be used to prevent unwanted pregnancy. Those that contain more active substance are more effective. These are: Trizeston, Non-ovlon, Triquilar. They are used to treat medical conditions or when other contraceptives are unable to control the cycle.
Low-dose products are considered the most popular. They protect well against unwanted pregnancy and are prescribed to women of different ages, including those who have given birth. The most commonly recommended use is Janine, Marvelon, Silhouette, Chloe. Regulon and Regvidon are considered popular - monophasic pills. Novinet tablets are prescribed as an alternative. This medication is popular due to its low price. Taking Novinet, you won’t be able to get pregnant, but at the same time you can save on expensive OCs. In addition to Novinet, Regvidon is considered an inexpensive contraceptive.
Lactinet contains minimal doses of hormones, so it can be used even during breastfeeding. Such drugs are prescribed to women with reduced fertility. Among patients taking Lactinet, the Pearl index was 0.4. This means that this product is much more effective than its analogues.
Escapelle is an emergency contraceptive. It is used one-time when an unprotected act has taken place. The medication causes changes in the endometrium, which prevents the cell from implanting, and also suppresses ovulation. Pregnancy will not occur against this background, if it has not already occurred. Once implantation has taken place, the medicine is ineffective.
Factors that reduce the effect of birth control pills
When vomiting, the effect of OCs decreases
It is not possible to get pregnant while taking birth control pills. This rule works when medications are used correctly. However, in certain situations the risk of conception increases and pregnancy is possible. All factors that reduce the effect of the tablets are described in the instructions. If they occur, it is recommended to follow the algorithm from the annotation or use additional contraceptives in this cycle.
- If you forgot to take your birth control pill, but 12 hours have not yet passed, you should take it immediately. The next pill is used at the usual time. The quality of contraception does not decrease.
- If the break between tablets is more than 36 hours, then you still need to take OK. The next pill is taken as planned. The quality of contraception decreases, it is necessary to use additional means.
- If vomiting begins while taking birth control pills, and 4 hours have not passed since using the drug, then you need to take another dose. Otherwise, the effectiveness of the contraceptive is reduced.
- Taking some antibiotics may reduce the effectiveness of the contraceptive. Each case should be considered individually and, if necessary, additional means should be used.
- When one tablet is missed for more than a day, there is a risk of menstrual-like bleeding. You should consult your doctor about the possibility of continuing to use the tablets or take a break for 7 days.
Important! The quality and effectiveness of oral contraceptives may be reduced if the product used is expired.
Is the Nuvaring ring safe?
Pregnancy will not occur with the Nuvaring ring. This vaginal product works in a similar way to oral contraceptives. The only difference is that it is inserted into the vagina once every 3 weeks, and the tablets are taken daily. The ring produces hormones that suppress ovulation. Based on the Pearl index values, we can conclude that it is no worse than tablets. The advantage of this drug is that its effectiveness does not decrease in case of vomiting and diarrhea. However, you can still get pregnant with Nuvaring. Unexpected conception occurs if the ring was accidentally removed without the woman noticing. Therefore, it is recommended to regularly check its presence in the vagina.
How to recognize pregnancy
Signs of pregnancy do not disappear when taking birth control pills. If conception has taken place for some reason, then after a few weeks the woman will feel the first symptoms. The first thing that should alert you is the absence of menstruation. If bleeding does not start within a 7-day break, then you need to do a test.
In addition to the absence of critical days, symptoms of pregnancy when taking OCs may be the following: nausea, morning vomiting, distortion of taste, dizziness, nagging pain in the lower abdomen, increased sensitivity of the mammary glands.
Is it dangerous to conceive while taking oral contraceptives?
According to statistics, if conception took place while using OCs, nothing bad will happen. You should stop using the medicine and consult a doctor. In the first weeks of pregnancy, progesterone deficiency may occur due to the effect of drugs on the ovaries. To support the second phase and preserve the viability of the embryo, progesterone-based drugs, antispasmodics and sedatives are prescribed.
Many modern women competently approach the issue of protection from unwanted pregnancy, using microdosed combined oral contraceptives (COCs). One of these drugs is Lindinet 20.
Consequences of taking
- inhibition of follicle formation in the ovaries and, as a consequence, lack of ovulation;
- increasing the viscosity of cervical mucus, which prevents sperm from penetrating into the uterus.
information Thus, a double effect of protection against unwanted pregnancy is achieved. Moreover, after discontinuation of the drug, restoration of reproductive function and the onset of pregnancy is possible both in the first month and after six months.
When taking Lindinet 20 for a long time, you must:
- be examined by a gynecologist once every six months;
- take a blood test for sugar and liver enzymes;
- If side effects occur (migraine, headache, muscle pain), inform your doctor and decide on the advisability of further use, replacing it or refusing to use it.
Planning a pregnancy
If you decide to become pregnant while taking Lindinet 20, then:
- it is recommended to stop taking it 3 months before the planned conception;
- it is necessary to stop taking the tablets in the started package;
- start taking folic acid;
- conception can occur either in the first month of withdrawal or after six months;
- If, after a year, attempts to get pregnant are unsuccessful, you should consult a doctor and undergo an examination.
Pregnancy while taking Lindinet 20
There is a possibility of becoming pregnant while taking Lindinet 20. This situation can occur in the following cases:
- Frequent errors in taking the drug. If a pill is missed and more than 12 hours have passed, the contraceptive effect may be reduced.
- IN first month of taking the drug It is necessary to use additional mechanical means of contraception (condom).
- Concomitant use with antibiotics, painkillers and medications for diarrhea and vomiting may lead to a decrease in the effectiveness of COCs.
information Do not be afraid if pregnancy occurs while taking the drug; it is noted that it does not have negative consequences for the fetus. However, as soon as you find out that you are pregnant, the drug must be discontinued.
Often, problems with pregnancy do not arise after stopping COCs, but there is a chance to conceive twins. This is due to the fact that the ovaries, after “resting”, begin to work at full capacity and can produce several viable eggs ( "rebound effect").
Lindinet 20: clear instructions | My GynecologistSearch this site
Lindinet 20: clear instructions
Composition of tablets and packaging
Lindinet 20 is a monophasic drug: all tablets in the package contain the same dose of hormones. One Lindinet 20 tablet contains 20 mcg (0.02 mg) of ethinyl estradiol and 75 mcg of gestodene.
One cardboard package contains 1 or 3 blisters (plates). One blister contains 21 tablets, the dose is designed for three weeks.
ATTENTION: The drug has contraindications. Do not start using this drug without first consulting your doctor.
Analogs
The drug Logest contains the same dose of hormones as Lindinet 20.
Advantages of Lindinet 20
Lindinet 20 is the latest generation contraceptive. Lindinet 20 tablets contain very low doses of hormones, and therefore side effects are almost never observed when taking these tablets.
Taking Lindinet 20 for 3 months or more restores the regular menstrual cycle (if it is disrupted), reduces the manifestations of premenstrual syndrome (PMS) and pain during menstruation. Regular use of Lindinet 20 significantly reduces the risk of developing mastopathy, ovarian cancer, uterine cancer, endometriosis and other women's diseases.
Rules for taking Lindinet 20
If you are just starting to take Lindinet 20, then you should take the first tablet from the blister from the 1st to the 5th day of menstruation. As a result of taking the first tablets from the package, your period may stop. This is not scary and is due to the effect of hormones on the body. During the first 14 days of taking the pills, it is recommended to use additional contraception.
It is advisable to take the tablets at approximately the same hour every day.
It is advisable to take the tablets in the order indicated on the blister. But, if by mistake you start taking the tablets in the wrong order, then nothing bad will happen, since all Lindinet 20 tablets contain the same dose of hormones.
After you have taken 21 tablets, you should take a 7-day break, during which you do not need to take any tablets. During this week's break, you may get your period.
During the 7-day break, you do not need to use additional contraception. This only applies if you start taking the pills again after the week-long break.
You should start taking the first tablet from the next blister on the 8th day after a seven-day break. It doesn’t matter whether your period has already started or ended.
When will the contraceptive effect of Lindinet 20 occur?
The reliable contraceptive effect of Lindinet 20 occurs after 14 days of taking the tablets. In the first 2 weeks of taking the first package of Lindinet 20, you must use additional contraception.
Do I need to use protection during a week-long break from Lindinet 20?
If you took the previous package of Lindinet 20 according to the rules and without omissions, then during the 7-day break you do not need to use additional contraception. Additional contraception is also not required at the beginning of the next pack.
How to switch to Lindinet 20 from other OK?
If the previous OC package contained 28 tablets, then the first Lindinet 20 tablet should be taken the next day after the end of the tablets from the previous package.
If the package of the previous OCs contained 21 tablets, then you can start taking the tablets the day after the end of the previous OCs, or on the 8th day after a 7-day break.
Additional contraception must be used for 14 days after starting Lindinet 20.
How to switch to Lindinet 20 from a vaginal ring or hormonal patch?
The first Lindinet 20 tablet should be taken on the day of removal of the vaginal ring or removal of the hormonal patch. You can also start taking birth control pills on the same day as the new patch or insert the vaginal ring again.
How to switch to Lindinet 20 from an intrauterine device (IUD)?
The first Lindinet 20 tablet should be taken on the day of removal of the intrauterine device. It is recommended to use additional contraception for another week after starting birth control pills to avoid unwanted pregnancy.
How to start taking Lindinet 20 after an abortion?
If you had an early abortion (before 12 weeks of pregnancy), then you can take the first Lindinet 20 tablet on the day of the abortion. If you want to start taking Lindinet 20 birth control pills not on the first day after an abortion, and you have already had unprotected sex, then you can start taking the pills only when you are sure that you are not pregnant.
If the abortion was performed at a pregnancy stage of more than 12 weeks, then the first Lindinet 20 tablet should be taken 21-28 days after the abortion procedure. To do this, you must be sure that you have not become pregnant again within the past month. If taking the pills is started later than the recommended period, then it is recommended to use additional contraception for another week after starting to take the pills.
How to start taking Lindinet 20 after childbirth?
You can start taking Lindinet 20 tablets 21-28 days after giving birth. If you had unprotected sex before starting to take birth control pills, you should not start taking Lindinet 20 until you are sure that you are not pregnant. If treatment is started later than the specified period (21-28 days), it is recommended to use additional contraception for 7 days after starting to take the pills.
Can I take Lindinet 20 if I am breastfeeding?
What to do if you miss a Lindinet 20 tablet?
If the delay in taking Novinet was less than 12 hours (that is, less than 36 hours have passed since taking the previous pill), then the contraceptive effect of the drug remains. Take the missed pill as quickly as possible. There is no need to use additional contraception.
If you are more than 12 hours late, the effectiveness of the pills is reduced. Your actions in this case depend on the number of the missed pill:
- 1 to 7 tablets: Take the missed tablet as soon as possible, even if you have to take 2 tablets at the same time. Use additional contraception (such as a condom) for the next week to avoid unwanted pregnancy.
- 8 to 14 tablets: Take the missed tablet as soon as possible, even if you have to take 2 tablets at the same time. If you have not missed any appointments in the past week, you may not need to use additional contraception. Otherwise, it is recommended to take additional protection for another week after release to avoid unwanted pregnancy.
- 15 to 21 tablets: Take the missed Lindinet 20 tablet as soon as you remember, even if this means taking 2 tablets at the same time. Then continue taking the tablets as usual, and when you finish the pack, immediately start the next one. This way you skip the week between packs. If you took all Lindinet 20 tablets on time during the previous 7 days before the missed period, then there is no need for additional contraception. Otherwise, it is recommended to use additional contraception for 7 days after the missed date.
What should I do if I missed several Lindinet 20 tablets?
If you miss 2 Lindinet 20 tablets in a row, pay attention to which tablets you missed. If these are tablets for 1 or 2 weeks of use (from 1 to 14), then take 2 tablets as soon as you remember about the omission and 2 more tablets the next day. Then take one tablet per day as usual until the pack runs out. Use additional contraception for another 7 days after resuming taking the pills.
If you missed two tablets in a row in the 3rd week of taking it (from 15 to 21), then there are two options: 1. continue taking Lindinet 20, one tablet per day until the package runs out and then, without taking a 7-day break , start new packaging. At the same time, use additional contraception for another 7 days after the missed period. 2. throw away the current (unfinished) package and start taking a new package with the first tablet (one tablet per day, as usual). In this case, you need to use additional contraception for another 7 days after the missed date.
If you miss 3 Lindinet 20 tablets in a row, throw away the current pack of tablets and start a new pack with the first tablet. Use additional contraception for another 7 days. You will have an increased risk of pregnancy, so if your period does not come during the next break, contact your gynecologist.
If you are not sure what to do in your situation, use additional contraception until you talk to your doctor. In any case, if you miss two or more tablets, be sure to use additional protection (using condoms) for at least 7 days.
1-2 days after missing the pills, you may experience spotting or breakthrough bleeding, similar to your period. This is not dangerous and is associated with missing Lindinet 20. Continue taking the tablets according to the instructions and the discharge will stop.
How to delay menstruation with Lindinet 20?
If you need to delay your period, then after finishing one package of Lindinet 20, start a new blister the next day without taking a 7-day break. In this case, menstruation will be delayed by 2-4 weeks, but slight spotting may appear approximately in the middle of the next package.
Please note: you can postpone your periods only if you took Lindinet 20 at least one month before the postponed menstruation.
What reduces the contraceptive effect of Lindinet 20?
The contraceptive effect of Lindinet 20 can be reduced by vomiting, diarrhea, taking large doses of alcohol, or taking certain medications. Read more about this here:
Who got pregnant after Lindinet?
There are different opinions about OK Lindinet-20. Some say that they cannot get pregnant for a long time after it, while others, on the contrary, say that everything works out immediately after the withdrawal. I drank it for 1.5 years + a break of 3 months + 1 year, and stopped in May. Who might have been drinking?? How long did you “try” for then?
Hello! I took Lindinet20 for six months, then stopped taking the pills and got pregnant in the first cycle after stopping. The doctor said that this could not be done and that it could negatively affect the child... is this true???
I also got pregnant after writing this topic 1.5 times
Hello! I drank Lindinet for 3 years (with breaks), stopped drinking in December, and got pregnant in February, so everything is individual...
And my periods disappeared from these pills, they lasted only 1 day. I can’t get pregnant, I stopped drinking them a year ago
I stopped drinking in January of this year, I still can’t get pregnant, but I think it’s not Lindinet’s fault.
Thanks for the answers. I am inclined to conclude that Lindinet does not have any particular effect, the rest is the characteristics of the body. Besides, I felt good with him, no glitches, my cycle was like clockwork, I felt great... So everything will be fine
Hello! I took Lindinet-20 from March 2008 until June 2009 (a little over a year), after discontinuation I immediately became pregnant. I was 24 years old. I read that the ability to conceive after stopping birth control pills is restored within 3 months. It also depends on the woman’s age and the duration of taking contraceptives. The older the woman, the longer she takes the drug, the longer this period lasts.
Hi all! I drank it from 2004 to 2005, then we are planning a break for 9 months; it hasn’t worked out yet, but I think it will work out in the near future.
Hi, I took Lindinet for 5 years, without breaks (the gynecologist didn’t tell me to take breaks), I stopped a year ago, I couldn’t get pregnant for a long time, then I took tests for infections and found ureoplasma, as soon as it was cured, two stripes immediately in the next cycle! We are already 20 weeks. I think it was still a matter of infection, and not Lindinet.
I took Lindinet for 20-half a year... I can’t say that I was pleased with the drug, but it didn’t bother me with discharge in the middle of the cycle, unlike Novinet... and taking Janine they didn’t occur at all... In the end, I took Lindinet, after 6 months the gynecologist told me to stop it so that the ovaries do not forget how to work... and you can plan a pregnancy... In the first cycle there were many follicles of different sizes - menstruation came during... - there was no pregnancy... The second cycle was without follicles at all... For another 2 months everything was fine... both ovulation and M. Ts, but pregnancy has not yet occurred... I, of course, expected to get pregnant immediately after the withdrawal... but... it doesn’t work out... is Lindineth to blame for this?!?
Hello! I started drinking it, took it for a month, but it didn’t work for me, so I stopped and literally got pregnant right away! True, I don’t know what about long-term use!
You must register or log in to be able to comment.
I drank for a year, a year after stopping I got pregnant, it all ended with ST. I just wanted to create a post about this - how did hormonal contraceptives affect the reproductive system?..
Evgeniya I was on the site 14 hours ago Russia, Krasnodar Lindinet 20 took Lindinet 20 for a little over 5 years, after stopping it for 2 months we used another method of protection (I wanted to see what the cycle would be like and in one time we checked with doctors, passed basic tests for our own peace of mind) and in the second cycle after all this I got pregnant. Good luck to you! ~ Galina ~ I was on the site May 8, 04:17 Russia, Biysk
So everything here is individual: I drank these for 2 or 3 months and became pregnant only after 2 years, we slept without protection, but the baby was born only after such a time)) In general, I read that after taking birth control for about six months, pregnancy may not occur.
After oral administration, it is quickly and almost 100% absorbed from the gastrointestinal tract. After a single dose, Cmax is noted after 1 hour and is 2-4 ng/ml. Bioavailability is about 99%. Distribution Gestodene binds to albumin and sex hormone binding globulin (SHBG) . 1-2% is found in plasma in free form, 50-75% specifically binds to SHBG. An increase in the level of SHBG in the blood caused by ethinyl estradiol affects the level of gestodene: the fraction associated with SHBG increases and the fraction associated with albumin decreases. Average Vd - 0.7-1.4 l/kg. The pharmacokinetics of gestodene depends on the level of SHBG. The concentration of SHBG in blood plasma under the influence of estradiol increases 3 times. With daily administration, the concentration of gestodene in the blood plasma increases 3-4 times and balances out in the second half of the cycle. Metabolism and excretion Gestodene is biotransformed in the liver. Average clearance values are 0.8-1.0 ml/min/kg. The level of gestodene in the blood serum decreases in two phases. T1/2 in the?-phase - 12-20 hours. Gestodene is excreted only in the form of metabolites, 60% in urine, 40% in feces. Ethinyl estradiol Absorption After oral administration, ethinyl estradiol is absorbed quickly and almost completely. The average Cmax in the blood serum is reached 1-2 hours after administration and is 30-80 pg/ml. Bioavailability due to presystemic conjugation and primary metabolism is about 60%. Distribution: Complete (about 98.5%), but nonspecifically binds to albumin and induces an increase in SHBG levels in the blood serum. Average Vd - 5-18 l/kg. Css is established by the 3-4th day of taking the drug, and it is 20% higher than after a single dose. Metabolism Subjects to aromatic hydroxylation with the formation of hydroxylated and methylated metabolites, which are present in the form of free metabolites or in the form of conjugates (glucuronides and sulfates). Metabolic clearance from blood plasma is about 5-13 ml. Excretion: Serum concentration decreases in two phases. T1/2 in the?-phase - about 16-24 hours. Ethinyl estradiol is excreted only in the form of metabolites, in a ratio of 2:3 with urine and bile. Tablets are taken orally, regardless of food intake, without chewing, with a sufficient amount of water. The drug should be taken from the 1st day of the menstrual cycle, 1 tablet/day (if possible at the same time of day) for 21 days, followed by a 7-day break. During the 7-day break, menstrual-like bleeding appears. After a 7-day break, regardless of whether the bleeding has stopped or is just beginning, continue taking the drug from the next package. Thus: 3 weeks - taking pills, 1 week - break. Taking the drug from each new package begins on the same day of the week. The first dose of Lindinet 20 should be started on the 1st day of the menstrual cycle. When switching to taking Lindinet 20 from another oral contraceptive, the first Lindinet 20 tablet should be taken after taking the last one tablets from the package of another oral hormonal contraceptive, on the first day of menstrual bleeding. It is possible to start taking it on days 2-5 of the menstrual cycle, but in this case it is recommended to use additional methods of contraception. When switching to taking Lindinet 20 from drugs containing only progestogen: when taking tablets (“mini-pills”), taking Lindinet 20 can be started on any day of the cycle. You can switch from using the implant to taking Lindinet 20 the next day after removing the implant. When using injections - the day before the next injection. In these cases, additional methods of contraception should be used in the first 7 days. After an abortion in the first trimester of pregnancy, you can start taking Lindinet 20 immediately after surgery. In this case, there is no need to use additional methods of contraception. After childbirth or after an abortion in the second trimester of pregnancy, taking the drug can be started after 21-28 days. In these cases, additional methods of contraception must be used in the first 7 days. If there has already been sexual contact after childbirth or abortion, then before starting to take the drug, pregnancy should be ruled out or the start of use should be delayed until the first menstruation. If you miss taking a pill, the missed pill should be taken as quickly as possible. If the interval between taking the pills is less than 36 hours, the effectiveness of the drug will not decrease, and in this case there is no need to use an additional method of contraception. The remaining tablets should be taken at the usual time. If the interval is more than 36 hours, the effectiveness of the drug may decrease. In this case, the woman should take the missed pill, and she should take the next pills as normal, and additional methods of contraception should be used in the next 7 days. If there are less than 7 tablets left in the package, taking the drug from the next package should be started without interruption. In this case, menstrual-like bleeding does not occur until the end of taking the drug from the second package, but spotting or breakthrough bleeding may appear. If menstrual-like bleeding does not occur after completing the drug from the second package, then pregnancy should be excluded before continuing to take the drug. If vomiting and/or diarrhea begins within 3-4 hours after taking the drug, the contraceptive effect may be reduced. If the symptoms stop within 12 hours, then you need to take 1 additional tablet. After this, you should continue taking the tablets as usual. If the symptoms of diarrhea continue for more than 12 hours, then it is necessary to use additional methods of contraception in the next 7 days. To speed up the onset of menstruation, the break in taking the drug should be reduced. The shorter the break in use, the more likely it is that menstrual-like bleeding will not occur, and breakthrough or spotting bleeding will appear while taking the drug from the next package. To delay the onset of menstruation, the drug must be continued from the new package without a 7-day break. Menstruation can be delayed as long as necessary until the end of taking the last tablet from the second pack. When menstruation is delayed, breakthrough or spotting bleeding may occur. Regular use of the drug Lindinet 20 can be resumed after the usual 7-day break. From the cardiovascular system: rarely - thromboembolism, thrombosis (including retinal vessels), arterial hypertension. From the digestive system: sometimes - nausea, vomiting , hepatitis, hepatocellular adenoma. From the reproductive system: sometimes - intermenstrual bleeding, changes in vaginal secretion. From the endocrine system: sometimes - a feeling of tension in the mammary glands, changes in body weight, changes in libido. From the central nervous system: emotional lability, depression, dizziness, headaches, migraine, weakness, fatigue. Other: pain in the lower abdomen, chloasma, discomfort when wearing contact lenses, fluid and sodium retention in the body, allergic reactions, impaired glucose tolerance. From laboratory parameters: under the influence of oral contraceptives Some laboratory parameters (functional parameters of the liver, kidneys, adrenal glands, thyroid gland, blood coagulation and fibrinolytic factors, levels of lipoproteins and transport proteins) may change, but the values remain within normal limits. * diseases accompanied by severe liver dysfunction; * liver tumors (including history); * thrombosis and thromboembolism (incl. in the anamnesis); * myocardial infarction (including history); * heart failure; * cerebrovascular disorders (including history); * conditions preceding thrombosis (including transient ischemic attacks, angina pectoris); * coagulopathy; * estrogen-dependent tumors, incl. tumors of the breast or endometrium (including in history); * diabetes mellitus complicated by microangiopathies; * idiopathic jaundice and itching during pregnancy; * history of herpes; * otosclerosis with worsening during a previous pregnancy; * pregnancy; * lactation; * increased sensitivity to the components of the drug. The drug should be prescribed with caution if there are numerous cases of breast cancer in the family history, with benign diseases of the mammary gland, with chorea in pregnant women (previous prescription may worsen the course of chorea in pregnant women), with diabetes mellitus, epilepsy, cholelithiasis illness, with cholestatic jaundice (including a history of pregnant women), arterial hypertension, prolonged immobilization, major surgical interventions, depression (including a history), migraine. The drug is contraindicated for use during pregnancy. Prescription if necessary drug during lactation, the issue of stopping breastfeeding should be resolved. The active substances of the drug are excreted in small quantities in breast milk, affecting the quantity and quality of milk. Use for impaired liver function Contraindicated for impaired liver function. Use for impaired renal function The drug is not recommended for use in patients with kidney disease. The use of oral contraceptives increases the risk of myocardial infarction. The risk of developing myocardial infarction increases in women who smoke and have additional risk factors: arterial hypertension, hypercholesterolemia, obesity and diabetes mellitus. Smoking while using hormonal contraceptives increases the risk of developing cardiovascular complications. This risk increases with age. Therefore, women over 35 years of age taking Lindinet 20 are advised to stop smoking or reduce the number of cigarettes they smoke. The use of oral contraceptives increases the risk of developing cerebrovascular diseases. During the use of hormonal contraceptives, an increase in blood pressure is observed, more often in women over 35 years of age or taking the drug for a long time. An increase in blood pressure is more often observed during the use of drugs with a high content of hormones. Women with a history of arterial hypertension or kidney disease are not recommended to prescribe the drug. If the prescription of the drug is necessary, then during the period of taking Lindinet 20 it is necessary to carefully monitor blood pressure and, if there is a significant increase in it, the drug should be stopped. In most patients, when the drug is stopped, blood pressure returns to normal. The risk of developing venous thromboembolic disease (VTD) in women taking oral hormonal contraceptives is slightly higher than in those not taking them. However, this risk is less significant than the risk of VTD in pregnant women. Out of 100,000 pregnant women, approximately 60 have VTD, while the incidence of VTD among women taking gestodene in combination is about 30-40 cases out of 100,000 women per year. The following factors increase the risk of arterial or venous thromboembolic disease: age over 35 years, smoking, positive family history of VTD (disease of parents or siblings at a young age, obesity (body mass index above 30 kg/m2), lipid metabolism disorder (dyslipoproteinemia), arterial hypertension, heart valve disease, fibrillation atria, prolonged immobilization, major surgery, leg surgery, severe trauma. Due to the fact that the risk of thromboembolic diseases increases in the postoperative period, it is necessary to stop taking the drug 4 weeks before the planned operation and resume taking it 1 week after the patient is activated. The drug should be stopped immediately if symptoms of thromboembolism appear: chest pain (which may radiate to the left arm, unusually severe pain in the legs, swelling of the legs, sharp stabbing pain when inhaling or coughing, hemoptysis). Some studies have reported an increase in the incidence of cervical in women who have been taking oral contraceptives for a long time. The likelihood of developing cervical cancer depends on sexual behavior and other factors (human papillomavirus). A meta-analysis of 54 epidemiological studies found that there is a relative increase in the risk of developing breast cancer among women taking oral hormonal contraceptives. The incidence gradually decreases over the next 10 years after stopping the use of the tablets. Studies have not proven a cause-and-effect relationship between breast cancer and drug use. There have been isolated reports of the development of a benign liver tumor in women taking hormonal contraceptives for a long time, with the possible development of a serious complication - intraperitoneal bleeding. With longer use, the development of a malignant liver tumor was observed. When using oral contraceptives, retinal vascular thrombosis can rarely develop. The drug should be discontinued if vision loss (complete or partial), exophthalmos, diplopia, or if swelling of the optic nerve or changes in the vessels of the retina is detected. According to studies, the relative risk of gallstone formation increases with age in women taking oral contraceptives or drugs containing estrogen. Recent studies have found that the risk of cholelithiasis is less when using drugs with a small dose of hormones. If a migraine appears or worsens, or if a persistent or unusually severe headache appears, the drug should be stopped. Taking Lindinet 20 should be stopped immediately if generalized itching appears, with the development of an epileptic seizure. While taking hormonal contraceptives, a decrease in glucose tolerance may be observed. In some women, an increase in the level of triglycerides in the blood was found when using an oral contraceptive. A number of progestogens reduce the concentration of HDL in the blood plasma. Due to the fact that estrogen increases the concentration of HDL in the blood plasma, the effect of oral contraceptives on lipid metabolism depends on the ratio of estrogen and progestogen, on the dose and dosage form. Constant monitoring of lipid metabolism is necessary. In women with hereditary hyperlipidemia taking drugs that include estrogen, a sharp increase in triglycerides in the blood plasma was found, which can lead to the development of pancreatitis. When using Lindinet 20, especially in the first 3 months of use, they may intermenstrual (spotting or breakthrough) bleeding appears. If bleeding persists longer or appears after regular cycles have formed, pregnancy should be excluded or other causes should be identified. Often the cause of such bleeding is irregular taking of the pills. In some cases, menstrual-like bleeding does not appear within a 7-day interval. If the regimen of taking the drug was violated before this or if there is no bleeding after taking the second package, pregnancy must be excluded before continuing the course of taking the drug. Before starting to use the drug, you should collect a detailed family and personal history, conduct a general medical and gynecological examination (measurement of blood pressure, examination of the mammary glands , examination of the pelvic organs, cytological examination of the smear), as well as the necessary laboratory tests (functional indicators of the liver, kidneys, adrenal glands, thyroid gland, blood coagulation and fibrinolytic factors, levels of lipoproteins and transport proteins). These studies are carried out every 6 months. The patient should be warned that the use of the drug does not protect her from sexually transmitted infections, in particular AIDS. In case of acute or chronic liver dysfunction, the drug should be stopped until the parameters normalize. In case of depression while taking it Lindineta 20 is advisable to discontinue the drug and temporarily switch to another method of contraception to clarify the connection between the development of depression and taking the drug. Prescribing the drug to patients with a history of depression is possible only under close supervision; if signs of depression appear, the drug should be discontinued. When using oral contraceptives, the concentration of folic acid in the blood may decrease. This is of clinical significance only if pregnancy occurs a short period of time after completing a course of taking an oral contraceptive. Symptoms: nausea, vomiting, vaginal bleeding. Treatment: symptomatic therapy is prescribed, there is no specific antidote. Severe symptoms have not been described after taking the drug in high doses The contraceptive activity of Lindinet 20 is reduced when taken simultaneously with ampicillin, tetracycline, rifampicin, barbiturates, carbamazepine, phenylbutazone, phenytoin, griseofulvin, topiramate, felbamate, oxcarbazepine. These drugs increase the clearance of the active substances of the drug and may also lead to the development of breakthrough uterine bleeding. While taking Lindinet 20 with the above drugs, as well as within 7 days after completing the course of taking them, additional non-hormonal (condom, spermicidal gels) methods of contraception must be used. When using rifampicin, additional methods of contraception should be used for 4 weeks after completing the course of taking it. When used simultaneously with Lindinet 20, any drug that increases gastrointestinal motility reduces the absorption of active substances and their level in the blood plasma. Sulfation of ethinyl estradiol occurs in the intestinal wall. Drugs that also undergo sulfation in the intestinal wall (including ascorbic acid) competitively inhibit the sulfation of ethinyl estradiol and thereby increase the bioavailability of ethinyl estradiol. Drugs that inhibit the activity of liver enzymes (including itraconazole, fluconazole) increase concentration of ethinyl estradiol in blood plasma. Ethinyl estradiol, by inhibiting liver enzymes or accelerating conjugation (primarily glucuronidation), can affect the metabolism of other drugs (including cyclosporine, theophylline); the concentration of these drugs in the blood plasma may increase or decrease. When Lindinet 20 is used simultaneously with St. John's wort preparations (including infusion), the concentration of active substances in the blood decreases, which can lead to breakthrough bleeding and pregnancy. The reason for this is the inducing effect of St. John's wort on liver enzymes, which continues for another 2 weeks after completion of the course of taking St. John's wort. Ritonavir reduces the AUC of ethinyl estradiol by 41%. In this regard, when using ritonavir, a hormonal contraceptive with a higher ethinyl estradiol content should be used or additional non-hormonal methods of contraception should be used. The drug should be stored at a temperature not exceeding 30 ° C, out of the reach of children. Shelf life: 3 years. Information: Visitors in the group cannot leave comments on this news. Instant subscriptions
Hello, Inna.
The drug "Lindinet-20" is included in the clinical and pharmacological group of monophasic oral contraceptives. The main active ingredients in it are synthetic analogues of sex hormones - ethinyl estradiol and gestodene. The main task of such a drug is to prevent the occurrence of unwanted pregnancy in a woman. The effect of such tablets is not only to block the maturation of the egg, but also to affect the endometrium and the composition of the cervical mucus.
Taking and stopping hormonal oral contraceptives
The course of taking the drug "Lindinet-20" is 21 days. During this time, the woman should take 1 tablet without skipping. After the package of the drug is finished, a 7-day break is taken, during which bloody discharge from the vagina, the so-called menstrual-like reaction, should begin. Thus, under the influence of hormones contained in the drug, a woman develops a semblance of a menstrual cycle.
After the end of the break, you can continue taking the drug from a new pack (blister) or stop using this type of contraception. Doctors strongly recommend finishing the entire package of the drug before stopping taking the pills, unless there are serious contraindications to its use.
Naturally, while taking such drugs, the production of sex hormones in a woman changes, because they enter her body from the outside. Of course, canceling a contraceptive can become a great stress for the female body, so the restoration of the natural functioning of the body, as a rule, does not occur immediately. In some women, a normal menstrual cycle is restored within the first month after stopping the drug, while for others it may take about a year. Although, on average, normalization of the menstrual cycle takes about 3 months.
What can happen after stopping oral contraceptives?
Many note that after stopping taking such drugs, the following are observed: temporary deterioration in the condition of hair and skin, increased acne, changes in body weight, mood swings, pain in the abdomen and mammary glands. As for the menstrual cycle, amenorrhea (absence of menstruation) and anovulation may be observed. Also among the side effects associated with stopping the use of contraceptives are possible changes in menstruation (an increase or decrease in their duration and the volume of blood released). Some women experience uterine bleeding and intermenstrual bleeding from the vagina during drug withdrawal.
Causes of brown discharge in the middle of the cycle
One of the factors associated with the appearance of detailed symptoms is hormonal changes in the body. However, they can be caused not only by stopping taking oral contraceptives, but also by diseases that affect the organs of the neuroendocrine system. In addition, brown discharge may be associated with infectious and inflammatory diseases of the pelvis, the presence of erosions and polyps in the vagina, and pathological changes in the tissues of the genital organs.
It is quite possible that the cause of your condition was precisely the cessation of taking the contraceptive. But you yourself can see that other factors can lead to this. Unfortunately, in order to determine the exact cause of such discharge and prescribe treatment (if necessary), a personal visit to the doctor is necessary.