What is the best time to drink yarina? Contraceptive pills Yarin, effectiveness, use, contraindications, side effects. Menstruation while taking Yarina

Nowadays, oral contraceptives occupy a leading position among means of preventing unwanted pregnancy. In young and middle age, up to 35 years, for patients with a “boyish” constitution (tall, thin build, small breasts), gynecologists recommend taking low-dose hormonal drugs with antiandrogenic effects: Diane, Silhouette, Janine, Tri-Mercy, Jess Plus, Lindinet . This list also includes contraceptives Yarina, reviews from doctors, pros, cons allow a woman to assess the possible risks of long-term use of this OC.

And they undoubtedly exist, since violent interference in the processes occurring in the female body is fraught with long-term negative consequences. For some – mild and insignificant changes, and for others – serious and irreversible. After all, hormone therapy “turns off” the ovaries, changes the thickness of the inner mucous membrane of the uterus (endometrium), the viscosity of cervical mucus, and even affects the functioning of certain parts of the brain.

Yarina - tablets with therapeutic and cosmetic effects

Since the appearance of pharmacological products on the market in 2001 in the USA, it was discovered that Yasmin, in Russia the medicine is called Yarina (tablets), not only prevents ovulation, but also perfectly solves skin problems, in particular acne, and hair ( increased greasiness, hair loss). The creators initially did not focus on such properties of the main active ingredient, drospirenone. It later turned out that the new progestin also promotes weight loss. Tempting bonuses and a wide advertising campaign have led to an increase in the popularity of Yarin; the use of the drug, it must be admitted, fully lives up to expectations in terms of improving appearance.

In addition, it, like other OCs, helps normalize the menstrual cycle, relieves pain during menstrual periods, heavy and prolonged bleeding, and relieves symptoms of PMS. This is achieved due to the state of artificial pregnancy, which, by the way, lasts not 9 months, but several years, during the entire period of taking Yarin. The use of the drug in this regard significantly increases the load on the heart, blood vessels, kidneys, and liver. A weak body may not be able to cope with such a burden. “Respond” with pancreatitis, cholecystitis, varicose veins, tumors, including malignant ones, strokes, heart attacks and other equally unpleasant sores.

Therefore, before prescribing this drug, the responsible doctor will not limit himself to a routine examination, but will refer the patient for a consultation with an ophthalmologist, mammologist, and an ultrasound scan of the mammary glands and pelvic organs. For blood tests, biochemical, lipid, hormones, coagulogram. Inquire about health, established diagnoses, bad habits and family heredity. She will explain in an accessible form why Yarina is not suitable for her or, on the contrary, why she is shown. Reviews from doctors, the pros and cons of therapy also need to be discussed in detail. The final decision still falls on the shoulders of the woman herself; different opinions and reliable information will obviously not be superfluous in this case.

Yarina: reviews from gynecologists

Yulia Sergeevna, practicing women's doctor

I believe that fears regarding oral contraceptives, third- and fourth-generation pills, are definitely exaggerated. These OKs have much more advantages than disadvantages. And they are prescribed not only for protection. For example, with the help of Yarin, dysmenorrhea, endometriosis, and polycystic ovary syndrome are successfully treated. Studies have confirmed that thanks to this drug it is possible to avoid inflammatory and oncological diseases of the genital area, mastopathy, atheroskerosis, osteoporosis, which overtakes women in old age. Significantly reduce the likelihood of ectopic pregnancy.

The instructions for use indicate the presence of contraindications and possible side effects for Yarin. But antibiotics also have them, but this is not a reason to refuse the medicine prescribed by the doctor. In order not to be afraid in vain, it is enough to undergo the necessary examinations and regularly see a specialist.

Pavel Valentinov, obstetrician-gynecologist

Unfortunately, in our country there is little demand for hormonal contraceptives; only about 10% of women use them. Meanwhile, in America and Europe the numbers are much higher – more than 50%. Jess Plus, Yarina receive mostly good reviews; they have proven themselves well in long-term use (several years). By the way, according to the recommendations of the World Health Organization, you should start taking OCs 3-4 months after the first menstruation, and continue until the onset of menopause (a year after menopause). Naturally, with breaks during pregnancy and breastfeeding. And always as prescribed and under the supervision of the attending physician.

Yarina: reviews from those who took

Olga, 28 years old

Whatever they say, I personally like Yarina. I experienced the reviews of doctors, the pros and cons. On the positive side: my periods are painless, and before I swallowed pills in batches, and sometimes even gave injections. I completely forgot about the migraine. She looked better in appearance: she lost 5 kg, her skin cleared, her hair became thicker. However, I understand that you have to “pay” for convenience (first of all, for protection with a 100% guarantee). For me, these are regular, once every 3-4 months, visits to the gynecologist. On his advice, I periodically take medications to support the liver, vitamin and mineral complexes. I'm trying to do it right

Thank you

The site provides reference information for informational purposes only. Diagnosis and treatment of diseases must be carried out under the supervision of a specialist. All drugs have contraindications. Consultation with a specialist is required!

Composition and release form

A drug Yarina Available in the form of film-coated tablets. The active substances included in the drug are ethinyl estradiol at a dosage of 30 mg and drospirenone at a dosage of 3 mg. One package of the drug contains 21 tablets.

How does Yarina work?

Yarina is a combined remedy, as it contains two sex hormones - estrogen and gestagen. In addition, the product is low-dose (low doses of hormones) and monophasic (all tablets contain the same amount of hormones).

Yarina’s ability to protect against pregnancy is based on two mechanisms - suppression of ovulation (ovulation maturation) and a change in the properties of the secretion (mucus) located in the cervix. Thick cervical mucus becomes an obstacle to sperm penetration.

In addition, taking Yarina helps to regulate the menstrual cycle (if it is irregular). Pain during menstruation decreases, bleeding becomes less intense (this fact reduces the risk of developing iron deficiency anemia).

Other beneficial effects of Yarina are antimineralocorticoid and antiandrogenic effects. The hormone drospirenone has this effect - it reduces fluid retention in the body, reduces swelling, so that body weight does not increase. The antiandrogenic effect is the ability of the drug to reduce the symptoms of acne (acne) and regulate the production of sebum in the skin and hair (reduces seborrhea).

Indications for use

The main indication for the use of tablets is to prevent unwanted pregnancy.

Contraindications

Yarina should not be used for the following diseases or conditions:
1. Thrombosis of veins or arteries, and thromboembolism (blockage of blood vessels with blood clots), cerebral circulatory disorders.
2. Conditions that can lead to thrombosis are angina pectoris, transient cerebrovascular accidents, uncontrolled high blood pressure, major surgical operations with prolonged bed rest.
3. Migraine, which has appeared ever before, or currently, accompanied by focal neurological symptoms (visual disturbances, sensitivity, speech).
4. Diabetes mellitus, accompanied by vascular complications.
5. Smoking if the woman is over 35 years old.
6. Pancreatitis (inflammation of the pancreas), accompanied by an increase in triglycerides in the blood (currently or previously).
7. Severe liver disease or liver failure, liver tumors.
8. Renal failure - severe or acute.
9. Hormone-dependent malignant diseases of various organs, including genitals, currently present or suspected.
10. Bleeding from the vagina, the cause of which is unknown.
11. Pregnancy, breastfeeding or suspected pregnancy.
12. Hypersensitivity to substances included in the composition birth control pills.

Conditions for which caution should be taken

There are conditions and diseases during which Yarina should be taken with caution. In such cases, the risks and expected benefits of taking the medication are carefully weighed for each patient. These diseases must be reported to your doctor before prescribing the drug. These include:

• Diseases of the cardiovascular system (risk of thrombosis and thromboembolism).
• Angioedema.
• Liver diseases.
• Increased levels of triglycerides (such as cholesterol) in the blood.
• Postpartum period.
• Diseases associated with circulatory disorders (diabetes mellitus, systemic lupus erythematosus, sickle cell anemia, Crohn's disease, etc.).
• Diseases that occurred during pregnancy or during a previous appointment hormonal contraceptives.

Use during pregnancy and lactation

During pregnancy and lactation, Yarina is contraindicated. If pregnancy is detected while taking the drug, you should cancel the course and immediately consult a doctor. It is not recommended to take the medicine during breastfeeding, since its components can change the composition and properties of breast milk, as well as reduce its quantity.

Side effects

• The most common side effect when taking oral contraceptives is the occurrence of irregular bleeding from the vagina. They may appear as spotting or breakthrough bleeding. Most often they occur during the first three months.
• Other side effects associated with taking Yarina may include soreness, breast tenderness or discharge, and vaginal discharge.
• On the part of the nervous system, there may be changes such as headache, mood swings or depression, decreased or increased libido, migraine.
  Digestive disorders may manifest as nausea, abdominal pain, and less commonly, vomiting or diarrhea.
• Sometimes when taking Yarina, intolerance to contact lenses appears, and unpleasant sensations occur while wearing them.
• Metabolic disorders are manifested by changes in body weight – more often by an increase, less often by a decrease, and fluid retention in the body.
• Skin manifestations of hypersensitivity to the drug are represented by urticaria, rash, and less commonly the appearance of erythema nodosum.
• Like others contraception with a hormonal composition, in rare cases, when taking Yarina, the development of thrombosis or thromboembolism is possible.

Overdose

The most common symptoms of an overdose of Yarina may be nausea, vomiting, uterine bleeding in the form of spotting or metrorrhagia. In case of an overdose of the drug and its signs appear, you should immediately consult a doctor. Treatment is usually symptomatic.

How to take Yarina?

You need to take the drug once a day, at the same time each time, with a small amount of water. For convenience, each tablet is marked with the day of the week on which it must be taken. The tablets should be taken in the order indicated by the arrow. When all the tablets have been taken, you need to take a break of 7 days. During these 7 days (most often on days 2-3), menstruation (or withdrawal bleeding) begins. After a 7-day break, begin taking the next package of the drug. Thus, each package will begin on the same day of the week.

Yarina's first package

1. If no contraceptive containing hormones was used in the previous month, it is best to start taking Yarina on the first day of menstruation. From the package you need to select a tablet marked with the corresponding day of the week. Next, you should drink them in the order indicated by the arrow. It is also possible to start taking it on days 2-5 of the cycle; in this case, during the first 7 days of taking the pills, you should use additional methods of contraception (for example, a condom).

2. If it is necessary to switch to taking Yarina from other combined oral contraceptives, the first tablet is taken without interruption. Thus, if the previous remedy contained 28 tablets, taking Yarina begins after the last active tablet is taken, but no later than the day the last inactive tablet is taken. If the product contained 21 tablets, take Yarina no later than the next day after a 7-day break.

3. In the case of using a vaginal ring or hormonal patch, taking Yarina begins on the day they were removed, but not later than the day the next ring is inserted or the patch is applied.

4. If before taking Yarina you used products containing only gestagen (mini-pills), you can stop taking them any day and start drinking Yarina. In this case, it is necessary to use a barrier method of protection during the first week.

5. When switching to Yarina from injections, an implant or an intrauterine device Mirena, the pills should be taken on the day when the next injection was supposed to be done, the implant or intrauterine device should be removed. After this, for 7 days, in addition to Yarina, barrier methods of contraception are used.

In case of liver dysfunction, the drug should not be taken until indicators characterizing liver function (liver tests) return to normal.

If kidney function is impaired, caution should be exercised, since the medicine is contraindicated in acute or severe renal failure.

Interaction with other drugs

There are a number of medications that can reduce the effectiveness of Yarina. These drugs include:

• for the treatment of epilepsy (such as phenytoin, barbiturates, topiramate, carbamazepine and others);
• for the treatment of tuberculosis (rifampicin);
• for the treatment of HIV infection (for example, nevirapine, ritonavir);
• antibiotics (tetracyclines, penicillin, griseofulvin);
• St. John's wort preparations (used to treat low mood).

In turn, taking Yarina may affect the metabolism of other drugs (in particular lamotrigine, cyclosporine).

You should always tell the doctor who prescribed Yarina what medications you are already taking. In addition, you should inform other doctors (including dentists) who prescribe other medications about taking Yarina. In addition, you must tell the pharmacist who sells the medications at the pharmacy about this.

In some cases, it may be necessary to use additional barrier agents to protect against unwanted pregnancy.

Special instructions for use

1. Before you start taking Yarina, you must undergo a medical examination to identify contraindications and restrictions on use. The examination must include a general medical examination with measurement of blood pressure, pulse, determination of body mass index, gynecological examination, examination of the mammary glands, Papanicolaou test (examination of scraping of the cervical mucosa). The doctor may also prescribe other additional tests.

2. It is important to remember that when taking combined oral contraceptives, the risk of thrombosis and thromboembolism increases. Therefore, before taking the drug, it is necessary to weigh the expected risk and possible benefits.

3. There is also evidence of increased detection of cervical and breast cancer with long-term use of combined oral contraceptives. This may be due to more thorough and regular examination of women taking them.

5. With angioedema of a hereditary nature, the substances included in Yarina can worsen the symptoms of this disease.

6. The effectiveness of Yarina may decrease in three cases - if you miss a pill, have digestive disorders, or as a result of interaction with other medications.

7. It should be remembered that Yarina is not a means of protecting against infection with AIDS (HIV infection) and other sexually transmitted diseases.

Menstruation while taking Yarina

Menstruation occurs during a week-long break, most often on the 2-3rd day, approximately on the same day of the week (provided that it is taken correctly). If desired, it is possible to change the day of menstruation. To delay the onset of menstruation, you do not need to take a 7-day break, but start taking the next pack of pills after the end of the current one. You can take the tablets until the package runs out or, if desired, stop taking them on any day (then menstruation begins). While taking tablets from the second package, spotting or bleeding may occur. The next package of Yarina is taken after a break of 7 days, as usual.

To change the day your period starts, you need to shorten the 7-day break from taking it. Thus, menstruation will begin earlier. If the break is less than 3 days, menstruation may not begin, but instead bleeding or spotting may appear when taking the next package of Yarina.

Spotting or bleeding during treatment - what to do?

Very often, when taking Yarina, spotting or breakthrough bleeding may occur. Such bleeding or discharge is irregular and is not associated with a break in taking Yarina. Most often, discharge occurs during the first three menstrual cycles, and is a sign of the body's adaptation to the contraceptive. Therefore, you should continue taking Yarina using personal hygiene products. If the discharge does not stop after 3 months, becomes profuse, or appears again after stopping, you should consult a doctor for an examination.

When should you see a doctor?

When taking Yarina, you must visit your doctor regularly - at least once a year - for preventive examinations.

You should visit a doctor as soon as possible if the following situations arise:
1. For any health changes, especially conditions for which the drug is used with caution, or for which it is contraindicated.
2. If a limited lump appears in the mammary gland.
3. If necessary, take other medications.
4. If there is a long period of immobility, bed rest - for example, as in the case of a plaster cast or surgery.
5. If you experience vaginal bleeding that is heavier or heavier than usual.
6. If you miss a pill in the first week of taking it, if you have had sexual intercourse in the previous 7 days.
7. If menstruation does not occur 2 times in a row, or there is a suspicion of pregnancy.

The contraceptive Yarina provides reliable protection against unwanted pregnancy and has a wide range of additional positive effects on the woman’s body. The active components of the combined composition of the drug create favorable conditions for the tolerability of the menstrual period and the alignment of the cycle. A distinctive feature of this oral contraceptive is the relatively small number of side effects. However, despite good tolerability, there is a certain list of contraindications for use and features of therapeutic use. This necessitates a preliminary consultation with the attending physician.

Dosage form

The dosage form of the Yarina contraceptive is light yellow, round, biconvex, film-coated tablets. One side is engraved with a hexagon with the letters "DO" inside it.

The drug is packaged in cardboard packages containing 1 or 3 blisters of 21 tablets.

Description and composition

Yarina is a combination product, the active elements of which are the following substances:

• drospirenone – 3 mg/tab.;
• ethinyl estradiol – 30 mcg/tab.

Auxiliary components:

• lactose monohydrate;
• titanium dioxide;
• macrogol 6000;
• iron oxide II;
• talc;
• povidone;
• corn starch (gelatinized);
• magnesium stearate;
• hypromellose.

Pharmacological group

Yarina's drug is a monophasic low-dose contraceptive medication with a combined composition. The drug has antiandrogenic and antimineralocorticoid properties. The main therapeutic effect of the drug is to suppress the secretory ability of pituitary hormones, prevent ovulation and slow down the maturation of follicles. Yarina helps to increase the viscosity of the cervical canal fluid, which results in preventing sperm from entering the uterine cavity. Drospirenone has a pronounced antimineralocorticoid effect, which prevents weight gain and other consequences of water retention in the body. The substance prevents estrogenic sodium retention and creates conditions for positive tolerance in premenstrual syndrome.

Drospirenone has a powerful antiandrogenic effect, which has a positive effect on reducing the activity of the sebaceous glands and the formation of acne. In combination with ethinyl estradiol, the substance significantly improves the lipid profile and helps increase the level of high-density lipoproteins.

Drospirenone does not have glucocorticoid, androgenic, antiglucocorticoid or estrogenic activity, which, in combination with antiandrogenic and antimineralocorticoid properties, brings the substance closer to a natural hormone.

Yarina does not prevent the increase in the concentration of sex hormone binding globulin. This effect helps to suppress the activity of endogenous androgens.

With the use of this drug, there is a high probability of preventing the development of ovarian and endometrial cancer.

Yarina helps to even out the menstrual cycle, as well as reduce the manifestation of painful menstruation and profuse discharge, which prevents the manifestation of iron deficiency anemia.

Drospirenone is almost completely absorbed from the gastrointestinal tract. The maximum concentration of the substance in the blood serum is observed 1–2 hours after the first dose.

Bioavailability varies from 75 to 85%. Food intake does not affect this indicator.

Drospirenone tends to be completely metabolized in the liver. Metabolic products are excreted in urine and feces. The half-life averages 40 hours.

Indications for use

Yarina is used exclusively as prescribed by a specialist.

for adults

Indications for medicinal use of the drug are:

• prevention of unwanted pregnancy;
• hormone-dependent fluid retention;
• seborrhea;
• disrupted menstrual cycle;
• menstrual pain accompanied by heavy discharge.

for children

The use of the drug in childhood and adolescence is possible only after the onset of menarche (first menstrual bleeding).

Pregnant and lactating women are strictly contraindicated from taking Yarina.

Contraindications

• thrombosis;
• accompanied by vascular complications;
• pregnancy and;
• chronic form of liver failure;
• hypersensitivity to the components of the drug;
• non-menstrual vaginal bleeding;
• the presence of benign or malignant tumors;
• children's age before menarche;
• angina pectoris;
• cardiac ischemia;
• acute form of renal failure;
• various malfunctions of the liver.

Applications and dosages

The product should be taken at the same time in the order indicated on the package. Interrupting the course and skipping doses is highly undesirable due to the weakening of the contraceptive effect of the medication.

for adults

The drug Yarina is recommended to take 1 tablet per day for three weeks. A repeated course is possible only seven days after the end of the previous one. During the period between courses, so-called “withdrawal bleeding” may occur. Most often, this effect is observed in the last days before stopping the course and can last until the second or third day of the new period of use.

It is recommended to start using Yarina immediately on the first day of the start of the cycle (the first day of menstrual bleeding). It is possible to shift the start of use by 2-3 days, but in this case the first week of use should be accompanied by the use of barrier contraceptives.

The effect of the drug decreases 12 hours after taking the last dose. If the missed dose does not exceed 12 hours, you should take the dose as quickly as possible. At the same time, the usual time of constant use does not shift.

You should not interrupt taking the medication for more than 7 days. In case of a long break in use, it is necessary to use barrier-type contraceptives.

for children

The use of Yarina for children is possible only after the start of the first menstrual bleeding. The dosage is selected individually.

for pregnant women and during lactation

During pregnancy and breastfeeding, taking Yarina's medication is strictly prohibited. In case of emergency use during lactation, breastfeeding should be stopped immediately.

Side effects

• pain in the mammary glands;
• nausea;
• decreased libido;
• low mood;
• minor changes in body weight (rare);
• discharge from the mammary glands;
• fluid retention (extremely rare);
• skin allergic manifestations;
• migraine;
• vaginal secretion disorders.

Interaction with other drugs

Taking drugs that provoke an increase in the clearance of sex hormones may cause a decrease in the effectiveness of the contraceptive and the occurrence of breakthrough bleeding.

Also, the effectiveness of the drug Yarin is reduced by tetracyclines and ampicillins.

Drugs that affect liver enzyme levels may cause side effects.

Angiotensin-converting enzyme inhibitors, potassium-sparing diuretics, NSAIDs and angiotensin II antagonists, when used simultaneously with Yarina, increase the level of potassium in the blood plasma.

special instructions

When using combined oral contraceptives, the risk of arterial or venous thrombosis and thromboembolism increases.

Some studies report rare cases of cervical cancer.

While taking Yarina, blood pressure levels may increase.

During the first months of use, there is a possibility of irregular breakthrough bleeding.

Before use, be sure to exclude possible pregnancy.

It should be remembered that oral contraceptives do not protect against sexually transmitted pathologies.

Overdose

The main and most common signs of overdose with Yarin are the following conditions:

• bleeding from the vagina of various etiologies and structures;
• gagging;
• metrorrhagia;
• nausea.

Analogues

Instead of Yarina, the following drugs can be used:

1. is a partial analogue of the drug Yarina. It is produced in pills, which are prescribed to prevent unwanted pregnancy.
2. is a monophasic combined contraceptive. The drug is produced in tablets, the contraceptive effect of which is explained by the incoming desogestrel and ethinyl estradiol.
3. refers to monophasic combined contraceptives that have an antiandrogenic effect. The drug is produced in tablets that are prescribed to protect against unwanted pregnancy, treat acne, and premenstrual syndrome.
4. is a substitute for Yarina in the clinical and pharmacological group. The therapeutic effect of an oral monophasic contraceptive is explained by gestodene and ethinyl estradiol. The drug is produced in tablets.

Storage conditions

Store out of the reach of children, at low humidity and away from direct sunlight on the packaging of Yarina at a temperature of 20 to 25 degrees.

Shelf life – 3 years.

Drug price

The cost of the medicine is on average 1181 rubles.

Thank you

The site provides reference information for informational purposes only. Diagnosis and treatment of diseases must be carried out under the supervision of a specialist. All drugs have contraindications. Consultation with a specialist is required!

Yarina – general information

Yarina– modern contraceptive, which is very popular and is often prescribed by gynecologists. In women for whom a doctor has prescribed hormonal contraceptive, many questions often arise about how to use them correctly.

What to do if you miss two tablets?

If two pills are missed, the contraceptive effect of the pills is reduced. If you miss two or more tablets, the instructions for use of the drug recommend that you visit your doctor and discuss the situation with him. The closer the missed pill is to the 7-day break, the more likely pregnancy is to occur, so there is a need to use additional contraceptives (for example, barrier means - condoms). If you miss pills in the third week, you can stop taking them, thus starting a 7-day break earlier than expected. In this case, menstruation will begin earlier.

How long can the drug be used?

Most often, doctors recommend taking Yarina as much as a woman needs. contraception. One drug can be taken for no more than five years. When and how to take breaks from taking the contraceptive, your doctor will advise you during your examination. Usually, breaks of one to three months in taking pills are taken every six months or a year.

What to do if there is no period after a 7-day break?

Sometimes withdrawal bleeding (menstruation) does not occur during the 7-day break. In this case, you should take a pregnancy test. If it is negative, you can start taking the next package of Yarina. Pregnancy cannot be excluded if the pills were taken irregularly, vomiting occurred while taking them, or additional medications were taken that could affect the effect of the contraceptive. Withdrawal bleeding should not be absent for two cycles in a row. If menstruation does not occur in two cycles in a row during a 7-day break, you should consult a doctor to rule out pregnancy or find out the cause of this condition.

Delayed menstruation after finishing treatment

Normally, after stopping long-term use of hormonal contraceptives, the menstrual cycle is restored within 1-3 months. To determine the cause of the absence of menstruation, you must consult a doctor, as it can be caused by various diseases and conditions. The doctor will prescribe an examination, including an ultrasound, tests to determine the level of sex hormones. In some cases, a condition called ovarian hyperinhibition syndrome occurs after stopping combined oral contraceptives. This condition is reversible - usually menstruation is restored 3-4 months after stopping taking the pills.

Possibility of getting pregnant after taking Yarina

It is believed that the body needs approximately 3 to 12 months to restore ovarian function and ovulation after taking oral contraceptives. Despite this, there are often cases when pregnancy occurs already in the first months after stopping taking hormonal contraceptives. Very often, after discontinuation of contraceptive drugs, a so-called “rebound effect” occurs. It is characterized by the fact that after the withdrawal of hormones coming from outside, the ovaries begin to produce their own hormones more strongly. Thanks to this, the possibility of getting pregnant while stopping the drugs increases significantly. This condition is possible if contraceptives were not used for a long time, but for several months (most often from three to six). If pregnancy has not occurred within a year or two after stopping oral contraceptives, an examination should be performed to identify the cause of infertility.

Taking pills for polycystic disease

Polycystic ovary syndrome (polycystic ovary syndrome) is a hormonal disease in which cysts form in the ovaries and the process of egg maturation is disrupted. The causes of this disease may be different. Symptoms of polycystic disease include menstrual irregularities, ovarian cysts, and increased levels of androgens (male sex hormones). Hormonal drugs are used in the treatment of polycystic ovarian disease.

Yarina is one of the drugs prescribed for this disease, along with other drugs. Treatment for polycystic ovary syndrome is long-term; you need to take the medicine for at least several months. During treatment, you should undergo tests to determine whether the drug is helping. The advantage of Yarina in the treatment of polycystic disease is that, thanks to low doses of hormones, it has almost no effect on weight and does not cause swelling.

Yarina and endometriosis

Endometriosis (adenomyosis) is a disease in which tissue similar to the endometrium (the lining of the uterus) grows in other organs or tissues. Such growths cause spotting before and after menstruation, uterine bleeding, and pain in the lower abdomen. Yarina is one of the hormonal drugs prescribed for this disease. The use of Yarina for endometriosis is different in that it is necessary to take the medicine without a 7-day break. Thanks to this, menstrual function is completely suppressed, which helps stop the growth of endometriosis foci. The course of treatment is long and lasts at least six months.

Yarina and hair loss

Complaints of hair loss are among the most common among women who have stopped taking Yarina. This is due to the fact that after cancellation birth control pills The level of sex hormones in the body changes, which can affect the cycle of hair change and growth. Experts advise that before stopping the drug, consult a doctor who will prescribe a course of maintenance treatment (for example, vitamin therapy) in order to reduce the consequences of drug withdrawal.

How does Yarina help against acne?

As you know, Yarina has an antiandrogenic effect - that is, it can reduce the amount of male sex hormones in the body. This property of the drug is used in the treatment of acne (blackheads or pimples), the cause of which is hyperandrogenism (increased levels of male sex hormones). Androgens are normally produced by the female body, only in very small quantities. If for any reason their production increases, symptoms of hirsutism (unwanted hair growth on the face and body), acne, and irregular menstruation appear. Therefore, very often dermatologists prescribe the drug Yarina for therapeutic purposes for acne caused by hyperandrogenism.

In some cases, at the beginning of use, and during the first 3-6 months, an increase in rashes is possible due to the body’s adaptation to the medicine. Most often, after this period ends, the skin condition improves. If this does not happen, you need to consult a doctor to replace Yarina with another drug.

Can my breasts get bigger while taking Yarina?

One of the side effects of Yarin tablets is changes in the mammary glands. The most common side effect is engorgement or tenderness of the mammary glands, less often hypertrophy (increase in size) occurs. Even more rarely, discharge from the breast may occur. All these phenomena disappear after discontinuation of the contraceptive. If such side effects cause inconvenience and suffering, it is better to consult a doctor to find a different contraceptive drug.

Are they getting better from Yarina?

Weight gain occurs due to various reasons. One of them is fluid retention in the body (edema). Since Yarina contains the hormone drospirenone, which has an antimineralocorticoid effect (reduces the effect of hormones that retain fluid in the body), weight when taking Yarina may decrease slightly due to the removal of fluid (reduction of edema). Another reason for weight gain when taking oral contraceptives is an increase in appetite. To avoid undesirable consequences of taking contraceptives, you should pay attention to the balance of calories in and calories out. If, with a balanced diet, sufficient physical activity and the absence of edema, body weight still increases, you should consult an endocrinologist, since the cause of weight gain may be a dysfunction of the thyroid gland.

Nausea when taking pills

One of the side effects of taking Yarina is nausea. It occurs in about one in a hundred cases, or more often. Vomiting is much less common. If nausea does not go away after a period of adaptation to the drug, then it is better to consult a doctor and choose other tablets. To reduce nausea, doctors recommend taking Yarina in the evening (before bed), not on an empty stomach, but after a meal (for example, a light dinner).

Change in libido

Changes in libido are also one of the side effects of Yarina. Studies have shown that a decrease in libido occurs more often, and an increase in libido occurs slightly less often. In addition, mood swings and decreased mood may occur, which can also affect the desire for sexual intercourse.

Yarina and antibiotics

If you need to take antibiotics while taking Yarina, you should definitely inform your doctor that you are taking Yarina. Some antibiotics can affect the effect of the contraceptive, reducing it. In turn, taking hormonal medications can also affect the effectiveness of antibacterial drugs. For example, penicillin antibiotics and tetracycline reduce the effectiveness of Yarina, therefore, while taking them, and for 7 days after stopping antibiotics, barrier methods of contraception should be used. Antibiotics used to treat tuberculosis (rifampicin, rifabutin), on the contrary, can enhance the effect of sex hormones, so breakthrough bleeding often occurs when they are used together with Yarina.

Which is better – Yarina or Jess?

The drugs Yarina and Jess are similar in composition - both drugs consist of Drospirenone and ethinyl estradiol. Unlike Yarina, Jess contains 20 mg of ethinyl etradiol, which may slightly reduce the severity of adverse reactions. The drugs differ in the number of tablets - Yarina’s package contains 21 tablets, all tablets are active and after taking them you need to take a break of 7 days. The Jess package contains 28 tablets, of which 24 are active tablets and 4 are inactive (placebo). Therefore, you need to take Jess without interruption.

Yarina or Logest - which to prefer?

The contraceptive Logest differs in composition from Yarina - it contains the hormone gestodene in a dosage of 0.075 mg, ethinyl estradiol in a dosage of 0.02 mg. Thus, the dose of hormones in Logest is less than in Yarin and other similar drugs; it belongs to microdosed drugs.

The package also contains 21 active tablets, after taking which you should take a seven-day break.

What is better to take – Yarina or Novinet?

The drug Novinet differs from Yarina in composition and belongs to microdosed combined oral contraceptives. Novinet is also effective in the treatment of acne (pimples), but unlike Yarina, it does not have an antimineralocorticoid effect (that is, it does not affect fluid retention in the body and does not reduce swelling). The contraceptive Novinet is produced by another manufacturer; its advantage over Yarina is its lower price.

What to choose - Yarina or Diana-35?

The properties that combine the drugs Yarina and Diane-35 are antiandrogenic and contraceptive effects. This means that both contraceptives are used to treat the phenomena of hyperandrogenism (increased levels of male sex hormones), the manifestations of which are acne, seborrhea, hirsutism (male pattern hair growth), alopecia (hair loss). Due to the fact that Diana-35 contains the hormones cyproterone acetate and ethinyl estradiol in a higher dose (35 mcg), its antiandrogenic effect is more pronounced compared to Yarina. In addition, Diane-35 is more often prescribed for the treatment of polycystic ovary syndrome.

Which is better – Janine or Yarina?

Janine is one of the modern contraceptives, similar in hormone content to Yarina. Janine differs from Yarina only in that she contains the hormone dienogest in a dose of 2 mg. Just like Yarina, it has an antiandrogenic effect.

Yarina or Midiana?

The drug Midiana differs from the drug Yarina in that it is produced by a different manufacturer. The composition of the contraceptives is the same, Yarina is the original drug, and Midiana is produced under license and is its analogue. The advantage of Midiana is its lower cost compared to Yarina.

Yarina or Marvelon – what to choose?

Marvelon differs from Yarina in the content and type of gestagen - Marvelon contains desogestrel in a dosage of 150 mcg. The content of the estrogen ethinyl estradiol in the drugs is the same, both are low-dose. Unlike Yarina, Marvelon does not have a cosmetic antiandrogenic effect.

When choosing a contraceptive, you should always take into account the individual characteristics of each woman, since there is not a single drug that would suit absolutely everyone.

Transition from Yarina to Janine

If it is necessary to switch from Yarina to Zhanine, it should be taken the next day after the last tablet of Yarina is taken. You can take a break between taking Yarina and Zhanine tablets, which should not exceed 7 days.

How to switch from Yarina to Lindinet 20?

You can switch to Lindinet 20 from Yarina after finishing the package of Yarina (after 21 tablets), or on the 8th day after the usual 7-day break.

Switching from NuvaRing to Yarina

When it becomes necessary to start taking Yarina after using the NuvaRing contraceptive ring, the first tablet should be taken on the day the ring was removed. It is also allowed to take a break of no more than 7 days. In this case, they begin to take Yarina no later than the day when the next ring was supposed to be inserted.
Before use, you should consult a specialist.

One of the most famous and popular new generation birth control pills is the drug Yarina, a low-dose monophasic oral contraceptive with anti-MKS and antiandrogenic action. The medicine is produced by the German pharmaceutical concern Bayer. Women value this contraceptive for its reliability, a lot of additional advantages and a minimum of side effects.

Yarina’s ability to protect against pregnancy is based on two mechanisms - suppression of ovulation (ovum maturation) and a change in the properties of the secretion (mucus) located in the cervix. Thick cervical mucus becomes an obstacle to sperm penetration.

In addition, taking birth control pills Yarina helps to establish the menstrual cycle (if it is irregular). Pain during menstruation decreases, bleeding becomes less intense (this fact reduces the risk of developing iron deficiency anemia).

In women taking combined oral contraceptives, the menstrual cycle becomes more regular, painful menstruation is less frequent, and the intensity of bleeding decreases, resulting in a reduced risk of iron deficiency anemia. In addition, there is evidence that the risk of developing endometrial and ovarian cancer is reduced.

Yarina also has a positive effect on lipid metabolism, increases the amount of “good cholesterol” in the blood, improves skin condition, reduces the risk of male pattern hair growth and the development of anemia.

To the benefits Yarina birth control pills include:

• Ease of use. Single-phase tablets have constant doses of estrogens and gestagens throughout the entire cycle, which means they cannot be confused. The drug should be taken at the same time, but delaying it for up to 12 hours will not cause a decrease in effectiveness.
• Reliability. The tablets are effective as sterilization, but their effect is easily reversible. And if conception occurred while taking Yarin tablets, the instructions do not insist on terminating the pregnancy, because this drug does not cause deviations in the development of the child.

Each Yarina tablet contains active substances - Ethinyl estradiol 0.03 mg; Drospirenone 3 mg.

The main active ingredient of this birth control pill is drospirenone. We are talking about a new generation progestogen, which is as similar as possible to a woman’s natural sex hormones.

Possessing antimineralocorticoid properties, it prevents weight gain, as well as the accumulation of excess fluid in the body.

Pharmacies also sell Yarina plus. The only difference from the classic Yarina is due to the presence of an additional component - calcium levomefolate. This is one of the active, easily absorbed forms of folic acid (vitamin B9).

Indications for the use of Yarina tablets

• Prevention of unwanted pregnancy (contraception);
• Acne and seborrhea in women, as well as with hormone-dependent fluid retention.

Yarina can be used as a treatment for endometriosis, adenomyosis, uterine fibroids, polycystic ovary syndrome and some other gynecological diseases.

Instructions for use of Yarin tablets, dosage

The tablets should be taken orally in the order indicated on the package, every day at the same time, without chewing, with a small amount of water.

The calendar pack contains 21 tablets. In the package, each tablet is marked with the day of the week on which it should be taken. Take the tablets orally at the same time every day with a small amount of water. Follow the direction of the arrow until all 21 tablets have been taken. You do not take the drug for the next 7 days. Menstruation (withdrawal bleeding) should begin within these 7 days.

If you have taken other birth control pills and now you want to switch to Yarina, follow the following rules:

If the blister of previous birth control pills contained 28 tablets, then taking the first Yarin tablet should be started the day after the end of 28 tablets of the previous OC.

If the package of previous OCs contained 21 tablets, then taking the first Yarin tablet can be started the day after the blister of previous birth control pills ends, or on the 8th day after a seven-day break.

Features of application

Reviews of Yarin indicate that the contraceptive effect of birth control pills does not decrease in cases of a break in use of no more than 12 hours. The likelihood of pregnancy increases as the interval between pills increases. The missed contraceptive pill should be taken as quickly as possible. A gradual increase in the number of missed pills also leads to pregnancy.

If the delay in taking the drug is less than 12 hours, contraceptive protection is not reduced. The woman should take the tablet as soon as possible, and the next tablet should be taken at the usual time.

If the delay in taking the drug is more than 12 hours, contraceptive protection is reduced. The more pills are missed, and the closer the missed pill is to the 7-day break in taking pills, the greater the likelihood of pregnancy.

The medication does not affect the ability to work with precision machinery or drive vehicles.

The contraceptive effect of Yarina can be reduced by vomiting, diarrhea, taking large doses of alcohol, or taking certain medications.

The most commonly reported adverse reactions to Yarina include nausea and breast pain. They occurred in more than 6% of women using this drug. Serious adverse reactions include arterial and venous thromboembolism.

Rarely: headache, poor tolerance to contact lenses, vomiting, vaginal discharge (not typical), changes in libido, decreased mood, nausea.

Overdose

No serious adverse events have been reported following overdose.

Symptoms: nausea, vomiting, spotting or metrorrhagia.

Treatment: carry out symptomatic therapy. There is no specific antidote.

Contraindications

• venous and arterial thrombosis,
• myocardial infarction,
• thromboembolism,
• diabetes,
• angina pectoris
• liver failure,
• renal failure.

Analogs of Yarin tablets, list

Similar drugs:

1. Jess (Yaz);
2. Dimia;
3. Daylla;
4. Midiana;
5. Diane-35 (Diane-35);
6. Regulon;
7. Marvelon;
8. Jeanine;
9. Lindynette 30;
10. Levonorgestrel;
11. Mirena;
12. Postinor;
13. Lactinette.

Important - instructions for use of Yarina birth control pills, price and reviews do not apply to analogues and cannot be used as a guide to the use of drugs of similar composition or action. All therapeutic prescriptions must be made by a doctor. When replacing Yarin with an analogue, it is important to consult a specialist; you may need to change the course of therapy, dosages, etc. Do not self-medicate!

Before taking any medications on your own while taking Yarina, you should consult your doctor or gynecologist. Before starting to use Yarina, you should carefully analyze the woman’s family history and lifestyle, and conduct an in-depth general medical and gynecological examination, incl. breast examination and Pap test.

The need, volume and frequency of additional and control studies are determined on an individual basis. As a rule, control examinations are carried out once a year (more often if necessary).