Effectiveness, Ease of Use, and Satisfaction

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Effectiveness

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Most voted positive review

10 People found this comment helpful

My birth control was switched from emoquette to enskyce three months ago and I am very pleased with the medication overall. It does the job and I have had no strange side effects.

Most voted negative review

1 People found this comment helpful

This medication made me angry and difficult to be around. I felt demon possessed after the 1st week of being on it. I stopped taking this after the 1st month when I realized I was looking for someone to physically hurt. I am not an angry mean person.

Shared reviews and ratings

Condition: Birth Control EffectivenessEase of UseSatisfaction

I’ve been on this pill for 7 months now. I had to get off the copper IUD and this is what I ended up with. It has not helped with acne. My complaint: I have gained 10+ pounds since I’ve been on this pill…no diet change, no decrease in my exercise. My doctor says that the pill does not make anyone gain weight. Sorry, but I stayed at 120lbs after I had my daughter (with copper IUD) for two years and after I got on this pill I have steadily put on a little over a pound a month. My jeans and dresses LITERALLY do not fit. I had to go buy bigger clothes. I’m not happy with this pill. I’m not going to go in and argue with my doctor, but this whole “it’s just water weight” is crap. I’m not telling anyone not to try this pill, this was just my experience.Read More Read Less

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This was the first method of birth control I tried. I took it for a month but switched to the patch (only because I kept forgetting to take it everyday) but that didn’t work either so I switched back. Overall good experience. No strange side effects. It also made my period much lighter and they only last 2 ish days instead of the usual 5.

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Broke out a little the first month but then my skin went back to normal. Nausea on this BC was really bad for me as well as headaches I got almost daily. I also experienced A LOT of vaginal dryness which caused burning. Diminished sex drive was also an issue. No weight gain though. I was on this pill for 8 months and will now be switching to a different pill in hopes of not experiencing these side effects.

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I was switched from Apri to Enskyce because I was told it was cheaper. NOT WORTH IT. Enskyce gave me terrible mood swings. I would get mad at every little thing my bf did and it caused lots of fights. Good think he is super patient and understanding and even suggested that it might be my BC. I havenâ??t had issues with my depression in months and when I started Enskyce I would go multiple days in a row feeling super sad and even having suicidal thoughts for literally no reason. I cried at anything and everything. My sex drive went down so much it was basically none existent. I highly recommend if you have ANY other option, then do anything you can to avoid taking this contraceptive. Read More Read Less

2 ShapeCreated with Sketch.thumb_up copy 5Created with Sketch.Report this postFill 3Created with Sketch. Condition: Birth Control EffectivenessEase of UseSatisfaction

I broke out a little bit in the beginning, but I expected that as I have sensitive skin. I was on ortho tri cyclen which made me gain about 20 lbs and was really scared about “what could happen with THIS one” but I was pleasantly surprised. No cramps, nausea, or anything like that, though I did notice when I eat I get fuller faster, so I think it suppressed my appetite. But my sex drive is fine, I feel really good!

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I wanted to write a review for Enskyce after being on it for 6 months after 3 back to back pregnancies and our only means of birth control. It cost me nothing to pick it up and I only experienced mild breakout the first month of being on it. No mood swings or changes that I felt from taking it other than the mild breakout the first month. It has worked well as our only means of contraception. No pregnancies yay lol. Sorry if tmi but it has not shortened or lighten my period. I know some people say birth control can but it has done nothing for me in that aspect. It has not gotten heavier but not lighter either. No weight loss or weight gain in 6 months either. I would definitely recommend this birth control. Read More Read Less

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I did not last a full week on this birth control pill because the nausea was too much for me to handle. The minute I stopped taking it, the nausea went away. I immediately called my doctor and was switched to an alternative pill that has given me no problems thus far.

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I’ve been taking this medication for three years. I’ve never had any problems. It’s nice to know when to expect my period. My periods are also lighter and shorter.

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Does the job. Made my periods light and short. But It has lowered my sex drive tremendously though.

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The pill works, but I am always very nauseous the first one or two days of each pack. It is unbearable. I am going to the doctor soon to talk about switching.

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I have only been taking Enskyce for a week and I am nauseous 24/7 and throwing up almost every night. (I take the pill at noon).

1 ShapeCreated with Sketch.thumb_up copy 5Created with Sketch.Report this postFill 3Created with Sketch. Condition: Birth Control EffectivenessEase of UseSatisfaction

I’m 6 months into the medicine and I can say that my periods are lighter and my acne is going away. However, I still get very painful cramps, I’ve become more emotional and the worst side effect has been the nausea. I’m extremely nauseas at the start of each pill pack which is very misleading because that is also a symptom for pregnancy which is what I’m trying to prevent. I’m going to contact my doctor soon about switching because I can’t take feeling this nauseas each month anymore.

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I used to have another birth control but recently switched to this for lower estrogen and its literally been the worst. My emotions are all over the place and I end up acting like a child, cannot wait to switch

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This treatment has been amazing. I used to be in such pain from my periods that I would pass out, and Enskyce has really impacted my overall lifestyle during my period, along with not fainting.

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My doctor prescribed this to me to help with my periods since they were so painful and heavy and also as a birth control. Overall it made my periods so much lighter and pretty much taken away cramps minus a few random ones. When I first got on it it did make my period a day longer but them second one was shorter. I have found out however it makes my anger a little more easy to trigger than normal when I am on my period but that was pretty much normal before since PMS is a huge deal with me. But overall I’m pretty happy with this.Read More Read Less

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I am going on my fourth month and my acne is getting out of control. ..After years of clear skin and no dermatologist visits, I am going back to my dermatologist because my face has been wrecked by horrible acne. I am 99% it is because of this birth control. Everyone is different, but from my experience, this has given me horrible acne. I am going to switch birth control according to what my dermatologist recommends.

6 ShapeCreated with Sketch.thumb_up copy 5Created with Sketch.Report this postFill 3Created with Sketch. Condition: Abnormally Long or Heavy Periods EffectivenessEase of UseSatisfaction

I’m used to semi-regularly rotating BCP because my body tends to “get used” to the pills and my heavy periods power through and flow for days on end. With that being said, this pill has limited the length of periods, but not the flow. Additionally I act like a psycho – crying almost everyday, angry all the time, completely irrational and erratic behavior! My boobs have grown an entire cup size and are constantly tender. Never have experienced these side effects to this extent before. Hoping to be off this pill as per doctors orders within a week! Read More Read Less

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On the Enskyce it made me feel weird on the first week and then when I started the first blue or whatever color pill it made me feel like I was being demon possed and it made me wanna hurt people, I was never like that and I would not recommend this product.

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23 hours of severe nausea a day.. then.. you take it again 🙁 no thanks

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Do not take this medication. It has adverse side effects depending on the person, but is definitely not worth the risk. NOT A GOOD MEDICATION.

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Enskyce Delivery Options, Uses, Warnings, and Side Effects

Enskyce Delivery Options, Uses, Warnings, and Side Effects – Nurx.com

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Product details

Enskyce is a daily birth control pill that is meant to regulate hormones and menstruation symptoms while preventing pregnancy. The packet contains 21 active pills which you should start after your period ends, followed by seven inactive (or sugar) pills. This allows your body to continue its menstrual flow while you stay in the habit of taking a daily pill. In order to be effective, Enskyce should be taken every day at the same time.  Our team at Nurx™ can prescribe Enskyce at special request or can offer the generic equivalent Apri for as low as $0 with insurance or as little as $20 without insurance.

FAQ

• How Does Enskyce Work?

  Enskyce uses two hormones, a progestin and an estrogen, to regulate your hormones. The birth control pill does this in three ways: it prevents ovulation, blocks sperm by building up your cervical mucus, and creates a thin uterine lining. In this last part, the thin lining prevents any fertilized eggs from latching to the wall of the uterus. A thinner lining also results in lighter periods and lessened cramps for many women.

• Where Is Enskyce Available?

  Consult your doctor before you start Enskyce as you will need a prescription in order to take this birth control pill. Enskyce is readily found in most pharmacies, so you shouldn’t have a problem finding it.

  Most health insurance plans cover Enskyce; however, not all will. If this is the case for your coverage, our team at Nurx may be able to help. We offer affordable birth control options and generic alternatives to Enskyce.

  Our company can also help if you can’t locate Enskyce nearby. We ship to several states across the country, making birth control access easy.

• What Precautions Should I Take Before Starting Enskyce?

  Talk to your doctor before starting Enskyce. Let them know about any allergies that you have or any medication that you are on. Your doctor will recommend a birth control option that works with your allergies so you don’t have a reaction.

  Telling your doctor about existing medication is particularly important because two medications can cancel each other out, increasing your chances of getting pregnant while also causing problems for other conditions you have. Your health and safety are the top priority.

• Are There Any Known Side Effects?

  Everyone’s body reacts differently to different medications, and women who take Enskyce are no different. A few side effects of taking Enskyce include bloating, breast tenderness, swelling of the feet or ankles, spotting in between periods, and moodiness. These side effects are typically mild and will likely stop after a while.

  You may, however, notice more severe side effects while taking Enskyce. Seek medical help immediately if you experience a rapid heartbeat, trouble breathing, abdominal pain, sudden heavy bleeding, lumps in your breast, dizziness, confusion, and depression.

• Does Enskyce Cause Weight Gain?

  Enskyce will not directly cause weight gain; however, some women may notice that they gain a few pounds when they start taking Enskyce. This may be the result of hormonal changes or temporary weight gain from water.

• Does Enskyce Help With Acne?

  Enskyce has been know to improve acne as your hormones are better regulated while on the pill. However, it is not approved as a direct acne treatment.

• What Else Should I Know About Taking Enskyce?

  Enskyce is not effective at preventing sexually transmitted infections (STIs) and diseases. These include infections like HIV and HPV. Use additional protection while having sex, including condoms, in order to prevent the spread of these diseases to you or your partner.

  Enskyce is also not made to terminate pregnancies. Stop taking Enskyce and see your doctor if you think you are pregnant. If you missed two days while taking Enskyce and then skipped a period, you may be pregnant.

• How Does Nurx Work?

  Nurx is a free platform offering easy online access to doctors and seamless delivery of medications. No more time-consuming trips to the clinic and no more frantic pharmacy runs. We put you in control of your own health, empowering you to get the care you need, when you need it. From diagnosis to delivery of prescriptions, we make every part of getting healthy and staying healthy, better.

  For more information and to sign up, visit www.nurx.com and follow us @nurxapp on Twitter and Instagram.

We are doctors, nurses, nurse practitioners, pharmacists, and physician assistants who are passionate about providing patient care. The Nurx medical team believes that everyone deserves access to personalized, non-judgmental healthcare, and that open and honest communication is key.

Dr. Nancy Shannon

MD, PhD

How It Works

You Choose

Select your medication, or get guidance from our medical team. Answer a few questions and enter your insurance info (if you have coverage – if not, no problem)

We Prescribe

A Nurx provider in your state will review your request and write a prescription, if appropriate

Delivered Free

We deliver your medication directly to you. On time, in a discreet package, and with no added costs

As Seen On

“Demand for Nurx’s services skyrocketed — order volume for emergency contraception, birth control, sexually transmitted infection tests grew 40%, 50% and 100%, respectively. Its total sales climbed 80% year-over-year in 2020”

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“For $35, all patients with mild to moderate acne—whether they’re insured or not—can receive an initial medical consultation, home delivery of medications, and a 10-week follow-up.”

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Best for: Anyone who hasn’t been tested for STIs in more than a year (or ever) and just wants a no-rush STI checkup.”

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Desogestrel And Ethinyl Estradiol (Oral Route) Description and Brand Names

Description and Brand Names

Drug information provided by: IBM Micromedex

US Brand Name

1. Apri
2. Caziant
3. Cesia
4. Cyclessa
5. Desogen
6. Enskyce
7. Kariva
8. Mircette
9. Ortho-Cept
10. Reclipsen
11. Solia
12. Velivet

Canadian Brand Name

1. Marvelon 21
2. Marvelon 28 – White Tablet

Descriptions

Desogestrel and ethinyl estradiol combination is used to prevent pregnancy. It is a birth control pill that contains two types of hormones, desogestrel and ethinyl estradiol, and when taken properly, prevents pregnancy. It works by stopping a woman’s egg from fully developing each month. The egg can no longer accept a sperm and fertilization (pregnancy) is prevented.

No contraceptive method is 100 percent effective. Birth control methods such as having surgery to become sterile or not having sex are more effective than birth control pills. Discuss your options for birth control with your doctor.

This medicine does not prevent HIV infection or other sexually transmitted diseases. It will not help as emergency contraception, such as after unprotected sexual contact.

This medicine is available only with your doctor’s prescription.

This product is available in the following dosage forms:

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enskyce side effects reviews esidrix

Reading these review makes me feel so much better because I really didn’t know what was wrong with me.Please dont drink this pill 2nd monthe drinking and had the worst experience. My skin is pretty normal for a 32 year old. The sex drive,what sex drive. Remember to always consult your physician or health care provider before starting, stopping, or altering a treatment or health care regimen.Every effort has been made to ensure that the information provided by on this page is accurate, up-to-date, and complete, but no guarantee is made to that effect. I hope this is the cure, because I already feel better.When i read these reviews, i brushed off the 1 star reviews. This information is for educational purposes only, and not meant to provide medical advice, treatment, or diagnosis. I have been having back pain, palpitation, anxiety (I had panic attack and went to the ER once, felt short of breath in public or in a car), stomach bloating, nausea, dizziness and high blood pressure you name it. This pill isn’t bad how other reviews mention, it all had to … I never trusted the pill before Enskyce, and now I don’t foresee myself going back to anything else.Been on this pill for a long time and I’ve never had any symptoms besides common mood swings before my period!Do not take this drug. I’ve never been negative. It is a terrible pill, i have never dealt with mood swings and depression as bad. I didnt listen to the people that said not to take it, which was a mistake. Haven’t had crazy breakouts since my early 20’s, so this shit is ridiculous!!! Terrible side effects, headaches, stomach cramps, bloating. i had never had any of these problems on apri.Horrible medication. When I say: DO NOT TAKE THESE. So I took the pill, and the pill for that day at 4pm, by 10pm I was feeling extremely nauseous again. Women who use oral contraceptives including Enskyce are strongly advised not to smoke. Also didn’t get pregnant, so five stars.The first night I took this birth control I projectile vomited all night long. Since being adjusted to it, I have had little to no issues besides your occasional bloating and headaches . I did some research and found out a lot of women that taking this medicine are having the same health issues. So in the mean time, I needed a BC. Acne 2. I was taking Apri and got switched to Enskyce. Dizziness 4. It gave me horrible mood swings, made me nauseous, and gave me some of the worst headaches. I also had no breakouts of acne. Everyday Health is among the federally registered trademarks of Everyday Health, Inc. and may not be used by third parties without explicit permission. And I’ve definitely gained weight.. oh, and the nausea!! I am 27 years old and have been taking this birth control for 9 years. puffiness or swelling of the eyelids or around the eyes, face, lips, or tongue. Cigarette smoking increases the risk of serious cardiovascular side effects from use of oral contraceptives such as Enskyce. It was horrible and I tried it again the next night to make sure it wasn’t something else and I did it again! Vomiting 7. Neither Everyday Health nor its licensor assume any responsibility for any aspect of healthcare administered with the aid of the information provided. I have two babys (planned) and the most it took me to get pregnant was 4months max. I don’t remember exactly when they switched me from Reclipsen to Enskyce and why. My GYN’s nurse put me on Enskyce, and I didn’t think the symptoms all the reviews talked about would happen to me but boy did they. Presently I have been on my period for 2 weeks. I was on and off Apri for roughly a year and a half and never had one bad symptom. My anxiety also came back in full force as well. I thought it was me being lazy and unmotivated and not this pill.

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NeedyMeds

Don’t qualify for this program? Visit the DBAs to look for financial assistance based on your diagnosis.
Patient Access Network Foundation (PAN) This is a copay assistance program @if>
Provided by: Patient Access Network Foundation
TEL: 866-316-7263 FAX: 866-316-7261	Languages Spoken: English, Spanish, Others By Translation Service Program Website
Program Applications and Forms
Patient Access Network Foundation (PAN) Application: Contact program
Medications
Enskyce tablet (desogestrel/ethinyl estradiol)
Eligibility Requirements
Insurance Status	*See Additional Information section below
Those with Part D Eligible?	Determined case by case
Income	Between 400-500% of FPL
Diagnosis/Medical Criteria	FDA Approved Diagnosis – See Program Website for Details
US Residency Required?	Must reside and receive treatment in US
Application
Obtaining	Call or complete online
Receiving	Complete online or by phone
Returning	Complete online or by phone
Doctor’s Action	Will be discussed with patient and Doctor after request is received
Applicant’s Action	Call for information or inform doctor that he/she is in need
Decision Communicated	Patient and Doctor notified in writing
Decision Timeframe	Within 48 hours
Medication
Amount/Supply	Not applicable
Sent To	Patient sent card to be used at pharmacy
Delivery Time	Once approved; shipped same day
Refill Process	Patient presents voucher/card to pharmacy for each refill
Limit	None
Re-application	New application every 12 months
Additional Information
*Patients must have health insurance and their insurance must cover the qualifying medication for which they seek assistance. Call for most recent medications as the list is subject to change and the medication for which you are seeking assistance must treat the disease directly. Note: All new enrollment is now done electronically or over the phone. Contact program for details.
Updated November 05, 2021

Birth Control Pills in the IVF Process

You may be surprised to find out that in many cases, the first step in the IVF process is to take birth control pills. Though this seems to be counter-productive to your goal of getting pregnant, there are several reasons why they are used.

Birth Control Pills and Ovulation

First, in a normal menstrual cycle multiple follicles (which contain the eggs) begin to grow, but then one follicle becomes dominant and grows faster than the rest and the remaining follicles stop progressing. In an IVF cycle though, we want as many follicles as possible to grow. By taking birth control pills before starting the oviarian stimulation medications, the follicles are more likely to grow at a similar rate. This leads to a greater number of follicles being mature at the same time, and therefore increases the number of eggs that are retrieved.

Using birth control pills also allows the fertility clinic to effectively schedule retrievals. This allows the correct number and type of staff to be available when needed. It also ensures that the embryology lab does not have too many retrievals in one day; the number of times incubator doors are opened in one day has to be controlled to maximize results in our embryology lab. This type of scheduling also gives us the ability to arrange your cycle so that it does not interfere with business trips or vacations.

Lastly, birth control pills can also decrease the chance of developing cysts prior to starting the stimulation medications. When cysts are present, sometimes we need to drain the fluid from them and that can cause a delay in your cycle.

Type of Birth Control Pills Used in IVF

Not just any birth control pill can be used in IVF. Birth control pills vary in the amount of hormones delivered with each pill. For the purposes of an IVF cycle, we use a monophasic type which contains the same amount of hormones in every active pill. Therefore, a consistent level of these hormones is maintained. The birth control pill that we prescribe is Desogen (or its generic substitute). If you prefer, a NuvaRing can be used instead. This is a flexible ring that is inserted vaginally and remains in place while releasing a continuous level of hormones.

How Birth Control Pills Fit Into the IVF Cycle

Here’s how taking birth control pills fits into the IVF process: To start an IVF cycle using birth control pills, you would call with Day 1 of full flow of your period, and then be scheduled to come in on Day 2, 3 or 4 for a baseline blood draw and ultrasound. If these results are normal, you would be instructed to start taking the birth control pills (or insert the NuvaRing) no later than day 5 of your cycle. One pill is taken each evening. The pills are arranged in four rows. The first three rows are active pills, but the fourth row does not contain any hormones. Therefore, if you finish the third row of pills, you would not take the fourth row but instead start a new pack of pills the next day. It is very important to take the Desogen at approximately the same time each evening, and not to skip any pills. If you are using a NuvaRing, you would remove the ring after 21 days and insert a new one.

In most IVF cycles, you must be on birth control for a minimum of 10 days before starting the next medication. You will be instructed when to stop the birth control at your nurse consult appointment. In most cases you will take it for about 21 days, but it can be up to 42 days. While using birth control, you may experience some light breakthrough bleeding. This spotting is normal and will not interfere with your cycle. Your physician will review your health history with you before prescribing any birth control products. If you have any risk factors such as a history of blood clots, birth control will not be used in your IVF cycle. Instead other medications will be used to prepare your ovaries for an optimal response.

So, when you are instructed to start birth control, just remember that you won’t be taking it to prevent pregnancy but rather to encourage it!

To see a fertility specialist who is a board-certified physician with high success rates, make an appointment at one of InVia’s four Chicago area fertility clinics.

Is the pill killing your sex drive?

Like most medications, the birth control pill comes with a few side effects. Most of them are mild and similar to the symptoms you may have right before your period—like nausea, bloating, breast tenderness, and mood swings. Thankfully, these side effects often go away after a few months. But some pill users feel that the pill also causes them to lose interest in sex and that this doesn’t go away, or even gets worse, with extended use.

Decades of research do not support this claim. Studies on thousands of women suggest that most don’t notice a decrease in libido from using the pill, and the most recent research finds that relationship issues may be behind any post-pill dip in desire. After all, most people go on hormonal methods like the pill, patch, ring, or shot once they enter into a long-term monogamous relationship—and people in long-term monogamous relationships tend to have less sex than they did in their early days together.

Still, you are the only one who lives in your body and the only one who can possibly know if you feel different since you started using a hormonal birth control method—so always trust your instincts. If you think your birth control might be affecting your sex drive, here are a few things to consider before you decide to part ways with your method.

Research says it’s probably not the birth control

The idea that the pill causes libido to drop has been around for almost as long as the pill itself. Some coverage of the subject even offers a biological explanation based on the fact that the pill reduces the amount of testosterone women produce. (Yes, even though we think of testosterone as the male sex hormone, females make it too and it is instrumental in their sex drives as well.) The theory is that the decrease in testosterone, which is similar to what happens after menopause, causes a decrease in desire.

While this seems to make sense, the research doesn’t back up the idea of the pill as a crusher of sex drives. A review of 36 studies conducted between 1978 and 2011 found that only 15% of women felt lower libido when they went on the pill. Another 22% said they felt no change, and 62% actually said they felt an increase in sex drive since going on the pill.

The most recent research on this topic used a tool called the Sexual Desire Inventory on over 900 women and men in heterosexual relationships of various lengths. The tool questioned participants about both their desire for sex with their partner and their desire for masturbation when they were alone. The results initially suggested that women on non-hormonal contraceptives had higher desire on their own, while women on the pill had higher desire with their partner, but these correlations went away when the researchers adjusted for age of the women and length of their relationships.

The researchers say this suggests that the differences are more about relationships and less about birth control. Dr. Kristen Mark, the lead author on the study said in a statement: “Sometimes women are looking for something to explain changes in their sexual desire, which is not fixed throughout her life. The message that hormonal pills decrease desire is really prevalent….[But] our findings are clear: the pill doesn’t kill desire. This research helps to bust those myths and hopefully eventually get rid of this common cultural script in our society.”

But you may have to troubleshoot

If you’re taking hormonal birth control or thinking about starting, it should be reassuring to know that generations of women have road tested the pill and found that it is not a libido killer. Of course, if you are on a hormonal method now and finding yourself less interested in sex—or if you have a partner in that situation—mountains of research mean next to nothing. Luckily, we have some suggestions for troubleshooting—and hopefully getting your mojo back.

1. Rethink your definition of desire. We often think of desire as a rousing in our loins that should come out of nowhere and be so urgent that we need to rip off our partner’s clothes. Right. This. Second. This kind of “spontaneous desire,” as researchers call it, does exist and can be great, but many people (women in particular) are more likely to experience “responsive desire,” a stirring of sexiness in reaction to something you see, hear, or experience. There is nothing wrong with responsive desire—it’s not a lesser type of desire—it just requires some, ahem, stimulus to get you going.

2. Just do it. Next time you’re worrying about your libido, try forgetting about whether you’re turned on right this second. Start kissing your partner or watching a sexy movie and see what happens. We’re not suggesting doing anything you don’t want to do, and if a few minutes in you’re still not feeling it, stop. But you may find that responsive desire kicks in faster than you’d think.

3. Talk to your partner. If you’re feeling less in the mood lately, it might be tempting to keep it to yourself so that you don’t hurt your partner’s feelings, but this isn’t the best idea. Find a gentle way to tell your partner you’re in a slump, and see if you can find a way out together. Think back to a time when sex was great and try to recreate the magic, or brainstorm new ideas. The conversation alone may be a turn-on.

4. Consider medical issues. There are medications (such as anti-seizure meds and anti-depressants) that are known to cause a decrease in libido. Medical issues like diabetes, high blood pressure, and even high cholesterol can also interfere with sex drive. If you have any medical issues that you know about, or if it’s been awhile since your last check-up, make an appointment and talk to a health care provider about any possible culprits other than your birth control.

5. Get in touch with your emotions. It can be hard to get in the mood if you’re overwhelmed with stress, secretly angry with your partner, or suffering from anxiety and/or depression. Self-esteem or body image issues can also play tricks on your desire. Do a mental health check and be honest with yourself about whether it could be time to see a therapist or counselor to talk about your lack of desire and any underlying issues that might be at play. You could also engage in some self-care by getting a massage, reading a good book, or going out for a night with friends.

6. Don’t forget the simple things. Here’s an easy one: The pill can lead to vaginal dryness, which can in turn lead to pain during sex—and pain during sex can make more sex seem less appealing. Fortunately, if dryness is the issue, lube can help!

7. Consider switching methods. The bottom line is that you know your body best. If you don’t like your birth control method for any reason, you should change it, regardless of what the research says. If your sex drive feels different to you, ask your health care provider first about switching to a different hormonal method or even just a different formulation of the pill, which can have a big impact on side effects. If that doesn’t help, a non-hormonal method may be the best option for you.

Birth control is important for anyone who doesn’t want to get pregnant, but it shouldn’t prevent pregnancy by killing your sex drive. You can find a perfect balance between method and libido—you may just have to troubleshoot a bit.

instructions for use, dosage, composition, analogs, side effects / Pillintrip

Inside, in the order indicated on the package, starting from the actual day of the week, every day, at approximately the same time, with a little water, if nessesary.

Take 1 table / day for 21 days. Taking pills from the next package should be started 7 days after the end of the previous one. During these 7 days, menstrual bleeding occurs.It usually starts 2-3 days after the last pill and may not stop until the next pack is taken.

How to start taking the drug

If hormonal contraceptives have not been used within the last month, then taking the drug should be started on the 1st day of the menstrual cycle (i.e., on the 1st day of menstrual bleeding). You can start taking the drug on the 2-5th day after the start of the menstrual cycle, but in this case it is recommended to use an additional (non-hormonal) method of contraception during the first 7 days of taking the pills in the first cycle.

Switching from combined hormonal contraceptives (COC, vaginal ring or transdermal patch). It is advisable to start taking the drug the next day after taking the last active tablet of the previously used drug (containing active ingredients), but no later than the next day after the end of the usual break in taking the tablets or the next day after taking the last tablet that does not contain hormones. In the case of using a vaginal ring or transdermal patch, it is advisable to start taking the drug on the day of their removal, but no later than the day when a new ring was to be inserted or the next application of the patch was made.

If a woman has used the previous method of contraception consistently and correctly and reliably it is known that she is not pregnant, in this case, you can switch to taking the drug Model ^® Ovule on any day of the cycle. It should be borne in mind that the usual interval in the use of the previous method of contraception should not exceed its recommended duration.

Switching from preparations containing only progestogen (mini-pills, injections, implant) or from a progestogen-releasing IUD.A woman taking mini-pills can switch to taking the drug any day without interruption; transition from an implant or IUD – on the day of their removal; from an injectable contraceptive drug – on the day when the next injection should be, in all cases, during the first 7 days of taking the drug, it is recommended to use additional methods of contraception.

After an abortion in the first trimester of pregnancy. A woman can start taking the drug immediately. There is no need to use any additional methods of contraception.

After childbirth or abortion in the II trimester of pregnancy. It is recommended to start taking the drug no earlier than 21-28 days after childbirth, in the absence of breastfeeding or termination of pregnancy in the II trimester. When you start taking the drug at a later date, it is recommended to use barrier methods of contraception during the first 7 days of taking the drug. In any case, if a woman after childbirth or abortion has already had sexual intercourse before taking the drug, it is necessary to exclude pregnancy or wait for the first menstruation.

In case of missing the next dose of the drug. If the intake of the next pill is delayed for less than 12 hours, the reliability of contraception does not decrease. The woman should take the pill as soon as she remembered about it, and the subsequent pills should be taken at the usual time.

If the intake of the next pill is delayed for more than 12 hours, the reliability of contraception may be reduced. In this case, the following rules should be followed:

1. Taking pills should never be interrupted for more than 7 days.

2. For adequate suppression of the hypothalamic-pituitary-ovarian system, it is necessary to take tablets for 7 days in a row.

The cyclicity of the drug intake implies 3 weeks of use. Therefore, the following recommendations can be made.

Week 1. A woman should take the missed pill as soon as she remembered it, even if it means taking 2 tablets. simultaneously. Then you should continue taking the usual scheme. Additionally, you should use the method of barrier contraception for the next 7 days.If the woman has had sexual intercourse within the previous 7 days, the possibility of pregnancy should be considered. The more tablets are missed and the closer the break in taking the drug to the time of intercourse, the higher the risk of pregnancy.

Week 2 . A woman should take the missed pill as soon as she remembered about it, even if it means taking 2 tablets. simultaneously. Then you should continue taking the usual scheme. Provided that the woman took the pills on time within 7 days preceding the first missed dose, there is no need to use additional (non-hormonal) methods of contraception.Otherwise, or if the woman missed more than 1 table, it is recommended to use additional methods of contraception for the next 7 days.

Week 3. The reliability of contraception may be reduced due to a subsequent interruption in taking the drug. This can be avoided by adapting the dosage regimen. If you use either of the following two schemes, there is no need to use additional contraceptive measures, provided that the woman took the pills on time within 7 days prior to the first missed dose.Otherwise, it is recommended to use one of the following two schemes and also use additional contraceptive measures for the next 7 days.

1. A woman should take the missed pill as soon as she remembered it, even if it means taking 2 tablets. simultaneously. Then you should continue taking the usual scheme. Taking pills from a new package should be started as soon as the current package ends, i.e. there should be no break between packages.

The likelihood of withdrawal bleeding before the end of the second pack is low, but some patients may experience spotting or profuse bleeding while still taking the drug.

2. You can recommend to stop taking the drug from the current package. A woman should take a break from taking the drug for no more than 7 days, including days when she forgot to take the pills, and then start a new pack.

If the drug is missed and there is no withdrawal bleeding in the next break in taking the pills, the possibility of pregnancy should be taken into account.

Advice in case of gastrointestinal disorders. In severe gastrointestinal disorders, absorption may be incomplete and additional contraceptive measures should be taken. If vomiting occurs within 3-4 hours after taking the drug, you should follow the recommendations regarding skipping the next dose of the drug. If a woman does not want to change her usual dosage regimen, she can take an additional pill from a different package (the number of additional pills is determined by a specialist obstetrician-gynecologist in a face-to-face consultation).

How to change the timing of the onset of menstrual bleeding . In order to delay menstrual bleeding, you should continue taking tablets from another package of the drug without the usual interruption in taking. You can delay menstrual bleeding for any period until the end of the pills from the second pack. During this period, a woman may experience spotting or profuse spotting. The usual regimen should be resumed after a 7-day interval.

In order to postpone the day of the onset of menstrual bleeding to another day, you can shorten the usual interruption in admission for as many days as necessary. The shorter the break, the higher the risk of the absence of menstrual bleeding during the break and the occurrence of profuse or spotting bleeding while taking the drug from the second package.

Int. Taking pills starts from the 1st day of the menstrual cycle and takes 1 tablet / day for 21 days, if possible at the same time of day.After taking the last tablet from the package, a 7-day break is taken, during which menstrual bleeding occurs due to the withdrawal of the drug. The next day, after a 7-day break (4 weeks after taking the 1st table, on the same day of the week), resume taking the drug from the next package, also containing 21 tablets, even if the bleeding has not stopped. Such a pill-taking regimen is adhered to as long as there is a need for contraception. Subject to the rules of admission, the contraceptive effect persists for the duration of the 7-day break.

The first intake of the drug

Reception of the 1st table. should start on the 1st day of the menstrual cycle. In this case, you do not need to use additional methods of contraception. Taking pills can be started from the 2nd to 5th day of menstruation, but in this case, in the 1st cycle of using the drug, additional methods of contraception must be used in the first 7 days of taking the tablets. If more than 5 days have passed after the onset of menstruation, you should postpone the start of taking the drug until the next menstruation.

Taking the drug after childbirth

Women who are not breastfeeding can start taking pills no earlier than 21 days after childbirth, after consulting a doctor. In this case, there is no need to use other methods of contraception. If after childbirth there was already sexual contact, then you must wait until the 1st menstruation with taking the pills. If a decision is made to take the drug later than 21 days after childbirth, then in the first 7 days it is necessary to use additional methods of contraception.

Taking the drug after an abortion

After an abortion, in the absence of contraindications, pills should be taken from the 1st day, and in this case there is no need to use additional methods of contraception.

Switching from another oral contraceptive

Switching to Enskyce from another oral preparation (21 or 28 days): 1st table. It is recommended to take Enskyce the next day after the completion of the 28-day pack of the drug.After completing the 21-day course, you need to take the usual 7-day break and then start taking Enskyce. There is no need to use additional methods of contraception.

Switching to Enskyce after using oral hormonal preparations containing only progestogen (so-called mini-pills): 1st tab. Enskyce should be taken on the 1st day of the cycle. There is no need to use additional methods of contraception. If menstruation does not occur when taking a mini-pili, then after excluding pregnancy, you can start taking Enskyce on any day of the cycle, but in this case, additional methods of contraception must be used in the first 7 days.

In the above cases, the following non-hormonal methods are recommended as additional methods of contraception: use of a cervical cap with spermicidal gel, a condom or abstinence from sexual intercourse. The use of the calendar method in these cases is not recommended.

Postponement of the menstrual cycle

If there is a need to postpone menstruation, you must continue taking the pills from a new package, without a 7-day break, according to the usual scheme.When menstruation is delayed, breakthrough or spotting bleeding may appear, but this does not reduce the contraceptive effect of the drug. Regular use of Enskyce can be restored after the usual 7-day break.

Taking missed pills

If a woman has forgotten to take a pill on time and no more than 12 hours have passed after the pass, you just need to take the forgotten pill, and then continue taking it at the usual time. If more than 12 hours have passed between taking the pills, this is considered a missed pill, the reliability of contraception in this cycle is not guaranteed and the use of additional methods of contraception is recommended.

When skipping 1 table. on the 1st or 2nd week of the cycle, you must take 2 tables. the next day and then continue with regular use using additional methods of contraception until the end of the cycle.

If you miss a pill on the 3rd week of the cycle, you must take the forgotten pill, continue the regular intake and do not take a 7-day break. It is important to remember that due to the minimum dose of estrogen, the risk of ovulation and / or spotting increases when the tablet is missed and therefore additional contraceptive methods are recommended.

Taking pills for vomiting or diarrhea

If vomiting or diarrhea appears after taking the drug, then the absorption of the drug may be inadequate. If the symptoms have stopped within 12 hours, then another 1 table should be taken. additionally. After that, you should continue taking the pills in the usual way. If symptoms continue for more than 12 hours, then it is necessary to use additional methods of contraception during vomiting or diarrhea and in the next 7 days.

By mouth, in the order indicated on the package, every day, at the same time, if necessary with a small amount of liquid.

Take 1 tab. 1 time per day for 21 days. Taking pills from the next package begins 7 days after the end of the previous one, during these 7 days menstrual bleeding occurs. It usually starts 2–3 days after the last pill is taken and may not stop until the next pack starts.

How to start taking Enskyce ^®

In the absence of previous use of hormonal contraceptives (for the last month)

Taking pills should be started on the first day of the menstrual cycle.It is possible to start taking pills on days 2-5, but then during the initial cycle during the first 7 days of taking the drug, it is recommended to use an additional (non-hormonal) method of contraception.

Switching from another combined oral contraceptive

It is advisable to start taking Enskyce ^® the day after taking the last combined oral contraceptive pill containing hormones, in extreme cases, immediately after taking a pill or a pill that does not contain hormones.

Switching from progestogen-only preparations (mini-pills, injections, implants)

A woman taking mini-pills can switch to Enskyce ^® any day; using the implant – on the day of drug removal; using the drug in the form of injections – on the day when the next injection should be done, in all cases during the first 7 days of taking Enskyce ^® it is recommended to use additional barrier methods of contraception.

After an abortion in the first trimester

A woman can start taking the drug immediately. In this case, there is no need to use any additional methods of contraception.

After childbirth or abortion in the second trimester

It is recommended to start taking the drug on the 21st or 28th day after childbirth or abortion. When you start taking the drug at a later date, it is recommended to use barrier methods of contraception during the first 7 days of taking Enskyce ^® .In any case, if a woman has had sexual intercourse after childbirth or abortion before taking Enskyce ^® , you should exclude pregnancy before starting the combined oral preparation or wait until the first menstruation.

It is not recommended to use the drug during lactation.

In case of missing the next intake of the drug

If the intake of the next pill is delayed for less than 12 hours, the reliability of contraception does not decrease.A woman should take the pill as soon as she remembered about it, and the subsequent ones – at the usual time.

If the intake of the next pill is delayed for more than 12 hours, the reliability of contraception may be reduced. In this case, two basic rules should be followed:

– taking Enskyce ^® should never be interrupted for more than 7 days;

– to achieve the necessary contraception and the degree of suppression of the hypothalamic-pituitary-ovarian axis, a continuous intake of Enskyce ^® is required for 7 days.

1 week (yellow tablets)

A woman should take the missed pill as soon as she remembers it, even if it means taking 2 tablets. simultaneously. Then you should continue taking the usual scheme. Additionally, you should use a barrier method of contraception (condom) for the next 7 days. If the woman has had sexual intercourse within the previous 7 days, the possibility of pregnancy should be considered. The more tablets are missed, and the closer the break in taking the drug to the time of sexual intercourse, the higher the risk of pregnancy.

Week 2 (red tablets)

A woman should take the missed tablet as soon as she remembers it, even if it means taking 2 tablets. simultaneously. Then you should continue taking the usual scheme. Provided that the woman took the pills within 7 days preceding the first missed dose, there is no need to use additional (non-hormonal) methods of contraception. Otherwise, or if the woman missed more than 1 table., it is recommended to use additional methods of contraception for the next 7 days.

3 weeks (white tablets)

The reliability of contraception may be reduced due to a subsequent interruption in taking the drug. This can be avoided by adapting the dosage regimen. If you use either of the following two schemes, there is no need to use additional contraceptive measures, provided that the woman took the pills on time within 7 days prior to the first missed dose.

Otherwise, it is recommended to use one of the following two schemes and use additional contraceptive measures for the next 7 days.

1. A woman should take the missed pill as soon as she remembered it, even if it means taking 2 tablets. simultaneously. Then you should continue taking the usual scheme.

A tablet from a new package should be started as soon as a tablet from the current package runs out, i.e. you should not take a break.The likelihood of bleeding when you stop taking the drug before the end of the pills from the second pack is small, but some people may experience spotting or profuse spotting while taking the drug.

2. It is recommended to stop taking the tablets from the current package. The woman should take a break from taking Enskyce ^® for up to 7 days, including the days when she forgot to take the tablets, and then start taking the tablets from a new package.

If the drug is missed and there is no bleeding in the next interruption in admission, the possibility of pregnancy should be taken into account.

Recommendations in case of vomiting

If vomiting occurs within 3-4 hours after taking the drug, absorption may be incomplete. In this case, you should use the recommendations for skipping the next dose of the drug. If the woman does not want to change her usual dosage regimen, she needs to take additional pill (s) from a different package.

How to change your period

In order to delay your period, you should continue to take the white tablets from another pack of Enskyce ^® without the usual interruption. In this way, you can delay your period for up to 7 days, until the end of the white pills from the second pack. During this period, a woman may experience spotting or profuse spotting. The usual regimen of Enskyce ^® should be resumed after the 7-day dosing interval.

In order to shift your period to a day of the week other than that expected with the usual dosing regimen, you can shorten your usual interruption by as many days as necessary. The shorter the break, the higher the risk of missing menstruation during the break and the occurrence of profuse or spotting bleeding while taking the pills from the second pack.

By mouth, according to the directions on the package every day at about the same time, with a small amount of liquid if necessary.

How to take Mercilon ^®

You need to take 1 tab. daily for 21 days. Taking tablets from each subsequent package is resumed after a 7-day break, during which menstrual discharge usually appears. As a rule, they begin 2-3 days after taking the last pill and may continue until the first pill of the next pack starts.

How to start taking Mercilon ^® if hormonal contraceptives were not used in the previous period (last month)i.e. on the first day of menstrual bleeding). You can start taking it from 2-5 days. In this case, during the first cycle, it is recommended to additionally use a barrier method of contraception during the first 7 days of taking the pills.

Switching from another combined oral contraceptive (PDA)

It is advisable that the woman start taking Mercilon ^® the day after the last intake of the active tablet of the previous PDA, but no later than the next day after a break in taking pills or placebo her previous PDA.

Switching from the progestogen-only method (mini-pills, injections, implants)

on the day of its removal, in case of an injection – instead of the next injection). However, in all cases, it is advised to additionally use the barrier method during the first 7 days of taking the pills.

After an abortion in the first trimester

A woman can start taking Mercilon ^® immediately.In this case, she does not need to use additional methods of contraception.

After childbirth or abortion in the second trimester

Women should start taking Mercilon ^® from 21 or 28 days after giving birth or abortion in the second trimester. If you start taking the pills later, you should additionally use the barrier method during the first 7 days of taking the pills. However, if intercourse has already taken place, then before using COCs, pregnancy should be excluded or wait for the first menstruation.

The use of COCs is not recommended during lactation.

What to do if pills are missed

If a woman is less than 12 hours late in taking a pill, contraceptive protection is not reduced. She should take the pill as soon as she remembers, and then continue at the usual time.

If the delay in taking the pill is more than 12 hours, contraceptive protection may decrease. If you miss taking pills, you can follow two basic rules:

1.Tablet-taking should never be interrupted for more than 7 days.

2. To achieve adequate suppression of the hypothalamus-pituitary-ovarian axis, continuous pill intake is required for 7 days.

In accordance with this, you can give recommendations that should be followed in everyday life:

1 week

A woman should take the last missed pill as soon as she remembers it, even if she has to take 2 tablets.simultaneously. She then continues to take the pills at her usual time. In addition, a barrier method of contraception, such as using a condom, should be used for the next 7 days. If intercourse took place in the previous 7 days, the possibility of pregnancy should be considered. The more tablets are missed and the closer the time of the break, the higher the risk of pregnancy.

Week 2

A woman should take the last missed tablet as soon as she remembers it, even if she has to take 2 tablets.simultaneously. She then continues to take the pills at her usual time. If the woman took the pills correctly in the 7 days leading up to the first missed pill, there is no need to use additional contraception. Otherwise, or if she missed more than 1 table, additional precautions should be taken within 7 days.

Week 3

The risk of reduced reliability increases as the pill break approaches.However, if the pill regimen is followed, a decrease in contraceptive protection can be avoided. If you adhere to one of the following two options, then there will be no need to use additional measures to prevent pregnancy, provided that during the 7 days preceding the first missed pill, the woman took all the pills correctly. If this is not the case, then the woman should follow the first of the two options and take additional precautions for the next 7 days.

1. A woman should take the last missed tablet as soon as she remembers it, even if she has to take 2 tablets. simultaneously.

She then continues to take the pills at her usual time. The tablet from the next package should be taken immediately after the end of the used one, i.e. there should be no break in taking between tablets from different packages. It is unlikely that a woman will have a menstrual flow before she finishes taking the pills from the second pack, although she may experience spotting spotting or sudden heavy bleeding while taking the pills.

2. It is also possible for a woman to stop taking pills from the package she is using. In this case, the break is 7 days, including the days of missing pills; which is renewed from the next package.

If a woman missed a pill and did not have a menstrual flow during her first regular break, pregnancy should be considered.

Recommendations in case of vomiting

If vomiting is observed within 3-4 hours after taking the tablet, the drug may not be completely absorbed.In this case, see the recommendations for skipping the pill. If the woman does not want to change her usual drug regimen, she needs to take additional pill (s) from a different package.

How to change the time of the onset of menstruation or how to delay menstruation

To delay the onset of menstruation, a woman should continue taking Mercilon ^® from a new package without interruption. If desired, the period of admission can be extended until the end of taking the pills from the second package.In this case, there may be sudden heavy bleeding or spotting spotting. Regular use of Mercilon ^® is resumed after the usual 7-day pill break.

In order to move the onset of menstruation to another day of the week from the expected day of the week when using the current dosage regimen, a woman can shorten the upcoming pill break by the desired number of days.

The shorter the break, the higher the risk that she will not have menstrual flow and that she will have sudden heavy bleeding or spotting spotting while taking the pills from the second pack (as with delaying menstruation).

Inside, in the order indicated on the package, every day at approximately the same time, if necessary, with a little water.

Take 1 tab. a day for 21 days. Taking pills from the next package should be started 7 days after the end of the previous one. During these 7 days, menstrual bleeding occurs. It usually starts 2–3 days after the last pill and may not stop until the next pill is taken.

How to start taking Enskyce ^® if hormonal contraceptives have not been used in the last month

The pill should be started on the 1st day of the menstrual cycle. You can start taking the drug 2-5 days after the start of the menstrual cycle, but in this case it is recommended to use an additional (non-hormonal) method of contraception during the first 7 days of taking the pills in the initial cycle.

Switching from other combined oral contraceptives

It is advisable to start taking Enskyce ^® the next day after taking the last tablet of a previously used drug containing hormones, as a last resort, immediately after a break in taking tablets or after taking a tablet that does not contain hormones.

Switching from preparations containing only progestogen (mini-pills, injections, implants)

A woman taking mini-pills can switch to Enskyce ^® any day: using an implant – on the day of its removal; using the drug in the form of injections – on the day, the introduction of the next injection. In all cases, during the first 7 days of taking Enskyce ^® , it is recommended to use additional methods of contraception.

After an abortion in the first trimester

A woman can start taking the drug immediately.There is no need to use any additional methods of contraception.

After childbirth or abortion in the II trimester

It is recommended to start taking the drug on the 21st or 28th day after childbirth or an abortion performed in the II trimester of pregnancy. When you start taking the drug at a later date, it is recommended to use barrier methods of contraception during the first 7 days of taking Enskyce ^® . In any case, if a woman has already had sexual intercourse after childbirth or abortion before taking Enskyce ^® , pregnancy should be excluded before taking the drug or wait until the first menstruation.

The use of the drug is contraindicated during lactation.

In case of missing the next intake of the drug

If the intake of the next pill is delayed for less than 12 hours, the reliability of contraception does not decrease. The woman should take the pill as soon as she remembered about it, and the subsequent pills should be taken at the usual time.

If the intake of the next pill is delayed for more than 12 hours, the reliability of contraception may be reduced. In this case, the following rules should be followed:

1 week

A woman should take the missed pill as soon as she remembers it, even if it means taking 2 tablets.simultaneously. Then you should continue taking the usual scheme. Additionally, you should use the method of barrier contraception for the next 7 days. If the woman has had sexual intercourse within the previous 7 days, the possibility of pregnancy should be considered. The more tablets are missed, and the closer the break in taking the drug to the time of sexual intercourse, the higher the risk of pregnancy.

2 week

A woman should take the missed pill as soon as she remembers it, even if it means taking 2 tablets.simultaneously. Then you should continue taking the usual scheme. Provided that the woman took the pills on time within 7 days preceding the first missed dose, there is no need to use additional (non-hormonal) methods of contraception. Otherwise, or if the woman missed more than 1 table, it is recommended to use additional methods of contraception for the next 7 days.

3 week

The reliability of contraception may be reduced due to a subsequent interruption in taking the drug.This can be avoided by adapting the dosage regimen. If you use either of the following two schemes, there is no need for additional contraceptive measures, provided that the woman took the pills on time within 7 days prior to the first missed dose.

Otherwise, it is recommended to use one of the following two schemes and additional contraceptive measures for the next 7 days.

A woman should take the missed pill as soon as she remembered about it, even if it means taking 2 tablets.simultaneously. Then you should continue taking the usual scheme. New packaging should be started as soon as the current one ends, i.e. you should not take a break. The likelihood of withdrawal bleeding before the end of the second pack is small, but some may experience spotting or profuse bleeding while still taking the drug.

It can be recommended to stop taking the drug from the current package. The woman should stop taking Enskyce ^® for up to 7 days, including days when she forgot to take the tablets, and then start a new pack.

If the drug is missed and there is no bleeding in the next break, the possibility of pregnancy should be taken into account.

Recommendations in case of vomiting

If vomiting occurs within 3-4 hours after taking the drug, absorption may be incomplete. In this case, you should use the recommendations regarding the skipping of the next dose of the drug. If the woman does not want to change her usual dosage regimen, she needs to take additional pill (s) from a different package.

How to change the timing of your period

In order to delay your period, you should continue taking tablets from another pack of Enskyce ^® without the usual interruption. You can postpone menstruation for any period until the end of the pills from the second package. During this period, a woman may experience spotting or profuse spotting. The usual regimen should be resumed after a 7-day interval.

In order to shift your period to a day of the week other than that expected with the usual dosing regimen, you can shorten your usual interruption by as many days as necessary.The shorter the break, the higher the risk of missing menstruation during the break and the occurrence of profuse or spotting bleeding while taking the drug from the second package.

Int. Taking pills start from the 1st day of the menstrual cycle and take 1 table. per day for 21 days, if possible at the same time of day. After taking the last tablet from the package, a 7-day break is taken, during which menstrual bleeding occurs due to the withdrawal of the drug.The next day, after a 7-day break (4 weeks after taking the 1st table, on the same day of the week), resume taking the drug from the next package, also containing 21 tablets, even if the bleeding has not stopped. Such a pill-taking regimen is adhered to as long as there is a need for contraception. Subject to the rules of admission, the contraceptive effect persists for the 7-day break.

1st intake of the drug

Reception of the 1st table. should start on the 1st day of the menstrual cycle.In this case, you do not need to use additional methods of contraception. Taking pills can be started from the 2nd to 5th day of menstruation, but in this case, in the 1st cycle of using the drug, additional methods of contraception must be used in the first 7 days of taking the tablets. If more than 5 days have passed after the onset of menstruation, you should postpone the start of taking the drug until the next menstruation.

Taking the drug after childbirth

Women who are not breastfeeding can start taking pills no earlier than 21 days after childbirth, after consulting a doctor.In this case, there is no need to use other methods of contraception. If after childbirth there was already sexual contact, then you must wait until the first menstruation with taking the pills. If a decision is made to take the drug later than 21 days after childbirth, then in the first 7 days it is necessary to use additional methods of contraception.

Taking the drug after an abortion

After an abortion, in the absence of contraindications, pills should be taken from the 1st day, and in this case there is no need to use additional methods of contraception.

Switching from another oral contraceptive

Taking Enskyce ^® after a contraceptive (with 30 μg ethinyl estradiol) containing 21 tablets. 1st table It is recommended to take Enskyce ^® the next day after completing the course of the previous drug. You don’t need to take a 7-day break or wait for your period to start. There is no need to use additional methods of contraception.

Taking Enskyce ^® after a contraceptive containing 28 tablets. The next day after the end of the tablets in the package, you should start a new package of Enskyce ^® .

Taking Enskyce ^® after using a contraceptive containing only progestogen (mini-pills). 1st table Enskyce ^® should be taken on the 1st day of the cycle. There is no need to use additional methods of contraception.

If menstruation does not occur when taking mini-pili, then after excluding pregnancy, you can start taking Enskyce ^® on any day of the cycle, but in this case, additional methods of contraception must be used in the first 7 days.

In the above cases, the following non-hormonal methods are recommended as additional methods of contraception: the use of a cervical cap with a spermicidal gel, a condom, or abstinence from sexual intercourse. The use of the calendar method in these cases is not recommended.

Delaying the menstrual cycle

If there is a need to postpone menstruation, you must continue taking the pills from a new package without a 7-day break, according to the usual scheme.When menstruation is delayed, breakthrough or spotting bleeding may appear, but this does not reduce the contraceptive effect of the drug. Regular intake of Enskyce ^® can be restored after the usual 7-day break.

Missed pills

If a woman has forgotten to take a pill on time, and no more than 12 hours have passed after the pass, you just need to take the forgotten pill, and then continue taking it at the usual time. If more than 12 hours have passed between taking the pills, this is considered a missed pill, the reliability of contraception in this cycle is not guaranteed and the use of additional methods of contraception is recommended.

If you miss one tablet on the 1st or 2nd week of the cycle, you must take 2 tablets. the next day and then continue with regular use using additional methods of contraception until the end of the cycle. If you skip a pill on the 3rd week of the cycle, you must take the forgotten pill, continue the regular intake and do not take a 7-day break. It is important to remember that the minimum dose of estrogen increases the risk of ovulation and / or bleeding if the tablet is missed, and therefore additional contraceptive methods are recommended.

The procedure for taking vomiting or diarrhea

If after taking the drug vomiting or diarrhea appears, then the absorption of the drug may be inadequate. If the symptoms have stopped within 12 hours, then another 1 table should be taken. additionally. After that, you should continue taking the pills in the usual way. If symptoms continue for more than 12 hours, then it is necessary to use additional methods of contraception during vomiting or diarrhea and in the next 7 days.

COPD (Chronic Obstructive Pulmonary Disease) Test Frequently Asked Questions – Frequently Asked Questions – RxList

Frequently Asked Questions

COPD (Chronic Obstructive Pulmonary Disease): Frequently Asked Questions

Reviewed by Charles Patrick Davis, MD, PhD, May 15, 2018

Take a COPD (Chronic Obstructive Pulmonary Disease) test first! Before reading this FAQ, challenge yourself and
Test your knowledge!

• COPD (chronic obstructive pulmonary disease) is similar to asthma in adults. Truth or lie?
• COPD is almost always caused by what?
• How many out of 100 smokers are likely to develop COPD?
• How long does it take for smokers to feel the symptoms of COPD?
• What is shortness of breath or shortness of breath medically called?
• Cyanosis is also a symptom of COPD.Truth or lie?
• How many American adults have COPD?
• Is it possible to have asthma and COPD at the same time?
• People with COPD burn more calories. Truth or lie?
• Medical treatments for COPD may include?
• People with COPD should get a flu shot every year. Truth or lie?
• Boost your health intelligence. COPD (Chronic Obstructive Pulmonary Disease)
• COPD (Chronic Obstructive Pulmonary Disease) Slideshow
• Related Image Collections COPD (Chronic Obstructive Pulmonary Disease)

Question: COPD (Chronic Obstructive Pulmonary Disease) is similar to asthma in adults …Truth or lie?

C: False . Chronic obstructive pulmonary disease (COPD) consists mainly of three related conditions: 1) chronic bronchitis, 2) chronic asthma, and 3) emphysema. Each of these three conditions is associated with chronic obstruction of airflow through the airways and from the lungs. The obstruction is usually permanent and may progress over time.

Patients with COPD are often classified according to the symptoms they experience when their symptoms intensify.For example, if a patient primarily experiences shortness of breath, they may be called an emphysema patient. If the patient primarily experiences cough and mucus production, it is called chronic bronchitis. In fact, it is preferable to refer to these patients as COPD patients because they may experience a variety of pulmonary symptoms.

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Q: COPD is almost always caused by what?

C: Smoking . In the United States, tobacco use, especially smoking, is a key factor in the development and progression of COPD, but asthma, exposure to air pollutants in the home and workplace, genetic factors, and respiratory infections also play a role in the development of the disease.COPD. In less developed parts of the world, indoor air quality is believed to play a larger role in the development and progression of COPD than in the United States.

In rare cases, COPD can be caused by alpha-1 antitrypsin deficiency. Alpha-1 antitrypsin deficiency is an inherited disorder that can cause lung disease in adults and liver disease in adults and children.

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Q: How many out of 100 smokers are likely to develop COPD?

K: fifteen .About 15 out of 100 smokers will develop COPD. Cigarette smoking and tobacco use account for up to 90% of the risk of developing COPD.

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Question: How long does it take for smokers to feel the symptoms of COPD?

C: People usually develop symptoms of COPD after smoking for more than 20 years. . Most people with COPD smoke at least 10-20 cigarettes a day for 20 years or more before they develop any symptoms. Thus, COPD is usually not diagnosed until the fifth decade of life (in people between the ages of 40 and 49).

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Question: From a medical point of view, what is shortness of breath or shortness of breath called?

C: From a medical point of view, shortness of breath or shortness of breath is called dyspnea.

Dyspnea also refers to labored or labored breathing. Shortness of breath is a sign of a serious airway, lung, or heart condition and is the most significant symptom of COPD. This usually does not occur until the sixth decade of life (in people aged 50 to 59).The appearance of shortness of breath cannot be ignored. If you or someone you know is experiencing these symptoms, see your doctor.

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Q: Cyanosis is also a symptom of COPD. Truth or lie?

K: True . Besides shortness of breath, cyanosis is also a sign of COPD. Cyanosis is a condition in which the skin becomes bluish due to a lack of oxygen in the blood. In addition to shortness of breath (shortness of breath) and cyanosis, other symptoms of COPD are wheezing, chronic cough, and frequent respiratory infections.

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Q: How many American adults have COPD?

C: An estimated 12 million American adults have COPD, and about 120,000 die from it each year.

It is believed that many more people have undiagnosed COPD. An estimated 12 million people are not diagnosed.

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Question: Is it possible to have asthma and COPD at the same time?

K: yes .Possibly both COPD and asthma, and these diseases share several characteristics. Many people with COPD also have asthma, but most people with asthma do not have COPD.

One difference between the two is that asthma patients may have little or no symptoms between increases in severity with appropriate treatment. What’s more, asthma symptoms (such as wheezing, shortness of breath, cough) are usually triggered by obvious triggers such as allergens, cold air, or exercise.Asthma onset usually occurs in young nonsmokers, while COPD is more commonly associated with old age and smoking. Airway obstruction in asthma is usually reversible, while people with COPD develop irreversible lung damage that gets progressively worse over time.

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Q: People with COPD burn more calories. Truth or lie?

C: True. People with COPD burn more calories .

People with COPD can burn 10 times more calories than people without COPD.What’s more, in overweight people with COPD, the heart and lungs have to work even harder to breathe properly. Underweight people with COPD are more susceptible to complications from other diseases. Maintaining the right weight and eating well are important factors in the fight against COPD.

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Q: Can medical treatments for COPD include?

C: Pulmonary Rehabilitation, Medicines and Oxygen Therapy . There is no cure for COPD, but there are effective treatments and lifestyle changes that can improve symptoms and slow the progression of the disease.

Pulmonary rehabilitation includes exercise, nutrition education and sometimes psychological counseling. The healthcare professional may also prescribe inhaler medications, which relax the airways and help make breathing easier. If a person has severe COPD, they may need supplemental oxygen.

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Q: People with COPD should get the flu shot every year. Truth or lie?

K: True .Because the flu can cause serious problems, people with COPD should get flu shots every year. People with COPD are also at greater risk for pneumococcal infections, including pneumonia. People with COPD should talk to their doctor about getting the pneumococcal pneumonia vaccine.

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• Learn more about COPD
• COPD Slideshow: Symptoms, Causes, Treatment

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90,000 Frequently Asked Questions: Panic Attacks (Panic Disorder) Frequently Asked Questions – RxList

Panic Attacks (Panic Disorder): Frequently Asked Questions

Reviewed by John P.Cunyi, DO, FACOEP

Take the Panic Attack (Panic Disorder) Quiz First! Before reading this FAQ, challenge yourself and test your knowledge!

• Panic attacks are repeated attacks of anxiety that can last for several minutes. Truth or lie?
• What is panic disorder?
• The word panic comes from a Greek god named Pan. Truth or lie?
• Why do people get panic disorder?
• What is agoraphobia?
• Who suffers more from panic attacks? Men or women?
• People with panic attacks often mistake them for heart attacks.Truth or lie?
• Which state best describes the unrelenting fear that drives you to avoid situations, activities, or places?
• Panic disorder is not a “real” illness. Truth or lie?
• People with panic disorder should avoid chocolate. Truth or lie?
• What are the treatments for panic disorder?
• Social anxiety disorder and panic disorder are the same thing.Truth or lie?
• Boost your health intelligence. About Panic Attacks (Panic Disorder)
• Panic Attacks (Panic Disorder) Related Slideshows
• Panic Attacks (Panic Disorder) Collections of Related Images

Q: Panic attacks are repeated attacks of anxiety that can last for several minutes … Truth or lie?

C: True.

People with panic disorder have anxiety attacks, known as panic attacks, that come on suddenly and usually last for a few minutes.The hallmark symptom is the fear of losing control, disaster or imminent death, even if there is no real danger. Panic attacks can also be accompanied by physical symptoms. People who have had panic attacks often worry about the possibility of attacks in the future, causing those affected to avoid social media or driving.

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Question: What is panic disorder?

C: Panic disorder is classified as an anxiety disorder.

Most cases of panic disorder can be successfully treated with medication and / or psychotherapy.

prednisolone 10 mg tablets side effects

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Question: The word

panic comes from a Greek god named Pan. Truth or lie?

C: True.

The word panic comes from the Greek god Pan, the god of flocks, shepherds and pastures.Pan was half human, half goat and frightened people who wandered into rural areas, especially at night.

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Question: Why do people develop panic disorder?

C: The exact reasons a person develops panic disorder are not fully understood.

It is known, for example, that the propensity to panic attacks can be hereditary, so there may be a genetic component. Panic attacks are also associated with significant life changes, including leaving school, marriage, and childbirth.Severe stress, such as losing a loved one, divorce, or losing a job, can also be associated with panic attacks.

Symptoms of panic attacks can sometimes be medically induced. Diseases that can sometimes cause symptoms similar to a panic attack include:
– hypoglycemia
– Hyperthyroidism
– Mitral valve prolapse, a problem that occurs when the mitral valve of the heart does not close properly
– Drug use or withdrawal symptoms

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Question: What is agoraphobia?

C: Agoraphobia means fear of open spaces.

This happens when people are attached to the house or are unable to carry out normal activities due to fear.

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Question: Who suffers more from panic attacks? Men or women?

C: Panic disorder is twice as common in women as in men.

Overall, it affects about 6 million adults in the United States. Not everyone who experiences panic attacks will develop panic disorder. Seizures often begin in adolescence or early adulthood.

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Q: People with panic attacks often mistake them for heart attacks. Truth or lie?

C: Panic attacks can have symptoms similar to those of acute cardiovascular disease, such as chest pain, shortness of breath, extreme agitation, heart palpitations, and feelings of dread.

People experiencing a panic attack for the first time may experience a heart attack and go to a hospital emergency department for treatment.This is appropriate — anyone who develops sudden or severe chest pain should be evaluated in the emergency department to determine if a heart attack is indeed occurring.

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Question: Which state best describes the unrelenting fear that causes you to avoid situations, activities, or places?

C: Phobia (s).

Phobias persistent, irrational and uncontrollable fears of a situation, object or activity.People with phobias can have severe symptoms and do their best to avoid the object of their fear, even if the fear is not rational. In some cases, a panic attack can occur as a reaction to a phobia. Phobias usually appear between the ages of 15 and 20. Men and women are equally prone to phobias, but men seek treatment more often than women.

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Q: Panic disorder is not a “real” illness. Truth or lie?

C: True.

Panic disorder is a true illness associated with sudden and violent attacks of terror. Attacks may accompany physical symptoms, including rapid heartbeat, shortness of breath, chest pain, redness or chills, sweating, weakness, or dizziness. People experiencing panic attacks may think they are having a heart attack, they are losing their minds, or they are facing imminent death.

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Q: People with panic disorder should avoid chocolate.Truth or lie?

C: True.

Home treatment combined with professional treatment can help reduce anxiety. However, people with panic disorder should avoid alcohol, caffeine, chocolate, and nicotine. These substances can increase anxiety. Certain illicit drugs, such as cocaine, crack, and speed (amphetamines), can also cause concern.

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Q: What treatments are there for panic disorder?

C: Panic disorder can be effectively treated with psychotherapy, medication, or a combination of both.

Cognitive Behavioral Therapy is a form of psychotherapy that helps a person learn alternative ways of thinking and responding to situations that trigger panic attacks. Anxiety medications and antidepressants are two classes of drugs that have been used successfully in the treatment of panic disorder.

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Question: Social anxiety disorder and panic disorder are the same thing. Truth or lie?

C: False.

Social anxiety is different from panic disorder. People with social anxiety do not have panic attacks, and they understand that they are experiencing fear and anxiety. In contrast, people with panic attacks may believe they are having a heart attack or other physical problem. They may go to the emergency room for help and fear imminent death.

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• Generalized Anxiety Disorder (GAD) Slideshow

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