Hormonal pills for women over 40. Questions

Why is female contraception at 40 different from contraception at 29? The answer to this question is hidden by the reproductive system, which by the age of 37-39 a woman begins to gradually fade away. The ovaries still produce estrogen and progesterone, but in much smaller quantities, which completely rebuilds the entire body, which during this period is harder to resist disease, it is more difficult to conceive and bear a baby.

To support the reproductive system (ovarian function) and prevent the development of diseases of the reproductive system, gynecologists-endocrinologists have developed special contraception after 40 years for women who have indications for it and (and) do not want to have children anymore. However, you can protect yourself from an unplanned pregnancy not only by taking hormonal drugs: spirals, caps, spermicidal agents, nor-implants, sterilization and injections. But pills with a certain dosage of hormones are still the most popular type of protection today. So what contraceptives after 40 years can women take, and what features do they have?

What you need to know about contraceptives in 40 years?

The fading of ovarian function suggests that the production of female hormones is significantly reduced. Moreover, this process is strongly influenced by rapidly developing diseases (endometriosis, cyst growth). To support the body during premenopause and prevent pregnancy, gynecologists prescribe special hormonal contraceptives after 40 years - are these tablets containing microdoses of estrogen (no more than 20 micrograms) and that's all? doses of progesterone. New generation drugs are able to eliminate the first signs of menopause - unpleasant hot flashes, a sharp change in mood - and protect against unplanned pregnancy, prevent (cure) the development of fibroids and endometriosis. Due to the low content of hormones, contraceptives after 40 do not cause the development of cardiovascular diseases and are as effective as pills designed for an active reproductive system. When taken correctly, the pills show an effectiveness of about 97-99%.

Benefits of taking birth control

Correctly selected by a specialist, contraceptive pills after forty years regularly supply a woman's body with a minimum amount of estrogen and progesterone, which minimizes side effects and contributes to:

  1. normalization of the monthly cycle,
  2. getting rid of regular flushes of blood,
  3. prevention of the development of uterine and ovarian cancer during administration - a similar effect is observed if birth control pills after 40 years were taken for several years (from 1.5 to 3 - depends on the individual characteristics of the female body),
  4. an increase in bone density,
  5. prevention of the development of neoplasms (myomas, cysts) on the ovaries and benign formations of the mammary glands.

Recent tests have shown that contraceptives regularly taken by a woman after 40 years of age can prevent the development of pelvic cancer and after the onset of menopause - 10-15 years after the end of the pill. Moreover, tablets can be stopped taking at any time without harm to the body.

What contraceptives are preferable at the age of forty?

At this point in time, for women aged 37-39 years, medicine can offer two types of OK:

  • Estrogen-containing birth control after 40 - contains both progesterone and low-dose estrogen
  • Estrogen-free hormonal OKs or mini-pills - they contain only low-dose synthetic analogues of progesterone.

The principle of prescribing drugs is similar to those drugs that are prescribed to girls and women during the period of "activity" of the ovaries. That is: if a woman smokes, has contraindications to taking estrogen and ailments of the cardiovascular system, often suffers from viral and infectious diseases (weak immune system), suffers from varicose veins and has other contraindications, then she is prescribed contraceptives after 40 years that do not contain estrogen.

It is not worth dwelling in detail on the mechanism of action of these medicinal substances, since it is similar to the mechanism of action of any other types of OK. Once in the body of a woman, the hormone inhibits the processes of ovulation, the walls of the uterus become thinner (they are not able to hold a fertilized egg even if ovulation has taken place), and the vaginal mucus thickens.

What funds can be bought at the pharmacy?

Since at the age in question, a specialist will definitely find a couple of contraindications for taking estrogen in a woman, contraceptive pills containing it at the age of 40 are extremely rarely prescribed by gynecologists. But this does not mean that women who want to protect themselves from unplanned pregnancies have no choice. Modern medicine offers a lot of safe drugs that are freely available. But before buying any remedy, you need to consult a doctor.

Effective hormonal contraception after 40 - the name of the new generation of pills:

  1. Silest.
  2. Novinet.
  3. Exluton.
  4. Femoden.
  5. Marvelon.
  6. Continuin and others.

To purchase contraceptives for women after 40 is only those recommended by the attending physician. And the reception should be carried out strictly in accordance with the instructions, otherwise the effectiveness of protection is reduced.

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

Marina Konstantinovna asks:

What kind of contraception should women use after 35 years?

The main difficulties with the choice contraceptives for women after 35 - 40 years are associated with existing contraindications for use, for example, the presence of chronic diseases, bad habits, excess weight, and so on.

Women after 35 - 40 years are recommended to use the following contraceptives:
1. barrier contraceptives;
2. intrauterine device ;
3. oral contraceptives;
4. hormonal injections;
5. hormonal implants;
6. hormonal patch;
7. vaginal contraceptive ring.

barrier contraceptives.

Women after 35-45 years of age are recommended to use the following barrier contraceptives:
  • cervical cap.
These contraceptives should be used in case of diseases in which the use of other contraceptives prohibited.

Condoms.

The condom is a barrier contraceptive method, effectively protecting against the development of unwanted pregnancy and sexually transmitted diseases.

Spermicides.

Spermicides are substances that neutralize spermatozoa.

This contraceptive is available in the form:

  • creams;
  • candles;
  • aerosols;
  • tablets.
Before the introduction of a spermicidal agent into the vagina ( two hours before and after intercourse) soap should not be used during washing, as it acts destructively on spermicides. It should be remembered that the administered dose of spermicidal agent is designed for one time, with repeated sexual intercourse, the contraceptive must be used repeatedly.

However, this tool is not a sufficiently reliable method of protection ( 74 – 94% ), so it is desirable to use it as an adjunct to other contraceptives ( condoms, oral contraceptives, etc.).

Cervical cap.

This cap is installed on the cervix and tightly fitting creates a barrier to the penetration of spermatozoa into the uterine cavity.

Intrauterine device.

An intrauterine device is a device that is inserted into the uterine cavity by a doctor. This type of contraception is mainly suitable for women after 35-40 years. However, if a woman has pathological age-related changes in the tissues of the uterus or cervix, this remedy may be contraindicated for use.

The intrauterine device may contain:

  • copper ( protects by 94%);
  • hormones ( protect 99%).
The following advantages of the intrauterine device are distinguished:
  • has a local effect;
  • there is a quick recovery of childbearing function after the removal of the spiral;
  • affordable price;
  • spirals containing hormones have a therapeutic effect;
  • administered once and for a long time ( two to five years);
  • allowed to use after childbirth and during lactation;
  • the spiral does not affect the quality of breast milk during breastfeeding;
  • does not require self-control in application from a woman.
The following disadvantages of the intrauterine device are distinguished:
  • possible pain in the lower abdomen in the first period after the establishment of the spiral;
  • the probability of a spiral falling out;
  • an increased risk of developing infectious processes, due to the fact that after the establishment of the spiral in the woman's vagina, antennae remain, through which the infection can enter the uterine cavity;
  • possible heavy menstruation;
  • Not recommended for nulliparous women.

Oral contraceptives.

There are the following types of oral contraceptives:
  • Combined oral contraceptives (COCs) contain two types of female sex hormones - estrogen and progestin. Women after 35 - 40 years are recommended to take low-dose ( Jeanine, Silest, Regulon, etc.) and medium-dosed three-phase ( Triquilar, Triziston, etc.) combined oral contraceptives.
  • Non-combined oral contraceptives (Mini-pill) contain only one hormone, progestin. Mini-drank ( Exluton, Microlut, etc.) is recommended for women over 35 years of age during lactation or if there are contraindications to the use of combined oral contraceptives.
One of the main advantages of oral contraceptives is that, in addition to the contraceptive effect, they have a therapeutic effect ( are prescribed for the treatment of fibroids, endometriosis, etc.), as well as help women delay the onset of menopause.

Hormonal contraceptives should be taken for 21 days, followed by a week off ( seven days) for the onset of menstruation. If there are 28 tablets in the package, they should be taken without interruption. The last seven tablets are pacifiers and are designed so that a woman does not stray from the rhythm of taking.

The use of COCs for women after 35-40 years is contraindicated in the following cases:

  • the presence of diabetes mellitus;
  • with liver diseases;
  • with high blood pressure;
  • during lactation;
  • smoking women;
  • the presence of breast cancer;
  • in diseases of the cardiovascular system.

Hormonal injections.

This contraceptive is administered to a woman intramuscularly ( an injection is made by a gynecologist) once every three months.

In addition to the contraceptive effect, hormonal injections have a therapeutic effect:

  • reduce the likelihood of developing inflammatory processes of the genital organs;
  • reduce the chances of pathological changes in the endometrium ( mucous layer of the uterus);
  • used to treat endometriosis ( proliferation of endometrial cells in atypical places) and etc.

Hormonal implants.

Hormonal implants are a capsule that is injected subcutaneously into the shoulder area under local anesthesia.

Currently, there are the following hormonal implants:

  • Norplant (duration is five years);
  • Norplant-2 (duration is three years).

Hormone patch.

A hormonal patch is glued to the surface of the skin and, throwing a certain dose of hormones into the blood every day, provides a contraceptive effect. Due to the lower content of hormones, this contraceptive is more easily tolerated by women. Also, being absorbed directly into the blood, hormones avoid getting into the stomach, which allows you to bypass possible problems associated with the presence of diseases of the gastrointestinal tract ( gastrointestinal tract).
One package contains three patches, which should be applied weekly, replacing one with another. A break is made for the fourth week, since menstruation occurs during this period.
Please use the search for answers (the database contains more than 60,000 answers). Many questions are already answered.

Middle-aged women are interested in birth control pills: which is better to choose in order to avoid unwanted pregnancy. This problem is of interest to both young girls and the fair sex after forty years.

Benefits of birth control after 40

After a woman crosses the age of forty, she begins to take the issue of contraceptives seriously, especially since doctors are wary of late pregnancies.

Childbirth in adulthood can result in a number of pathologies in the child, and abortion will affect the health of the woman. Therefore, contraception is the only safe way to prevent pregnancy.

Hormonal pills for women are the usual form. Oral contraceptives have been refined and improved over the course of 50 years, and as a result, they managed to reduce the amount of the hormone, that is, they became low-dose, which led to a sharp decrease in side effects when used. If you take the pills correctly and according to the established scheme, then they will be safe for the body.

In addition to protection, modern contraception has the following advantages:

  1. Significantly reduce the likelihood of an ectopic pregnancy or uterine fibroids.
  2. Eliminate cysts in the ovaries.
  3. There is a positive effect on the skin and nails, as well as hair. Modern medicine has introduced the concept of beauty contraception, when a mature lady takes pills and feels great.
  4. With regular use of hormones, the cycle is leveled, and the loss of hormones is gradually restored.
  5. The risk of inflammatory diseases of the genital organs is reduced (by 50-80%).
  6. The effectiveness of tablets against cancer of the ovaries, rectum and uterus has been clinically proven. The positive effect remains for another 20 years after stopping the use of hormonal drugs.

Women in the premenopausal period should be more careful and monitor their health. It is at this age that the likelihood of oncological diseases increases. In addition, even after the end of menstruation, the risk of getting pregnant remains.

What birth control pills are suitable for women over 40?

An important factor when choosing oral contraceptives is the activity of a woman's sexual life. Usually, a gynecologist prescribes a drug with a low content of estrogen and an increased amount of progesterone and its synthetic analogues to a mature woman.

With age, the hormonal background of a woman changes, so it is important to choose the right birth control pills after 40 years. It is necessary to take into account not only the level of female sex hormones, but also individual intolerance, the presence of a history of chronic diseases. The health of the fair sex depends on the choice of contraceptive.

What contraceptives are suitable for women over 40

After the age of forty, the likelihood of a gradual decrease in estrogen levels increases. But due to the poor environmental situation, heredity and acquired diseases, not every patient can afford hormonal treatment. Such therapy can adversely affect health.

COOK

COCs are combined oral contraceptives that contain several hormones. Synthetic substitutes for progesterone and estradiol suppress ovulation and protect against unwanted pregnancies.

The most popular drugs:

  1. Triquilar. A high-dose remedy that helps restore normal hormonal balance and has a contraceptive property. It is recommended to take the medication for medicinal purposes. Price - 450 rubles.
  2. Silest. Another drug from the COC group. Due to the complex composition, the list of contraindications is very extensive. However, against the background of the reception, the menstrual cycle is restored, the complexion improves, and hair loss stops. Price - 400 rubles per pack.
  3. Triziston. A selective modulator that helps prevent pregnancy by thickening the mucus in the cervical region, thereby creating an obstacle to the fertilization of the egg. The cost per package is 550 rubles.

When treating with high-dose drugs, you must follow the regimen: take 21 active tablets and take a break or start taking 7 inactive tablets. After a week's interruption, a new pack must be started.

Low dose tablets

The higher the dosage of hormones, the greater the negative consequences for the body. To reduce the manifestation of negative effects, low-dose contraceptives may be prescribed. They are allowed to be taken even by nulliparous women, it is possible to use them before the menopause.

The best drugs based on estradiol:

  1. Zoely. This is a new monophasic drug, which contains synthetic hormones. Due to the low dosage, the number of side effects is minimal, they rarely appear.
  2. Lindinet-20. It can be prescribed at any age, suitable for young nulliparous women and patients after 40 years of age. The tool helps to get rid of heavy menstruation, pain and premenstrual syndrome.
  3. Qlaira. A three-phase medication of 28 tablets, each type has a different dosage of active substances. The drug is also used to treat hormonal imbalances.

Even low-dose OCs are available by prescription only. Self-medication can lead to consequences that are dangerous to health and life.

mini pili

Another type of contraception is the mini-pill. Tablets are popular among nursing mothers, as they are allowed to be taken during lactation. They can be used by women over 35 who smoke for a long time.

The best mini-pills:

  1. Lactinet. One of the most popular drugs that help prevent pregnancy during breastfeeding. As part of the contraceptive, the active substance is desogestrel at a dose of 75 mcg.
  2. Charosetta. Almost identical analogue of Lactinet in composition. The list of indications and contraindications specified in the instructions for use does not differ
  3. Exluton. Monophasic drug of the latest generation. The active substance is linestrenol at a dose of 500 mcg. The number of side effects is minimal, they rarely occur.

The best birth control pills after 45 years - COC. They help maintain normal hormonal levels and prepare the body for menopause. Doses of estradiol in low-dose products and mini-drinks are not enough.

Navy

For those who forget to take their daily pills, it is better to choose a barrier method of contraception. There are no age restrictions for intrauterine devices (IUDs). However, you should choose the right contraceptive.

Benefits of the Mirena spiral after 40 years:

  • therapeutic effect;
  • low risk of uterine bleeding;
  • long service life - up to 5 years;
  • protection against pregnancy;
  • no need to count pills.

It is better to refuse non-hormonal spirals. After 50 years, the elasticity of blood vessels decreases, which increases the chance of internal damage. Inflammatory diseases of the organs of the female reproductive system are often manifested. Mirena should be used only if there are no contraindications.

emergency contraception

Urgent protection is indicated for unprotected intercourse. Emergency contraceptive pills can be used after sexual intercourse. However, high doses of hormones can lead to internal uterine bleeding.

vaginal ring

A new trend in gynecology - NovaRing. This is a vaginal ring that the doctor inserts at the examination or tells the woman how to do it herself. The tool can be used by patients over 40 years old, but only after consultation with a gynecologist.

You need to change the vaginal ring every month: for three weeks it is in the woman's vagina, then one week must be spent without the ring. It should be remembered that the tool does not protect against the transmission of sexual infections, HIV and other diseases. To maintain the contraceptive effect, you should follow the doctor's recommendations.

Sponges, candles and films

Barrier contraception is also popular among women. Spermicides - films, sponges and candles are in special demand. Such drugs are also available in the form of vaginal tablets, gels and jellies.

The use of spermicidal agents:

  1. Pros. Such contraception does not affect the level of sex hormones, does not affect the internal organs and psycho-emotional state. The composition of substances is safe for the whole organism as a whole.
  2. Flaws. The degree of protection against pregnancy is low. Also, spermicides can disrupt the microflora of the vagina and cause dysbacteriosis.

Spermicides have practically no negative examples of use, but there are reactions of individual intolerance. It is not recommended to use preparations together with soap or during water procedures, as the barrier protective function may be reduced.

Other Methods

There are several other remedies that help to safely prevent conception for health. Pregnancy after 40 years can be a serious test for the female body.

What other ways to protect against pregnancy exist:

  1. Condom. The classic method of protection, in which partners will be protected from sexually transmitted diseases. You can not use the tool only with individual intolerance to latex.
  2. Female condom. This is a little known remedy. It is a small polyurethane bag that is inserted into the vagina and secured in it thanks to elastic rings.
  3. caps. They will not protect partners from gonorrhea or syphilis, but they will prevent sperm from fertilizing an egg. Difficulty in installation - not every woman will be able to put a cap or diaphragm so deeply on her own.
  4. Hormone patch. It helps not only as a contraceptive, but also has a therapeutic effect. You need to stick it in advance, hormones will enter the body through the blood.
  5. Natural protection. The people often use the method of counting without having sexual intercourse during the period of ovulation. The method of measuring basal temperature is also popular: the lower it is, the lower the risk of pregnancy. But these methods have a very low contraceptive effect.

The choice depends on personal preference. But it is worth remembering that the calculation of dangerous days for conception in women after 40 may be inaccurate. At this age, due to hormonal disruptions, there is a great chance to make mistakes in the calculations.

Benefits of hormonal drugs

The best choice of contraceptives for women over 40 is hormonal drugs. They will additionally prepare the body for menopause.

Pros of hormonal drugs:

  • suppress ovulation;
  • normalize hormonal levels;
  • reduce the risk of ovarian and uterine cancer;
  • have a healing effect;
  • help maintain youthfulness and beauty of the skin;
  • reduce the risk of inflammatory diseases of the genitourinary system.

Doctors recommend such drugs to women after 45 years. Hormonal agents prevent the development of endometriosis, growths and cysts. Also, COCs reduce the profusion of menstruation and pain, and are used for severe premenstrual syndrome.

Flaws

High-dose hormonal medications have a long list of side effects. Even at low dosages, synthetic substitutes can have a negative effect on the functioning of internal organs.

Disadvantages of oral contraceptives:

  • long list of contraindications;
  • often there are negative consequences;
  • do not protect against infectious diseases and STDs (sexually transmitted diseases);
  • disrupt the work of the cardiovascular system;
  • increase the chance of hyper- and hypotension;
  • can cause atherosclerosis, blockage of blood vessels, deep vein thrombosis;
  • affect the psycho-emotional state.

Often, against the background of taking COCs, chronic diseases become aggravated, nausea may occur. Women gain excess weight, metabolism is disturbed. Also, if the recommendations for admission are not followed, there is a possibility of conception.

How to choose the right tool

For starters, a woman needs to contact a gynecologist. The doctor will prescribe a laboratory blood test. Without test results, it is impossible to choose a drug without harm to health.

How best to choose birth control pills:

  • decide on the purpose of admission: contraception or treatment;
  • collect your own history;
  • carefully study the contraindications;
  • get tested for hormones;
  • consult a doctor.

Indications for the use of birth control pills

Hormonal drugs are designed to protect against unwanted pregnancy. Depending on the choice of a particular drug, the instructions may vary.

In the list of indications:

  • contraception;
  • restoration of hormonal levels;
  • PMS (premenstrual syndrome) in severe form;
  • violation of the menstrual cycle;
  • acne and acne.

COCs help to normalize the functioning of the sebaceous glands, improve complexion and relieve rashes. Also, high-dose agents are indicated for male-type hair growth on the face and body and other disorders of the genitourinary and endocrine systems.

How to apply

The package may contain 21 or 28 tablets (of which 7 are inactive). Please read the instructions carefully before taking. It is recommended to take the tablets at the same time of day.

Start

Doctors advise to start drinking pills on the 5th day of the cycle. In this case, you will need to drink inactive 7 pills or take a break during the period of bleeding. With a treatment course lasting 1 month, you can start drinking a pack on the first day of menstruation.

Missing a pill

The package indicates the days of the week above each tablet. This is a special feature that helps you remember to take your pills. If a missed tablet is found, the drug should be taken immediately.

Conditions for admission with a pass:

  1. One tablet. You need to drink the missed dragee. The next appointment is at the usual time.
  2. Two tablets. It is necessary to take every 12 hours for a pill until the lost time is restored.
  3. Three or more tablets. Additional or emergency contraception should be used.

You can take two tablets at once, but use a condom for 5-7 days. If you had unprotected intercourse during the pass period, you will need to use emergency contraception.

Cancel

If side effects are detected, you should consult a doctor. It is recommended to finish the started pack to the end to avoid hormonal failure. If the tolerability of the drug was low, then you should stop taking it.

Duration of admission

The course of treatment or use of contraception can range from 1 month to several years. The duration of administration depends on the purpose of prescribing an oral contraceptive, the state of health and the body's response to synthetic hormones.

Side effects

Low-dose medications have fewer and fewer negative reactions. COCs can provoke the development and exacerbation of chronic diseases.

Side effects:

  • nausea, vomiting and indigestion;
  • uterine bleeding of unknown origin;
  • chest pain;
  • weight gain, metabolic disorders;
  • pathology of the microflora of the vaginal mucosa;
  • loss of sexual desire;
  • diseases of the cardiovascular system;
  • phlebeurysm;
  • headache;
  • blurred vision;
  • pain during intercourse;

If side effects are detected, you should consult a doctor. With a strong manifestation, symptomatic treatment and drug withdrawal are prescribed.

Contraindications

Hormonal contraceptives after 40 years are not shown to all women. This is due to age-related changes in the body, the presence of chronic diseases in the patient's history. Before you start taking, read the instructions for use, as recommendations for each drug are different.

In the list of contraindications:

  • diseases of the cardiovascular system in severe form;
  • metabolic disorders, diabetes mellitus;
  • obesity;
  • recent heart attack or stroke;
  • phlebeurysm;
  • high or low blood pressure;
  • benign and malignant tumors.

Also, you should not take pills if you suspect pregnancy. Varicose veins increase the risk of deep vein thrombosis. With the wrong selection of hormonal pills, inflammatory diseases of the genitourinary system can worsen.

Rules for taking COCs after 40 years

When prescribed by a doctor, side effects are almost not manifested. It is also recommended not to change the drugs yourself, follow the instructions for use.

General admission rules:

  1. One and the same time. The interval between the first, second and subsequent tablets should be approximately equal to 24 hours. This method will help to enter the body in an equal amount of hormones and increases the chance of protection against unwanted pregnancy.
  2. Missing pills. If you miss one or more doses, take the pills according to the scheme indicated in the instructions.
  3. Menses. Some COCs are able to reduce the abundance of menstruation up to their complete absence. If bleeding does not start, then after 7 days of interruption (taking inactive doses), a new package should be started. The absence or scarcity of more than three cycles is a reason to see a doctor.
  4. Taking certain medications. This is especially true for antibiotics. When treating with penicillins, an additional barrier method of contraception should be used within 5-7 days after the end of the course.
  5. Food poisoning. Hormones may not be absorbed with vomiting and diarrhea. It is recommended to take another pill after the symptoms have been eliminated.
  6. Alcohol and smoking. With the abuse of alcoholic beverages, the degree of protection and the therapeutic effect of the drug decreases. Also, smoking is incompatible with taking COCs.

Pills for women who smoke

A smoking woman should understand that even the smallest dose of estrogen contained in the drug increases blood clotting. Low-dose products are also not suitable for smokers.

Women over 35 with bad habits should not take drugs based on ethinyl estradiol, estradiol valerate or estradiol hemihydrate. The NovaRing vaginal ring and hormonal patches are also contraindicated.

For smokers, estrogen-free products based on progestogen action are suitable, their names are:

  • Lactinet;
  • Charosetta;
  • Microlute;
  • Exluton.

Women who smoke can use any barrier methods of protection: condoms, caps and spermicides. Also, as a contraceptive, you can choose a non-hormonal intrauterine device.

The likelihood of pregnancy on pills after 40

Conception after the age of 35 can negatively affect women's health. The risk of having a sick child with chromosomal abnormalities also increases. The chance of getting pregnant while taking COCs is minimal, it is 0.1-0.2%.

Conception is possible in the following cases:

  • the woman does not use barrier methods of protection in the first week of taking the pills;
  • missing a pill for more than 12 hours;
  • improper selection of an oral contraceptive;
  • antibiotic treatment without additional protection during intercourse;
  • poisoning and undigested dose of hormones.

Overview of funds

The best contraceptive pills after 45 years are correctly selected COCs, taking into account the needs of the body. At this age, it is recommended to take high-dose generics in order to prepare the body for subsequent age-related changes.

Modern oral preparations:

  1. Trisequence. This is a drug based on synthetically developed estrogen and progesterone. There are active and inactive tablets in the package, there is no need to take a break. Price - 200 rubles per pack.
  2. Marvelon. A low-dose remedy that helps restore the menstrual cycle, relieve PMS and pain. The tool helps protect against unplanned conception, rarely prescribed as a medicine. Price - from 1600 rubles.
  3. Jess. The drug is in the lead due to the low incidence of side effects, often prescribed as a treatment for gynecological diseases. Helps prepare for menopause Jess Plus - an improved version of the pill. The cost starts from 1000 rubles.
  4. Janine. It has a mild effect on health. The drug is produced in Germany, it has an antiandrogenic effect, helps maintain the required level of estrogen. The cost starts from 950 rubles.

The pharmaceutical market offers a wide selection for every budget. One has only to consult a doctor, take tests and choose a contraceptive. Hormonal preparations are sold in pharmacies only by prescription.