Is pregnancy possible while taking birth control pills, and is conception dangerous? Is pregnancy possible while taking birth control pills, and is conception dangerous? When will the contraceptive effect occur?

Birth control pills have long been widely used in the treatment of many female diseases. Performing their main function - preventing unwanted pregnancy, they successfully fight against increased hair growth and acne, improve the condition of the skin and nails, improve their health and can even help you get pregnant! The main thing here is to choose the right drug and take it according to the regimen established for you individually.

Ideally, an oral contraceptive should be selected only based on results. At the very least, this should be done together with a gynecologist, and not on the advice of a friend. If OK is chosen correctly, it will not only be effective, but also easily portable. Many possible side effects can be avoided by extracting only beneficial qualities and properties from it.

One of the reasons why gynecologists prescribe oral contraceptives to their patients is female androgenization. It is often the cause of infertility in women. In this case, Diane 35 birth control pills can work very well. They are specifically intended for women with elevated levels of male hormones.

Pregnancy on cancellation Diana 35

In modern obstetrics, there is such a thing as “pregnancy on OC withdrawal” or the so-called “rebound effect”. This is a frequently used technique today, the essence of which is as follows. A woman takes an oral contraceptive to put her ovaries to sleep. Then the OC is stopped, and the rested eggs “get a second wind.” In this way, you can solve some ovulation problems that prevent a couple from conceiving a child.

For women with increased production of androgens, doctors often suggest using Diane 35 for these purposes. It is well tolerated, experts say, and does not harm the female body. In the absence of serious health problems, pregnancy after Diana 35 occurs immediately after cancellation. This should be taken into account by girls who are not planning to have children in the near future.

At the stage, Diana 35 is usually prescribed for 3-6 months, sometimes in several “appointments”. Then gynecologists advise taking a break of 2-3 months, giving the body the opportunity to rest and recover, and get to work on conception . That is, at this time you should worry about other (mechanical) contraceptives. During pregnancy, immediately after stopping OCs, the risk of fetal death or miscarriage increases, experts say. Therefore, it is better to delay the moment of conception a little.

A huge number of reviews confirm the fact that Diana 35 is a truly effective drug. Many girls get pregnant in the 3-4 cycle (earlier and later - it also happens) after Diana 35 is canceled. But, of course, this is not a panacea. The drug is not omnipotent, it is not suitable for everyone and does not always help.

Pregnancy while taking Diane 35

If you are looking for an answer to the question of whether pregnancy is possible while taking Diane 35, then it is in the affirmative, although something should be specified here. Doctors believe that if the dosage, regimen and rules for taking the pills are strictly followed, pregnancy against their background is almost impossible. You should definitely start taking Diana on the first day of your period, take the pills every day at the same time (plus or minus within reason) and don’t miss a dose! If these conditions are violated, an unplanned pregnancy is, of course, possible.

If you take Diane 35 for contraceptive purposes, then remember that after a maximum of a year of regular use, you need to take a break for 2-3 months. If side effects from the drug occur, you should work with your doctor to find an alternative.

If it happens that you become pregnant while taking OK, you should immediately stop taking the pills, undergo an ultrasound and consult a doctor. We wish you good luck!

Especially for- Elena Kichak

From Guest

Many will agree with me when I say that birth control pills have long become our usual assistants in many aspects, so they have been able to find quite wide application in the complex treatment of many female diseases. Usually fulfilling all their main functions - namely, preventing an unwanted pregnancy for you, they are no less successful in combating increased hair growth on a woman’s face and body and acne, and even really improve the general condition of your skin and nails. Among other things, it is precisely these contraceptive drugs that perfectly regulate women’s less-than-regular menstrual cycles and can even help a woman get pregnant in some specific cases! The most important rule here is to be able to choose the right drug for yourself and, of course, take it according to a regimen strictly established specifically for you, and in an individual consultation with a doctor.

In general, ideally, any oral contraceptive should be selected for you only based on the results of a special test. Well, or, at least, you need to choose a contraceptive for yourself exclusively together with your gynecologist, and not at all on the advice of your closest friend or from online forums. And if the oral contraceptive is chosen correctly, then believe me, it will not only be as effective as possible, but, of course, it will also be easily tolerated by your body specifically. And you, of course, will be able to avoid multiple quite probable side effects by extracting from its use only the most useful qualities or properties that are necessary for you.

One of the most common reasons why modern gynecologists try to prescribe oral contraceptives to their patients is female androgenization. After all, it is often this that is the main one in fairly young women. And, of course, in this case, such contraceptive pills as Diane 35 will be able to work quite well. After all, they are precisely intended for those women who observe all the signs of an increased level of male sex hormones.

Pregnancy onset of drug withdrawal Diana 35

It should be noted right away that in modern obstetrics and gynecology there is such a difficult concept as “the onset of pregnancy while discontinuing an oral contraceptive” or the so-called “rebound effect” by doctors themselves. Let us note that this is indeed the most frequently used method today, allowing a woman to become pregnant, the main essence of which, first of all, is as follows. A woman who has been unable to get pregnant for a long time takes some kind of oral contraceptive in order to put her ovaries to sleep for a short time and not for long, preventing them from releasing a mature egg. Then this use of oral contraceptive is stopped quite abruptly, and after that, a few rested eggs seem to “get a second wind.” In fact, in this simple way, it is possible to solve some real-life problems with ovulation, which previously prevented the couple from conceiving their child.

For many women with a sharply increased production of androgen hormones, doctors often suggest using a drug such as Diane 35 for precisely this purpose. After all, this drug, as a rule, is well tolerated by the body, as many experienced specialists say, and does not harm the female body at all in the future. And, of course, in the absence of any serious problems with the general state of health, pregnancy after discontinuation of Diane 35 can occur literally immediately after the end of its use. This, of course, should also be taken into account by those girls who do not plan to have new children in the near future.

It must be said that even at the stage of planning your pregnancy, a drug such as Diane 35 can usually be prescribed to you for no more than 3 or maximum 6 months, and it also happens that the drug is prescribed for use in several separate “appointments”. And then, experienced gynecologists advise taking a pause, at least 2 or even 3 months. At the same time, giving your body the opportunity to have a wonderful rest and fully recover, because then it will have to begin the painstaking work of conceiving. The point is that at this very time you should definitely worry about some other (for example, mechanical) contraceptives. It cannot be said that during pregnancy that occurs immediately after abrupt withdrawal of oral contraceptives, the risks of sudden fetal death or miscarriage actually increase, at least that’s what experienced specialists say. And therefore, it would still be better to at least slightly postpone the very moment of such a long-awaited conception.

Let us remind you that a truly huge number of positive reviews about this drug are confirmed by the mother-in-law and the fact that Diana 35, familiar to many, is a truly effective and almost absolutely safe drug. Doctors note that many girls become pregnant already in the third or fourth cycle (although, of course, both earlier and later pregnancies also happen) after Diane 35 was completely discontinued. However, remember that this drug, of course, does not can be considered a kind of panacea. The drug, believe me, is not omnipotent, and it is not suitable for everyone and, unfortunately, it does not always help. Understand that the female body is so complex, and the problems in it can be so advanced that this drug, of course, may not cope with the situation.

The occurrence of pregnancy while taking a drug such as Diane 35

If you are still looking for an answer to the question of whether a full-fledged pregnancy is even possible while taking Diane 35 beforehand, then we hasten to please you with the answer in the affirmative, yes, pregnancy is quite possible, although here some things should be discussed in detail. Modern doctors believe that if the prescribed dosage of the drug is observed as accurately as possible, as well as its regimen and the general rules for taking these pills, the onset of pregnancy against their background is practically impossible, it is possible. So, for example, you should definitely start taking Diane 35 only on the very first day of your period, and take these pills every day, and exactly at the same time (well, plus or minus, of course, within reason) and under no circumstances miss a single appointment! As you understand, if these generally simple conditions are violated, an unplanned pregnancy will definitely be quite possible.

And if you specifically started taking Diane 35 specifically for contraceptive purposes, then you should remember that after a maximum of one year of such correct and regular use of this drug, you will need to take a short break from taking it for at least two or even three month. Remember, your body must rest from the drug, and the functions of the ovaries must have time to recover during such breaks in taking it. But if any side effects appear from taking this drug, you will need to urgently find some alternative replacement with your doctor.

If it does happen that you were able to become pregnant while constantly taking an oral contraceptive, then you should immediately stop taking the pills, urgently undergo an ultrasound scan and, of course, seek advice from an experienced, qualified doctor. We just wish you good luck!

Diane 35 is a low-hormone contraceptive pill that can be used as a method of contraception, or as a treatment for acne, seborrhea, and other diseases accompanied by an increase in the level of androgens (male sex hormones) in the blood.

ATTENTION: The drug has contraindications. Do not start using this drug without first consulting your doctor.

Composition of tablets and packaging

Diane 35 belongs to the group of monophasic drugs. This means that all tablets (dragées) in the package contain the same dose of hormones. One tablet of Diane 35 contains 35 mcg of ethinyl estradiol and 2 mg of cyproterone acetate. Cyproterone acetate, which is part of Diane 35, provides an antiandrogenic effect (fights increased testosterone in the blood).

One blister contains 21 tablets. One package of Diane 35 contains 3 or 6 blisters.

Advantages of Diana 35

Diane 35 has a reliable contraceptive effect, which is achieved mainly by suppressing ovulation in the ovaries. The effect of the drug is reversible, so immediately after stopping Diane 35, pregnancy becomes possible again.

The oral contraceptive Diane 35 has a powerful antiandrogenic effect, so it can be prescribed for acne, seborrhea, hirsutism (excessive body hair growth), hair loss (androgenetic alopecia).

This drug can be prescribed in the treatment of infertility due to polycystic ovary syndrome. To achieve the effect, Diane 35 must be taken for 3-6 months. After stopping the pills, the chances of natural ovulation increase significantly.

While taking these pills, the menstrual cycle is restored, menstruation becomes less painful, and the amount of blood loss during menstruation decreases.

Rules for admission to Diana 35

Diana 35 should be taken one tablet per day, regardless of meals (before or after meals), at any convenient time of the day. The incidence of side effects is significantly reduced if you take the tablets in the evening, before bed.

It is advisable to take the tablets at the same time every day.

If you have not used any hormonal contraceptives in the past month

You need to start taking Diana 35 on the first day of the menstrual cycle. The first day of the menstrual cycle is considered the day when the first spotting appears, even if it is not heavy. After you start taking Diane 35, your periods may stop: this is normal and is associated with the start of taking hormones. It is also possible that your periods will not stop, but on the contrary, will drag on for 7-10 days or more. This is also normal.

Take one Diane 35 tablet once a day for 21 days in a row. After the pack is finished, take a break for 7 days and start a new pack on the eighth day. During a week-long break, menstrual-like bleeding (menstruation) may occur. Your periods may not be as heavy as usual. This is fine.

When will the contraceptive effect occur?

If you start taking the pills on the first day of your period, the contraceptive effect occurs immediately. You may no longer use other methods of protection against pregnancy.

If you take the first pill from the 2nd to the 5th day of your period, the contraceptive effect will occur after 7 days. In this case, Diana 35 needs to use condoms for another 7 days after starting to take it.

Will the contraceptive effect continue after a week's break?

Provided that the pills are taken correctly (without omissions and without factors that reduce the effect of OK), the contraceptive effect of Diane 35 is maintained even during the 7-day break between packs.

How to switch to Diana 35 from other birth control pills?

If your previous birth control pills contained 21 tablets in a blister pack:

You can start taking Diane 35 the next day after the last tablet taken of the previous OC, or

on the eighth day after the end of the previous OK

If your previous birth control pills contained 28 tablets per blister:

You can start taking Diane 35 the next day after the last active tablet you took, or

the next day after drinking 28 tablets of the previous OK

If you did not manage to start taking Diane 35 within the specified time frame, then you should wait until your next menstruation and take the first tablet on the first day of your period. To avoid unwanted pregnancy, you should use or before starting to take the pills.

How to switch to Diana 35 from a vaginal ring or from a hormonal patch?

You can take the first Diane 35 tablet on the day of removal of the vaginal ring or on the day when you needed to install a new vaginal ring or attach a new patch.

How to switch to Diana 35 from an intrauterine device (IUD)?

You need to start taking Diana 35 on the day of removal. To avoid unwanted pregnancy, use condoms for the first 7 days after starting birth control pills.

How to start taking Diana 35 after an abortion?

After an abortion in the early stages of pregnancy (up to 12 weeks), you need to start taking Diane 35 on the day of the abortion. In this case, the contraceptive effect occurs immediately and additional contraceptives are not needed.

After an abortion during a pregnancy of 12 weeks or more, you need to start taking Diane 35 on days 21-28 after the abortion (use condoms before starting Diane 35). In this case, the contraceptive effect occurs immediately and additional contraceptives are not needed. If taking the pills was started later, it is recommended to use additional contraception (condoms) for another 7 days after starting to take Diane 35.

How to start taking Diana 35 after giving birth?

You can start taking pills on days 21-28 after birth. In this case, the contraceptive effect occurs immediately and additional contraceptives are not needed. If you started taking Diane 35 later, you need to use condoms for another 7 days.

If after giving birth and before starting to take Diane 35 you had unprotected sexual intercourse, then you first need to rule out pregnancy and only then start taking birth control pills.

Can Diane be taken by 35 nursing mothers?

If you are breastfeeding, then taking Diane 35 is contraindicated for you.

What should I do if I mixed up the order of taking Diana 35?

All Diane 35 tablets contain the same dose of hormones. If you mixed up the order of taking the pills, but still took one pill a day, then the contraceptive effect remains at the same level. Continue drinking Diane 35 as usual.

What to do if you miss a Diane 35 tablet?

A delay of less than 12 hours in taking the next pill is not considered a miss and does not reduce the contraceptive effect. In this case, take the missed tablet as soon as possible and continue taking subsequent tablets at your usual time.

If you are 12 hours or more late in taking your next pill, the contraceptive effect may be reduced in the next 7 days. To understand what to do in this case, look at which pill you missed:

From 1 to 14 tablets (first and second weeks of use) : Take the missed tablet as soon as possible, even if you have to take 2 tablets at the same time. Then take the tablets as usual. For another 7 days after skipping, use additional means of protection against pregnancy (for example, condoms).

From 15 to 21 tablets (third week of use) : There are two possible actions.

1. Take the missed pill as soon as possible, even if you have to take two pills at the same time. Then take the tablets as usual. If you have not missed a dose in the previous 7 days, you do not need to use additional contraception. If you choose this option, then you need to skip the break: that is, immediately after finishing the current pack, start a new one the next day. Drink the second package to the end and only then take a break.

2. Throw away the current package of Diana 35 and after 7 days start a new one. This way you will go on break a few days earlier. Be sure to ensure that the break lasts no more than 7 days. Otherwise, the contraceptive effect may be reduced and pregnancy may occur. If you have not had any other absences in the last week, you do not need to use additional contraception.

What should I do if I missed several Diane 35 tablets?

If you missed 2 Diana 35 tablets in a row, then the contraceptive effect of the drug may be reduced. Pay attention to the numbers of missed tablets:

From 1 to 14 (first and second week of admission) : Take two tablets one day and two tablets the next day. Then continue taking the tablets as usual, one per day. Use additional contraception (for example, condoms) for another 7 days after skipping.

From 15 to 21 (third week of admission) : Throw away the current package of Diana 35 and start a new package. You should drink the new package to the end and only then take a 7-day break. If you have not had any other absences in the week before your pass, you do not need to use additional contraception. If you have had other absences in the previous 7 days, then use condoms for another week after the absence.

If you missed 3 Diana 35 tablets in a row, then throw away the current pack of tablets and start a new one. The new package should be drunk to the end. Use additional contraception for 7 days after missing a dose.

If you had unprotected sexual intercourse in the previous 7 days before skipping, then there is a risk of pregnancy. To exclude a possible pregnancy, you can take a pregnancy test 3.5 weeks after your last unprotected intercourse, or take a blood test for hCG 11 days after your last unprotected intercourse.

If you know what to do in your situation, use additional contraception until you consult with your doctor.

How to delay your period with Diane 35?

If for some reason the arrival of menstruation this month is undesirable for you, you can delay your period by one month. To do this, do not take a 7-day break between packs: immediately after finishing one pack, start a new one the next day.

In this case, your period most likely will not come. However, you may experience some spotting halfway through the second pack. This is a normal reaction. In this case, continue to take the tablets as usual until the end of the pack.

What to do if during the break Diana 35 did not get her period?

If you had any omissions in the last month or had other factors that reduced the effectiveness of Diane 35, then it is better for you not to start a new package of Diane 35 until pregnancy has been ruled out.

Pregnancy can be excluded by taking the test 3.5 weeks after the last unprotected intercourse, or by taking the test 11 days after the last unprotected intercourse.

If in the past month you took the pills without skipping, or if you were not sexually active and pregnancy is excluded, then you can continue taking Diane 35, despite the absence of menstruation. If menstruation does not occur after a month, consult a gynecologist. You can read about other reasons for the delay in the article.

In what cases can the effect of Diane 35 decrease?

The contraceptive effect of Diane 35 may be reduced if:

• Missing one or more tablets.
• Digestive disorders accompanied by vomiting or diarrhea. You can read about what to do in this case in the article.
• Reception.
• Reception.

What if the effect of Diane 35 could be reduced?

If you suspect that the effect of Diane 35 could be reduced due to certain circumstances, then use additional contraception for another 7 days after exposure to the adverse factor. If this happens in the last week of taking the pills, skip the week's break and start a new pack immediately after finishing the previous one.

If you don't know what to do in your situation, use condoms during sex until you consult your gynecologist.

What should you do if you experience spotting or menstruation while taking Diane 35?

While taking any contraceptive pills, including Diana 35, you may experience spotting in the middle of the cycle (in the middle of the package). This phenomenon is especially common in the first months of taking the pills.

This discharge is not dangerous and does not threaten your health. Continue to take the pills as usual, despite the discharge.

Usually, spotting goes away by the end of the first pack or the beginning of the second pack of tablets. Some women may normally experience discharge during the first 3 months of taking Diane 35.

How to properly stop taking Diane 35?

If you decide to stop taking Diane 35 birth control pills, then use the following advice from gynecologists:

Never stop taking pills halfway through the pack. This can lead to menstrual irregularities or uterine bleeding.

To properly stop taking Diana 35, finish the current package to the end and after a break, simply do not start a new one.

Keep in mind that the contraceptive effect of Diane 35 lasts only for the duration of taking this drug. You can get pregnant in the first month after stopping OK. If pregnancy is not desirable for you, start using additional contraception as soon as you stop taking birth control pills.

If you are planning a pregnancy, start taking it at least 1 month before the expected conception.

Some women, fearful of becoming pregnant while taking birth control pills, prefer another method of contraception. And in vain. This method of protection is considered the most reliable of all known. You cannot use hormonal medications on your own. This distinguishes them from the available condoms, suppositories, creams and the like. To get a prescription for a suitable drug and find out about its effectiveness, you need to consult a doctor.

Millions of women use birth control pills. If you take the pills correctly, they will be 99% effective and protect against unplanned pregnancy. The hormones included in the drugs can act on a woman’s reproductive system in two ways:

• increase the level of your own estrogen in the body, due to which the production of follicle-stimulating hormone will be suppressed and, as a result, ovulation will be blocked;
• thicken cervical mucus, which will prevent the penetration of sperm into the uterine cavity and the egg.

The active substance and its concentration in one pill vary. There are minophasic, biphasic and triphasic contraceptives. Medicines can be high-dose, containing 35-40 mcg of active ingredient or more, medium and low-dose. Monophasic agents are recommended for young nulliparous patients with a stable cycle. Women who have given birth are usually prescribed biphasic or triphasic. Mini-pills are suitable for nursing mothers and patients with reduced fertility.

Is it possible to conceive a child with oral contraceptives?

The probability of pregnancy when taking contraceptives tends to zero. However, there is an exception to every rule. If medications are used incorrectly, there is a high probability that they will not work as expected. If contraceptives are prescribed by a doctor taking into account the individual characteristics of a woman’s body, then fertilization is unlikely due to their use. As you know, conception requires 3 conditions:

• ovulation;
• the ability of sperm to penetrate the egg;
• good thickness of the endometrium to accept the fertilized egg.

When using oral contraceptives, ovulation is blocked, the cervical mucus becomes viscous and does not allow sperm to pass through, and the endometrium does not reach a size suitable for pregnancy. However, all drugs are different, so generalizations cannot be made.

With Diana-35

When taking Diane-35, a woman’s body receives ethinyl estradiol, which increases estrogen levels, and cyproterone acetate, which enhances the effect of the first substance and has an antiandrogenic effect. It is not possible to become pregnant while taking this contraceptive if you follow the instructions. The drug not only provides reliable protection against unwanted conception, but also has a positive effect on the condition of the skin and hair, and treats diseases caused by increased levels of androgens.

With Belara

The active ingredients of Belara are ethinyl stradiol and chlormadinone acetate. The contraceptive suppresses FSH, LH, testosterone in a woman’s body, blocking follicle maturation and increasing the viscosity of cervical mucus. The medication is a reliable means of protection against unwanted pregnancy from the first cycle of its use. Conception while using COCs is impossible.

With Klaira

Klaira is classified as a three-phase combined oral contraceptive. It contains natural rather than synthetic estrogen, which reduces the likelihood of adverse reactions. Statistics show that out of 100 women taking the medication for a year, no more than 1 becomes pregnant. This drug is a highly effective contraceptive.

When taking birth control pills Yarina

When using Yarina, ethinyl estradiol and drospirenone enter the woman’s body. The contraceptive is low-dose, monophasic. When used, the menstrual cycle is normalized and premenstrual syndrome is eliminated. Thanks to the inhibition of ovulation, the cycle can be regulated, and you don’t have to worry about accidental pregnancy. It is important to use the tablets regularly. If you miss one pill, take Yarina immediately.

When taking Lindinet 20

Pregnancy while taking Lindinet 20 is just as unlikely as when using its analogues. This drug has a contraceptive effect and helps in the treatment of diseases caused by increased levels of androgens. By taking Lindinet regularly, you don't have to worry about getting pregnant. The active components of the drug not only suppress ovulation, but also minimize the likelihood of side effects, in particular, weight gain.

With other oral contraceptives

Modern pharmacology offers a lot of different drugs that can be used to prevent unwanted pregnancy. Those that contain more active substance are more effective. These are: Trizeston, Non-ovlon, Triquilar. They are used to treat medical conditions or when other contraceptives are unable to control the cycle.

Low-dose products are considered the most popular. They protect well against unwanted pregnancy and are prescribed to women of different ages, including those who have given birth. The most commonly recommended use is Janine, Marvelon, Silhouette, Chloe. Regulon and Regvidon are considered popular - monophasic pills. Novinet tablets are prescribed as an alternative. This medication is popular due to its low price. Taking Novinet, you won’t be able to get pregnant, but at the same time you can save on expensive OCs. In addition to Novinet, Regvidon is considered an inexpensive contraceptive.

Lactinet contains minimal doses of hormones, so it can be used even during breastfeeding. Such drugs are prescribed to women with reduced fertility. Among patients taking Lactinet, the Pearl index was 0.4. This means that this product is much more effective than its analogues.

Escapelle is an emergency contraceptive. It is used one-time when an unprotected act has taken place. The medication causes changes in the endometrium, which prevents the cell from implanting, and also suppresses ovulation. Pregnancy will not occur against this background, if it has not already occurred. Once implantation has taken place, the medicine is ineffective.

Factors that reduce the effect of birth control pills

When vomiting, the effect of OCs decreases

It is not possible to get pregnant while taking birth control pills. This rule works when medications are used correctly. However, in certain situations the risk of conception increases and pregnancy is possible. All factors that reduce the effect of the tablets are described in the instructions. If they occur, it is recommended to follow the algorithm from the annotation or use additional contraceptives in this cycle.

• If you forgot to take your birth control pill, but 12 hours have not yet passed, you should take it immediately. The next pill is used at the usual time. The quality of contraception does not decrease.
• If the break between tablets is more than 36 hours, then you still need to take OK. The next pill is taken as planned. The quality of contraception decreases, it is necessary to use additional means.
• If vomiting begins while taking birth control pills, and 4 hours have not passed since using the drug, then you need to take another dose. Otherwise, the effectiveness of the contraceptive is reduced.
• Taking some antibiotics may reduce the effectiveness of the contraceptive. Each case should be considered individually and, if necessary, additional means should be used.
• When one tablet is missed for more than a day, there is a risk of menstrual-like bleeding. You should consult your doctor about the possibility of continuing to use the tablets or take a break for 7 days.

Important! The quality and effectiveness of oral contraceptives may be reduced if the product used is expired.

Is the Nuvaring ring safe?

Pregnancy will not occur with the Nuvaring ring. This vaginal product works in a similar way to oral contraceptives. The only difference is that it is inserted into the vagina once every 3 weeks, and the tablets are taken daily. The ring produces hormones that suppress ovulation. Based on the Pearl index values, we can conclude that it is no worse than tablets. The advantage of this drug is that its effectiveness does not decrease in case of vomiting and diarrhea. However, you can still get pregnant with Nuvaring. Unexpected conception occurs if the ring was accidentally removed without the woman noticing. Therefore, it is recommended to regularly check its presence in the vagina.

How to recognize pregnancy

Signs of pregnancy do not disappear when taking birth control pills. If conception has taken place for some reason, then after a few weeks the woman will feel the first symptoms. The first thing that should alert you is the absence of menstruation. If bleeding does not start within a 7-day break, then you need to do a test.

In addition to the absence of critical days, symptoms of pregnancy when taking OCs may be the following: nausea, morning vomiting, distortion of taste, dizziness, nagging pain in the lower abdomen, increased sensitivity of the mammary glands.

Is it dangerous to conceive while taking oral contraceptives?

According to statistics, if conception took place while using OCs, nothing bad will happen. You should stop using the medicine and consult a doctor. In the first weeks of pregnancy, progesterone deficiency may occur due to the effect of drugs on the ovaries. To support the second phase and preserve the viability of the embryo, progesterone-based drugs, antispasmodics and sedatives are prescribed.

Diana-35 is a monophasic oral contraceptive with antiandrogenic properties. Composition of the drug: 1 tablet contains 35 mcg ethinyl estradiol, 2 mg cyproterone acetate.

Indications for use

1. Contraception in women with signs of hyperandrogenemia;
2. Androgen-dependent conditions in women: acne, hirsutism, seborrhea, androgenic alopecia.

Admission rules

The drug must be taken every day for 21 days at the same time, using the tablets of the corresponding day of the week indicated on the package. After finishing taking all the pills from one package, you need to take a seven-day break, during which menstrual flow begins. On the eighth day you should start taking a new package of the drug.

How to start taking Diane-35 correctly:

1. In the absence of taking other hormonal drugs in the previous month. Taking the drug begins on the 1st day of the menstrual cycle. It is also possible to start taking it up to the 5th day of the menstrual cycle, but in this case it is necessary to additionally use other contraceptives (condoms) for at least 7 days;
2. When switching from other COCs. Taking Diane-35 should be started the day after the last active tablet of another drug. It is possible to start taking it later (no later than 7 days after discontinuation of the drug), but in this case, barrier contraception must be used for the next 7 days;
3. When switching from a vaginal ring or hormonal patch. It is optimal to start taking Diane-35 on the day the ring or patch is removed, but no later than the day their effect expires;
4. When switching from mini-pills, implants, injectable drugs. After using the mini-pill, taking Diane-35 can be started immediately without interruption, when using an implant - on the day of its removal, injectable contraceptives - from the day when the next injection is due. In all cases, additional barrier methods of protection must be used for 7 days;
5. When switching from an intrauterine hormonal device. You should start taking Diane-35 on the day of IUD removal;
6. After an abortion or spontaneous termination of pregnancy in the first trimester of pregnancy. Taking the drug must be started immediately; in this case, additional use of contraception is not required;
7. After childbirth or termination of pregnancy in the second trimester. Taking the drug should begin on days 21-28; if taken later, it is necessary to use additional contraception.

Possibility of unplanned pregnancy

important The high contraceptive effectiveness of Diane-35 is possible only if the drug is taken correctly and the instructions are strictly followed. If the use is violated, the likelihood of pregnancy increases.

The Pearl index of Diane-35 is about 1(pregnancy occurs in one woman out of a thousand patients taking this drug during the year).

Reasons for the decrease in the contraceptive effect of Diane-35:

1. Irregular taking of pills;
2. Simultaneous use of Diane-35 with other drugs that reduce the effect of combined oral contraceptives (COCs);
3. Taking expired pills;
4. Vomiting or diarrhea within 3-4 hours after taking the tablet .

Irregular taking of pills

If you are less than 12 hours late in taking the pill, the contraceptive effect of Diane-35 is not reduced. The woman should immediately take the missed pill, and continue taking the remaining pills at the usual time.

If the pill is missed for more than 12 hours, the contraceptive properties of the drug may be reduced. To avoid unwanted pregnancy, a woman must follow the following recommendations:

1. Skipping a pill in the first and second weeks of taking the drug. The missed tablet should be taken immediately, the rest should be taken at the usual time. Additional contraception must be used for 7 days;
2. Missing a pill in the third week. A woman should take the missed pill as soon as she remembers; the rest of the pills should be taken at the usual time. In this cycle, you should not take a seven-day break: after finishing the tablets, you should start taking pills from a new package the next day.

Drug interactions Diane-35 with other drugs

1. Antibiotics of the tetracycline group;
2. Antibiotics of the penicillin group;
3. Rifampicin;
4. Anticonvulsants (carbamazepine, oxcarbazepine, topiramate, felbamate);
5. Barbiturates (primidone, etc.);
6. Hydantoins;
7. Griseofulvin;
8. Preparations based on St. John's wort.

Taking expired pills

dangerous Taking an expired drug will not only not provide the necessary contraceptive effect, but can also be dangerous to health and life.

Vomiting and loose stools after taking pills

Vomiting and diarrhea within 3-4 days after taking the pill can lead to a decrease in the contraceptive effect due to decreased absorption of hormonal components. In this case, you should follow the instructions for skipping pills.

Unplanned pregnancy

Taking synthetic hormones in large quantities during pregnancy can lead to developmental defects in the child.

However, in most cases, a woman continues to take the drug only in the very early stages of pregnancy (the first 2 weeks). In this period, the formation of defects is impossible, because The embryo has no organs. If the drug has a damaging effect on the development of the embryo, it will happen. For this reason, it is important that if a woman does not menstruate, after finishing the pills from the package, she immediately undergoes an examination to exclude pregnancy.

The issue of continuing pregnancy is decided only at the family level.

Cancellation of Diana-35 before conception

COCs are often used to normalize the menstrual cycle in women with irregular menstruation and lack of ovulation. The drugs are prescribed for 3-4 months and it is recommended to start conceiving immediately after stopping them. In this case, there is a “withdrawal effect”: after a period of rest, the ovaries begin to function more actively, and pregnancy, as a rule, occurs in the first month.

When taking medications for a long time, most experts recommend taking a break for several months after stopping the drug and only then.

information Long-term continuous use of COCs leads to inhibition of ovarian function and it may take a lot of time to restore their function (up to 2 years). To prevent this situation, it is recommended to take oral contraceptives at intervals of 2-3 months, at least once a year.