Easy to read patient leaflet for estradiol patch. Includes indications, proper use, special instructions, precautions, and possible side effects. A contraceptive patch is a transdermal patch applied to the skin that releases synthetic estrogen and progestin hormones to prevent pregnancy. They have been shown to. You have vaginal bleeding from an unknown cause; you have a. Talk with your doctor about the benefits and risks of Xulane patch or other forms of hormonal birth. Bleeding on hormone replacement therapy (HRT) By: John A. When breakthrough bleeding occurs we will usually try an adjustment in the hormone levels first. Birth Control Info - - Hormonal Contraception. Hormonal Contraception BIRTH CONTROL PILLSHow do they work? Birth control pills are made of artificial hormones like the estrogen and progesterone that are in women's bodies normally. The pills usually prevent release of an egg from the ovary. If an egg is released, the pills cause the vaginal discharge to be thick so sperm cannot function. Hormone pills are taken for 3 weeks and then non- hormone pills are taken for 1 week. During the week of non- hormone pills, there is bleeding like a menstrual period only usually shorter and lighter. It is very important to take pills within 2 to 6 hours of the same time every day or they will not work well. Some pills (ie low- dose hormone pills) have a shorter ? Pills are 9. 7% to 9. Other things that can make pills less effective, besides taking them late are: Bleeding on the 3 weeks of hormone pills (change to a stronger pill)Taking antibiotics and some other medications on the 3 weeks of the hormone pills. Vomiting within 2 hours of taking the hormone pill. Diarrhea on the hormone pills. If not already using condoms for protection against sexually transmitted infections (STIs), use condoms or spermicide while you have the problem and for 7 days after it has stopped. What's good about pills? Menstrual periods are usually shorter and lighter with less cramping. You don't have to remember to do something before you have sex. What's not good about pills? Hormone Patch (Ortho-Evra/Xulane). Some adult and young women have reported side effects such as spotting or irregular bleeding, breast. The effect of transdermal oestradiol on bleeding pattern, hormonal. The aim of this study was to investigate whether the 6 week application of a patch which. Abnormal uterine bleeding is a common problem,1 and its management can be complex.2,3 Physicians are often unable to identify the cause of abnormal. You will probably experience withdrawal bleeding similar to a menstrual. It can sometimes be used as a treatment for prolonged or excessive bleeding that is due to hormonal changes and. It is hard for many people to remember to take a pill at the same time everyday. There is no protection against sexually transmitted infections. Use condoms. Minor side effects are weight gain, nausea, vaginal infections, and acne. Antibiotics and other drugs may decrease effectiveness BCP may increase the effect of alcohol. Theseinclude. Blood clots (heart attack and stroke)Increase in migraine headaches and asthma. Women with diabetes or hypertension. DEPO PROVERA: THE BIRTH CONTROL SHOTHow does it work? The shot of medroxyprogesterone acetate is an artificial female hormone progesterone. A shot is effective for 1. How effective is it? The shot is 9. 9. What is good about the shot? You only have to do something about birth control every 1. It has no estrogen so can be used by those who smoke or have other reasons they cannot use estrogen. What is not good about the shot? It has side effects of weight gain and acne. It has side effects of irregular bleeding in the first few weeks to months and then no periods There is no protection against STIs. The shots are somewhat expensive, depending on where you get them. Effectiveness. The effectiveness rate of MPAR is greater than 9. One in 4. 00 women will get pregnant according to one study. It is currently used in approximately 9. How does it work? MPAR is a synthetic hormone called medroxyprogesterone acetate, which is similar to a hormone naturally produced by your body called progesterone. It prevents ovulation by suppressing natural hormone production of the pituitary gland. It also thickens cervical mucus, making sperm penetration difficult. It prevents the uterine lining from building up, preventing implantation or growth of a fertilized egg. Method of Administration MPAR is an injection (shot) given into a muscle (arm or buttock) that contains 1. The first shot is given within 5 days of the beginning of a normal menstrual period. It must be given at the clinic every 1. Advantages. Convenient. Lighter menstrual periods or absence of menstrual periods. Some women report fewer premenstrual symptoms and less menstrual cramping. Extremely effective. Can be used 6 weeks after delivery by breast- feeding women. Can be used 5 days after delivery if not breast- feeding. Side Effectsirregular menstrual bleedingweight gainnervousnessdizzinessdecreased sex driveamenorrheaheadachestomach pains/crampsweakness/fatigue. Disadvantages. MPAR causes cancers in test animals and can cause birth defects (to heart or limbs) in humans if inadvertently administered to pregnant women. There is some concern that it can increase the risk of cancers of the breast, cervix, and liver. Women with a family history of breast cancer are not advised to use this method of birth control. The highest risk of breast cancer was found in women who used MPAR for more than six years between the ages twenty five and thirty four. Not enough data is available to confirm that MPAR does not increase the risk of breast cancer. The National Women's Health Network has received reports of blood clots, high blood pressure, excessive weight gain (more than 3. MPAR. Depression and decreased sex drive affects significant portion of women who must wait a few months for the drug to wear off. Many population control groups and international agencies have used MPAR in the Third World and among poor and mentally retarded Americans- -the most vulnerable groups in society as a coercive method of birth control. Irregular bleeding is common the first 9 months of use. This bleeding or spotting can last up to 7 days at a time but usually subsides after a year. Some women are afraid of injections. May have tenderness or bruising at site of injection. Decreased bone density (osteoporosis) may occur while using MPAR that appears to reverse when it is discontinued. Other Considerations. Fertility may take 6- 2. MPAR is discontinued. Women who are planning to become pregnant within the next two years are not advised to use this method of birth control. Amenorrhea (absence of periods) usually occurs after 9- 1. Studies have shown that women gain an average of 4- 5 lbs of weight per year while using MPAR. It is important to use condoms with spermicide to protect yourself from sexually transmitted infections such as gonorrhea, chlamydia, syphilis, venereal warts, herpes, and HIV. The long- term effects of MPAR on the infant have not been thoroughly studied. It is excreted in human breast milk. For MPAR to be effective, the woman needs to receive the injection every 1. Danger signs: When to see a doctor immediately. A: Abdominal pain which is severe or tenderness in the lower abdominal area. C: Chest pain that is sharp, coughing of blood, or sudden shortness of breath. H: Headaches that are sudden or severe, accompanied by nausea, dizziness or fainting. E: Eyesight problems such as blurred vision. If you would like to read more about Depo, you can visit the company's website at www. ORTHO EVRA: THE . The estrogen is ethinyl estradiol and the progestin is norelgestromin. The patch releases 2. These hormones usually prevent ovulation (release of an egg from an ovary). Even if an egg is released, the hormones make the vaginal discharge thicker so that sperm have a hard time getting to the egg to fertilize it. Also, the l ining of the uterus may be thinner. This decreases the chance that a fertilized egg will attach to the wall of the uterus and start growing. How Well Does The Patch Prevent Pregnancy? The patch is 9. 9% effective for most people when used correctly. A research study done by Ortho found the patch to be slightly less effective (2 to 3%) in women who weigh 1. How Do You Use The Patch? Apply the first patch either during the first 2. Sunday after your menstrual period begins. It may be easier to remember when to change your patch if you start using it on Sunday. If you do start patch use on Sunday, use an additional birth control method for the first 7 days of the first cycle to be sure you are protected against pregnancy. Leave the patch in place for 7 days. Remove the patch and apply a new patch each week for the next 2 weeks. The 4th week, do not use a patch. Bleeding should start within 5 days. If it does not, have a pregnancy test to rule out pregnancy. Seven days after removing the 3rd patch, apply a new patch each week for the next 3 weeks. Continue this pattern each month. Never apply a patch to your breasts. Check the patch each day to make sure it is sticking to your skin. Never have the patch off more than 7 days. It is not effective if not used correctly. Apply the patch to clean dry skin without creams, lotions, oils, powder or makeup on or near the patch. Remove adhesive from a previous patch with baby oil but be sure there is no oil where you apply a new patch. What If The Patch Is Loose Or Falls Off? If the patch is loose or comes off in: Less than 1 day (less than 2. Reapply the patch or replace it with a new patch. The patch change day will be the same. Back up birth control is not needed. More than 1 day (2. Remove the old patch and replace with new patch. You will have a new Day 1 and a new Patch Change Day. If you wish to switch to another change day, do it on the week off the patch. Back up birth control is needed for this week (the first 7 days of the new cycle). What If You Are Late In Changing The Patch? If you leave the patch on more than 7 days: At the start of any cycle (Week 1/Day 1), apply the first patch of the new cycle as soon as you remember. You will have a new Day 1 and a new Patch Change Day. Use back up birth control for the first 7 days of the new cycle. In the middle of the cycle (Week 2 or Week 3)If it is 1 or 2 days (up to 4. Remove the old patch and apply a new patch immediately. The patch change day remains the same. A back up birth control method is not needed. If it is more than 2 days (over 4. Remove the old patch and apply a new patch immediately. You will have a new Day 1 and a new Patch Change Day Use back up birth control for the first 7 days of the new cycle. At the end of the cycle (Week 4)Remove the patch as soon as you remember. The Patch Change Day remains the same. Always use condoms. Do not use if you smoke and are 3. As with other birth control methods containing estrogen, there is a dramatic increased risk of blood clots, including heart attack and stroke, in women 3. Women who don't smoke can use the patch up to menopause. You may need another birth control method if you have migraine headaches where you have visual changes at the beginning of the headache. Not advised during breastfeeding as it may decrease milk supply and cause breast enlargement in the infant.
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