You should carefully weigh the potential risks and expected benefits of the use of oral contraceptives in each individual case, the existence of the following diseases or conditions or risk factors: dislipoproteinemia diabetes without vascular complications, controlled hypertension, fibrocystic breast, uterine fibroids, endometriosis, multiple sclerosis , severe depression, a history of impaired renal function in case of intolerance of contact lenses, disease, ulcerative colitis, phlebitis of superficial veins, thromboembolism, acute cerebrovascular accident, myocardial infarction at a young age, testosterone blend 400 chronic heart failure, breast cancer in relatives of first degree of kinship; violation of (retinal thrombosis risk), tetany, hypercalcemia, hypokalemia, asthma, hereditary angioedema, liver disease, idiopathic jaundice during a previous pregnancy, herpes during pregnancy.
Pregnancy and lactation
If during the period of drug administration pregnancy occurs, the use of the drug should be promptly discontinued. The information available on the use during pregnancy are too limited to draw conclusions about the negative effects on pregnancy, health of the fetus and newborn. Conducted extensive epidemiological studies have revealed no increased risk of defects in children born to women who took hormones for contraception prior to pregnancy or inadvertently in early pregnancy.
Dosing and Administration
Tablets must be taken every day at about the same time, if necessary with a small amount of fluid, in the order indicated on the blister pack. One tablet by mouth, one time per day, taken daily for 21 days.Pills start of the next package 7 days after receiving the last of the previous pill package, during which bleeding usually occurs “cancel.” It usually begins 2-3 days after the last tablet and may not end for receiving the top of the next pack of tablets.
If hormonal contraception before (past month) was not used, should start on day 1 of the menstrual cycle (ie the first day of menstruation).
In the case of transition from a combined oral contraceptive:
It is preferred to start taking the drug testosterone blend 400 the next day after the usual free interval or the next day after the last administration of the last tablet from the current package of oral contraceptives.
Injectable form, implants:
Transition from reception of tablets containing only progesterone can be performed on any day; the transition from the use of implants is carried out on the day of removal of the implant; the transition from the injection mold – the day when the next injection should have to be made.
After an abortion in the first trimester of pregnancy:
You can start taking immediately; In this case, the need to use additional contraception is not.
After delivery or abortion in the second trimester:
It is recommended to start taking the drug at 21-28 days after delivery or abortion in the second trimester of pregnancy. If the drug started later, the woman should be warned about the need to use additional barrier methods (condom) during the first 7 days. However, if intercourse has already occurred, before you start taking combined oral contraceptives should be deleted pregnancy or wait until the first menstrual period.
Receiving Missed tablets:
If the delay in receiving the drug was less than 12 hours, contraceptive protection is not reduced. The woman should take the medication as soon as possible, taking the next pill – the usual time.
If the delay in receiving the tablets accounted for more than 12 hours, contraceptive protection may be reduced. It is possible to be guided by the following two basic rules:
– Receiving the drug should never be testosterone blend 400 interrupted for more than 7 days
– required 7 days continuously taking the pill in order to achieve adequate suppression of the hypothalamic-pituitary-ovarian regulation.