Birth control pills Silhouette: manual of contraceptive

Silhouette is a medicine of new generation belonging to the group of monophasic contraceptives. Available in the form of biconvex tablets are white, engraved G23. In one blister 21 tablet.

The drug contains two active substances: dienoguest and ethinyl estradiol.

Dienoguest – a substance, otherwise known as hybrid progestogen. It does not cause the body of androgen or mineralocorticoid action, but gives a pronounced progestogenic effect. Also, this ingredient is safe in metabolic transformation of the tissue, thereby dienoguest can be used in long-term therapy.

Ethinyl estradiol – estrogen substance of the series, which is widely used in modern gynecology. The composition of the substance is an ethyl radical, it provides excellent digestibility and also makes the transformation of the few active forms of the female hormones more slowly and suspends the process of decay of the substance. Due to this, ethinyl estradiol works much longer and much more efficiently.

In the birth control pill Silhouette is 30 µg ethinyl estradiol and 2 mg dienogest, and there are also auxiliary components: lactose monohydrate, talc, starch, hypromellose, polyarylate potassium, magnesium stearate.

The pills Silhouette and dosage

These pills fulfill the following functions in the female body:

  1. inhibition of ovulation;
  2. the increased viscosity of cervical mucus;
  3. the change of peristalsis of the fallopian tubes;
  4. the transformation of the structures of the endometrium.

The active substances of the tablets, in combination with each other to effectively reduce the level of androgens in plasma. Some women the drug Silhouette helps to defeat acne and seborrhea.

Tablets should be taken strictly following the attached instruction. It painted regimen is one tablet once a day for twenty-one days.

To take the contraceptive regularly, at the same time.

After the twenty-first day is a week break before you start to take a new course. In this seven-day period must occur, the so-called “withdrawal bleeding”. This bleeding is due to start in two or three days after taking the pills, and its duration is 4 – 5 days. By the time it ends, there is a need to start taking tablets from the next blister.

However, there is one important nuance that characterizes the first use of the Silhouette. In the instructions for use says to start using a contraceptive need on the first day of menstruation. Such a condition is required only for those women who had not taken any hormonal contraceptives or have used them longer than a month.

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Features of reception of contraceptive tablets Silhouette

If you decide to use pills after Silhouette combined contraceptives, according to the instructions first application should be made in the usual time the next day, that is, after being adopted last pill.

If a woman goes with medication, which only consists of progesterone, the transition can be done in any day, when it’s convenient. After removal of the implants can take a pill already in the same day. If first the woman used contraceptives in injectable form, then to move on to tablet form, it should take the first pill on the day of the planned injection.

In cases where a woman suffered a miscarriage in the first trimester, neither the manual nor the doctors do not prohibit the admission of Silhouette hormonal immediately. If the miscarriage or abortion occurred at a later period, before you start taking pills, you need to wait a short time – 21 – 28 days. In this period when sexual intercourse should use condoms.

If a woman forgot to take your medicine in time, and from this point it took less than twelve hours, the strength of action of the drug is not reduced. Tablet should drink immediately, and should be taken at the usual time. But when the reception delay exceeds twelve hours, then you need to follow some rules.

First, in any case should not stop taking remedies for more than one week. The drug had an effect on the female body, it is necessary to consume a minimum of seven days continuously. So gynecologists recommend in case of missing a dose during the first week the pills Silhouette, immediately drink the missed dose and the next to take a pill at the appointed time, as usual. And during the week to insure themselves by using condoms.

If the pass happened in the second week of medication, the tablet should be taken immediately, however, need additional protection there. The crash occurred in the period of three weeks, should be corrected as in the case of the first week. And then the packaging of the drug begin immediately, without a seven day break. However, “withdrawal bleeding” in this case, it is possible not to wait, but it is possible small spotting.

Overdose Silhouette

Toxicity dosage of hormones in the composition of the Silhouette quite low. However, overdose is possible. In this case, the woman will feel nausea, possible vomiting. It is also possible vaginal discharge and even bleeding. But with all this the need for therapy is absolutely no.

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Side effects of the drug Silhouette

As the Silhouette is, first and foremost, hormonal remedy, then you should know that it is impossible to independently assign itself this medicine as a contraceptive. Doctors especially allocate among the side effects develop thrombosis in arteries and veins. This effect may be exacerbated if a woman smokes, and if she suffers from hypertension, pathology of the hemostatic system, varicose veins, obesity or thrombosis.

Among the side effects also often seen:

  • migraines and headaches;
  • nausea, vomiting;
  • cramps of calf muscles;
  • emotional imbalance;
  • the increase in size of the mammary glands;
  • pain in the milk glands;
  • back pain;
  • the increase in body weight.

Rarely such effects:

  • hypotension/hypertension;
  • varicose veins;
  • thrombophlebitis;
  • abdominal pain;
  • strong excitability;
  • acne, dermatitis, itching;
  • increased appetite;
  • vaginitis;
  • rapid fatigue, malaise;
  • swelling;
  • painful bleeding;
  • endometritis, salpingitis;
  • allergic reactions;
  • anaemia, cardiovascular insufficiency;
  • insomnia;
  • depression and lethargy.

Contraindications to the use of the Silhouette

For some diseases the drug is taken is strictly prohibited. Among them:

  • disease of veins and arteries;
  • pancreatitis;
  • porphyria;
  • jaundice;
  • hyperbilirubinemia;
  • severe liver disease;
  • epilepsy.

Also the drug should not be taken by women who:

  • pregnant;
  • breast-feed;
  • suffer from lactose intolerance;
  • are allergic to any component of the medication.

Treatment of endometriosis drug Silhouette

Endometriosis is fairly common among the female population, the disease, which, depending on extent, can be treated both conservative and surgical methods. Treatment of endometriosis “Silhouette” is quite often prescribed by gynecologists. These pills have received a lot of positive feedback from gynecologists that set its safety and efficacy, and is used as an analogue of the drug “Janine”.

The silhouette can be prescribed for endometriosis in the following cases:

  1. Empirical therapy in endometriosis recently a certain.
  2. Preoperative preparation with severe forms of the disease.
  3. Postoperative therapy, as a way of preventing recurrence.

Depending on whether a woman can become pregnant in the near future, the gynecologist needs to pick up individual doses and the patient to explain the her own scheme of taking the pills. If a woman is diagnosed with endometriosis, she should seriously think over the issue about the pregnancy, because the ongoing action processes have a positive impact on the health of the patient. Hormonal changes contribute to the atrophy of endometriotic spot and helps to fade the inflammatory processes. Stable low concentration of estrogen occurring in the use of Silhouette stimulates the degradation of ectopic formations.

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Description of the action of the Silhouette in the treatment of endometriosis

Pills gradually cause the lesions of endometriosis, no matter where they are, to atrophy. Then the figure reduces the synthesis of estrogen, suppresses ovulation. Then there is a blocking of proliferation of the cells of the tissue outside of the uterus. Also in the treatment process, it is possible to notice a good anti-inflammatory effect from taking the pill.

The drug is administered in a round-Robin scheme, if a patient wants to get pregnant or endometriosis was discovered at an early stage of its development. The cyclic scheme is also called 21+7, which means that the woman needs to take medicine during the twenty-one days and then do a week break. Most often, the gynecologist appoints the course for a period of three to six months. The period varies depending on the General condition of the patient. After completing the course the patient prescribe tests, including blood analysis, analysis of activity and level of thrombin, ultrasound of the abdomen and pelvis. Given the results, the gynecologist develops further treatment. If a woman plans pregnancy after laparoscopic surgery, taking pills prescribed for prolonged scheme – 42+7, 63+7 – for a period of several years.

Important information

The attending gynecologist is obliged to warn the patient that tablets should be taken without any interruption, otherwise a violation may occur and the contraceptive effect of a specific therapeutic and there is a risk of unscheduled bleeding and other negative consequences.

The physician must advise to begin reception on the first day of the cycle, because if the patient begins to consume the pills in two to five days after the onset of menstruation, within weeks after the start of the reception there will be an extra defensive barrier contraception.