No menstruation while taking or after discontinuing Jess

The influence of Jess on the menstrual cycle and the woman’s body

Jess tablets are single-phase microdosed contraceptives. They are prescribed to prevent unwanted pregnancy. They suppress the process of maturation and release of the egg and thicken the secretion located in the cervical canal, because of this, sperm cannot penetrate the uterus.

Hormonal contraceptives Jess:

prevent pregnancy;
make the menstrual cycle regular;
relieve PMS;
reduce the duration and abundance of menstruation;
prevent weight gain and swelling.

The use of the product has a positive effect on the health of women with endometriosis and polycystic ovary syndrome. Under the influence of the drug, the condition of patients with severe PMS or severe acne, the appearance of which is provoked by hormonal problems, is normalized.

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Pregnancy while taking the pill

While taking Jess, you may not have your period due to pregnancy. This cannot be ruled out, although it happens very rarely. There are factors that affect the effectiveness of a contraceptive.

Confused pills.
Drank with a delay in time. Or completely missed.
Disease of the digestive system. Vomiting and diarrhea impair the absorption of hormones.
Taking medications. Antibiotics and anticonvulsants reduce the effectiveness of contraceptives.

If all of the above factors are excluded, the absence of menstruation while taking the pills may indicate the presence of pregnancy. At the same time, the improved formula of the product allows you to maintain pregnancy if desired. The tablets do not have a negative impact on the development of the unborn child.

Jess is a new drug in gynecology, which should be taken only after consulting a doctor. You will have to constantly monitor your health and adjust your lifestyle.

I have been taking Jess for 7 months, my periods have always been on the 3rd day of inactive pills. There are no periods this month. I didn’t miss active pills, I took them at the same time. There was PA on the 14th day of taking active pills, the guy finished oral administration, after that there was no PA. The test showed that there was no pregnancy, but only 2 weeks had passed since PA. The question is, can the test still not show pregnancy and is it even possible if I took the pills as expected?! Thanks in advance for your answers.

Chronic diseases:

No.

On the Ask a Doctor service, you can consult a gynecologist on any problem that concerns you. Expert doctors provide consultations around the clock and free of charge. Ask your question and get an answer immediately!

Rules for taking the drug

The contraceptive must be taken daily without interruption. Each package contains 24 pale pink tablets containing drospirenone and ethinyl estradiol, and 4 white tablets without active substances. The latter are necessary so that the woman does not miss the time of taking the new package.

To prevent problems, it is important to follow the rules for using the product. The drug is started at 1 for menstruation. First, you need to take pink tablets, and after finishing them, take white ones. You need to focus on the direction indicated by the arrows. The drug from the next package should be taken the next day after the last white tablet is drunk.

Composition of Jess Plus

To understand what effect the drug has on a woman, it is necessary to understand the components. Composition of Jess Plus tablets:

ethinyl estradiol – a synthetic analogue of estradiol;
drospirenone – a synthetic analogue of progesterone;
calcium levomefolate - folic acid;
lactose monohydrate – adds sweetness to tablets, increasing shelf life;
corn starch is a binding component;
Magnesium stearate – gives tablet shape;
croscarmellose sodium – helps dissolve the tablet in the body;
pink varnish – tablet shell;
hypromellose – an auxiliary substance for hardening the shell;
macrogol 6000 – improves absorption;
talc – necessary for passage through the esophagus;
titanium dioxide – gives the preparation whiteness;
iron oxide red dye is a dye that gives a red tint.

One pack contains 28 tablets, of which: 24 active combination tablets and 4 auxiliary vitamin tablets based on folic acid.

Period with Jess

Women taking hormonal contraceptives have regular periods. This is due to the fact that sex hormones enter the patient’s body over the course of 24 days. And when you take white placebo pills, your hormonal levels change and your period begins.

During the first 3 months, there is a possibility that while taking Jess, spotting will appear in the middle of the cycle. In patients with endometriosis, the drug may provoke an increase in the abundance of discharge, but over time, its volume should normalize.

When does your period start when taking Jess?

Most patients begin their periods while using white pills. Some note that the discharge appears on the 2-3rd day; for others, menstruation occurs after all the white pills have been drunk.

Why does Jess's period take so long?

Normally, when taking oral contraceptives, the duration of menstruation is reduced. But in the first 3 months of use, the duration of discharge may increase. After 4 months of hormonal therapy, the condition should normalize. Otherwise, the woman needs to consult a gynecologist. Perhaps the medicine is not suitable and you need to choose another contraceptive.

If your periods take a long time when taking Jess in the first 3 cycles, then there is no reason to worry. They can last up to 2 weeks. It is only necessary to monitor the abundance of discharge. If the pad fills up faster than 2 hours, then a consultation with a gynecologist is necessary.

Bleeding when taking Jess in the middle of the cycle

The appearance of bloody discharge while taking pink tablets is considered a deviation. An exception is made for the first 3 months of treatment. If your periods do not end when you take Jess, but they are not heavy, then you should not worry. This is how the body reacts to the supply of hormones from the outside.

Breakthrough bleeding that occurs mid-cycle is a side effect. If they do not go away after the completion of the three-month adaptation period, the gynecologist should reconsider the prescription and select another contraceptive drug.

How jess changes menstruation

Jess is able to make your first periods different from what was observed before you started taking it. Without external influence, menstruation occurs with an increase in FSH and LH, which stimulate the work of the ovaries and the development of the germ cell, as well as estrogens and progesterone, which ensure the growth of the mucous surface inside the uterus. This is what changes in the process look like, which are caused by the use of a contraceptive:

Jess makes scanty periods possible for the vast majority of women. Its active substance inhibits the functioning of the ovaries throughout the entire cycle, which interferes with the production of hormones. The endometrium in the middle of the menstrual period also does not thicken or become porous, as happens when not taking birth control pills. That is, when the moment of tissue rejection of the uterine mucosa comes, there are noticeably fewer of them than always;
Another feature that jess gives to critical days is brown periods. The drug has the ability to increase blood viscosity. As a result, it coagulates and oxidizes faster while inside the uterus or vagina. Brown discharge is more often observed after a night's sleep and a long stay in a lying position, when it has less opportunity to come out;
A circumstance that may alarm a woman taking Jess is discharge after menstruation. This does not indicate anything dangerous when observed in the first 2-3 cycles from the start of using the drug. This is an adaptation reaction of the reproductive system that does not require stopping the use of jess. On the contrary, abrupt withdrawal of the drug can provoke the spotting to turn into full-fledged bleeding.

Jess and PMS

Already the first menstruation after jess is characterized by a decrease in the negative manifestations of PMS:

The skin becomes less oily. The hormones in the drug have the ability to suppress androgens in a woman’s body, which lead to greasiness of the epidermis and the appearance of acne. Girls in adolescence are prescribed this drug for this very purpose;
Pain syndrome is reduced. The components of jess reduce the contractile function of the uterine walls. Due to this, pain in the abdomen and lower back also subside;
Swelling is eliminated. Menstruation while taking Jess does not cause as many problems as before, thanks to the corticoid suppressing properties of the steroid drospirenone. It is the first ones that retain liquid.

Timing of menstruation

The length of the cycle is different for all women, but the drug brings it to a general indicator. To understand when your period begins when taking Jess, you need to know that the standard package is designed for daily use of the pill for 28 days. The first 24 pieces contain the same amount of hormones. The last 4 have a reduced volume of substances, they are drunk at the end. This is a withdrawal syndrome that provokes the use of jess when menstruation begins, depending on the smallest amount of hormones in the blood. The usual period is 3-4 days of taking inactive tablets.

Some women taking Jess do not have their periods at all. This is considered as the norm, especially if menstruation was not heavy before. The drug has a depressing effect on the functioning of the ovaries, which can cause a complete absence of discharge on the expected days. There are other explanations for the absence of menstruation at a certain time:

When a woman constantly keeps in her head “I drink jess - no periods,” perhaps it is not a hormonal factor that is to blame, but stress. Excitement and fear, no worse than any illness or medication, can delay critical days;
Another reason why menstruation has stopped with jess is alcohol. It reduces the concentration of hormones if drunk in significant quantities, and the girl is thin. Even in the absence of conception, at the end of the cycle there may not be a sharp decrease in the level of substances, which means that menstruation is a prerequisite.

If Jess has lost her period for 1 cycle, you can safely start taking the next package of birth control. Their absence even after using the second blister requires a trip to the doctor to clarify the situation.

How to delay your period by a week with Jess pills

With the standard “24 + 4” dosing regimen, your period should begin by the beginning of the next package. But there is another option. A woman can take the drug according to a flexible schedule. When using it, you can achieve a long delay in menstruation with the help of Jess.

If it is necessary for there to be a one-week delay, then the drug should be taken for 31 days. After this, you can take a break for 24 days. During this period, your period will begin.

A break can be taken between 25 and 120 days. At this time, there should be no bleeding; if they appear, then you need to take a four-day break. This scheme allows you to reduce the number of days when you have your period to a minimum.

How else can you use the drug?

Jess is used for contraception and treatment. The drug can also change the menstrual cycle “at will.” For example, if you have an important trip or a vacation at sea. You can do the following:

Delay your period for a few days. To do this, you need to remove and not take from the package the number of pacifiers for how many days you need for your period to come earlier in the next cycle.
Delay menstruation for a month. To do this, you should not take dummy tablets at all, but immediately start taking active tablets from a new package.

Periods after stopping Jess

After stopping taking hormonal contraceptives, the functioning of the reproductive system should be restored immediately. But after prolonged use of OCs, the ovaries, pituitary gland, and hypothalamus need time to begin producing sex hormones again.

Sometimes Jess is prescribed for 3-6 months to treat infertility. When discontinuing hormones that the patient has been taking for a short time, the ovaries should begin to work more actively. During the first 3 cycles after discontinuation, the likelihood of ovulation and pregnancy increases.

When planning a pregnancy, Jess+ is often prescribed. This is a similar contraceptive, which in addition to hormones also contains folate - a substance that saturates the woman’s body with folic acid. If you don’t have your period while taking Jess Plus, then you need to choose another method to normalize ovarian function.

How does it affect PMS?

One of the indications for prescribing Jess is severe premenstrual syndrome in a girl, even if she is not sexually active. By regularly using Jess, you can achieve the following results:

The skin becomes less oily and acne goes away.

Before and after long-term use of Jess

Swelling decreases. Pain in the mammary glands becomes less intense or disappears altogether. Weight fluctuations on the eve of menstruation become less noticeable. The woman feels better.
The severity of pain decreases. Taking hormonal drugs of this type contributes to the attenuation of ovarian function. Therefore, the pain in the lower abdomen, which previously preceded their arrival, becomes less pronounced.

In addition, many note a more balanced psycho-emotional state, the absence of mood swings, tearfulness and decreased performance disappear.

Expert opinion

Daria Shirochina (obstetrician-gynecologist)

All these effects from taking pills develop gradually, not always in the first month of taking them. After the normalization of the entire function and menstrual cycle, many girls decide to stop taking them, not knowing that with the end of taking all the results obtained will go away. If not during the first month, but in the second or third. The fact is that taking hormonal drugs does not affect the cause of the disorders, but only temporarily combats the manifestations.

Possible negative consequences

When treated with hormonal contraceptives, there is a risk of complications. Among the most common are:

pain in the chest, stomach;
the appearance of acyclic bleeding;
nausea;
decreased libido;
depression;
emotional lability;
absence of menstruation.

If discontinued, the regularity of menstruation may be disrupted, general malaise and irritability may increase. Some develop amenorrhea.

Drug "Jess"

"Jess" is the latest generation contraceptive drug, which provides multi-stage protection against unwanted pregnancy. In addition, when taking Jess, cosmetic problems are solved. Acne and increased secretion of sebum can begin from an excess of androgen - the male sex hormone.

"Jess" is the only contraceptive whose therapeutic properties officially include an anti-androgenic effect. The drug not only relieves acne, but also inhibits hair growth in places unusual for women - on the face, chest. This makes it possible to prescribe “Jess” to get rid of cosmetic problems to girls who are not sexually active (allowed from the age of 14) and do not set the goal of contraception.

The pills are a safe contraceptive, reduce the pain of menstruation, and ease the period of PMS. When taking “Jess”, menstruation passes without strong, pulling uterine contractions and bleeding.

For girls who are afraid that “hormones make them fat,” gynecologists (in the absence of contraindications) recommend this drug with full responsibility. "Jess" is a microdosed contraceptive that promotes slight weight loss. It does not “burn fat”, but removes excess fluid.

If you drink Jess and become pregnant while continuing to take the contraceptive, do not be alarmed. The drug is harmless to the development of the fetus . Just visit a gynecologist and tell us about your condition.

About the drug

Low-hormone contraceptive. The main ones are: ethinyl estradiol, drospirenone. In general, the tablets have a complex effect on the reproductive function of the body:

Controls ovarian function and suppresses ovulation.
Thicken the discharge. Thick consistency prevents sperm from moving towards the egg.
Affect the development of the endometrium. This circumstance prevents the attachment of the fertilized egg to the walls of the uterus. As a result, the fertilized egg dies.

Thus, Jess changes the usual course of events. Firstly, the pills do not allow the egg to develop fully. There is no ovulation. Secondly, it suppresses ovarian function. This organ is responsible for the production of the hormone progesterone in the second phase of the menstrual cycle. Subsequently, it helps the fertilized egg attach to the walls of the uterus. In the absence of fertilization, it promotes the occurrence of menstruation. Thirdly, under the influence of Jess, the uterus ceases to function in its normal mode. It does not create an additional layer of epithelium and does not prepare to receive a fertilized egg.

On the one hand, this is a wonderful opportunity to enjoy full sexual intercourse, without the threat of unwanted pregnancy. On the other hand, this is a strong interference in the normal course of events of the reproductive system. Moreover, this concerns not only the genital organs, but also the central nervous system, which controls the entire process of the menstrual cycle. Is this hazardous to health? What consequences await women? The nature of menstruation while taking a contraceptive. When should I expect my period after Jess has stopped?

There are no periods when taking Jess

Starting to take “Jess” assumes the absence of menstruation, this is considered normal. However, with any delay in menstruation, girls tend to panic. The first thing to do if there is a delay is to check for pregnancy using a test. If it is negative, you are healthy, but there are no periods, then most likely it is because you drink “Jess”.

The first month of taking the pills rebuilds the established functioning of the hormonal system. Whatever the length of your normal cycle, under the influence of “Jess” it will be adjusted to 28 days. A delay in menstruation longer than this time should be a reason for a visit to the gynecologist.

The action of "Jess" is to suppress the reproductive cycle of a woman.

This means that the drug:

inhibits the functioning of the ovaries, preventing the maturation of the egg;
prevents the formation of the endometrium (inner epithelium of the uterus);
changes the composition of cervical fluid;
changes general hormonal levels.

Suppression of ovulation by hormones means that the egg does not mature. The body, accordingly, does not receive the command to prepare a place for it in the uterus. The epithelium does not change, whereas, in preparation for fertilization, the inner layer in the uterus increases up to 10 times. When the process is suppressed, the endometrium is present, but in much smaller quantities. There is nothing to reject - periods do not begin, or they are scanty.

The stress of taking the drug serves as an excuse for missing periods only after the first month of taking it. Subsequently, the cycle becomes stable, although there is much less discharge than before the start of contraception.

Violation of the dosage regimen

You must take birth control pills strictly according to the schedule, every day, preferably at the same time.

Menstruation may stop while taking Jess due to irregular taking of pills or skipping them.

Interruptions in the supply of contraceptives reduce the effectiveness of protection. In this case, pregnancy may occur.

Disorders in the digestive system, such as vomiting and diarrhea, are considered a pass. If one of these troubles happened less than 4 hours after taking the pill, then this should be considered a miss, since the main part of the drug is excreted from the body. When you don't have your period while systematically taking Jess, you may have forgotten about the party.

Alcohol

Alcohol in large quantities reduces the contraceptive effect of contraceptives. The maximum safe dose of strong drinks when taking “Jess” is 50 ml, wine, champagne 200 ml, beer 400 ml.

If you had to drink more than the permitted amount, then you should use mechanical methods of contraception for a week (while taking Jess).

Features of reception Jess

The contraceptive is designed in such a way that a woman can choose which mode of administration is suitable for her. There are two types of tablets for this. In the first case, it is a set of two types of tablets: active and pacifiers. In the second - a set of only active ones.

Reception in the 24+4 mode is carried out as follows: first, all 24 active pills are taken, then a placebo. During the use of pacifiers, bleeding similar to menstrual bleeding should occur, which is often called menstruation.

The flexible mode involves taking only active pills, there are no pacifiers in the package. A woman can take the pills as much as she needs. You can stop taking it no earlier than the 25th day of treatment and no later than the 120th. If the patient needs to take a break, then it should not last 4 days. After its completion, you should resume taking Jess.

It is recommended to take Jess on the first day of menstruation, with the appearance of bleeding. In this case, the body will be able to properly adjust and get used to the changed hormonal levels. The contraceptive effect of OK begins already with taking the first tablet. but in order for the mechanism to prevent conception and pregnancy to work in full force, it is necessary to take the pills without a break for 7 days. This time is required for the functioning of the hypothalamic-pituitary-ovarian system, which regulates the menstrual cycle, to be suppressed.

If the intake occurs without violations - at the same hours, no missed pills are allowed, then the nature of the MC improves. During the course of Jess, menstruation becomes more regular, the onset of bleeding is normalized, the intensity of discharge decreases, and the manifestations of PMS decrease.

This property of the contraceptive also predetermined its purpose: the drug is recommended to be taken not only to prevent unnecessary pregnancy, but also to eliminate menstrual irregularities.

Delayed menstruation not related to “Jess”

There are situations when a girl drinks Jess for more than one month, having a regular cycle. And suddenly my period doesn’t come. The first step, as always when there is a delay, is to take a pregnancy test. If your test shows a negative result, then this is the most unpleasant thing that can happen to a woman of reproductive age - the absence of menstruation for no apparent reason.

Physical overload of the body;
Nervous exhaustion;
Diseases of the female genital area;
Common colds or infectious diseases;
Taking certain medications;
Moving with a change of time zone;
Weight changes;
Climax.

Any of the listed reasons can serve as a trigger for a malfunction of the reproductive organs.

Physical and nervous exhaustion

When a girl is young, full of strength and desires, it is easy to cross the boundaries of the body’s self-healing. Working hard, chronic lack of sleep, intense sports or excessive entertainment lead to physical exhaustion. The body can compensate for the lack of rest by “winding down” some non-vital “programs”. For example, childbirth programs.

Nervous exhaustion is also perceived as a threat to life and health. Wise nature prevents the emergence of life in a “sick” body by delaying or stopping menstruation. Stress and professional burnout can cause infertility even with a regular cycle.

Diseases

Delayed menstruation due to illness is the most common cycle disorder. In case of a general illness, drink “Jess” according to the scheme, without interruption, in parallel with the prescribed therapy. Menstruation returns on its own as soon as the girl recovers.

Painful symptoms in the lower abdomen against the background of “missing” periods are a signal for an urgent visit to the gynecological clinic. It might start like this:

polycystic disease;
inflammation of the appendages or ovaries;
myoma;
oncological formations;
pathological proliferation of the epithelium.

If these diseases are not treated in time, then everything can end in irreversible infertility.

Long, heavy menstruation brings no less problems to women. The monthly blood loss can become so significant that it causes anemia. If you have any problems (or suspected problems) in the female genital area, you should immediately contact a gynecologist.

Medicines

If your period does not start on time, the medications you are taking may be to blame. For example, for girls who go to the gym and take anabolic steroids, the absence of menstruation or an extremely irregular cycle is a common problem.

The same thing happens with taking antidepressants against the background of chronic fatigue and nervous overload.

Some antibiotics prescribed for infectious diseases can hypothetically cause the effect of disrupting the monthly cycle. However, it is impossible to say for sure what exactly was the cause - the prescribed treatment or the disease itself.

Weight fluctuations

The normal functioning of the reproductive system directly depends on the state of adipose tissue in a woman’s body. For example, underweight girls are delayed in sexual and physical development. Their menstruation begins late, is scanty, and is extremely irregular.

A similar effect is observed with sudden weight loss even in adult women. In this case, the absence of menstruation is the body’s protective reaction to lack of nutrition.

A significant supply of fat does not add health to a woman either. Obesity leads to an excess of estrogen. This condition is fraught with the onset of heavy bleeding outside the monthly cycle.

Moving

Simply moving, for example on vacation, to a distance with a change in time zones, leads to a disruption in the monthly cycle. Menstruation may be delayed by two weeks.

Climax

The entry into menopause is accompanied by the fading of menstruation. This can manifest itself differently in each woman, and each manifestation will be the norm if the lady is of advanced age. In young women (under 40 years of age), the onset of menopause is usually a pathology and requires drug correction.

Higher medical education, specialty obstetrics and gynecology, studied at Kazan State Medical University. Postgraduate student of the Department of Obstetrics and Gynecology No. 1. Co-author of scientific publications.

Good night! I started drinking Jess and in the second half of the cycle I started to have brown discharge, I drank pacifiers and haven’t drunk anything for 3 days, but I still haven’t had my period and the discharge has gone away for a couple of days now. Is it a hormonal imbalance?