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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Which Birth Control Pills Are Similar To Loestrin 24? Having Side Effects With Junel And Zovia

I would like to know which birth control pills are are similar to the loestrin 24 fe. (this is what i used to take) There is a list of free meds I can take through my cigna plan and I tried switching to Junel back in August and that is not going well, as I have been bleeding/ spotting for almost a month now. I saw my DR today and she wrote me a script for zovia. I just read a bunch of reviews about how it s very common for women to have mood swings, weight gain and breast enlargement. I had a breast reduction a few years ago and the last thing I want is for them to get larger again. Also, I take my pills continuously so that I don t get my period, this is to avoid migraines. I know I can just ask my Dr, but I feel like I m being a huge pain because I keep calling there and asking questions. Here s the link to the free meds to choose from WWW.WWWW.WW
Tue, 4 Feb 2014
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OBGYN 's  Response
Hi,

I understand your problem.
It is unfortunate that loestrin Fe has been discontinued so you have to switch to another pill. The new pill Junel contains the same drugs that were in loestrin except the "Fe" part which is simple iron. This iron is used only to act as a supplement to increase our hemoglobin and is not an actual birth control ingredient. So please stop thinking that Junel and loestrin are different.

The spotting is not because of junel. It is happening because the birth control pills are designed in such a fashion that active drugs are delivered for 21 days [if the pack contains 30 pills or 28 pills] and the rest of the days only simple vitamins or iron is given. In a 21 days pack, all pills are active and a women is supposed to stop for 7 days before starting the new pack. Every women is supposed to experience menses during the days of the inactive pills or when she is off pills. You have taken the pills continuously. So you have not allowed the normal menstrual blood accumulated in the uterus to come out. So it is coming out in the form of spotting which is not a good sign.

The breast enlargement with the pills is not much and usually cyclical that is happens in few days of the cycle.

I suggest that you must complete the current pack and than if it is a 21 days pack stop for 7 days. Let the menses come. Continue taking the pack as prescribed only and not in a continuous fashion.

If you are worried about migraine, you can try using depot shots, but they tend to cause spotting and irregular bleeding. Other methods are a device system called mirena that is inserted inside the uterus for 5 years.

Hope this was helpful.
Thanks for using HCM. Have a good day.
Dr Madhuri Bagde
Consultant Obstetrician and Gynecologist
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Which Birth Control Pills Are Similar To Loestrin 24? Having Side Effects With Junel And Zovia

Hi, I understand your problem. It is unfortunate that loestrin Fe has been discontinued so you have to switch to another pill. The new pill Junel contains the same drugs that were in loestrin except the Fe part which is simple iron. This iron is used only to act as a supplement to increase our hemoglobin and is not an actual birth control ingredient. So please stop thinking that Junel and loestrin are different. The spotting is not because of junel. It is happening because the birth control pills are designed in such a fashion that active drugs are delivered for 21 days [if the pack contains 30 pills or 28 pills] and the rest of the days only simple vitamins or iron is given. In a 21 days pack, all pills are active and a women is supposed to stop for 7 days before starting the new pack. Every women is supposed to experience menses during the days of the inactive pills or when she is off pills. You have taken the pills continuously. So you have not allowed the normal menstrual blood accumulated in the uterus to come out. So it is coming out in the form of spotting which is not a good sign. The breast enlargement with the pills is not much and usually cyclical that is happens in few days of the cycle. I suggest that you must complete the current pack and than if it is a 21 days pack stop for 7 days. Let the menses come. Continue taking the pack as prescribed only and not in a continuous fashion. If you are worried about migraine, you can try using depot shots, but they tend to cause spotting and irregular bleeding. Other methods are a device system called mirena that is inserted inside the uterus for 5 years. Hope this was helpful. Thanks for using HCM. Have a good day. Dr Madhuri Bagde Consultant Obstetrician and Gynecologist