Being a mother is the main purpose of a woman. Those representatives of the fair sex, who for some reason can not achieve this cherished goal on their own, are ready to seek medical help from a variety of specialists, undergo a lot of examinations, endure unpleasant procedures. However, not everything is not always so tragic. There are times when it is enough for a woman to undergo a course of therapy with any special drug, and here it is happiness. Pregnancy comes, and the representative of the fair sex lives in anticipation of a miracle - the birth of a new man, her child.
Today, many medications have been developed that can help a woman become pregnant. One of them is Femoston 2/10. When planning pregnancy, this medication can provide significant support to the female body and create conditions for the successful fertilization of the egg.
Main components and release form
The medication is a combined hormonal drug designed to eliminate estrogen hormone deficiency in a woman’s body and to conduct therapeutic therapy for dysfunctional uterine bleeding. Femoston 2/10 tablets are packaged in 28 pieces; each blister packs two colors: pink and light yellow. 14 pink tablets as the active substance contain estradiol in a volume of 2 mg each. The remaining 14 tablets (light yellow) contain 2 mg of estradiol and 10 mg of dydrogesterone each.
The auxiliary components are lactose, hypromellase, starch (corn), magnesium stearate and colloidal silicon dioxide.
The tablets are biconvex, round, film-coated.
Prescribing medication
The drug "Femoston 2/10" (reviews, instructions confirm this information) is a good tool to make up for the lack of estrogen, which is often observed after menopause. This medication is also good for eliminating the psychoemotional and vegetative deviations that accompany the onset of menopause. These include hyperhidrosis (increased sweating), flushing of the face, increased nervous irritability, deviations in sleep mode, headaches, dizziness, decreased bone mass (osteoporosis).
There are other indications for using the Femoston 2/10 medication, and pregnancy in the planning stage is one of them. For his appointment, certain conditions must be present:
1) an insufficient amount of estrogen by the end of the first half of the menstrual cycle (follicular phase) will make itself felt by the insufficient thickness (not more than 7-8 mm) of the endometrial layer;
2) diagnosed infertility caused by hormonal imbalance in the body.
With the help of this drug, medical professionals strive to solve problems that prevent a woman from becoming pregnant: a thin layer of the endometrium and a lack of estrogen. Dydrogesterone - one of the components of the drug "Femoston 2/10" - when planning pregnancy, it stimulates the uterine mucosa to grow, thicken. This is important to ensure that the fertilized egg seamlessly joins the uterine wall.
In addition, the drug helps the woman’s body to restore the regularity of the ovulation process, without which conception and pregnancy are impossible in principle. Although it must be said that in the process of taking the tablets, ovulation should not occur. This process resumes after the course of therapy is completed.
Many representatives of the fair sex doubt the effectiveness of the use of the drug "Femoston 2/10". Reviews, pregnancy, which occurred in a considerable number of women after the end of the intake, prove that the use of this drug is very justified in planning the conception.
For whom is the medication contraindicated?
"Femoston 2/10" when planning pregnancy is not appointed by every specialist. The reason is in a large list of contraindications. It should not be taken by women who have been diagnosed or suspected to have malignant neoplasms depending on the level of estrogen and progesterone.
The drug is not prescribed for women suffering from vaginal bleeding of unknown origin, who have not cured endometrial hyperplasia (pathological proliferation). It is unacceptable to use the medication in the presence (or history) of venous thromboembolism, angina pectoris, myocardial infarction (in the active phase or recently).
It is forbidden to take the drug to patients suffering from liver diseases in the active stage, or if the biochemical parameters of this organ have not yet returned to normal. A contraindication for taking the medication is the presence of a porphyrin disease in the patient (a violation of pigment metabolism due to the increased content of porphyrins in tissues and blood).
Women with individual sensitivity to estradiol and dydrogesterone, as well as the rest of the drug “Femoston 2/10” should not take this drug. Reviews, instructions indicate negative consequences in case of taking medication during pregnancy. Therefore, you should stop using it even if you are only considering an interesting situation. In the lactation period, the product is also prohibited. Do not prescribe it to children and adolescents under the age of 18 years.
Possible negative effects from the use of the drug
Most often, the medication can be heard in a negative context due to negative manifestations in the form of headaches, discomfort in the pelvic and abdomen, migraine attacks, nausea, flatulence. The use of “Femoston 2/10” can cause pain in the mammary glands, increase their sensitivity, provoke the appearance of spotting from the vagina against the background of menopause, and significantly affect the weight change (increase or decrease).
Clinical studies have shown that quite often you can hear about side effects in the form of the development of vaginal candidiasis, an increase in the size of uterine fibroids, changes in libido, increased nervousness or depression. In addition, the development of ulcerations on the cervix, the appearance of secretions from the cervical canal, experts put in direct dependence on taking the drug "Femoston 2/10". Reviews of doctors report that against the background of the use of the drug, cases of peripheral edema, urticaria, skin rashes, dysmenorrhea were recorded.
Quite rarely, but you can hear about such side effects as disorders in the functioning of the liver, premenstrual tension syndrome, a change (usually upward) in the curvature of the ocular cornea, rejection, and rejection of contact lenses.
Sometimes it is possible to develop such formidable diseases as stroke, an increased predisposition to myocardial infarction, anemia (hemolytic nature), vascular purpura. There have been cases of increased blood pressure, the development of dyspepsia, pancreatitis, systemic lupus erythematosus, the occurrence of signs of dementia (rarely).
Dosage schedule and dosage regimen
Before answering the question of how to drink “Femoston 2/10”, it should be said that the estrogenic component of the medication is recommended to be taken continuously, and the progestogen component from the middle of the menstrual cycle to the end (with a cycle of 28 days, start from 15 days). Simply put, in the first half, a woman should take one pink tablet, and from the middle of the cycle, as a rule, from 15 days, switch to taking yellow tablets.
Usually, therapy begins with a minimum dose of estradiol, which is 1 mg. Therefore, if a combined long-term treatment using this drug is expected, specialists prefer to prescribe “Femoston 1/10” first. Further, if necessary, the patient is transferred to a higher dose.
Treatment is allowed only after the full four-week cycle has ended.
If, for any reason, you missed taking the next pill, you should drink it immediately. However, if more than 12 hours have passed since the time at which the drug is usually used, it is no longer necessary to take the missed dose. It is not recommended to use a double dose of the drug "Femoston 2/10". Similar drugs are mainly characterized by the same reception features. If you take a double dose, you can’t compensate for the missed dose anyway, but the likelihood of developing bleeding will increase. Also in such cases, the appearance of smearing vaginal discharge is possible.
As for the use of the drug by patients over 65 years of age, it is difficult to say something here, since there is no reliable information on the results of such use. As there are no indications in order to prescribe "Femoston 2/10" (the drug is still hormonal) to children and adolescents.
Similar medicines
If we talk about structural analogues (generics) of “Femoston”, then the closest of them is “Femoston 1/5 Conti”. A similar principle of influence on a woman’s body is possessed by “Trisequens”, “Divina”, “Kliogest”, “Klimonorm”. The decisive word on the question of how to replace “Femoston 2/10” should remain with the attending physician.
In a positive vein, medical workers speak of such an analogue as Klimonorm. The reason is that, according to clinical studies, in this medication the gestagen component is present in the optimal dosage necessary for effective control of the cycle and ensuring the proper level of endometrial protection from the effects of estrogen. In parallel with this, it is possible to maintain the positive effects of estrogen on the state of the cardiovascular system and lipid metabolism.
Also, "Femoston 2/10", the analogues of which make up a fairly large group, patients are often replaced with the drug "Angelik". Although experts are inclined to believe that there is no particular difference between these medicines. The main difference is that the gestagen component of Angelica is drospirenone in a dosage of 2 mg in one tablet.
So what about pregnancy?
If it is known for certain that the woman is pregnant or there is reason to assume such a fact, you should stop taking the drug "Femoston 2/10".
When planning pregnancy, it can be very effective because the volume of estradiol in pink tablets recommended for use in the first half of the cycle does not inhibit or inhibit the ovulation process, models the correct course of the follicular phase and stimulates endometrial cells to divide and grow.
The optimal balance of the two main components for the second half of the cycle is able to ensure (in case of conception) the normal introduction of a fertilized egg into the inner layers of the uterus. Thus, “Femoston 2/10” (doctors' reviews confirm this once again) is a means to eliminate menstrual irregularities.
The opinion of patients about the drug
Patient reviews are quite controversial. Most often, the drug was used to normalize the condition after menopause and to plan pregnancy. Many leave enthusiastic about the drug "Femoston 2/10" reviews. Pregnancy resulting from therapy makes women happy. Such patients talk about the good tolerability of the pills, the stabilization of their health, and better health. The medication has a good effect on the skin, is able to normalize the menstrual cycle (in case of violation).
The majority of negative responses are associated with the development of side effects. Patients talk about depression, weight gain, the appearance of edema, pain in the joints. There may be a decrease in physical activity, the appearance of skin rashes. A separate group of women complains about the lack of the expected effect.
Doctors about Femoston
According to medical professionals, Femoston 2/10 is a drug that is highly effective in treating painful conditions associated with malfunctioning of the ovaries and their premature exhaustion. Tablets are generally well tolerated by patients. Clinical studies suggest a positive effect on the lipid profile of the blood, on the general well-being of a woman. There is also reason to talk about an increase in oxygen consumption and an increase in the bone-protective effect of estrogen.
However, not all gynecologists speak so well of "Femoston." According to many, the dosage of active substances in the medication is quite high, and in the event of pregnancy, the drug can adversely affect the fetus. In addition, experts believe that when planning a conception, the medication is ineffective: in most cases, pregnancy occurs only after a very long use. Doctors also note a fairly frequent manifestation of side effects in the form of headaches, dizziness, flatulence, irritability, nausea. In rare cases, there are more serious violations.
So where is the truth?
Of course, a large group of medical workers are inclined towards the need for the earliest possible diagnosis and the start of differentiated treatment for women whose ovarian function is impaired, which makes pregnancy impossible.
However, there is a fairly large group of gynecologists who know how to replace "Femoston 2/10" in the case of a woman's desire to conceive and give birth to a child. Doctors prefer to prescribe a special medication “Dufaston” in the first half of the cycle, which increases the likelihood of pregnancy.
In any case, it is necessary to strictly adhere to the instructions, take into account contraindications and solve all arising issues with the treating doctor.