In the article we will figure out which is better - “Yarina” or “Zhanin”.
Endometriosis is often called a disease of civilization. Pathology has been known for a long time, but endometriosis has received widespread along with the advent of effective oral contraceptives. At a time when OK was not yet invented, a woman gave birth much more times, which at times reduced the number of menstruation during the reproductive period. To date, the number of menstruation during this period averages about 400. This indicator creates an intense load on the woman’s body and her reproductive system, which leads to the development of endometriosis, which can lead to serious complications, including infertility.
According to medical studies, one in ten women in the modern world suffers from endometriosis, which makes this pathology the third most common. Pharmaceuticals is constantly looking for new ways to fight the disease. One of the most modern, but already tested drugs are Yarina and Zhanin. What's better? We find out.
It should be noted that comparing these two drugs is wrong, since each performs its functions and is intended for certain conditions of a woman. In some cases, the gynecologist can give the patient the right to choose a medication, listing the most suitable options. Consider the key features of each of the two hormonal agents.
Then we can understand what is better - “Yarina” or “Zhanin”.
Endometriosis: Description
Endometrium is a membrane in the uterine cavity, the main function of which is to ensure the correct attachment of a fertilized egg. When conception did not occur at the right time, the resulting tissue is rejected by the body and comes out in the form of menstrual bleeding.
Under certain circumstances, endometrial cells also attach to the tissues of the ovaries, fallopian tubes, and other organs. Part of the endometrium passes through the uterus to the peritoneum, where it is disposed of. In medical practice, cases have been recorded when particles of the endometrium fell into the kidneys, liver or lungs and took root there.
After the endometrium is implanted in a tissue that is located outside the uterine cavity, it begins to work under the influence of hormones produced by the woman’s ovaries. A similar pathological process, due to the appearance of foci of a “working” endometrium in atypical places, is called endometriosis. The main signs of the pathology are spotting spotting that appears outside of menstrual bleeding, as well as soreness in the lower abdomen. Sometimes, against the background of endometriosis, uterine bleeding opens.
If timely treatment of the pathology is not carried out, the endometrium begins to grow uncontrollably and spread throughout the body, which can lead to serious consequences, provoking infertility or pregnancy outside the uterus.
Women often ask: "Which is better -" Yarina "or" Zhanin "with endometriosis?".
Similarities and differences of drugs
Both drugs are made on the basis of hormonal substances. They are made in Germany and are designed to prevent an unplanned pregnancy.
Which is better - "Yarina" or "Janine"?
As for the composition, the main active ingredient is identical for both drugs - ethinyl estradiol, the amount of which in one tablet is 30 micrograms. However, both drugs are combined and the additional active component is different for everyone. Dzhenogest is a part of "Janine", and in "Yarin" an additional component is presented by drospirenone. Excipients also differ, including their dosages.
Another difference between drugs is the dosage form. If "Janine" is made in the form of a dragee in a film coating, then "Yarina" is a tablet preparation.
"Janine" for the treatment of endometriosis
And what is better with endometriosis - “Yarina” or “Zhanin”?
The main purpose of oral contraceptives is to prevent unwanted pregnancy. The combination of active components in "Janine" in the aggregate of its properties allows us to achieve this goal. Ethinyl estradiol is a synthesized analogue of natural estrogen. Its action is similar to the original substance, it inhibits the production of gonadotropins by the brain, as well as the function of the ovaries in the synthesis of hormones, which leads to thickening of the vaginal secretion. However, first of all, the hormone blocks the proliferation of endometrial tissues.
Reviews about the use of "Janine" are mostly positive.
Dienogest
Dienogest in the composition of the drug is a hybrid substance that has the properties of norsterosterone and progestins. The substance has an antiandrogenic effect, and also positively affects the amount of lipids in the blood, preventing the development of hormonal disorders.
The pattern of use of "Janine" depends on the purpose of therapy. To achieve a contraceptive effect, the drug is taken for three weeks with a seven-day break between courses. During the break, withdrawal bleeding that resembles menstrual bleeding occurs.
This is confirmed by the instruction and reviews to "Janine".
Instruction manual
The main advantage of Zhanin over other contraceptive hormonal drugs is that this drug can be prescribed at various stages of the development of endometriosis, both at the first signs and in advanced cases. Moreover, for each patient, the therapeutic regimen is selected individually. Most often, dragees are prescribed for 63 days without a break, one pill a day at the same time. Next, a break of seven days is made, during which withdrawal bleeding occurs. The onset of secretions depends on the characteristics of each organism. Further treatment with the drug is determined by the doctor, but in most cases the described course is enough to stop the growth of the endometrium.
If it comes to treating advanced and complex cases of manifestations of endometriosis, the doctor may prescribe 84 days of continuous use, after which a break will be made for withdrawal bleeding.
Adverse reactions
"Janine", like any other drug, can cause a number of adverse reactions. Basically, the drug is well tolerated by patients, but in some cases the following conditions are possible:
- Violation of psycho-emotional stability, manifested by nervousness, depression and irritability.
- Soreness and tension in the mammary glands.
- Headache.
- Violation of the gastrointestinal tract, accompanied by nausea, diarrhea, flatulence, etc.
- Weight gain.
Adverse reactions appear both at the initial stage of treatment with the drug, and after the end of the course.
“Janine” or “Yarina” - which is better from reviews? About this at the end of the article.
"Yarina" in the treatment of endometriosis
"Yarina" is a combination drug that is distinguished by a reduced content of hormones. The effect of the drug is due to the properties of its main components - ethinyl estradiol and drospirenone.
The contraceptive effect of Yarina is due to several processes. Against the background of taking the tablets, the ovulation process is inhibited, and at the same time, the structure of the cervical secretion changes. The mucus thickens and becomes viscous, so the sperm are unable to enter the uterine cavity. In addition, like Zhanin, Yarina suppresses the growth of the endometrial layer.
Drompirenone
Drompirenone as part of the drug has an antimineralcorticoid effect, it prevents weight gain, as well as the accumulation of excess fluid. Similar properties of the hormonal component in the "Yarina" help relieve the severity of symptoms of PMS.
The main difference between Yarina and other contraceptive drugs is its beneficial effect on a woman's appearance. Antiandrogenic properties of tablets help fight acne, as it helps to reduce the activity of the sebaceous glands.
For therapeutic purposes, tablets are taken to normalize the cycle of menstruation, including to reduce the duration of bleeding and its intensity. In addition, the drug is used to treat hemorrhagic type anemia that occurs in a chronic form, as well as to eliminate soreness during menstruation.
"Yarina": instructions and adverse reactions
The drug is considered one of the most effective hormonal medications for the treatment of endometriosis. Yarina has the following effects:
- Inhibition of pituitary gonadotropin production.
- Suppression of the production of hormones of the reproductive system by the ovaries.
- Neutralization of endometrial proliferative changes.
Reception of "Yarina" helps prevent cyclic processes, and during prolonged use of the drug it is possible to achieve atrophy. Thus, the work of foci of the endometrium is suppressed.
Yarina is produced in packs of 21 tablets. The regimen for achieving the contraceptive effect is no different from Zhanin. The drug is drunk for three weeks at the same time, then a seven-day break is taken. You should start taking the pills on the first day of a new cycle, that is, when menstruation begins. During the break, the withdrawal bleeds. On the eighth day, taking a new package of the drug begins.
Also on sale is Yarina Plus. Its application is exactly the same. The only difference is that the composition of the plus product additionally includes calcium levomefolate, which is a biologically active form of folic acid. This medicinal substance is intended to eliminate the deficiency of folate in the body of a woman.
If a tablet was missed for some reason, it should be taken as soon as possible. If more than 12 hours have passed after the time of administration, it should be protected for one week by barrier methods.
In the treatment of endometriosis, doctors prescribe a continuous intake of two cycles of "Yarina". That is, as soon as one package ends, the next day you need to move to another. Thus, it is possible to achieve stopping the growth of endometrial tissues. In addition, treatment with these tablets can prevent blood from entering the peritoneum and the growth of foci of the endometrium.
Women's reviews of Yarin should be reviewed in advance.
The doctor himself determines how many continuous courses a patient should take. It depends on the severity of the symptoms of endometriosis. However, the maximum duration of admission is six months. If after this period there has been a re-growth of endometrial tissues, the drug should not be reused. The specialist selects in this case another drug.
The most common adverse reactions to taking "Yarina" in the form of pain in the head, soreness and swelling of the mammary glands, as well as the following symptoms:
- Nausea.
- Decreased libido.
- Mood swings, depression.
- Migraine.
- Bleeding.
- Thromboembolism of arteries and veins.
People often ask which is better - “Jess” “Yarina” or “Zhanin”. The preparations "Jess" and "Dimia" practically do not differ from "Yarina", except for the amount of ethinyl estradiol in them - not 30, but 20 micrograms.
Contraindications to taking these drugs
Before you start taking contraceptives, you must take into account that there are contraindications to any of the hormonal drugs. Limitations for oral contraceptives are the same for all drugs and are in the following conditions:
- A history of thromboembolism or a tendency to form blood clots.
- Diabetes.
- Neoplasms in the organs of the reproductive system or mammary glands, regardless of their origin.
- Pregnancy and breastfeeding.
- Dysfunctional impairment of the kidneys and liver.
- Tendency to develop depressive states.
In consultation with a doctor, the patient needs to talk about all the diseases that are present. This will help to avoid unwanted reactions from the body and the serious consequences of taking a hormonal drug.
Selection tips
Before choosing a drug, it is worth consulting a doctor. He will tell you which tool to prefer. It is also worth focusing on your own feelings, if adverse reactions have occurred from taking the medication or there is no effect, then it is worth replacing it.
Reviews
Consider the reviews of doctors. Which is better - “Yarina” or “Janine” in their opinion?
Specialists characterize them as ambiguous preparations that have both undoubted advantages and significant shortcomings. Reviews of women about the drugs are pretty good. Many are satisfied with taking just one pill per day to achieve a contraceptive effect. Finds positive responses and antiandrogenic properties of both drugs. Some talk about improving the quality of the skin while taking OK.
There are reviews of women about Zhanin and Yarina, which describe the good start of taking the drugs, but after a while they observed adverse reactions in the form of frequent migraines, mood swings, and weight gain.
Doctors have noted a positive trend in the use of contraceptives for the treatment of endometriosis. Thus, it is possible to suppress the proliferation of endometrial tissues and reduce the risk of developing some complications against the background of the pathological process.
As for the abolition of drugs, there are no complaints from women in this matter. Menstruation in most cases comes on time. Many women are concerned about the possibility of conception after prolonged use of "Yarina" or "Zhanina". Experts recommend planning a pregnancy no earlier than six months after the end of OK. The choice of the drug often remains with the woman, since there are no fundamental differences between them.
We considered what is better - “Yarina” or “Zhanin”.