Nextstellis birth control weight gain

This medication is a combination of 2 hormones: an estrogen (estetrol) and a progestin (drospirenone). This product is used to prevent pregnancy.Besides preventing pregnancy, birth control pills ...

Nextstellis birth control weight gain. Nikki for Birth Control User Reviews. Nikki has an average rating of 4.1 out of 10 from a total of 152 reviews for the treatment of Birth Control. 26% of reviewers reported a positive experience, while 57% reported a negative experience. Filter by condition.

Almost 3 months :/ it seems to have gotten worse this last month. Bloating,hunger and acne have been my main side effects. No terrible but I struggled with weight gain before on birth control so I don’t want to head down that route again.

I was on birth control for 8ish years and I stopped taking it in November 2021. No real reason but I just hated having to take it and even though I never really had any crazy side effects I just hated how it was affecting my body in ways I didn’t know about. Anyway it’s been more than 6 months now but the weight gain has been the worst thing.NEXTSTELLIS is a combination of drospirenone, a progestin, and estetrol, an estrogen, indicated for use by females of reproductive potential to prevent pregnancy. (1) • Limitations of Use NEXTSTELLIS NEXTSTELLIS may be less effective in females with a BMI ≥ 30 kg/m2. In females with BMI ≥ 30 kg/m2, decreasing effectiveness may beBut that's not my experience so I'm wondering if anyone else has the same experience as me.. I was at a very healthy, average weight (~110lbs). I'm 5'1". I started birth control for the first time in 2021 and over 6 months gained about 15-20 lbs (~130). I stopped taking BC for a bit and my weight started to steadily go back down.This is not something that all women will experience. Personally, I was able to lose a great deal of weight while on hormonal birth control via calorie tracking (went from ~212lbs to ~130lbs). They didn't cause me to gain weight at all. I think it depends on the type of pill and how your body responds to it.Nextstellis birth control: benefits, side effects, and how it works ... Myth: Birth Control Pills Cause Weight Gain. Many people believe that birth control pills can lead to weight gain. However, numerous studies have shown that there is no clear evidence linking birth control pills to weight gain. In fact, most individuals do not experience ...Are you curious about what the stars have in store for you? Do you want to gain a deeper understanding of your personality traits and potential? Look no further than a free astrolo...Nextstellis is the first and only FDA-approved birth control pill with E4. E4 has selective actions in tissues, making it gentle on the breasts and liver while helping regulate your cycle. This naturally occurring human estrogen circulates between mother and baby during pregnancy. On top of that, E4 can be made from a plant source.

Related/similar drugs doxycycline, clindamycin topical, erythromycin topical, norethindrone, Premarin, tetracycline, medroxyprogesterone Warnings. Do not use birth control pills if you are pregnant or if you have recently had a baby. You should not use birth control pills if you have: uncontrolled high blood pressure, heart disease, coronary artery disease, circulation problems (especially ...Oral contraceptives or "birth control pills" or "the pill" are used to prevent pregnancy and are more effective than other nonsurgical methods of birth control. The chance of becoming pregnant is less than 1% (1 pregnancy per 100 women per year of use) when the pills are used correctly and no pills are missed.Aug 3, 2023 · NEXTSTELLIS is a birth control pill (oral contraceptive) used by females to prevent pregnancy. ... painful periods, acne, weight gain, and decreased sex drive. ... 6 Includes PTs: weight increased Different types and brands of contraceptive pill contain different types and doses of synthetic oestrogen and progesterone. But brand names such as Microgynon, Levlen, Yaz, Brenda and Norimin give ... Hi there! I just got prescribed Nextstellis, i’ve been off birth control for over a year, I lost 50 pounds and now my hormones are out of control so my doc put me on nextstellis. Has anyone had any issues with weight gain and does anyone vape e cigs while on it and experience anything weird while smoking and being on it? weight gain; acne; mood changes; pain with your periods; decreased sex drive; These are not all of the possible side effects of NEXTSTELLIS. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088. Do birth control pills cause cancer? It is not known if hormonal birth control pills ...Nextstellis is the newest birth control pill that was FDA-approved in April 2021. It is different than currently available birth control pills because it contains a new estrogen: estetrol. (Most other pills contain ethinyl estradiol as the estrogen – more details below). Nextstellis also contains a progestin, drospirenone, which is in other currently available products. The use of estetrol ...I've been on Nexstellis now for about 5 days and feel pretty normal! The only side effects I've noticed so far are some mild cramping (I'm also on my period though) and I've been moderately fatigued the past two days. Libido, bloating, anxiety, and acne all seem normal still. No nausea, headache, or mood swings as of now.

Keep in mind that most other combined birth control pills are generally 91% effective. Like with other birth control pills, Nextstellis (drospirenone / estetrol) might …Nextstellis has a savings card too, but apparently it's only for those who are already insured. Both are too new to have generics. Apparently you can get Nextstellis for as low as $25 from Adelaide Apothecary on GoodRx; does anyone have experience with this? ... Weight gain with mirena, advice on how to loose it? ... Has anyone else taken birth ...The most common side effects reported by females taking NEXTSTELLIS in a study were spotting or bleeding between menstrual periods, mood changes, headache, breast …No major increase in acne or weight gain so far either. Only main complaint is the constant breakthru bleeding and irregular periods." 5 / 10. Was this helpful? Yes No. 6 Report. ... Nextstellis (drospirenone / estetrol) for Birth Control "I started Nextstellis in November 2023, and my life has been absolutely changed. I struggled with really ...Birth control needs to be understood with nuance, considering it in terms of its risks and rewards for the individual. The pill was a mostly a good thing for me. Protected me from cancer risk, cysts, hyperandrogenism, painful periods, acne, and of course unwanted pregnancy. However it did make me more insulin resistant which caused me to gain ...NEXTSTELLIS Update . Experience I'd like to start by saying I had absolutely no problems with this birth control. I'm on pack 6 now, however I will be switching to a different type of pill when this pack is done. ... I never experienced the never ending hunger that I've read about. I had no weight gain problems, in fact I have lost 20 pounds ...

Detroit first 48 episodes.

An interesting fact: If a patient is afraid of the possibility of gaining weight after the administration of a Depo shot, they might try out other forms of contraception, such as the intake of a birth control pill or the insertion of an intrauterine device. Final Words. All in all, Depo-Provera is an efficient method of birth control.Most types of birth control don’t affect your weight. But there are some methods that may cause weight gain in some people. There’s been a lot of research on common birth control side effects. And studies show that the pill, the ring, the patch, and the IUD don’t make you gain weight or lose weight. There are 2 methods of birth control ...Most hormonal birth control methods like birth control pills don't cause permanent weight gain. Depo Provera (medroxyprogesterone) is the one hormonal method that is known to cause weight gain. Hormonal birth control methods can cause other side effects like headache, nausea, and mood changes. And they may raise the risk of blood clots in ...Many women believe that the pill can cause weight gain. Research hasn’t found this – but it has found that it can change body shape (and fat storage) in other surprising ways. It’s been ...Birth control (Lo Loestrin Fe) without a doubt gave me an enormous appetite. It was insane how hungry I was and how intense my food cravings were. I gained 35 lbs in 3 months. When I quit, my appetite reduced dramatically. A year later, I've finally lost all that weight and a bit more.

May 11, 2023 · The recommended dosage of NEXTSTELLIS is one tablet daily for 28 consecutive days: one pink active tablet daily during the first 24 days followed by one white inactive tablet daily during the 4 following days (see Table 1 ). In females with irregular menstrual cycles, pregnancy testing may be necessary prior to initiation of this product. keep being told that it doesn't cause weight gain. Well, it's true. It doesn't cause weight gain directly, since weight doesn't appear out of thin air. It can however cause an increase in appetite, which, in turn, can cause weight gain. Weight gain and loss is all calories in - calories out. If you eat more than you spend in a day, you gain weight.Nextstellis: Drospirenone - estetrol is a combination medication containing two ingredients: progestin (drospirenone) and estrogen (estetrol). It is a birth control pill used to prevent pregnancy, by women between 16 and 50 years of age. This medication works by preventing ovulation (the release of an egg from an ovary) and by causing changes in …She decided to put me on Nextstellis and I am TERRIFIED. Ive never been on any birth control, because the one other time I was prescribed it, I gave up and didn’t try it. The thought of it having adverse affects or me gaining weight is freaking me out. I already am struggling with mental health so thats a worrying factor too.Nextstellis (drospirenone/estetrol) is an oral contraceptive ( birth control pill). This medicine combines two types of female hormones, an estrogen and a progestin. It is available as a package of 28 tablets. It is used to prevent ovulation and pregnancy. GoodRx has partnered with Mayne Pharma to offer one package of Nextstellis for as low as $0.Prescribed for Birth Control. Nextstellis may also be used for purposes not listed in this medication guide. Altavera has an average rating of 4.5 out of 10 from a total of 41 ratings on Drugs.com. 29% of reviewers reported a positive effect, while 50% reported a negative effect. Nextstellis has an average rating of 7.1 out of 10 from a total ...Eloine pill common side effects. Data is taken from self reported Lowdown user reviews. 1. Tender breasts. 56 % of eloine pill reviewers reported tender breasts. 2. Period like cramps. 53 % of eloine pill reviewers reported period like cramps. 3.Like other forms of hormonal birth control, the implant may cause side effects, including unexpected weight changes. Research on whether the implant directly or indirectly causes weight gain is mixed.

I have PCOS and endometriosis and have tried pretty much every birth control / hormonal treatment out there and my body always has severe side effects and I never tolerate them well. So I was obviously scared to try Nextstellis (especially since weight gain is always a side effect for me and I get married in a few weeks), but so far I have had ...

I was on birth control for 8ish years and I stopped taking it in November 2021. No real reason but I just hated having to take it and even though I never really had any crazy side effects I just hated how it was affecting my body in ways I didn't know about. Anyway it's been more than 6 months now but the weight gain has been the worst thing.Birth of the Warrior Martyr - Warrior martyr is a term that is related to suicide bombers. Learn about warrior martyrs in this section. Advertisement ­The idea that it's better to ...A main way to combat weight gain when on birth control is to exercise regularly -- especially when you choose cardiovascular workouts. Exercises like jogging, swimming, and using an elliptical machine help you burn extra calories so you're less likely to pack on pounds. A 2013 study published in the journal Obesity found study subjects who ...I was on birth control for 8ish years and I stopped taking it in November 2021. No real reason but I just hated having to take it and even though I never really had any crazy side effects I just hated how it was affecting my body in ways I didn't know about. Anyway it's been more than 6 months now but the weight gain has been the worst thing.The NEXTSTELLIS®, DTC campaign, It's In Our Nature, makes an emotional connection with next-gen women who naturally want more choice in birth control but feel constrained. Patients new to hormonal birth control can start NEXTSTELLIS on the first day of the menstrual cycle. Patients transitioning from other hormonal birth control methods can begin taking NEXTSTELLIS the day after stopping the previous method, or the next menstrual cycle. 6 Get comprehensive information about starting patients on NEXTSTELLIS. A ... Nextstellis Generic Name: ... Weight Gain ; Weight Loss ; Vomiting ; ... For the first cycle of use only, use an additional form of non-hormonal birth control (such as condoms, spermicide) for the ... Nextstellis: Drospirenone - estetrol is a combination medication containing two ingredients: progestin (drospirenone) and estrogen (estetrol). It is a birth control pill used to prevent pregnancy, by women between 16 and 50 years of age. This medication works by preventing ovulation (the release of an egg from an ovary) and by causing changes in the mucus of the cervix (that makes it difficult ...

Dr nicholai stephens.

Kedplasma buffalo ny.

Many of the methods of avoiding possible birth control-related weight gain are also those that prevent weight gain overall. Examples of these methods include: Exercise: This consists of a person ...8/21/2022. Condition: Birth Control. Overall rating 1.3. Effectiveness. Ease of Use. Satisfaction. I tried taking this pill because two other birth control options weren’t working for me. I lost all sex drive, became really irritable and depressed. I had lots of nausea and constantly felt like my heart is pounding.Nextstellis (drospirenone; estetrol) now is approved as a combined oral contraceptive for birth control. The U.S. Food and Drug Administration (FDA) has approved the drug, which is a new combined oral contraceptive (COC) with 3 mg drospirenone (DRSP) and 14.2 mg estetrol (E4). Developed by Mithra Pharmaceuticals, it is the first and only ...Reply. PossiblePin1523 • 2 yr. ago. I've been on Nextstellis for about 6 months for PMDD-- I feel that it has helped both my mental/emotional and physical PMDD symptoms (not 100 percent better, but noticeably better) but I agree with AnnualCrew7470, I have lots of breakthrough bleeding/spotting, ALWAYS hungry, gained weight, and no sex drive.Health Canada's approval of Nextstellis ® is based on two multinational, multicentre Phase 3 clinical studies of 3,725 women who were 16 to 50 years of age, and who had a Body Mass Index (BMI) up to 35kg/m 2. Nextstellis ® demonstrated contraceptive efficacy across all evaluated age and BMI ranges. The studies also demonstrated good ...I started using birth control about 14 months ago. For the first 6 months, I was on Ortho Tri Cyclen Lo, but the hormone levels weren't high enough to induce consistent cycles. My doctor upped my prescription to the regular Ortho Tri Cyclen, and it has given me the desired regular periods.NEXTSTELLIS is a birth control tablet (oral contraceptive) used by women to prevent pregnancy. NEXTSTELLIS contains the active ingredients estetrol (as estetrol monohydrate) and drospirenone. The estetrol (also called E4) in NEXTSTELLIS is made from a plant source to match the naturally occurring estrogen in the body.Benefits and side effects of Nextstellis are similar to other combination pills. Nextstellis has benefits like lighter, more predictable periods and less acne. Other common side effects with combination pills, like headache, changes in mood, breast tenderness, weight gain, and decreased sex drive, may be less likely when using Nextstellis.Prescribed for Abnormal Uterine Bleeding, Endometriosis, Gonadotropin Inhibition, Birth Control. Cryselle may also be used for purposes not listed in this medication guide. Prescription only. Prescribed for Birth Control. Nextstellis may also be used for purposes not listed in this medication guide.weight gain; decreased sex drive; These are not all of the possible side effects of NEXTSTELLIS. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088. Do birth control pills cause cancer? It is not known if hormonal birth control pills cause breast cancer.Get drug details on Nextstellis and other Women's Health drugs at CVS, Walgreens, and other nearby pharmacies. Download the BuzzRx app this month and $1 will be donated to Make-A-Wish ® , up to $10K! ….

Yasmin is a hormone-based birth control pill that uses a combination strategy that's quite common. This means Yasmin contains two hormones, progestin and estrogen, that work together to make your body think it's already pregnant. This helps prevent a genuine pregnancy. Our team at Nurx can prescribe Yasmin at special request or can offer ...frequent urge to urinate. headache, severe and throbbing. inability to move the arms, legs, or facial muscles. inability to speak. itching of the vagina or outside the genitals. itching skin near damaged veins. light vaginal bleeding between regular menstrual periods. loss of appetite. nausea.Questions about birth control, nextstellis, last month, 35, borderline ovarian tumor - Answered by a verified OB GYN Doctor. We use cookies to give you the best possible experience on our website. ... so finding a pill that does NOT increase the chances of hair loss is or weight gain is important to me ...Prescribed for Premenstrual Dysphoric Disorder, Acne, Birth Control. Yasmin may also be used for purposes not listed in this medication guide. Nextstellis has an average rating of 7.1 out of 10 from a total of 20 ratings on Drugs.com. 55% of reviewers reported a positive effect, while 15% reported a negative effect. Yasmin has an average rating ...ElectronicLie7728. •. I take 10mg of norethindrone (high dose is bc I was bleeding non-stop from my time on nextstellis) and it's been the best birth control I've tried. I take it continuously to skip my periods.Reply. PossiblePin1523 • 2 yr. ago. I've been on Nextstellis for about 6 months for PMDD-- I feel that it has helped both my mental/emotional and physical PMDD symptoms (not 100 percent better, but noticeably better) but I agree with AnnualCrew7470, I have lots of breakthrough bleeding/spotting, ALWAYS hungry, gained weight, and no sex drive.Nextstellis is a novel combined oral contraceptive pill containing drospirenone 3mg and estetrol 14.2mg. ... and cycle control of Nextstellis in 3725 women aged 16 to 50. The primary end point was ...The pill, the patch, and the ring. Birth control pills contain both an estrogen and progestin hormone, and are probably one of the most studied medicines on Earth. Many studies show that the pill does not cause weight gain, yet concern about weight gain is the main reason why women quit taking it. The ring and the patch are similar to the pill ... Nextstellis birth control weight gain, To my fellow physicians and patient providers, how many of your patients have gained weight and blamed it on the pandemic due to limited options for physical activity outside of th..., weight gain; decreased sex drive; These are not all of the possible side effects of NEXTSTELLIS. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088. Do birth control pills cause cancer? It is not known if hormonal birth control pills cause breast cancer. , Drugs.com reports that rapid weight gain is one of the common side effects of vitamin B12 injections. Swelling, diarrhea and a mild rash are also side effects that people commonly ..., The Nextstellis website have a coupon card that'll allow you to use as a second form of insurance and it's only like 25 for a months worth or 50 for three month prescription. Just for some help cause I just felt with this and it is very expensive without insurance. Hi! I just finished my second pack and this is my update., Patients new to hormonal birth control can start NEXTSTELLIS on the first day of the menstrual cycle. Patients transitioning from other hormonal birth control methods can begin taking NEXTSTELLIS the day after stopping the previous method, or the next menstrual cycle. 6 Get comprehensive information about starting patients on NEXTSTELLIS. A ... , a sudden, severe headache unlike your usual headaches. sudden, severe shortness of breath. sudden change in vision or blindness. chest pain. weakness or numbness in your arm or leg. trouble speaking. Bone loss. Cervical Cancer. Liver problems, including liver tumors., NEXTSTELLIS is indicated for use by females of reproductive potential to prevent pregnancy. Limitations of Use . NEXTSTELLIS may be less effective in females with a BMI ≥ 30 kg/m 2. In females with BMI ≥ 30 kg/m2, decreasing effectiveness may be associated with increasing BMI [see Clinical Studies (14)]. 2 DOSAGE AND ADMINIS TRATION, No emotional warning signs, no cramping, nothing! And I’ve been bleeding less and less - from 5 days down to 3. No weight loss or weight gain. No adjustment issues, no spotting. No libido changes. I still have hormonal acne on my jawline, but I’ve always struggled with acne. It’s been a complete game changer for me., The only birth control method clinically proven to affect weight is the depo provera shot, and even then it's a very small impact. There is a lot of anecdotal false correlation for weight gain because women often start birth control in their teens and early adult years and blame natural growth and development on the pill or whatever other hormonal method they used., -some weight gain. I’m not sure whether to attribute this to Slynd or not, as I was already beginning to gain weight before I went on it, but it felt like it intensified and became harder to lose on Slynd. It was only like 5-7 pounds, so nothing that anyone could notice, aside from me. -some minor moodiness, Nextstellis for irregular periods . Experience Hi alll!! I have been struggling with irregular periods since the start of Jan 2023 - I have been getting my period every two weeks lasting between 7-9 days. Recently it's been getting worse and I'd get it again after around 8-9 days. ... Low estrogen, birth control, and pregnancy risks, My primary suggested Nextstellis to me and it sounds ideal. Since it is a newer BC I can't seem to find too many reviews on it. A lot of them seem negative but that goes for any birth control reviews i've tried to read. So then I searched through reddit threads and found a few but not many posts about it., Sounds rough but remember you can't really gain weight in that short of a time and a lot of hormonal birth control makes you retain about 6 pounds water weight. Sometimes lowering your salt intake and drinking more water helps. If it's any consolation it's probably very subtle and no one else would notice. Also if you give it a chance and ..., Mirena and Weight Gain. Mirena, like Kyleena, also contains levonorgestrel, but it releases it in higher doses. This can result in a more pronounced hormonal effect. As a result, some women may experience weight gain while using Mirena. However, it’s important to remember that individual responses to hormonal changes can vary widely., Hi there! I just got prescribed Nextstellis, i’ve been off birth control for over a year, I lost 50 pounds and now my hormones are out of control so my doc put me on nextstellis. Has anyone had any issues with weight gain and does anyone vape e cigs while on it and experience anything weird while smoking and being on it?, The Weight Gain Exception: The Birth Control Shot. While most forms of birth control won't make you gain weight, there is one exception. The birth control shot is the only contraceptive that has consistently been shown to cause weight gain (on average, 11 pounds!). Luckily, this contraceptive method is not very common, as it also comes with ..., NEXTSTELLIS prescription and dosage sizes information for physicians and healthcare professionals. Pharmacology, adverse reactions, warnings and side effects. Menu SECTIONS, Most types of birth control don’t affect your weight. But there are some methods that may cause weight gain in some people. There’s been a lot of research on common birth control side effects. And studies show that the pill, the ring, the patch, and the IUD don’t make you gain weight or lose weight. There are 2 methods of birth control ..., Slynd (drospirenone) has a 24-hour missed pill window, which is more forgiving compared other progestin-only birth control pills that have a 3-hour window. Some of the more common side effects of Slynd (drospirenone) include acne and changes in vaginal bleeding. Some people might also experience weight gain., No emotional warning signs, no cramping, nothing! And I've been bleeding less and less - from 5 days down to 3. No weight loss or weight gain. No adjustment issues, no spotting. No libido changes. I still have hormonal acne on my jawline, but I've always struggled with acne. It's been a complete game changer for me., Birth Control and Weight Gain: What the Science Says Despite popular opinion, scientific research shows that most birth control methods don't contribute to weight gain April 17, 2024 / Sleep, I was prescribed Drovelis (European name for Nexstellis) to treat my dysmenorrhea. I've been taking it one month and, although my overall experience has been quite good, I've had to take the usual amount of NSAIDs for period cramps during the placebo days., They include headaches, breast tenderness, and worsening acne. It’s also important to mention weight gain. A review of studies suggested that women using progestin-only contraception, like the implant, experienced slight weight gain (less than 5 lb) or a rise in body fat percentage compared with those who used no hormonal birth control. But ..., Most pills contain a combination of estrogen and progestin, according to Planned Parenthood. It's the estrogen that was thought to be the culprit in weight gain in the past. But back in 2014, a large review of 49 studies showed that combination birth control pills either did not lead to weight gain at all or only showed small weight differences., Took Taytulla for 4 years. Went off birth control for 3 months due to low libido and high anxiety. Felt amazing mentally and physically. Hormonal acne returned so obgyn recommended Nextstellis to address acne and preserve sex drive (this pill contains estetrol, a new plant-based form of estrogen)., When you use birth control that contains hormones, you’re more likely to develop blood clots – the most common serious side effect of birth control pills. This risk is highest during the first year of hormonal birth control use. The risk is also high if a woman restarts the same or new hormonal birth control. Clots can occur in many, Nextstellis Generic Name: ... Weight Gain ; Weight Loss ; Vomiting ; ... For the first cycle of use only, use an additional form of non-hormonal birth control (such as condoms, spermicide) for the ..., I started a trial run of Nextstellis I've just now got to the sugar pill portion of the pack. So I'm going to document my experience thus far. Important to note that I am sexually active (24) and have severe pms issues. This was my first time taking a hormonal birth control., The effects on birth control and weight gain can be summarized as: Combination birth control with estrogen and progesterone has been shown not to cause weight gain in most; Progesterone only pills have no been shown to cause moderate weight gain, about 5 pounds over a year., 8/21/2022. Condition: Birth Control. Overall rating 1.3. Effectiveness. Ease of Use. Satisfaction. I tried taking this pill because two other birth control options weren’t working for me. I lost all sex drive, became really irritable and depressed. I had lots of nausea and constantly felt like my heart is pounding. , For more information, see Section 5.What should I know while using NEXTSTELLIS? in the full CMI. 6. Are there any side effects? Less serious side effects of NEXTSTELLIS may include: acne, headache, irregular vaginal bleeding (including absence of period), pain and/or discomfort with your periods, weight gain, breast tenderness, decreased sex drive, nausea and mood changes., Positive Nextstellis Experience. Just hit two weeks on Nextstellis (pill) and feeling great! The last time I was on hormonal BC was 6 years ago when I was on the Nuva Ring and quit after a year bc of really bad brain fog/ anxiety. When I went to the doctor and asked what are the newest BC's on the market since I last explored hormonal options ..., NEXTSTELLIS is the first and only combined oral contraceptive (COC) to contain ESTETROL (E4) – a unique, NATIVE, and SELECTIVE estrogen. 1-5. NEXTSTELLIS contains the first new estrogen development in over 60 years and is designed specifically to help overcome the issues associated with synthetic or modified estrogen-based COCs. 1 …