Patient's question:
Follicles are excessive, the doctor prescribed Dian 35 (Compound Acetate Cyproterone Tablets) to regulate it, which is stated to have contraceptive effects. I am also eager to have a child, so is this going to affect future fertility? What are the side effects of this medication?Doctor's answer:
Take regular doses of ethinyl estradiol and cyproterone acetate tablets to achieve the therapeutic effect and the desired contraceptive protection. The dosage regimen for ethinyl estradiol and cyproterone acetate tablets is similar to the common regimen for most combined oral contraceptives. Therefore, the same medication rules must be followed. Irregular use of ethinyl estradiol and cyproterone acetate tablets can lead to intermenstrual bleeding and may reduce the reliability of treatment and contraception. How to take ethinyl estradiol and cyproterone acetate tablets must be taken approximately at the same time every day, with a small amount of liquid, as indicated on the packaging. Take one tablet daily for 21 days. After stopping the medication for 7 days, start the next pack. Withdrawal bleeding usually occurs during this period. Bleeding typically starts 2–3 days after the last tablet of the cycle is taken, and may not have ended by the time the next pack is started. How to start ethinyl estradiol and cyproterone acetate tablets If you have never used hormonal contraceptives (within the past month), start taking the medication on the first day of your natural menstrual cycle (the first day of menstrual bleeding). You can also start on days 2–5, but it is recommended to use barrier contraception for the first 7 days of the first treatment cycle. Switching from another oral contraceptive (COC) is best done immediately after the last active tablet of the previous COC is taken, but no later than the end of the medication period of the previous COC. Switching from a progestin-only method (minipills, injections, implants) can be done at any time. Switching from minipills (implants should be stopped on the day of removal, injections should be stopped on the day of the next injection) to ethinyl estradiol and cyproterone acetate tablets, but it is recommended to use barrier contraception for the first 7 days of medication for all these cases. After an early pregnancy miscarriage, you can start taking the medication immediately. In this case, additional contraception is not needed.