Starting Femynor:

• Day 1 start: Take your first pill on the first day of your period.
  
  
• Sunday start: Start the pill on the Sunday after your period begins. Use a backup method (like condoms) for the first 7 days.
  
  

Daily Use:

• Take one pill each day, at the same time.
  
  
• Continue through all 28 pills, even during your period.
  
  
• Do not skip any pills, even the inactive ones.
  
  

Missed Pills:

• Missed 1 active pill: Take it as soon as you remember, and take the next pill at the regular time.
  
  
• Missed 2 or more active pills: Take the most recent missed pill right away and continue the pack. Use backup contraception for 7 days.
  
  

If you are unsure what to do, consult your doctor or pharmacist.

Femynor prevents pregnancy using three main actions:

1. Prevents ovulation – The pill stops your ovaries from releasing an egg every month. No egg means no chance for fertilization.
   
   
2. Thickens cervical mucus – The pill makes the mucus in your cervix thicker, so sperm cannot reach the egg.
   
   
3. Thins the uterine lining – This makes it hard for a fertilized egg to attach and grow.
   
   

When used correctly, Femynor is over 99% effective. However, typical use (missing pills sometimes) reduces its effectiveness to about 91%.

Common Side Effects:

• Nausea or upset stomach
  
  
• Headache
  
  
• Breast tenderness
  
  
• Weight gain or bloating
  
  
• Mood changes
  
  
• Spotting between periods
  
  

These usually improve within the first few months as your body adjusts.

Serious Side Effects (rare but serious):

• Blood clots in legs or lungs
  
  
• Stroke or heart attack
  
  
• Liver problems
  
  
• Gallbladder disease
  
  
• High blood pressure
  
  
• Vision changes
  
  

Seek emergency help if you experience:

• Chest pain
  
  
• Leg pain or swelling
  
  
• Sudden shortness of breath
  
  
• Vision loss or sudden headache
  
  

The risk of these side effects is higher in women over 35 who smoke.

Do NOT use Femynor if:

• You are over 35 and smoke
  
  
• You have a history of blood clots, stroke, or heart disease
  
  
• You have or had breast, uterine, or liver cancer
  
  
• You are pregnant or think you might be
  
  
• You have unexplained vaginal bleeding
  
  

Use with caution if you have:

• Diabetes
  
  
• High cholesterol
  
  
• High blood pressure
  
  
• Migraine headaches
  
  
• A family history of blood clots
  
  

Your doctor may recommend regular tests such as:

• Blood pressure checks
  
  
• Breast exams
  
  
• Pap smears
  
  
• Liver function tests
  
  

Always discuss your full medical history before starting Femynor.

Certain medications and herbs may make Femynor less effective. These include:

• Antibiotics like rifampin
  
  
• Epilepsy medications like carbamazepine or phenytoin
  
  
• HIV drugs
  
  
• St. John’s Wort (an herbal supplement)
  
  

Always tell your doctor about all medications, supplements, and herbal products you are taking before starting Femynor.

Femynor packs contain:

• 21 active pills (contain hormones)
  
  
• 7 inactive pills (no hormones)
  
  

Follow this dosage cycle:

• Take one pill daily for 21 days (active)
  
  
• Then take one pill daily for 7 days (inactive)
  
  
• Start a new pack immediately after finishing the last pill
  
  

Do not skip days between packs. Missing pills increases your risk of pregnancy. If vomiting or diarrhea occurs soon after taking a pill, it may not be absorbed. Use backup contraception in those situations.

If you frequently forget pills, consider a reminder alarm or app, or ask your doctor about other methods like the patch or IUD.

Femynor is not available over the counter. You must:

• Visit a doctor or clinic
  
  
• Discuss your medical history
  
  
• Possibly get a pelvic exam or other health checks
  
  

The doctor will check:

• Your blood pressure
  
  
• Your risk for blood clots or heart problems
  
  
• Any medications you’re currently taking
  
  

If approved, you may get a prescription for:

• 1 month
  
  
• 3 months
  
  
• 12 months (depending on your health plan)
  
  

You’ll need follow-up check-ups once or twice a year to stay on the medication safely.

• What is Femynor used for?
  It is an oral contraceptive (birth control pill) used to prevent pregnancy.
  It may also help regulate menstrual cycles, reduce acne, and lessen period cramps and bleeding.

• What are the active ingredients?

  • Ethinyl estradiol (an estrogen)

  • Norgestimate (a progestin)

• How does Femynor work?
  It prevents pregnancy by:

  • Stopping ovulation (no egg release)

  • Thickening cervical mucus (making it harder for sperm to reach the egg)

  • Thinning the uterine lining (reducing likelihood of implantation)

• What kind of birth control pill is Femynor?
  It is a combined oral contraceptive (COC) and a triphasic pill, meaning the hormone levels change slightly at three points in the cycle to more closely mimic natural hormone variations.

• What is the dosing schedule?

  • 21 active pills (contain hormones)

  • 7 inactive pills (placebo, no hormones)
    Take one pill daily, in order, without missing days.

• What are the available strengths?
  Each pack typically contains pills with norgestimate 0.18 mg / 0.215 mg / 0.25 mg and ethinyl estradiol 35 mcg.

• How effective is Femynor?

  • Over 99% effective with perfect use

  • About 91% effective with typical use

• What should I do if I miss a pill?

  • Missed 1 pill: Take it as soon as you remember.

  • Missed 2 or more pills: Take the most recent missed pill, skip others, and use backup contraception (condoms) for 7 days.
    Always refer to the package insert for specific instructions.

• Does Femynor protect against STIs?
  No — it does not protect against sexually transmitted infections (STIs). Use condoms for STI protection.

• What are the common side effects?
  Nausea, headache, breast tenderness, mild mood changes, or spotting between periods.

• Are there serious side effects?
  Rare but serious side effects include:

  • Blood clots (DVT, PE)

  • Heart attack or stroke (especially in smokers over 35)

  • High blood pressure

  • Liver problems or tumors

• Who should not take Femynor?

  • Women over 35 who smoke

  • Those with a history of blood clots, heart disease, liver disease, or breast cancer

  • Anyone with unexplained vaginal bleeding

• Can Femynor help with acne?
  Yes — it’s FDA-approved to treat moderate acne in females who also desire contraception.

• Can Femynor cause weight gain?
  Most women do not experience major weight changes; mild bloating or water retention is possible.

• Can Femynor cause mood changes?
  Some users report mild mood swings or irritability, especially in the first few months.

• Can I take Femynor while breastfeeding?
  Not recommended — it may reduce milk production. A progestin-only pill is safer during breastfeeding.

• Can I drink alcohol while taking Femynor?
  Yes — alcohol does not affect the pill’s effectiveness, but excess drinking may increase nausea or missed doses.

• Does Femynor interact with other medications?
  Yes — it may be less effective when taken with:

  • Antibiotics (rifampin)

  • Seizure medications (phenytoin, carbamazepine, topiramate)

  • HIV medications

  • St. John’s wort

• Can I start Femynor anytime?
  Preferably start on the first day of your period or the first Sunday after your period begins for immediate protection.

• How should I store Femynor?
  Store at room temperature (20–25°C / 68–77°F), away from moisture and light.

• Is there a generic version?
  Yes — Femynor is itself a generic equivalent of Ortho Tri-Cyclen.

• Where can I get Femynor?
  Available by prescription only at most pharmacies.