4mg drosperinone
The medications changes the cervical mucous (meaning sperm don't survive and can't reach the egg) . It also prevents ovulation (no egg = nothing for the sperm to fertilise) and thins the lining of the womb (the endometrial lining) preventing implantation which prevents a pregnancy starting to develop
Benefits of Slinda:
Progesterone only which means it is suitable for those who have migraines (or liver issues ie are unable to use combined contraceptive pills)
More effective than the mini pill and even as effective as the combined pill
After using if for 9 months only 20% of users will get a withdrawal bleed when it is stopped
Other benefits
Can be taken while breastfeeding
Can be used as endometrial protection as part of HRT (off license)
Side effects
COMMON: acne, breast tenderness, irregular bleeding (usually improve within 3 months)
Not as common: negative mood changes
To be considered
Renal impairment - consider bloods for kidney function after 1 month to check potassium levels
Bone health - ??due to inhibition of ovulation and maximal estradiol levels - consider in cases of long term use
Cost ($200 for every 3 months as the medication is unfunded and Section 29 in NZ and not available through every pharmacy)
How to take Slinda
There are 28 pills per pack and 2 'sugar' (inert) pills.
Start taking Slinda on day 1 of your period. The sugar pills are there to minimise irregular bleeding.