Zoely

Zoely is a combined oral contraceptive pill. It is a daily pill, meaning it comes in strips of 28 tablets, 24 of which contain hormones and 4 of which are placebos, but should be taken nonetheless.

Like all other combined contraceptive pills, Zoely contains two artificial hormones which act similarly to those produced naturally in your body. These two hormones, nomegestrol acetate and oestradiol, are contained in varying levels in each of the 24 active pills in each pack, and change the menstrual cycle usually controlled by your natural hormones. Nomegestrol acetate is a synthetic form of the natural hormone progesterone, while oestradiol is a kind of oestrogen naturally produced in the body.

Both hormones work to convince your body daily that ovulation has already occurred, which stops your ovaries from releasing eggs. The hormones also thicken the mucus in your womb, making it harder for sperm to enter and possibly reach an egg. They also significantly change the lining of the womb where an egg would usually be implanted following fertilisation.

If taken properly following the instructions marked in your patient leaflet, Zoely should reduce your chances of getting pregnant to less than one percent.

Zoely's effectiveness can be reduced by a number of factors including other drugs you are currently taking, so it is important to always disclose any medication, whether herbal or prescribed, that you take or have taken.

Each blister pack of Zoely will contain 24 active pills and 4 placebo pills. The active pills are white and round, while the placebo pills should be yellow. As each of the active pills contains a different level of hormones to correspond with different stages of your menstrual cycle, each pill must be taken at the same time every day, with a glass of water.

It is advisable to take the placebo pills at the same time daily during the four-day placebo period too, so that you do not break your routine or get confused.

You should ideally begin taking Zoely on the first day of your period, to ensure you are protected straight away. You should mark this day next to the first pill in the pack or mark the starting date on a calendar to ensure you always start a new blister pack on the same day. Follow the directions marked on the blister pack to ensure you are taking your tablets in the right order and begin a new blister pack immediately after finishing the four yellow tablets of the first pack.

If you are changing from another method of contraception to Zoely, please check your patient leaflet for more information on how and when to begin taking Zoely, as this varies depending on what contraception you were using previously. You may start Zoely immediately after discontinuing some types of contraception and still be protected, but this is not always the case.

You should inform your doctor of any contraceptives you are currently using before starting a course of Zoely, so they can advise you on how to make the transition.

You will still have a period while taking Zoely, although this should in most cases be lighter, less uncomfortable and more regular than before you began taking Zoely. Your period should start several days after beginning the four placebo tablet phase, and may not finish by the time you have begun a new blister pack. You are still protected during your period.

As with most combined pills, if you miss just one pill and realise within the next 24 hours, simply take it immediately and continue with your cycle as normal. This should not lower Zoely's effectiveness. If you do realise after 24 hours, consult your patient information leaflet for more information as instructions vary depending on the level of hormone contained in the missed pill.

If you have severe diarrhoea or vomit within several hours of taking Zoely, this may affect its absorption and effectiveness in your body. Please check your patient leaflet for more information.

Zoely contains a natural type of oestrogen already found in the human body. This means that the risk of contraceptive pill-related blot clots in users is further reduced. Fewer women have also reported acne as a side effect from Zoely when compared to other pills.

Zoely is not suitable for everyone and is not usually prescribed by the online doctor to those under 18, very overweight or heavy smokers over 35 years old. Zoely is not suitable for you if you have or have had any of the following conditions:

• blood clots, deep vein thrombosis or blood clotting issues
• heart attacks
• strokes
• angina
• diabetes with complications
• pancreatitis or unusually high levels of cholesterol
• liver problems (including disease, reduced function, cancer, benign tumours or similar)
• genital organ cancers or diseases (breast cancer)
• an allergy to any of the ingredients in Zoely (including lactose)

Other medical conditions may also affect your suitability to take Zoely, so please ensure you disclose them to your doctor before taking it. If you develop any unusual symptoms while taking Zoely, especially those associated with a blood clot or thrombosis, you should consult your doctor immediately.

Zoely is not usually recommended for breastfeeding mothers, but speak to your doctor if you have just had a child and intend to breastfeed while taking Zoely so they can assess your suitability.

There is no evidence to show that you will gain weight as a result of taking Zoely.

However, everyone reacts to hormonal contraception differently. For some people, weight gain or weight loss is a side effect of taking the oral contraceptive pill. However, this tends to only be a short-term side effect, and should settle after your body is used to your new hormone levels.

Zoely and Yasmin are both combined oral contraceptive pills. When taken correctly, both pills stop you from getting pregnant. Both pills contain artificial versions of the sex hormones oestrogen and progesterone.

Zoely is a slightly newer pill and contains a lower dose of oestrogen and progesterone. Zoely is thought to have less unpleasant side effects than previous contraceptive pills, like Yasmin.

Zoely can have side effects, but the severity varies from person to person; some women may never have any. The common side effects of Zoely include:

• various changes to your menstrual cycle

• headaches or migraines

• nausea and/or vomiting

• changes to your weight

• spotting between periods

A tiny proportion of users may experience more severe side effects, including blood clotting issues, raised blood pressure, gallstones, allergic reactions or other conditions. These do not happen in most cases, but do contact the emergency services immediately if you experience any serious adverse effects.

If you would like to use ZAVA's services but do not live in Ireland, please be aware that we also operate in:

• Germany - Zoely
• France - Zoely

If you have a question about this service, please email info@zavamed.com with the question, and one of our doctors will get back to you within 24 hours.