Jolessa is a prescription contraceptive pill. Since it contains both progestins and estrogen, it is considered a combined birth control pill. Jolessa allows for an extended time without a menstrual period, which can be convenient for women. There are 84 active pills which contain hormones that are taken daily, followed by seven inactive pills which do not contain hormones. During the time the inactive pills are taken, there is a withdrawal bleed similar to a menstrual period. Jolessa can be stopped mid-cycle or at the end of a cycle so that you may become pregnant.
Instructions
1. Decide whether you will be stopping Jolessa immediately or waiting until the end of your cycle of active pills. Stopping the cycle immediately will cause a withdrawal bleed and leave hormones potentially unbalanced; stopping the medication during the inactive pills allows for a gradual decrease in hormone levels. Each of these methods is safe; you may also choose to consult a doctor or gynecologist when making your decision.
2. Stop taking your Jolessa pills. This will cause a withdrawal bleed, whether it is at the end of the cycle or in the middle of a pack.
3. Begin charting your menstrual cycles. Mark the first day of your withdrawal bleed as cycle day 1. Recording the duration of your cycle will help you determine when ovulation occurs and whether your cycles and hormones have returned to normal.
4. Start taking your basal body temperature and recording the result on your chart. Take your temperature every morning upon waking and before getting out of bed. Record this number on your chart. During the first half of your cycle, the temperature will be low. After ovulation, your temperature will spike and remain high until the end of your cycle. Charting your basal body temperature can confirm that you have ovulated and even act as a form of pregnancy test--if your temperature does not fall at the end of your cycle, you may be pregnant.
5. Use an ovulation predictor kit to determine if you are ovulating. These kits can be found at a drugstore and measure the amount of luteinizing hormone (LH) in your urine. A sharp increase in LH indicates that you are ready to ovulate. This is your most fertile time, and intercourse should be planned around your LH surge. Record the date of the surge on your chart and confirm ovulation using your basal body temperature rise.
6. Continue recording your cycles until you are familiar with the length of the cycle and are able to time intercourse to your fertile period every month. If your cycles continue to vary widely in length after taking Jolessa or you do not see a temperature spike or positive signs of ovulation, you may have a hormone imbalance. You will need to see a doctor, who can test your hormone levels using blood tests.
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