Birth control junel fe

Junel Fe Online Prescription

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Junel Fe 1/20 Birth Control – Overview

Junel Fe 1/20 is a type of birth control medication used by women who elect to use oral contraceptives for contraception. Women who want a Junel Fe prescription can use Push Health to connect with a licensed medical provider who can prescribe Junel Fe 1/20 tablets when appropriate and safe to do so.

What Is Junel Fe?

Junel Fe belongs to a class of medications known as birth control medications. Junel Fe birth control is utilized to prevent pregnancy in women who elect to use oral contraceptives as a method of contraception. Junel Fe is a combination medication consisting of the hormones norethindrone acetate and ethinyl estradiol. The hormonal combination in Junel Fe birth control works by suppressing gonadotropins – hormones which act on the ovaries to regular sex hormone synthesis. Specifically, Junel Fe exerts its effects by blocking the process of ovulation and likely also modifies the endometrium and cervical mucus, reducing the likelihood that a sperm will enter the uterus and allow for implantation of a viable egg. From a pharmacokinetic standpoint, both hormones undergo first pass metabolism after being taken orally and are extensively bound to proteins in the plasma before being excreted in both the urine and the feces.

Junel Fe – Dosage and Reviews

Junel Fe is available as Junel 1/20 and 1.5/30 and Junel Fe 1/20 and 1.5/30 tablets. Junel Fe tablets range in color from light yellow to pink. The “1” and “1.5” in Junel Fe tablets represents the milligrams of norethindrone in the tablet while the “20” and “30” represent the micrograms of ethinyl estradiol in the tablet. Junel Fe consists of 21 oral contraceptive tablets and 7 ferrous fumarate tablets which do not serve any therapeutic purpose but are meant to help keep the cycle of medication use regular. Junel Fe 1/20 is affordable, costing under $14 for one 28 tablet package of Junel Fe 1/20 generic at many pharmacies in the United States. Some insurance plans will cover some or all of the costs associated with a Junel Fe prescription. Additionally, Junel Fe coupons may be available online or through other sources like the manufacturer.

Can I Buy Junel Fe Online?

Junel Fe requires a prescription to be dispensed by a pharmacy in the United States. As a result, one cannot simply get Junel Fe OTC or just buy Junel Fe online as the first step is consulting with a qualified medical provider. People who need a Junel Fe prescription, however, can use Push Health to connect with a medical provider who can prescribe Junel Fe when appropriate and safe to do so.

Junel Fe – Side Effects

Prior to using Junel Fe, it is important to discuss possible side effects with one’s medical provider and pharmacist. Side effects that can result from Junel Fe use include nausea, vomiting, abdominal cramping, vaginal bleeding and discharge, weight gain, low libido and changes in hair health. Junel Fe and alcohol should typically not be used at the same time and smoking should be avoided while using this medication. People with a known hypersensitivity to Junel Fe or any of its ingredients should not use the medication.

More Junel Fe Information

  • NIH DailyMed

Last updated October 15, 2019. Given the evolving nature of medicine and science, this information might not be accurate and should not be construed as medical advice or diagnosis / treatment recommendations. Please consult a licensed medical provider if you have additional questions.

Junel FE

Medical Editor: John P. Cunha, DO, FACOEP

Last reviewed on RxList 2/28/2018

Junel Fe28 (norethindrone acetate, ethinyl estradiol, ferrous fumarate) is a combination of female hormones and the mineral iron used as contraception to prevent pregnancy. Junel Fe28 is also used to treat severe acne. Junel Fe28 is available in generic form. Common side effects of Junel Fe28 include:

  • nausea (especially when you first start taking Junel Fe28),
  • vomiting,
  • headache,
  • stomach cramping/bloating,
  • dizziness,
  • vaginal itching or discharge, or
  • breast tenderness or swelling,
  • nipple discharge,
  • freckles or darkening of facial skin,
  • increased hair growth,
  • loss of scalp hair,
  • changes in weight or appetite,
  • problems with contact lenses, or
  • decreased sex drive.
  • Acne may improve or get worse.
  • Vaginal bleeding between periods (spotting) or missed/irregular menstrual periods may occur, especially during the first few months of use.

Junel Fe28 must be taken exactly as directed. It is taken as a continuous administration regimen consisting of 21 light yellow or pink tablets of Junel, and 7 brown non-hormone containing tablets of ferrous fumarate. There are no “off-tablet” days. Junel Fe may interact with acetaminophen, ascorbic acid (vitamin C), prednisolone, theophylline, St. John’s wort, antibiotics, seizure medications, barbiturates, or HIV or AIDS medications. Tell your doctor all medications and supplements you use. Junel Fe must not be used during pregnancy. If you become pregnant or think you may be pregnant, tell your doctor. If you have just given birth or had a pregnancy loss/abortion after the first 3 months, talk with your doctor about birth control, and find out when it is safe to use birth control containing estrogen, such as this medication. This medication passes into breast milk. This may affect milk production and may have undesirable effects on a nursing infant. Consult your doctor before breastfeeding.

Our Junel Fe (norethindrone acetate, ethinyl estradiol, ferrous fumarate) Side Effects Drug Center provides a comprehensive view of available drug information on the potential side effects when taking this medication.

This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.


Junel Birth Control Pills

Table of Contents

  • What are Junel Birth Control Pills?
  • Important Information
  • Junel Birth Control Instructions
  • Junel Side Effects
  • Junel Reviews

What are Junel Birth Control Pills?

Junel birth control is a combination birth control that is taken orally once a day to prevent pregnancy. The medication comes in pill form and contains both estrogen and progestin hormones. The birth control mainly works by preventing the release of an egg (ovulation) during your menstrual cycle. The medication also causes changes to the thickness of the vaginal fluid and changes the lining of the uterus.

This brand of birth control contains a small amount of iron in some tablets. This is meant to prevent iron deficiency during your period. If you are taking any medication that interferes with iron, you should not take this birth control.

Besides preventing pregnancy, Junel birth control is also prescribed by doctors to treat acne, irregular periods, menstrual cramps, and more.

Important Information About Junel

Tell your doctor or pharmacist if you have any allergies to medications, especially ethinyl estradiol, norethindrone, or to any other products. This medication may contain inactive ingredients that some people may be allergic to.

Before you start taking Junel birth control, tell your doctor if you have a history of any of the following:

  • Blood blots
  • High blood pressure
  • Abnormal breast exam
  • Cancer (especially breast cancer or endometrial)
  • High cholesterol
  • Gallbladder problems
  • Severe headaches/migraines
  • Heart problems
  • Irregular heartbeat
  • Liver disease

If you have diabetes, make sure that your doctor is aware before you begin taking this medication. Junel birth control may affect your blood sugar so you should regularly check your blood sugar levels and share the results with your physician. Tell your doctor right away if you experience any symptoms of high blood sugar including increase thirst/urination.

You should not take Junel birth control if there is a chance that you may be pregnant, or if you are breastfeeding an infant. Taking this medication may decrease your breast milk production.

This method of birth control does not protect you against sexually transmitted diseases such as HIV, chlamydia, or gonorrhea.

Junel Birth Control Instructions

Read the patient information leaflet provided by your pharmacist before you begin taking this birth control.

Junel birth control comes in 28 pill packages, containing 21 active pills and 7 inactive pills. The inactive pills are sugar pills and do not contain any hormones. They contain a small amount of iron and are meant to be taken as a reminder to keep taking 1 tablet each day and to treat iron deficiency during menstruation.

Take one active pill for 21 days straight and then immediately start taking the 7 inactive pills. Once the package is gone, start a fresh package of pills.

If this is the first time you are using a hormonal birth control, take your first tablet on the first Sunday following the beginning of your period (even if your period begins on a Sunday). You should use a backup method of birth control during your first week to protect you from pregnancy.

Junel Side Effects

It is likely to experience side effects from this medication. Some of the most common Junel side effects include:

  • Nausea
  • Vomiting
  • Headache
  • Breast tenderness
  • Swelling of the ankles/feet
  • Weight change
  • Water retention

Junel birth control may rarely cause more severe symptoms such as blood clots, heart attack, pulmonary embolism, or stroke.

This medication may cause serious health issues such as blood clots. If you experience any of the following Junel side effects, seek immediate medical attention:

  • Slurred speech
  • Confusion
  • Sudden dizziness
  • Fainting
  • Unusual sweating
  • Weakness on one side of the body

Tell your doctor if you experience any sign of a serious allergic reaction including itching or swelling, rash, dizziness, or trouble breathing.

This is not a complete list of possible Junel side effects. If you have an unusual reaction to this medication, stop using the medication and seek medical attention right away.

Junel Reviews

There are over 300 Junel reviews on with an overall rating of the following:

  • Effectiveness: 4.09 out of 5
  • Ease of use: 4.09 out of 5
  • Satisfaction: 2.37 out of 5

For the treatment of birth control, users have rated this medication an average rating of 4.5 out of 10 on Users report experiencing different side effects from this birth control, and therefore, there are mixed Junel reviews. The most common side effects include severe mood swings, anxiety, depression, spotting, irritability, and a lower sex drive.

Generic Junel Fe 1.5/30

What is generic Junel Fe 1.5/30?

Generic Junel Fe 1.5/30 contains two different hormones classifying it as a combination birth control pill. It’s also classified as “monophasic,” because the active ingredient level in each active pill remains the same throughout the cycle.

What Does “Fe” Mean In Birth Control?

Birth control pills with “Fe” in their name contain iron supplements in the last reminder pills. These pills are considered inactive “reminder” pills because they do not impact birth control. Many birth control pills including Junel Fe 1.5/30 and the other brands in this group may reduce the heaviness of periods and lessen the amount of bleeding. However, if they do not regulate your period, the iron dosage can help offset low iron levels that may result from heavy bleeding.

Recommended dosages to treat iron deficiency are higher than 75mg, usually 150-200mg. However 75mg of iron is higher than the RDA of iron, so your physician will determine if these iron pills are right for you. Reminder pills also help continue the habit of taking a pill every day.

How Does Generic Junel Fe Prevent Pregnancy?

Similar to other combination birth control pills, the active ingredients norethindrone acetate and ethinyl estradiol in Junel Fe 1.5/30 prevent pregnancy in three ways.

  • The main mechanic of action is to inhibit ovulation or the maturation of the egg.
  • Next, Junel Fe 1.5/30 thickens cervical mucus which is meant to prevent sperm from reaching the egg.
  • Lastly, the pill inhibits the egg from attaching to the uterine lining.

Although no contraceptive is 100% effective when taken as instructed Junel Fe and other combination oral contraceptives are 91% effective according to the Centers for Disease Control (CDC).

How Do I Take Junel Fe?

Take the pill every day at the same time. If you feel nauseous after taking Junel Fe 1.5/30 or any of its equivalent generic or brand versions, taking it with food may ease your stomach.

What Are Off-Label Uses For Junel Fe 1.5/30?

  • Help normalize periods
  • Help relieve painful periods
  • Decrease risk of ovarian cysts
  • Acne in adult women and children 15 and older

To ensure that we provide you with the best price, we may substitute one generic for another.

Think About Contraception

What if I told you that a product is available that can interfere with your hormones to the extent that your daily and monthly rhythms are no longer operational? And because you will no longer have functional brain to ovary signaling, you will likely avoid conceiving if you have sex during what would otherwise have been your 6 fertile days a month. Of course this product’s hormonal effects also leave you with the sense that everything is stable and predictable which is something like turning the white noise up so loud that you don’t hear your own baby crying.

For this, you will risk migraines, weight gain, hypertension, gallstones, cancer, and yes, sudden death without warning. Would you believe that millions of women the world over, line up to take it every day? In fact, they even fight for their right to take it.

After 4 months of post-pill amenorrhea (no return of my natural cycle after stopping 12 years of birth control), I decided to see what the research showed about lesser-known side effects of the pill. I was astounded to find evidence supporting its inflammatory, nutrient-depleting, metabolic, and microbiota-impairing effects. I’ve found recent research linking the pill to cancer, autism, and even brain-based changes. But because so many critical questions have not been asked about what happens when we manipulate the hormonal pathways and feedback loops in the body, we rely on post-marketing research including girls and women dying in the name of contraceptives used for acne or so they can avoid having an inconvenient period.

Then I began paying attention to my patients’ stories. Over and over again, I would learn about their onset of anxiety, depression, and even mania after beginning synthetic hormones.

The Pill and Your Mood

Since the 1960s, there has been controversy around the potential mood-altering effects of oral contraceptives. Over 50 years of public use has not settled the question.

There is acknowledgement; however, that depression is the most common reason for discontinuation of use with pilot studies demonstrating that women using the combined oral contraceptive pill were significantly more depressed than a matched group who were not. The existing research is of fairly compromised quality – mostly reflecting the fact that this topic has not been a research focus over the past several decades. What does exist in the annals of science suggests that there is likely a subset of women for whom oral contraceptives represent a major risk factor for depression and/or related mood disturbance.

Who might these at-risk women be?

From 13 prospective trials, it appears that they have a personal or family psychiatric history (though doesn’t that include the entire population at this point?), one that has been exacerbated by pregnancy/postpartum, and premenstrual periods, and young age. More specifically, women with premenstrual mood symptoms prior to use experience more adverse effects with lower progestin dosages or triphasic OCs, unlike women without this history who experience more psychiatric side effects with higher progestin preparations.

The Pill & Antidepressants: Perfect Together?

Now we have the largest epidemiologic study of its kind, published in JAMA, out of Denmark, entitled Association of Hormonal Contraception with Depression. One million women ages 15-34 were followed for 13 years.

Here’s what they found:

  • Women who were prescribed the combined pill were 23% more likely to be treated with antidepressants
  • Progestin-only treated women (sometimes called the “mini pill”) were 34% more likely
  • Teens were 80% more likely if prescribed the combined pill and two-fold more likely with the progestin only pill

Epidemiologic data is rife with potential confounders and certainly doesn’t demonstrate a clear causal signal, so this is merely food for thought. But what thought? What should we be thinking about as prescribers, as mothers, as women?

I believe in informed consent and free choice.

Because oral contraceptives are poorly studied drugs given to healthy women, prescribers are morally obligated to thoroughly explore the known risks. If you still want to take a pill daily knowing you could develop everything from weight gain to migraines to an unhealthy relationship with your moods all the way to your very life, then that is your choice.

What we are trading to control our cycle

I have come to the perspective that you can never truly own your primal femininity, never answer the question that what your symptoms are asking – from irregular periods to PMS – without deep contact with your hormonal self. Your symptoms are telling you that you need to change – your diet, your sleep schedule, your stress level, or maybe just that plastic you’ve been microwaving.

I’m not sure it’s truly possible to live the life you are here to live, while your vitality-supportive sex hormones are hijacked by Pharma.

If you’re taking birth control for your hormonal imbalance, heal your body. Start with food. Add detox and meditation the way we do in Vital Mind Reset. Consider herbal support.

It’s not hard, and the side effects are incredible – from clear skin to weight loss to a healthy sex drive. When you balance your hormones, you learn that a woman’s experience is cyclical. Energies shift to particular rhythms and you can watch yourself to know exactly when in your life you’re supposed to be doing what. It’s called getting in touch with yourself and it’s what true empowerment is all about.

If you’re taking birth control for contraception, own your right to keep Pharma out of your bedroom, to bring your full vital self to your sexuality, and work with your body, not against it. This is my favorite gadget for learning how to do that…and it’s 99.3% effective.

This is the new feminism. Spread the word!

The oral contraceptive pill is a popular choice among women, with about 100 million individuals worldwide using it. There’s no denying it revolutionised female sexual health, and while the health effects (both good and bad) associated with the birth-control pill are well documented – reduced risk of ovarian cancer, improvement in skin health, an increased chance of breast cancer, etc – there has been limited research into its connection to anxiety.

So, if you’re questioning why symptoms of anxiety now plague your day, read on.

Does the pill cause anxiety?

A study published in Human Brain Mapping found a link between the pill and your mental state. Scientists at the University of California, Los Angeles, studied 90 women – 44 of whom were on the pill. The researchers compared the thickness of different areas of the brain between the two groups.

They found that two specific regions of the brain – the lateral orbitofrontal cortex and the posterior cingulate cortex – appeared to be thinner in those on the pill, compared with those on their natural cycles. A bit of background: the lateral orbitofrontal cortex is what helps us regulate emotions in response to external stimuli, while the posterior cingulate cortex helps us to evaluate our internal state of mind.

And given that sex hormones strongly influence the brain and the nervous system, it makes sense that the pill could be the reason some women experience symptoms of anxiety and depression.

The study is far from conclusive, so don’t throw out your pill packet just yet.

However, Dr Geetha Venkat of Harley Street Fertility Clinic agrees that there could be an indirect link: ‘Common side effects of the pill include mood swings. However, in women who are prone to anxiety, depression, panic attacks or other mental symptoms, the Pill may amplify these symptoms and increase their severity.’

Can the pill affect your mood?

The Debrief* launched their own investigation into the link between the pill and mental health. They surveyed 1,022 readers, aged 18-30. They found:

  • 93% had taken or were taking the pill
  • Of these, 45% had experienced anxiety and 45% had experienced depression
  • 46% said taking the pill had decreased their sex drive
  • 58% believed that the pill had a negative impact on their mental health – 4% believed it had a positive effect

A study at the University of Copenhagen seemingly backs up their findings. They discovered that women taking the pill – either the combined pill or the progestogen-only pill – were more likely to be prescribed an antidepressant than those not on hormonal contraception.

But promotion to bin pills this is not. Rather, it’s essential coverage of a conversation that needs more voices. For instance, look inside your pill packet and you’ll notice ‘depression’ is listed as a side effect of the pill on the pamphlet. But click over to the NHS website and the repercussions of popping the pill are played down (“mood swings” and “mood changes” are what they refer to).

Period Power £9.17

So if you have experienced (or have a family history of) anxiety or depression, do speak to your GP. You are not alone and you might find the new forms of non-hormonal contraception such as period trackers might suit you better.

* The Debrief closed in 2018.

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Does The Pill Cause Mood Swings? How Hormonal Birth Control Affects Your Mood

We at Bustle love giving you tips for how to tap into your sexual potential and troubleshoot when things aren’t going your way in the bedroom. But what about finding solutions to those stressful sexual health situations that inevitably crop up when you’re getting down? Emma Kaywin, a Brooklyn-based sexual health writer and activist, is here to calm your nerves and answer your questions. No gender, sexual orientation, or question is off limits, and all questions remain anonymous. This week’s topic: whether the Pill can cause mood swings.

Q: I started taking the Pill last month and I’m completely falling apart. One minute I’m totally fine … and the next I’m sobbing. What in the actual f%#k is going on? Is this normal? How can I make it stop? I can’t go to work and everything is terrible. I thought the Pill was supposed to make your mood swings better — but could they actually make them worse?

A: Oh no, I’m so sorry to hear that’s happening to you! Let’s get right to it: mood swings are a listed side effect of the hormonal birth control pill. That probably doesn’t make you feel any better, but knowledge is a sort of power in this situation. Why the Pill can mess with your emotions is actually kind of complicated, and actually disputed — so let’s learn about what scientists know and what they’re still trying to figure out, and then talk about solutions for you.

How Hormonal Birth Control Works

Image Point Fr/

First of all, it’s important to know how hormonal birth control works, so that you can get a sense of how your body changes when you’re on it. With your natural menstrual cycle, your hormone levels are constantly dipping and rising. Really, you can think of your cycle as made up of a bunch of mini cycles. The main hormones involved in this up and down are estrogen, progesterone, and testosterone. Depending on the levels of each of these hormones in your body, different parts of your menstrual cycle are triggered — like thickening your endometrium (the nutrient-rich lining of your uterus that grows to feed any embryos you may make), maturing your eggs, and releasing them into your fallopian tubes.

Hormonal birth control changes the levels of these hormones in your body by introducing synthetic versions at a constant level. Some oral contraceptives have a mix of estrogen and progestin (the name for the synthetic progesterone look-alike), and others contain only progestin.

These unnatural levels of hormones in your system hinder your body from becoming pregnant by stopping ovulation. Ovulation is triggered by very low levels of estrogen, testosterone, and progesterone. With the Pill, the levels of progesterone (and estrogen, if it’s in the Pill you take) don’t allow the hormone dip that triggers your natural monthly egg maturation and drop.

Does Hormonal Birth Control Cause Mood Swings?

Andrew Zaeh for Bustle

Hormonal birth control can cause a number of unpleasant side effects, including nausea, breakthrough bleeding, and decreased libido. Mental health side effects often listed include depression, mood swings, or feelings of nervousness. What we do know is that most people don’t notice mood changes when they are on the Pill. But what does the science say about people who start to feel terrible when they start hormonal birth control? Well, it’s complicated. Let’s examine the case for the Pill causing mood swings, and the case against it.

The Case For Yes

Ashley Batz/Bustle

If you notice that you only got sad or upset after you started the Pill (and there’s no other obvious explanation, like a break-up, work stress, or family drama), there’s a possibility that the new hormones you’re introducing into your system are to blame. A few studies have found correlations between going on the Pill and feeling mentally not-good. A conclusive finding is that a history of depression is a predictor of experiencing worse moods on the Pill. And a recent study found that, of people who had in the past had negative mood experiences on the Pill, those who took the actual birth control pill instead of a placebo (fake pill with no hormones in it) reported worse mood as well as more fatigue and mood swings.

What’s going on here? To find out, we have to look into the murky world of hormones. Remember that all birth control pills contain progestin, and some have estrogen too. Both of these hormones affect mood. If you’re not on hormonal birth control, you’ve felt the effects of lots of progesterone and estrogen flooding your system. It happens right after you ovulate, and it’s called PMS. But what does putting more of these chemicals consistently into your body do?

Unfortunately, it’s complicated. What we do know is that progesterone, among many other things, lessens anxiety and depression and helps you relax and sleep. That’s totally relevant to mood. Estrogen increases serotonin, a chemical that helps balance your mood, and modifies how your body produces and feels the effects of endorphins, which are the chemicals in your brain that make you feel good. However, researchers have found that giving people more estrogen can improve their mood, but it can also cause fear and anxiety. And then to complicate it even more, if your estrogen and progesterone levels are imbalanced, you could experience insomnia and anxiety.

The Case For Not So Much

Ashley Batz/Bustle

Alongside the studies finding people who report that they really do feel worse after starting the Pill are other studies that say just the opposite. One study found that, of 9,000 people, those on the Pill weren’t any more likely to be depressed than those not on it. Other studies have found that most people who had mood changes on the Pill actually had fewer depressive symptoms than people not on the Pill, and yet another study found that the Pill may actually stabilize your mood. Finally, research has found that you’re less likely to experience depressive symptoms over time on the Pill— so basically, the worst side-effects could go away after a few months.

Wait, So Why Can’t They Figure It Out For Sure?

Ashley Batz/

It shouldn’t come as that much of a surprise that if researchers don’t know if the Pill actually affects your mood or not, they probably don’t know for sure why those mood changes happen. But here’s one thing they do know — the hormones found in birth control pills mess with your brain structure a bit. Specifically, humans taking hormonal birth control pills have thinner cortexes in a couple parts of their brains — the lateral orbitofrontal cortex and the posterior cingulate cortex, to get technical.

This is important because the first part is related to decision making, and the second does a bunch of things, including helping to process emotions. Starting to sound relevant? These brain changes could help explain feelings of depression and anxiety that some people feel when on the Pill. But way more research needs to be done on these very new findings.

The Bottom Line

Ashley Batz/Bustle

Researchers just don’t know why some people have a mood swing reaction to the hormones introduced into their bodies by the hormonal birth control pill. They posit that some people are more sensitive to hormones than others, so some people are more likely to feel worse on the Pill. But the reality is that hormones work together in extremely complex ways that makes it basically impossible to know how an individual human is going to react.

If you’re experiencing negative feelings on the birth control pill, the research shows that the best thing for you to do is to stop taking it. Switching pill formulations doesn’t often help if your mood is actually reacting to the Pill. Luckily, there are so many birth control options out there — I recommend going onto Bedsider to learn about them all. Non-hormonal options include the copper IUD and the diaphragm. If you really do want to stay on the Pill, you can talk to your doctor about getting on an antidepressant too.

Our bodies are complicated, hormones are powerful, and scientists don’t know all of the facts. But if your birth control is making you feel terrible, choose another method. You’re in a position to change your birth control, so if your mood is a reaction to the Pill, you can fix it! Yes, you.

Images: Liz Minch/Bustle; Amber McNamara/Flickr, Giphy

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