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Aurovela 1/20 Review

Aurovela 1/20 is an oral hormonal contraceptive which is used for birth control. The drug contains 2 female hormones: ethinyl estradiol and norethisterone.


Indications for use

  • Hormonal contraception;
  • Menstrual disorders.

Mechanism of action

The drug blocks ovulation. Due to the combination of estrogen with progestogen, Aurovela 1/20 can both stimulate and delay menstruation and help stop the acyclic uterine bleeding.

Dosage and mode of application

Each pack of the drug contains 21 pills, each containing the constant dose of ethinyl estradiol and norethisterone.

You can start taking the drug on the first day of your menstruation or next Sunday. If you are Sunday-starter, you must use backup methods of preventing pregnancy until you have your next menstruation).

Take the tablets at the same time of a day (better in the morning or before bedtime), for 21 days in a row. Then make a 7-day break. Menstrual-like bleeding should occur 2-3 days after you have taken the last pill. Start a new pack after a 7-day break.


An overdose of birth control pills can cause nausea, vomiting, or vaginal bleeding. The treatment is symptomatic, there is no antidote.

Side effects

Like other COCs, Aurovela 1/20 can cause adverse reactions:

  • a headache, nausea;
  • vomiting;
  • a tension of the mammary glands;
  • gastrointestinal complaints;
  • fluid retention in the body;
  • menstruation disorders;
  • impaired sensitivity;
  • change in body weight;
  • a feeling of increased fatigue, (disappears spontaneously during treatment).


  • Hypersensitivity to ethinyl estradiol/norethisterone;
  • Age under 18;
  • Herpes;
  • Obesity, lipid metabolism disorders;
  • Cholestatic jaundice (hepatitis) of pregnant women, skin itch in the anamnesis;
  • Bleeding of unknown origin (genital, urinary tract);
  • Acute thrombophlebitis, thromboembolism, a tendency to thrombosis;
  • Impaired kidney and liver function, hyperbilirubinemia;
  • Acute liver diseases (benign, malignant neoplasms);
  • Hepatitis (including in the anamnesis);
  • Pregnancy (suspected or current);
  • Malignant tumors of the genital organs;
  • Breast cancer (suspected or current).

With caution:

  • Thrombophlebitis, thromboembolism in a history;
  • Liver disease, a history of hyperlipidemia;
  • Convulsions, migraine, epilepsy and other dysfunctions of the central nervous system in a history;
  • Diabetes mellitus, renal failure, bronchial asthma in a history;
  • Chronic heart failure, arterial hypertension in a history.


Do not combine Aurovela 1/20 tablets with the following drugs:

  • microsomal liver enzymes, such as phenytoin, barbiturates, primidone, carbamazepine, rifampicin, oxcarbazepine, and rifabutin;
  • griseofulvin;
  • herbal preparations containing St. John’s wort;
  • cyclosporine.

Pregnancy and breastfeeding

Do not use this drug during pregnancy and breastfeeding since ethinyl estradiol and norethisterone may penetrate into breast milk and change the quality and quantity of the milk.

What if I miss a pill?

1 pill is missed:

  • take the pill as soon as you remember;
  • the next pill is taken at your regular time.

2 consecutive pills are missed (week 1 or week 2):

  • take 2 pills on the day you remember;
  • take 2 pills the next day, then return to your usual schedule;
  • use a backup method of contraception for 7 days following the missed tablets.

2 consecutive pills are missed (week 3):


  • continue taking 1 tablet daily until Sunday;
  • discard the remaining tablets;
  • start a new pack that same day;
  • use a backup method of contraception for 7 days following the missed pills.

Day-1 Start:

  • discard the rest of the tablets;
  • start a new pack immediately;
  • use a backup method of contraception for 7 days following the missed tablets.

3 or more consecutive pills are missed (week 1, 2, 3):


  • keep taking 1 pill daily until Sunday;
  • discard the remaining pills;
  • start a new pack that same day;
  • use a backup method of contraception for 7 days following the missed tablets.

Day-1 Start:

  • discard the remaining pills;
  • start a new pack immediately;
  • use a backup method of contraception for 7 days following the missed tablets.

The possibility of ovulation/bleeding increases with each missed tablet, especially if you missed 2 or more tablets in a row.


Before taking birth control pills and every 6 months, general medical and gynecological examinations are recommended (including gynecological monitoring, examination of the mammary glands, liver function, control of blood pressure and cholesterol concentration in the blood, urinalysis, cytological smear analysis). the drug may change the results of skin allergy tests, reducing the concentration of LH and FSH.

Hormonal contraception should be stopped immediately in the following cases: pregnancy, migraine-like headaches, unusual pain or flatulence in the legs, jaundice, visual disturbances, cerebrovascular disorders stabbing pain of obscure etiology when breathing or coughing, pain and tightness in the chest, an increase in blood pressure, 3 months before the planned pregnancy and approximately 6 weeks before the planned surgery followed by prolonged immobilization.

Spotting during the course does not require discontinuation of the contraceptive but if you have severe vaginal bleeding, you must stop taking pills and consult a gynecologist.

If you have diarrhea or vomiting 1-4 hours after taking a pill, it is necessary to use additional backup methods of birth control for one week).

Use after childbirth is recommended after the first normal period.

The contraceptive effect decreases with regular excessive intake of ethanol.

During lactation, milk production may decrease. The active substances are excreted in breast milk.

Smoking women who take Aurovela 1/20 for birth control have an increased risk of developing vascular diseases with serious consequences (myocardial infarction, stroke). The risk increases with age and depending on the number of cigarettes smoked (especially in women over the age of 30).

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