Aurovela FE 1.5/30 is a combination hormonal contraceptive containing norethindrone acetate (a progestin) and ethinyl estradiol (an estrogen), along with ferrous fumarate (iron) [1.6.8]. It primarily works by preventing ovulation (the release of an egg from an ovary). Like all medications, it comes with potential side effects ranging from mild to severe.
Common Side Effects
Many users of combination oral contraceptives (COCs) experience minor side effects, especially during the first few months as their body adjusts [1.6.1]. These effects often subside over time. If they persist or are bothersome, consulting a healthcare provider is recommended [1.6.4].
Common side effects include:
- Nausea and Vomiting: This is particularly common when first starting the pill and may lessen over time [1.6.1, 1.6.8]. Taking the pill with food or at bedtime can help.
- Headaches: Headaches, including migraines, can occur [1.6.8]. New, persistent, or severe headaches should be evaluated by a doctor [1.6.1].
- Breast Tenderness or Enlargement: The hormones can cause changes in breast tissue, leading to tenderness, pain, or swelling [1.6.3, 1.6.4].
- Irregular Bleeding or Spotting: Breakthrough bleeding between periods is common, especially in the first three months of use [1.6.1]. Some users may also experience lighter periods or missed periods [1.6.3].
- Mood Changes: Some individuals report mood swings or feelings of depression [1.6.1, 1.6.3]. Any new or worsening depression should be discussed with a healthcare provider immediately [1.6.1].
- Weight Changes: While some people report weight gain, others may experience weight loss. The medication can affect appetite [1.6.1, 1.6.3].
- Skin Changes: Acne may improve or worsen [1.6.1]. Another possible side effect is melasma, which are dark patches on the face, especially with sun exposure [1.6.5].
Serious Side Effects and Risks
Though less common, Aurovela FE 1.5/30 carries risks for serious medical conditions. These require immediate medical attention. The risk for some of these events is higher in certain individuals, such as those over 35 who smoke [1.6.1].
Vascular Problems (Blood Clots) This is one of the most serious risks associated with COCs. Blood clots can form in the legs (deep vein thrombosis or DVT), lungs (pulmonary embolism), heart (heart attack), or brain (stroke) [1.6.8].
Seek emergency help if you experience:
- Sudden leg pain, swelling, warmth, or redness [1.6.2, 1.6.8].
- Shortness of breath or stabbing chest pain [1.6.2].
- Sudden severe headache, confusion, or trouble with vision or speech [1.6.2].
- Weakness or numbness on one side of the body [1.6.3].
Liver Problems In rare cases, COCs can lead to liver problems, including benign or malignant liver tumors [1.6.1, 1.6.8]. Rupture of a liver tumor can cause life-threatening internal bleeding [1.6.1]. Symptoms of liver issues include yellowing of the skin or eyes (jaundice), severe stomach pain, dark urine, or unusual tiredness [1.6.2, 1.6.4].
High Blood Pressure (Hypertension) Birth control pills can increase blood pressure [1.6.1, 1.6.8]. This risk increases with age and duration of use [1.6.1]. It's important to have your blood pressure monitored regularly by a healthcare provider [1.6.5].
Gallbladder Disease Studies suggest a small increased risk of developing gallbladder disease or worsening existing conditions while on COCs [1.6.1, 1.6.8]. Symptoms can include severe pain in the upper stomach, fever, and jaundice [1.6.4].
Comparison of Contraceptive Side Effects
| Method | Common Side Effects | Serious Risks |
|---|---|---|
| Aurovela FE (COC) | Nausea, headache, spotting, breast tenderness, mood changes [1.6.1, 1.6.8] | Blood clots, stroke, heart attack, liver tumors, high blood pressure [1.6.1, 1.6.8] |
| Progestin-Only Pill (Minipill) | Irregular bleeding, ovarian cysts, headache, nausea, dizziness [1.6.9] | Ectopic pregnancy [1.6.9] |
| IUD (Hormonal) | Irregular periods, cramping/pain at insertion, ovarian cysts | Perforation of the uterus, pelvic inflammatory disease, ectopic pregnancy |
| Copper IUD (Non-Hormonal) | Heavier or longer periods, cramping, spotting between periods | Perforation of the uterus, pelvic inflammatory disease, ectopic pregnancy |
Conclusion
Aurovela FE 1.5/30 is an effective form of birth control, but it's essential to be aware of the potential side effects. While many side effects are mild and temporary, serious risks like blood clots and liver problems exist. It is crucial to discuss your personal and family medical history with your healthcare provider to determine if this medication is a safe choice for you. Always report any new or worsening symptoms to your doctor, and seek emergency care for signs of serious complications [1.6.1].
Disclaimer: This article is for informational purposes only and does not constitute medical advice. Always consult with a qualified healthcare professional for any health concerns or before making any decisions related to your health or treatment.
