4. , the first day of her menstrual bleeding, and when doing so, no additional contraceptive measures are necessary. If the first tablet is taken on days 2 to 5 of the woman’s menstruation, this medicinal product will not be effective until after the first 7 consecutive days of pink active tablet-taking.
A reliable barrier method of contraception such as a condom must therefore be used additionally during these first 7 days. The possibility of pregnancy should be considered before starting Drovelis. • Changing from a CHC (combined oral contraceptive (COC), vaginal ring or transdermal patch) The woman should start with Drovelis preferably on the day after the last active tablet (the last tablet containing the active substances) of her previous COC, but at the latest on the day following the usual tablet-free or placebo tablet interval of her previous COC.
In case a vaginal ring or transdermal patch has been used the woman should start using Drovelis preferably on the day of removal, but at the latest when the next application would have been due. • Changing from a progestogen-only-method (progestogen-only pill, injection, implant) or from a progestogen-releasing intrauterine system (IUS) The woman may switch any day from the progestogen-only pill (from an implant or the IUS on the day of its removal, from an injectable when the next injection would be due) but should in all of these cases be advised to additionally use a barrier method for the first 7 consecutive days of tablet-taking.
• Following first-trimester abortion The woman may start immediately. When doing so, she needs not take additional contraceptive measures. • Following delivery or second-trimester abortion Women should be advised to start between day 21 and 28 after delivery or second- trimester abortion.
When starting later, the woman should be advised to additionally use a barrier method for the first 7 days. However, if intercourse has already occurred, pregnancy should be excluded before the actual start of CHC use or the woman has to wait for her first menstrual period.
For breast-feeding women see section