One of the most difficult systems to navigate in health care is that of a woman’s own health. In the 20 some odd years that I have lectured about health promotion, through the countless teenagers, young adults, newly married, and the over 60 crowd, there is always one common denominator that spans across culture, age and continents. No woman likes to go to the gynecologist.
As our lives become busier with work, family obligations, and relationship demands, it is easier to delay the visit; we can find a million excuses why not to go. Yet one thing will always push us, the need for contraception.
Today surprisingly, we do have a wide range of possibilities, yet I meet many women who are not aware of the options they have. So now, I’ll take you on a quick review of what your contraceptive options are in Israel.
Pills: The COC, or combined oral contraceptive pill, is, by far, the most widely used method and is good for women who want an easily reversible, non-invasive method, for either during nursing (see minipill below) or not.
Because names tend to change across countries, I’m including a table so you can figure out the name that your pill is under here In Israel (Kind of reads like a family reunion).
|Brand Name in Israel||Active Ingredients||Company|
|Diane 35||cyproterone and ethinyl estradiol.||Bayer|
|Emily||ethinylestradiol + gestodene||Haupt Pharma Munster|
|Feminet||ethinylestradiol + Desogestrel||Dexxon|
|Flame||ethinylestradiol + gestodene||Dexcel|
|Floret||ethinylestradiol + gestodene||Dexcel|
|Gynera||ethinylestradiol + gestodene||Bayer|
|Harmonet||ethinylestradiol + gestodene||Pfizer|
|Lodene/Meliane||ethinylestradiol + gestodene||Bayer|
|Logynon||ethinylestradiol + Levonorgestrel||Bayer|
|Mercilon||ethinylestradiol + Desogestrel||Organon|
|Microdiol||ethinylestradiol + Desogestrel||Organon|
|Microgynon||ethinylestradiol + Levonorgestrel||Bayer|
|Minesse||ethinylestradiol + gestodene||Pfizer|
|Minulet||ethinylestradiol + gestodene||Pfizer|
|Neogynon||ethinylestradiol + Levonorgestrel|
|Minovlar*||Not identified in misrad habriut|
|Nordette||ethinylestradiol + Levonorgestrel||Pfizer|
|ethinylestradiol + Levonorgestrel||Teva [not for sale in Israel as of April 2017]|
|Zoely||Nomegestrol acetate/ Estradiol||Organon|
|Shelly||ethinylestradiol + gestodene||Haupt Pharma Munster|
|4th generation with different type of progesterone and smaller dosage of estrogen|
|Yasmin||Drospirenone and Estrogen||Bayer|
|Yaz||Drospirenone and Estrogen||Bayer|
|Progesterone Only Pills (Mini-Pill)|
You can see that the active ingredients are often the same, but dosage and timing differ, that’s why if you’re experiencing negative side effects from your current contraceptive, ask your doctor to try another type.
In addition, some pills are given for additional positive benefits, such as reducing facial hair or severe acne. Discuss those alternatives with your physician as well.
Costs of these products also depend on the product itself, and to which kupah you belong.
I found this good resource online, not so updated, but helpful if you’re traveling through Europe, Israel and the United States and want to know how to ask the doctor for your specific contraceptive.
Part 2 next week: long-lasting hormonal options, and non-hormonal methods available in Israel