Junel Fe Birth Control: Your Life, Your Control

Young beautiful woman with curly hair wearing casual sweater over isolated pink background smiling confident touching hair with hand up gesture, posing attractive and fashionable

Embarking on the journey of choosing birth control is like standing at a crossroads of personal freedom, and Junel Fe birth control is a companion many women trust on this path. A tiny tablet, small enough to rest on the tip of your finger, carries the power to grant you autonomy and peace of mind. It’s not just about preventing pregnancy; it’s about giving you space to breathe, plan, and live on your terms.

But what’s the real story behind Junel Fe, and why does it garner such trust? Is it the ease, the effectiveness, or perhaps the sense of control it returns to women? Dive in as we unwrap the layers of Junel Fe, bringing to light the facts and heartfelt experiences that elevate it from a mere medical prescription to a daily dose of empowerment.

Related: Marlissa Birth Control: An In-Depth Review of a Popular Contraceptive Option

What is Junel Fe Birth Control?

Junel Fe Birth Control
Image Source: www.thelowdown.com/

Junel Fe birth control pill (norethindrone acetate and ethinyl estradiol tablets USP and ferrous fumarate tablets) is a type of combination hormone medication that is used to prevent pregnancy manufactured by Teva Pharmaceuticals. It contains two hormones: norethindrone, which is a progestin, and ethinyl estradiol, which is an estrogen. In addition to preventing pregnancy, Junel Fe may also have other benefits such as making periods more regular, decreasing blood loss and painful periods, decreasing the risk of ovarian cysts, and treating acne. However, it does not protect against sexually transmitted diseases.

Junel Fe is available in different formulations, including Junel 21 and Junel Fe 28, which are both indicated for the prevention of pregnancy in women who choose to use oral contraceptives. The 21-day pack contains 21 pills with active medication, while the 28-day pack contains 21 pills with active medication and 7 reminder pills with iron. Women should take one active pill daily for 21 days and then one inactive pill with iron daily for 7 days, starting a new pack on the same day each month.

The efficacy of Junel Fe 24, which is another formulation of the medication, has not been evaluated in women with a body mass index (BMI) of over 35 kg/m². Junel Fe 24 consists of 24 light yellow active tablets containing norethindrone acetate and ethinyl estradiol, and 4 brown inert tablets containing ferrous fumarate, which serve no therapeutic purpose.

The chance of getting pregnant while using Junel Fe depends on how well the directions for taking the birth control pills are followed. Based on the results from a clinical study, about 1 to 4 out of 100 women may get pregnant. Junel Fe is available by prescription and is often recommended because of its low dose of estrogen. It is covered by most insurance plans and can be conveniently delivered to your home.

GoodRx mentions that Sprintec, Junel FE, and Apri are the most commonly prescribed oral birth control options in the US

Related: Hailey 24 Fe Birth Control Pills: End Period Woes!

How does the Junel Fe birth control pill work?

Junel Fe works to prevent pregnancy in three ways:

  • Preventing the release of eggs from the ovaries during the menstrual cycle
  • Increasing the density of vaginal fluids to make it more difficult for male sperm to reach an egg
  • Changing the lining of the womb to make it more difficult for attachment to take place in the unlikely event that an egg was released and fertilized

How is Junel Fe Birth Control used?

The pill pack contains 21 pills with active medication and 7 reminder pills with iron. Users should take one active pill (with hormones) once daily for 21 days in a row and one inactive pill (with iron) once daily for 7 days in a row after taking the last active pill, unless otherwise directed by a doctor. The period should occur during the fourth week of the pack. After taking the last iron tablet in the pack, users should start a new pack the next day, regardless of whether or not they have their period.

What should someone do if they miss a dose?

If someone misses a dose of Junel Fe, they should take the missed pill as soon as possible, even if it means taking two pills in one day. They should then continue taking one pill a day at the regular time until the pack is finished. If someone misses two active pills in week 1 or 2, they should take two pills as soon as possible and two more pills the next day. They should then continue taking one pill a day until they finish the pack.

If someone misses two active pills in week 3, or they miss three or more active pills in a row in weeks 1, 2, or 3, they should throw away the rest of the pack and start a new pack that same day. They should use a backup method of birth control for the next seven days. If someone misses a pill and has unprotected sex, they should talk to their healthcare provider about emergency contraception.

what precautions to take before taking Junel Fe?

Before taking Junel Fe, it’s crucial to take certain precautions to ensure your safety and the medication’s effectiveness. Here are the precautions you should consider:

  1. Allergies:
    • Inform your doctor or pharmacist if you have allergies to ethinyl estradiol, norethindrone, ferrous fumarate, other estrogens, progestins, iron products, or any other allergies.
    • The product may contain inactive ingredients that can cause allergic reactions or other issues.
  2. Medical History:
    • Discuss your medical history with your doctor or pharmacist, especially if you have had:
      • Blood clots or clotting disorders.
      • High blood pressure.
      • Abnormal breast exams, cancer (particularly endometrial or breast cancer).
      • High cholesterol or triglyceride levels.
      • Depression, diabetes.
      • Family or personal history of angioedema.
      • Gallbladder problems.
      • Severe headaches or migraines.
      • Heart problems (e.g., valve diseases, irregular heartbeat, previous heart attacks).
      • History of jaundice caused by birth control.
      • Kidney or liver diseases (including tumors).
      • Obesity, stroke, swelling (edema), thyroid problems.
      • Unexplained vaginal bleeding.
  3. Diabetes:
    • If you have diabetes, this medication may affect your blood sugar levels. Monitor your blood sugar regularly, and share the results with your doctor. Be vigilant for symptoms of high blood sugar, including increased thirst and urination.
  4. Surgery or Prolonged Immobility:
    • Inform your doctor if you’ve recently had surgery or will be having surgery, or if you’ll be confined to a bed or chair for an extended period (e.g., long plane flight). These conditions increase your risk of blood clots, particularly when using hormonal birth control. You may need to temporarily stop this medication or take special precautions.
  5. Sun Sensitivity:
    • Junel Fe may cause blotchy, dark areas on your skin (melasma). Sunlight can worsen this effect, so limit your time in the sun, avoid tanning booths and sunlamps, and use sunscreen and protective clothing outdoors.
  6. Vision Changes:
    • If you’re nearsighted or wear contact lenses, be aware that vision problems or discomfort with your lenses could develop. If these issues arise, contact your eye doctor.
  7. Pregnancy and Breastfeeding:
    • It may take longer for you to become pregnant after stopping birth control pills. Discuss this with your doctor.
    • Junel Fe should not be used during pregnancy. If you become pregnant or believe you may be pregnant, inform your doctor immediately.
    • If you’ve recently given birth or had a pregnancy loss/abortion after the first trimester, discuss reliable birth control methods with your doctor and determine when it’s safe to start a method containing estrogen.
    • Junel Fe may reduce breast milk production and pass into breast milk, potentially affecting a nursing infant. Consult your doctor before breastfeeding.

How does Junel Fe interact with other medications?

Junel Fe can interact with other medications, which may affect how the birth control works or increase your risk for serious side effects. Here’s what you need to know about these interactions:

  1. Potential for Drug Interactions:
    • Interactions between Junel Fe and other drugs could alter the way your medications work, enhancing your risk for severe side effects.
    • It’s important to note that not all possible drug interactions are listed in the medication guidelines, so awareness and communication with your healthcare providers are crucial.
  2. Management of Medications:
    • Maintain a comprehensive list of all products you’re using, including prescription and non-prescription drugs, as well as herbal products. Share this list with your doctor and pharmacist to create a full understanding of your regimen.
    • Avoid starting, stopping, or altering the dosage of any medicines without prior approval from your doctor.
  3. Specific Interacting Products:
    • Certain products known to interact with Junel Fe include:
      • Aromatase inhibitors (e.g., anastrozole, exemestane)
      • Fezolinetant
      • Ospemifene
      • Tamoxifen
      • Tizanidine
      • Tranexamic acid
      • Some combination products for chronic hepatitis C (e.g., ombitasvir/paritaprevir/ritonavir with or without dasabuvir)
  4. Effect on Hormonal Birth Control:
    • Some drugs can reduce the effectiveness of hormonal birth control by decreasing the amount of birth control hormones in your body, potentially leading to pregnancy. Examples include:
      • Griseofulvin
      • Modafinil
      • Rifamycins (e.g., rifampin, rifabutin)
      • Ritonavir
      • St. John’s wort
      • Certain seizure medications (e.g., barbiturates, carbamazepine, felbamate, phenytoin, primidone, topiramate)
      • Certain HIV medications (e.g., nelfinavir, nevirapine)
  5. Communication with Your Doctor:
    • Inform your doctor when you begin any new medication, and discuss whether you should adopt additional reliable birth control methods.
    • Report any spotting or breakthrough bleeding to your doctor, as these could indicate that your birth control is not functioning properly.
  6. Interference with Lab Tests:
    • Junel Fe may interfere with certain laboratory tests (such as those involving blood clotting factors or thyroid tests), potentially leading to false test results.
    • Ensure laboratory personnel and all your doctors are aware that you are using this medication.

How safe is Junel Fe birth control pill?

Junel Fe is generally considered safe for most women when used as directed. However, its safety can depend on individual health conditions and circumstances. It’s effective in preventing pregnancy, but users should be aware of potential side effects, including a slightly increased risk of blood clots, especially in smokers and women over 35. It’s essential for women considering Junel Fe to consult with a healthcare provider to discuss personal health history and any potential risks.

What are possible side effects of Junel Fe?

Junel Fe, like other medications, can cause side effects. While many individuals may not experience serious side effects, it’s important to be aware of what these could entail and when to seek medical attention. Here are the potential side effects of Junel Fe:

Common Side Effects:

  • Nausea or vomiting
  • Headaches
  • Bloating
  • Breast tenderness
  • Swelling of the ankles or feet due to fluid retention
  • Weight changes
  • Vaginal bleeding between periods (spotting) or missed/irregular menstrual periods, particularly during the first few months of use

If these common side effects persist or worsen, it’s recommended to contact your doctor or pharmacist promptly. Additionally, if you miss two consecutive periods, or one period if the pills have not been taken correctly, you should contact your doctor for a pregnancy test.

Serious Side Effects: Some users may experience more severe side effects, including:

  • Lumps in the breast
  • Mental or mood changes (e.g., new or worsening depression)
  • Severe stomach or abdominal pain
  • Unusual changes in vaginal bleeding (like continuous spotting, sudden heavy bleeding, or missed periods)
  • Dark urine
  • Yellowing of the eyes or skin

These symptoms are cause for immediate medical attention.

Critical Conditions: In rare cases, Junel Fe can cause serious, sometimes fatal, complications due to blood clots, such as:

  • Deep vein thrombosis
  • Heart attack
  • Pulmonary embolism
  • Stroke

Urgent medical help is necessary if any of these symptoms occur:

  • Chest pain, discomfort in the jaw or left arm
  • Confusion
  • Sudden dizziness or fainting
  • Pain, swelling, or warmth in the groin or calf
  • Difficulty speaking
  • Sudden shortness of breath or rapid breathing
  • Unusual headaches, including those with vision changes, lack of coordination, worsening migraines, or severe headaches
  • Unusual sweating
  • Weakness on one side of the body
  • Vision problems or changes (e.g., double vision, partial or complete blindness)

Allergic Reactions: Though rare, some individuals may have a severe allergic reaction to the medication. Immediate medical help is needed if symptoms of a serious allergic reaction develop, including:

  • Rash
  • Itching or swelling, especially of the face, tongue, or throat
  • Severe dizziness
  • Trouble breathing

It’s important to note that this is not an exhaustive list of possible side effects. If you notice other effects not listed above, you should contact your healthcare provider. In the US, you can report side effects to the FDA at 1-800-FDA-1088 or at www.fda.gov/medwatch. In Canada, you can report side effects to Health Canada at 1-866-234-2345. Always consult with a medical professional for advice about side effects.

How to store and handle Junel Fe Birth Control?

Storing and handling Junel Fe birth control requires specific steps to ensure its effectiveness is not compromised. Here’s how to do it:

  1. Storage Conditions:
    • Keep the product at room temperature.
    • Protect it from exposure to light and moisture.
    • Do not store it in the bathroom where humidity levels are typically high, as this environment can affect the medication’s potency.
  2. Safety Measures:
    • Ensure all medications, including Junel Fe, are kept out of reach of children and pets. They could be harmful if ingested accidentally and can cause serious health risks.
  3. Disposal of the Medication:
    • Do not dispose of medications, including Junel Fe, by flushing them down the toilet or pouring them into a drain, unless specifically instructed by your healthcare provider or pharmacist. These methods of disposal can lead to environmental pollution.
    • When the product is expired or no longer needed, it should be discarded properly. This step is crucial to prevent others, especially children or pets, from consuming it.
    • For guidance on the proper disposal of your medication, consult with your pharmacist or local waste disposal company. They can provide instructions on how to safely dispose of it, potentially through a take-back program or a household trash method following specific safety measures.

Where can one get Junel Fe Birth Control?

Junel Fe birth control can be obtained from various sources, including:

  • Pharmacies: Junel Fe is available at most pharmacies including Nurx, and the cost will depend on your coverage and where you choose to purchase it.
  • Online platforms: Several online platforms offer Junel Fe, providing the convenience of home delivery. These platforms include:

what are Junel Fe pill alternatives?

Here are some alternatives to Junel Fe pills:

  • Lo Loestrin Fe: A combination birth control pill that contains norethindrone acetate and ethinyl estradiol. It is approved by the FDA to prevent pregnancy in women under 35 who do not smoke.
  • Sprintec: A combination birth control pill that contains norgestimate and ethinyl estradiol. It is also used for contraception and to treat dysfunctional uterine bleeding, dysmenorrhea, and endometriosis.
  • Depo-Provera: A progestin-only injectable birth control method that is prescribed for birth control and heavy menstrual bleeding.
  • Norethindrone: A progestin-only pill that is prescribed for birth control and heavy menstrual bleeding.
  • Yaz: A combination birth control pill that contains drospirenone and ethinyl estradiol. It is prescribed for contraception, dysmenorrhea, and endometriosis.
  • Mirena: A levonorgestrel-releasing intrauterine system that is prescribed for birth control and heavy menstrual bleeding. It may also be used for other purposes not listed in the medication guide.
  • Nexplanon: A progestin-only implant that is prescribed for birth control. It may also be used for other purposes not listed in the medication guide.
  • NuvaRing: A combination hormonal contraceptive that is inserted into the vagina and is prescribed for birth control.
  • Yasmin: A combination birth control pill that contains drospirenone and ethinyl estradiol. It is prescribed for contraception, dysmenorrhea, and endometriosis.
  • Apri: A combination birth control pill that contains desogestrel and ethinyl estradiol. It has similar effectiveness, side effects, and cost to Sprintec and Junel Fe 1.5/30.

What are some User reviews about Junel Fe?

The reviews for Junel Fe 1/20 on Drugs.com present a mix of experiences, with the product receiving an average rating of 4.4 out of 10 from a total of 830 reviews. The sentiments among users are quite divided, with 28% of reviewers reporting a positive experience, contrasting with 53% who had a negative experience.

Here’s a more detailed breakdown of user experiences based on the reviews:

Positive Feedback:

  • Some users found Junel Fe 1/20 effective in preventing pregnancy and appreciated its convenience as a birth control method.
  • A segment of reviewers reported experiencing lighter periods and reduced menstrual cramps while using the product.
  • Certain users praised the pill for causing minimal side effects, especially when compared to other birth control methods they had previously tried.

Negative Feedback:

  • A significant number of users expressed dissatisfaction due to side effects such as mood swings, weight gain, anxiety, depression, and irregular bleeding.
  • Some reviewers faced issues with acne and skin changes, which they attributed to Junel Fe.
  • A few users reported severe side effects that led them to stop using the product, including migraines, high blood pressure, and in rare cases, blood clots.


  1. For detailed information on Junel Fe from WebMD, you can visit this WebMD Page.
  2. For additional information and user reviews on Junel Fe, consider visiting Drugs.com Page.
Disclaimer: Affiliate links used. We may earn a commission (at no cost to you) if you make a purchase.

Hi, I'm Sushil Singh, a devoted dad and guiding voice in the transformative journey of parenting, based in Mumbai. Drawing from a decade of firsthand experience and extensive research, I offer authentic insights into prepartum, pregnancy, and postpartum stages at Pregnancy Boss. From joyous milestones to challenging uncertainties, my mission is to provide reliable support and practical advice, helping you navigate this profound journey with confidence. Let's embrace the beauty and complexities of parenthood together. Connect for guidance or shared stories. Cheers to our shared path! 🥂 Social Medial Profiles: Quora Pinterest Twitter Facebook

Leave a Comment