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Junel 1/20 is a combination medication that contains 2 hormones: norethindrone (a progestin) and ethinyl estradiol (an estrogen). These 2 hormones work together to prevent pregnancy by:
Preventing your ovaries from releasing eggs
Changing the mucus in your cervix to make it harder for the sperm to enter the uterus (womb)
Changing the lining of the uterus so it's more difficult for a fertilized egg to implant
Junel Fe 1/20 (along with its branded generics) is another version of Junel 1/20 that contains placebo (hormone-free or inactive) tablets with ferrous fumarate. This is an iron supplement added to lower your risk for low iron levels or anemia when you have bleeding during the days when you're taking the placebo tablets.