Harmful Addictions 

Pills for termination of early pregnancy 72 hours. emergency contraception

It is usually customary to protect yourself before sexual intercourse, but different situations happen in life ... The condom burst ... Turned my head, and forgot about everything ... Interrupted intercourse did not work out ... There are doubts about the contraceptive used ...

For all these situations, there are emergency methods of protection called postcoital.

Such tablets can be taken within three days after intercourse. The performance will be the higher, the less time passes after the act.

Table of the effectiveness of contraceptives

To ensure that conception is prevented after unprotected intercourse, a large concentration of hormonal substances is required, so this option of contraceptives cannot be taken constantly. They are only for SOS cases. According to medical data and WHO recommendations, during the year, a woman can resort to emergency measures no more than three times.

When do women seek emergency help?

It is worth using postcoital contraception in every case when pregnancy is undesirable.

This is necessary even with a regular partner if contact has taken place, but at the moment you or he is taking certain drugs that can cause abnormalities in the development of the fetus. These include:

  • Antibiotics, especially tetracyclines.
  • Contraceptives less than six months ago.
  • Valproic acid and drugs based on it for the treatment of epilepsy.
  • Steroids.
  • Beta blockers.
  • Antiviral.
  • Antihelminthic.

Certain diseases, such as tuberculosis, hepatitis, syphilis, rubella, serious disorders of the thyroid gland or kidneys, can also become indications. There is a chance of conception if you are taking oral contraceptives but missed a few doses. "Casual" one-night stands or violence that you don't want to have a baby after are also good reasons for emergency protection.

Unplanned pregnancy is a very common event. Of all the cases of conception in the world, 66% are unplanned. Therefore, if you are sure that in any case you will interrupt the gestation, it is better to take pills. Preventing conception is much more humane for a possible baby and safer for a woman than abortion..

Contraindications

Like any hormonal drugs, contraceptives after intercourse introduce an imbalance in the woman's body. In this case, there may be a deterioration in well-being.

  • Nausea.
  • Weakness, dizziness.
  • Bleeding.
  • Pain in the lower abdomen.
  • Stomach upset.
  • Dryness in the vagina.
  • Eruptions on the skin.
  • Puffiness.
  • Severe headaches.
  • Violations in the blood circulation system, up to a heart attack.

In the future, you can observe changes in the monthly cycle, failures in menstruation. The consequences are especially pronounced after 35 years and in those women who smoke. If you use drugs too often, then over time there is a threat of ectopic pregnancy or miscarriage.

The body will take time to recover and return to a balanced state. The optimal interval between tablets is three to six months..

Contraindications to emergency contraception are:

  • Problems with blood clotting and a tendency to bleed.
  • Young age - up to sixteen years.
  • Lactation.
  • Low hemoglobin.
  • Serious liver and kidney disease.

Mechanism of action

You should know that contraceptives after sex have two mechanisms of action and the choice can make a fundamental difference on the moral side.

  1. First group- prevents ovulation, that is, it does not allow the egg to ripen and come out, so conception does not occur in principle.
  2. Second group- does not allow an already fertilized egg to attach to the uterus, which for opponents of abortion and believers is equivalent to murder.

The first group includes drugs with a progestogen effect. They are similar to the female hormones produced by the corpus luteum and adrenal glands during pregnancy. Substances prevent the pituitary gland from producing elements that provoke the maturation of the egg. It is for this reason that women do not have periods during gestation. They also make the vaginal mucus thick and difficult for sperm to move through. These pills are effective during the first half of the cycle up to three days before ovulation. If the egg has already left the ovary, progestin contraceptives become useless.

The second group includes substances with an antiprogestogenic effect. They act in two ways. On the one hand, like the previous group, they inhibit the maturation of the egg, on the other hand, they block the hormones that make the uterus a suitable place for the maturation of the fetus. In order for the egg to merge with the endometrium, a number of changes occur in the mucosa, which stop antigestagens. In parallel, they increase muscle contraction, pushing the zygote out of the organ cavity.

This group also includes intrauterine devices with copper. Their installation should take place no later than 120 hours after sex. 99% protection efficiency. The spiral prevents the egg from attaching, and also changes the environment in and around the uterus, making it unsuitable for sperm. The method is not recommended for nulliparous. Also, not all women tolerate implantation well, the spiral causes uterine bleeding (24%), severe inflammation (4%) and uterine perforation (0.5%).

Let's take a closer look at the pills from each group and determine which ones are most suitable after unprotected intercourse.

Birth control pills after intercourse within 72 hours

Drugs that delay the release of the egg are released on the basis of levonorgestrel. Trade names may vary:

  • Eskinor F.
  • Escapelle.
  • Gravistat.
  • Microlute.
  • Postinor.

Substances that protect the uterus from the fetal egg are made using mefipristone.

  • Genale.
  • Miropriston.
  • Mifegin.

Another group is combined drugs with levonorgestrel and estradiol.. They are allowed to be taken as permanent oral contraceptives. Due to the presence of estradiol, they regulate the monthly cycle and lead to the onset of menstruation before the maturation of the egg - rejection of the endometrium. When used as an emergency, the dosage must be strictly observed so as not to cause uterine bleeding. These include:

  • Triziston.
  • Triquilar.
  • Trinordiol.
  • Gravistat 125.
  • Klimonorm.
  • Microgynon.
  • Minisistron.
  • Miranova.
  • Anteovin.
  • Silest.
  • Non-Ovlon.

Despite the use of the same active substance, different drugs are tolerated differently. It depends on the auxiliary components, the degree of purification, the concentration of the active component. Consider the most effective in the opinion of women and physicians.

Good and effective birth control pills after the act: a list with names

Postinor

It is considered the best drug in terms of efficacy and tolerability by the body. Contains synthetic levonorgestrel, an analogue of the natural hormone. Helps to avoid unwanted pregnancy by slowing down ovulation. Good for women with regular cycles.

It is not used as a permanent contraceptive because it contains a higher dose of progestogen than conventional medicines for every day. However, less than in some drugs of similar action.

It is best to take the pill in the first two days after contact. Drink the remedy twice. The first tablet during the first or second day and another one twelve hours after the first. If vomiting occurs, and two hours have not passed after using the contraceptive, the dose is repeated. Due to the low concentration of the active substance, this combination is allowed twice a month.

Do not prescribe the drug to women with cholecystitis and liver disease. Treatment with antibiotics (tetracyclines and ampicillins) reduces the effectiveness of protection. After using Postinor, nausea is observed, there is a lack of menstruation for some time, as well as spotting between menstruation. The cost of a package containing two tablets of the product is about 350 rubles.

Escapelle

Two pills include a high concentration of the active ingredient - levonorgestrel (1.5 mg). Take them simultaneously or sequentially with an interval of 12 hours. In this case, the efficiency will be different. If you drink two tablets at once within three days, then the probability of becoming pregnant will be 16%. When taken at intervals, it all depends on the timing of the start of treatment. By the last third day, the probability of protecting yourself from an unplanned pregnancy is only 58%.

It should be understood that the severity of side effects with a double dose is much higher. They consist of migraine and loss of consciousness, weakness, pain in the lower abdomen and nausea, bleeding in 10% of cases and more often.

There is evidence of a decrease in the effectiveness of treatment in obesity. Do not use Escapel if there is severe liver failure. The drug does not affect the development of the child, if you did not know about the pregnancy that had already begun, the medicine will not affect the baby. Three hundred rubles costs one pack of 2 pieces of 0, 75 or one piece of 1.5 mg.

Ginepriston

Includes 10 milligrams of mifepristone. According to studies, this is the optimal dose, increasing the concentration does not increase the effectiveness of the drug. Pills work by blocking the receptors for progesterone, the hormone of pregnancy. As a result, the body does not undergo the changes necessary to start the development of the baby. Starts to work very quickly. The maximum concentration in the blood is observed after an hour and a half.

Do not use for inflammation of the genital organs, anemia, bronchial asthma and renal failure. The action is opposite to glucocorticosteroids (inhalations for asthma, drugs for the treatment of joints), therefore, Ginepristone is not used during therapy with these drugs. Also, after a course of contraception, non-steroidal anti-inflammatory drugs (analgin, ibufen) are not prescribed for two weeks.

To get the maximum effect, you should not eat for two hours before and after taking the Ginepristone tablet. One tablet costs 180 rubles.

Mifepristone

Mifepristone concentrated preparation - 10 or 200 mg in each pill. It is used not only for protection, but also for medical abortion, up to 1.5 months of pregnancy, as well as stimulation of childbirth. The active substance does not allow the egg to be fixed, delays ovulation, significantly increases the contractile activity of the uterus. In combination with prostaglandin, the strength of the muscles increases. The drug is used in the treatment of certain cancers and uterine nodes, by blocking progesterone receptors.

For protection use 10 mg once. May lead to exacerbation of inflammatory processes in the genital organs, vomiting, diarrhea. It is considered a strong drug in a pharmacy released by prescription.

Combined birth control pills after sex

Ovidon

Combined agent based on ethinylestradiol (0.05) and levonorgistrel (0.25). Causes changes in the fallopian tubes, cervical canal, endometrium, ovaries. The latter are at rest, and the endometrium temporarily atrophies. It works as efficiently as possible - 100% obstacle to pregnancy.

However, there is a large list of contraindications, including:

  • Feeding a child.
  • Pathology of the heart.
  • Diabetes.
  • Hypertension.
  • Thrombosis.
  • anemia.
  • Diseases of the gallbladder.

For permanent oral contraception, one tablet is used, and for urgent, up to 4 tablets at once, for example, 2 tablets with a break of 12 hours.

Consequences of taking postcoital contraceptive pills

You should carefully approach the choice of partners and monitor your safety. Unprotected intercourse is dangerous for a woman with its consequences, both in the case of an abortion and in emergency care. The use of postcoital contraception can permanently unsettle and damage health. Many women experience:

  • Severe paroxysmal migraine headaches.
  • Violations of the cycle with delays up to a week or more.
  • Bleeding after taking and in between periods.
  • Problems with bearing up to infertility.
  • Thrombus formation.
  • risk of ectopic pregnancy.

Therefore, whenever possible, the use of these drugs should be reduced or completely eliminated. If the reception cannot be avoided, then you should carefully study the contraindications and accurately calculate the dose, not exceeding it.

Often there are situations when during sexual intercourse the condom is damaged, which entails the entry of sperm into the body of a woman. Even more often there are moments when, during sexual pleasure, you simply forget to use a contraceptive. And besides, having sex without a condom is much more pleasant. But such careless moments have one consequence - an unwanted pregnancy. How to be further?

The effects of unprotected intercourse can be corrected with medications called emergency pills. They are designed specifically to correct unprotected sexual intercourse, which entails the occurrence of an unwanted pregnancy.

Such funds are used only when absolutely necessary, when a woman is sure that conception may occur. Just drinking them "just in case" is very dangerous for health and can cause irreparable harm to a woman's life.

Such pills are also called next-day remedies, which provide contraception for 72 hours. It is during this time after sexual intercourse that the effect of the drug is due.

Important! The high efficiency of not getting pregnant, after taking an emergency pill, is due to the first day. On the second and third days, the performance indicators are reduced by 15-20%, respectively.

If you are really afraid of getting pregnant, and in no way want to let this happen, then you need to take the pills on the first day. If the medication was taken on the third day, then its capacity is no more than 50%. In the case when, after the completion of unprotected intercourse, pregnancy nevertheless occurred, then there is no point in using pills.

Important! Pills are called emergency, as they provide a fast-acting effect that helps prevent the fertilization of the egg of the sperm that has entered the woman's body.

Types of emergency contraceptives

  1. Preparations of 24-hour action. The need to take such pills immediately after intercourse, as well as after the phenomenon during the above time.
  2. 72-hour action of medicines. If more than 24 hours have passed after the act of carnal pleasure, then it is the 72-hour remedy that will help here.
  3. There are also means to prevent pregnancy even after three days. These include a copper-containing spiral. The main advantage of such a spiral is the capacity even after 5 days after the act of intercourse.

In case of rape, the installation of a spiral is not allowed, as it can lead to infection of the body.

Pills that relate to 24- and 72-hour emergency medicines for pregnancy, we will consider in more detail.

Action of emergency drugs

The action of contraceptive medications after intercourse is determined by the following important responses:

  1. Fencing is carried out, which is characterized by the inadmissibility of the release of the ovaries from the egg.
  2. Limit the meeting of sperm and egg.
  3. If the egg has already been fertilized, then the drugs do not allow it to enter the uterus.

Thus, when a woman has taken a medication, the following action occurs in her body: thickening of the mucous secretion in the cervix. These clots form and are a barrier to the sperm. This is how emergency contraceptives work.

For your information! There are two types of emergency medications from conception: estrogen-containing and non-hormonal.

Preparations that contain estrogen are hormonal. When they are used, some types of side effects occur (headache, nausea, diarrhea, pain in the groin).

If, after taking the medication, there is a deterioration in health, then you should immediately consult a doctor. Why should you see a doctor? First of all, it is necessary to find out the cause of the disease, because a side effect may indicate an ectopic pregnancy. Often, after taking the drug, a woman may feel pain in the chest, arms, shoulders, legs or arms. Such symptoms indicate an incorrect dosage of the drug.

Let's take a closer look at the 72-hour and 24-hour tablets, as well as their names.

Tablet 72 hours

If the phenomenon of sexual contact was committed more than 24 hours ago, then in this situation, the medicine for pregnancy "72 hours" is suitable. Taking a pill in the interval of this time - you can stop the phenomenon of conception.

They are characterized by high hormonal activity, so it is allowed to take no more than four times a month. The most common of this series of tablets are the drugs: PostinorDuo and Escapelle, Genale.

Taking the drug often causes such complications:

  1. Severe pain in the abdomen. Appear 3-5 weeks after the use of the drug. Most often indicates an ectopic pregnancy. Requires immediate hospitalization.
  2. Difficulty breathing and blurred vision.
  3. Allergic rash and chest pain.

To avoid or reduce the effects of side effects, you should take the drug under the supervision of a physician.

It is used in the case when the means of protection were ineffective and allowed the entry of spermatozoa into the woman's body. The active ingredient of the drug is lovonorgestrel. The drug does not allow the fertilization of the egg, and in the event of a phenomenon, it is able to reject the embryo from the body. The effectiveness of the drug is determined by the time it is taken after intercourse, the sooner - the more likely it is not to become pregnant. Virtually no negative side effects.

A histamine-based drug, which is determined by its capacity for 72 hours, but no later. It belongs to potent components, as it contains synthetic substances in the basis. It helps to slow down the process of ovulation, as well as the rejection of a fertilized egg. The drug is characterized by such types of contraindications, manifested in the form of discharge of blood clots from the vagina, unbearable pain in the groin area, as well as pathological abnormalities.

PostinorDuo

The postinor tablet consists of the hormone levonorgestrel. This is a synthetic analogue of the hormone that does not allow the fertilization of the egg after sexual intercourse for 72 hours. Levonorgestrel is still used in the main contraceptives that are taken before carnal pleasure, only the dose of its content is much lower than in the postinor preparation.

The postinor package contains two tablets that are recommended for use:

The first - after intercourse of sexual intercourse (and the sooner the better).
The second - after 12 hours.

Important! It is necessary to repeat the drug if at least one of the tablets was excreted from the body through vomiting. Vomiting may occur if the tablet is not absorbed.

Postinor refers to drugs that are not able to save a woman from an already onset pregnancy. It is worth noting such a situation, if you took postinor after sexual intercourse, and after a couple of days you had sex again without using contraception, then in this case the drug will not save you from second fertilization.

If, after taking postinor, the phenomenon of unwanted pregnancy is detected, then you should immediately consult a doctor. This drug can increase the risk of ectopic pregnancy. The doctor will examine and identify the location of the fetus.

Tablet 24 hours

24 hours - a pill that is characterized by its effectiveness during the day after sexual intercourse. Most commonly used:

  1. When carnal pleasures occurred without means of protection.
  2. When the protective equipment was damaged.
  3. In case of rape of a woman.

Until the moment the embryo appears, the tablet has an efficiency of 95%, and after that it is equal to zero. When taking the medication, you should be 100% aware that the embryo has not yet formed.

It has some side effects:

  • Vomiting, groin pain, diarrhea, cramps
  • Dizziness and fatigue
  • Vaginal pain and irregular menstruation

vaginal tablets

You can get rid of unwanted pregnancy with vaginal pills. They are characterized by a not so large percentage of capacity, which is 80-85%, of absolute safety for a woman. The active substance of the drug after its use, contributes to the blocking of spermatozoa, thereby reducing the risk of fertilization of the egg.

Also, the main features include the absence of negative effects, which allows you to take the drug at any time of the menstrual cycle. Vaginal tablets include:

  • Pharmatex
  • Benatex
  • Ginakotex

These pills are non-hormonal substances, which makes them safe, but the effectiveness of such drugs is to a greater extent when taken together with other contraceptives.

It often happens that sexual intercourse occurs unplanned, when neither the boy nor the girl has any contraceptives with them. Or, for example, the "barrier" method does not work, that is, the condom breaks. What to do in this situation? It is impossible to hope "for chance". Action must be taken immediately. It is best to go to the gynecologist the next morning after "unprotected" intercourse to resolve the issue of emergency contraception.

"Pills after intercourse" is primarily intended to prevent pregnancy as a result of unprotected intimacy and includes various methods and drugs. The essence of this contraception is to prevent the fertilized egg from attaching to the wall of the uterus and starting to develop.

WHEN EMERGENCY CONTRACEPTIVE PILLS ARE USED

* You did not use any contraceptives;
* Coitus interruptus;
* The condom broke;
* You did not make a contraceptive injection on time;
* missed taking one or more birth control pills or started a new pack late;
* You were forced to have sex.

Emergency contraception -
a chance to prevent unwanted pregnancy without abortion!

* For how long is it applicable?
Emergency contraceptive pills prevent pregnancy within the first 72-96 hours.

* What is their composition?
These drugs contain estrogen, a corpus luteum hormone, or a combination of both. However, due to the need for quick and successful help, these drugs contain a larger amount of the hormone compared to the daily dose of contraceptive pills used in recent years for regular use.

* How do they work?
Depending on when such a contraceptive drug is used, it affects the rupture of the follicles, prevents the conception and / or implantation of the egg. The drug does not affect the already implanted fertilized egg and, therefore, the development of intrauterine pregnancy.

* How effective are emergency birth control pills?
They are very effective in emergencies, although 100% protection cannot be achieved. After a single intercourse with the correct use of these drugs, pregnancy develops in 2 out of 100 women.

* Are there any contraindications to their use?
Due to the fact that they are used to prevent possible abortion or surgery, there are no absolute contraindications to their use. If you need to use them, you should always consult a doctor!

* How to use emergency contraceptive pills?
The drug should be started within the first 72 hours after intercourse. The drug is taken twice with an interval of 12 hours. It is advisable to take the first dose at such a time that the second dose is taken during the daytime hours. It is impossible to delay taking the pill, as this reduces the effectiveness of the drug.

* What side effects can occur?
Most often, nausea or vomiting occurs. Less common are headache, dizziness, weakness, fatigue, or a feeling of tension in the mammary glands; these phenomena usually resolve within 24 hours. In the days following the administration of the drug, bleeding may occur, in most cases of a spotting nature.

* Do they affect the timing of menstruation?
In most cases, menstruation appears at the expected time, sometimes a few days earlier or later. If the delay exceeds a week, pregnancy is suspected.

What are emergency contraceptives?

Disadvantages of pills after the act

Means of "fire" contraception are completely useless in the process of attaching an egg to the uterus. Therefore, effectiveness can be observed only if the drug is taken within 72 hours after unprotected intercourse.

Best emergency contraception

mifepristone. This drug is not hormonal. Its action is aimed at suppressing the female hormone at the level of receptors in the uterus and increasing the contraction of its muscles. Mifepristone (Ginepristone, Genale) is by far the best and most effective means of emergency contraception. It blocks the egg so that it cannot enter the uterine lining, and also stimulates its rejection. Mifepristone should only be used after consulting a doctor.

Warning:
Birth control pills after intercourse do not protect against sexually transmitted diseases. If you suspect that you have been exposed to an STI, you should contact your doctor immediately. "Pills after the act" do not affect an existing pregnancy and cannot cause its artificial interruption!

  • What is mifepristone-72 tablet used for emergency contraception?

Mifepristone - 72 - a drug with an experimentally selected dosage of the active substance, which helps prevent unwanted pregnancy. If Mifepristone - 72 tablets are used to prevent pregnancy after unprotected intercourse in accordance with the instructions, in most cases it is possible to prevent an unwanted pregnancy.

Tablets contain mifepristone 10 mg. Mifepristone is a synthetic steroid antiprogestogenic agent (blocks the action of progesterone at the receptor level), does not have gestagenic activity. The effect of mifepristone is due to blocking the action of progesterone at the receptor level, depending on the phase of the menstrual cycle, it causes inhibition of ovulation, changes in the endometrium and prevents the implantation of a fertilized egg. Mifepristone - 72 at a dosage of 60 times more is successfully used for medical termination of pregnancy with the full preservation of the reproductive function of a woman in the future.

  • How long does it take to apply?

Mifepristone-72, used in emergency contraception, provides the ability to prevent unwanted pregnancy within 72-120 hours after "unprotected" intercourse. Therefore, in emergency situations, in cases of unprotected sexual intercourse or inappropriate use of the chosen method of contraception, a woman has 3-5 days at her disposal to contact a gynecologist and receive assistance. At the same time, it is undesirable to postpone a visit to the gynecologist and taking the pill for emergency contraception, as this may reduce its effectiveness.

  • Mifepristone-72 - how to use, price, cost?
  • How should it be applied?

One tablet of Mifepristone-72 is taken orally (by mouth) within 72 hours of unprotected sexual intercourse. To maintain blood concentration, you should refrain from eating two hours before use and two hours after it. Mifepristone-72 can be used at any time during the menstrual cycle. In case of vomiting, you should consult a doctor. It is advisable to mark the date of the last menstruation, the date of taking the pill and the date of the next menstruation on the calendar, which will help evaluate the effectiveness of the drug.

  • How does the tablet work?

It competes with progesterone and blocks receptors. In women with a stable menstrual cycle, the effect of mifepristone depends on the time of administration in relation to the menstrual cycle. In the follicular phase, mifepristone delays ovulation (slows down the release of the egg or prevents the release of the egg) and delays the onset of menstruation by 2-3 days. When mifepristone is used in the first half of the luteal phase, it blocks progesterone receptors in the endometrium. This prevents the development of secretion in the endometrium, which leads to the creation of a fertilized egg unfavorable for implantation. The onset of menstruation occurs from the direct effect of mifepristone on progesterone receptors located on the endometrium, independent of luteolysis. The drug in this dosage does not affect the already implanted, fertilized egg.

  • How effective is the pill?

Mifepristone-72 provides very effective help in an emergency. Its effectiveness is higher than that of Postinor and is 80-90%, while all possible side effects of Postinor are absent (See - "Which is better - Postinor or Ginepristone (Mifepristone)?").

  • What adverse events may occur? .

Feeling of discomfort in the lower abdomen, weakness, headache, nausea and vomiting, dizziness, hyperthermia (extremely rare) Mifepristone-72 has been found to have fewer side effects than other methods of emergency contraception, such as Postinor. The low rate (about 10%) of side effects makes mifepristone-72 (gynepristone) an attractive choice over other available methods.

  • Does it have an effect on the time of the appearance of menstruation?

Most (80-85%) women have their next period on time or a few days earlier or later. If your period does not appear a week after the expected date, pregnancy is suspected, so you need to re-contact your doctor.

  • When should Mifepristone-72 not be taken?

Since the tablet used in emergency cases is intended to avoid the threat of abortion, only an established pregnancy is practically a contraindication, since this method does not have the effect of medical termination of pregnancy.

If, after using the Mifepristone-72 tablet, sexual intercourse occurs without contraceptive measures, then the protective effect of the tablet no longer applies to it. If you need to use an emergency contraceptive pill, you can contact our medical center to a gynecologist for a preliminary consultation and gynecological examination. because this will avoid possible side effects and complications.

ATTENTION! THE DRUG MIFEPRISTONE-72 IS NO LONGER SUPPLIED TO RUSSIA. ITS ANALOG WITH SIMILAR PROPERTIES - GINEPRISTONE!

Many women plan motherhood ahead of time and often deliberately try to delay the event. In the modern world, there are a number of contraceptives that help to avoid fertilization. But due to various circumstances, couples do not always use them during intimacy. Therefore, emergency contraception may be needed. In this case, anti-pregnancy pills, which must be taken within 72 hours, will help.

Experts warn that such funds are dangerous to use uncontrollably. Their use is allowed

In critical situations, when the risk of unwanted conception is high. Justified use in such cases:


  • after rape;

  • if oral contraceptives were missed;

  • in the case when the condom broke or slipped during intercourse.


  • with pathologies of the liver, kidneys;

  • if pregnancy has already occurred;

  • with lactation;

  • if there was a history of ectopic pregnancy;

  • have problems with blood clotting.

In addition, each type of pill for unwanted pregnancy, which is taken within 72 hours, additionally has other contraindications. Therefore, these remedies cannot be considered harmless and used every time when there is a possibility of conception.


Many women are interested in knowing what drugs exist that can be taken after sex and thus avoid fertilization. Such funds are divided into two groups.


  1. containing levonorgestrel. To prevent pregnancy, this progestogen works in this way:

    • under its influence, the cervical fluid becomes viscous, and this prevents the movement of spermatozoa;

    • does not allow the transition of the endometrium into the phase that is necessary for ovulation;

    • levonorgestrel reduces contractions of the fallopian tubes, as a result, the time for which the egg enters the uterus increases greatly;

    • if the drug is taken before ovulation, then the drug delays it or blocks it.

Pregnancy pills for taking within 72 hours include Postinor, Escapel. These are the most popular drugs. It is advisable to drink Postinor up to 2 days after intercourse, and 12 hours after the first dose, you need to take another one. Escapelle is used no later than 3 days after intimacy. If, after 3 hours after ingestion, there was an attack of vomiting, then another dose of the drug will be required. A less popular, but also effective levonorgestrel-based drug is Eskinor F. The drug is taken in the same way as Escapel.

  • containing mifepristone. Medicines that contain this antigestagen prevent gestation in the following ways:

    • lead to ovulation disorders;

    • increase the contractility of the uterus, which provokes the expulsion of the egg from the uterus, which is ready to be introduced into the walls;

    • lead to such changes in the endometrium that prevent implantation.

    • It is worth listing some names of pregnancy pills to be taken no later than 72 hours containing mifepristone. These include Mifolian, Genale. They should be drunk once, as soon as possible after coitus. Before taking it is necessary to refrain from eating for 2 hours.


    A woman should remember that all these remedies can harm her health. It is better to decide in advance for yourself the issue with safer contraception, so that you do not have to use emergency.

    Sex without protection can happen in the lives of many, but here we will not talk about diseases that can be “picked up”, but about an unplanned pregnancy, when the child is not included in the plans of both partners and panic begins. The first thing to do is to calm down for both, because there are no hopeless situations, and pharmacology suggests the use of birth control pills, which must be taken immediately after the act within 24 hours. They will help to avoid unwanted consequences.

    Modern drugs designed to prevent unwanted pregnancies after unprotected intercourse are popular. Some of the most famous means:

    • mifepristone.

    It is a mistake to think that drugs will be the perfect way to have unprotected sex. These are single use hormonal drugs. They affect the woman's body. Gynecologists say that the maximum allowable intake is two capsules per year. Taking pills by a partner will not affect men's health in any way, but it can deal a critical blow to a woman. To be more precise, not the whole body, but the organs responsible for procreation. Medicines are not kept in home lockers, as they are available at any pharmacy.

    Hormonal anti-flight drugs block the process of ovulation, egg implantation. The female body undergoes a severe hormonal failure, so it is better to forget about planning a pregnancy for the next six months. Information is important for both partners if they dream of becoming parents of a healthy baby in the future.

    Harm of "emergency" contraceptives

    Partners who had joint unprotected intercourse resort to solving the problem without going to the doctors, on their own, fearing that the woman became pregnant. The best option would be to contact a gynecologist in order to save yourself from the need to use harmful chemical components of drugs. When the decision not to see a doctor is considered and invariable, the couple should carefully read the instructions for the drug, learn about side effects. It should be remembered that there are no harmless drugs in this category.

    The body of a woman is exposed to negative effects and even danger. There are several reasons:

    • Taking birth control can lead to an ectopic pregnancy;
    • The use of the drug is often caused by bleeding from the uterus;
    • After using a contraceptive, the likelihood of successful conception is sharply reduced.

    Contraceptive pills and other express means are harmful and dangerous for young women who have not given birth. The retribution for intercourse without the use of contraceptives is infertility. Before taking pills, the couple should jointly think over and weigh all the pros and cons, and going to the gynecologist will allow you to choose the compounds that cause the least harm, without greatly loosening the female hormonal system.

    The list consists of popular drugs, where postinor is the strongest. The effect is comparable to hitting the female reproductive organs with a heavy object. It is known that taking the drug will prevent pregnancy by 95%, but will call into question the subsequent one. In addition, the remaining 5% leave a chance for conception, but how the pregnancy will proceed, what abnormalities may appear in the fetus after a severe hormonal shock. Statistics say that cases where the drug did not help are solved by the doctors' proposal to have an abortion, since complications are likely for both the mother and the child.

    Both grandmothers and mothers know about the drug, all those who found the 1980s of the last century. But not everyone knows what price to pay. The tool consists of a mini-course, the reception is carried out for three days, and each package contains two tablets.

    Contraception is not suitable for all women, but if you want to use it, it is important to know the date of the last menstruation. In case of menstrual irregularities, delay, other problems associated with critical days, postinor should be abandoned. Doctors say that after taking heavy prolonged bleeding will appear.

    Tablets are not intended for women who have problems and complications associated with the gastrointestinal tract, liver, or suffering from diabetes. It is strictly forbidden to accept young people under 16 years old, as well as those who have not given birth.

    Contraception is dangerous for those who are sick:

    • tuberculosis;
    • thrombosis;
    • or other inflammatory diseases of the genitourinary system;
    • Botkin's disease;
    • Has problems with high blood pressure;
    • Oncological diseases;
    • Vascular and heart diseases.

    The tool is intended for women who do not have health problems, but the pills taken can seriously undermine it. The consequences of admission are manifested:

    • In violation of the menstrual cycle;
    • The occurrence of vomiting and nausea;
    • headaches;
    • The development of an ectopic pregnancy;
    • In bleeding from the vagina;
    • infertility;
    • Sudden fainting, itching, swelling, rash;
    • Sharp pain in the lower abdomen;

    An agent used in a medical clinic to prevent unwanted pregnancy, abortion, when the period does not exceed six weeks. Contraceptives are not sold in pharmacy chains, they are distributed and sold exclusively by prescription. It is used only in the conditions of the blade, so that the doctor can observe and control the process.

    Among the contraindications, problems in women with the liver and kidneys are noted. It is necessary to inform the health worker about smoking or drinking alcohol if the patient often indulges in bad habits. The doctor must know if a woman is using, taking the drug with her is unacceptable. Three weeks later, a woman needs to do an ultrasound to make sure that there is no pregnancy, if she is, they have an abortion. A child cannot be born full-fledged, healthy if the person has taken an agesta.

    Side effects are expressed:

    • In nausea, vomiting, diarrhea;
    • bleeding;
    • fainting;
    • In violations of the menstrual cycle.

    The contraceptive, which must be taken within 24 hours of unprotected intercourse, contains levonorgestrel, a component that prevents pregnancy.

    • Violation of menstruation;
    • Nausea, vomiting, diarrhea;
    • Apathy, headache.

    Tablets that prevent a woman's body from unwanted pregnancy after intercourse without protection, containing the substance mifepristone, are a synthetic steroid drug.

    The active substances block the effects of progesterone, the pregnancy hormone. In a couple of hours, an environment arises in the uterine region that is negative in relation to the fertilization process. The drug is highly effective.

    Side effects:

    • In skin rash, itching;
    • Nausea, dizziness, vomiting, diarrhea;
    • An increase in temperature, a violation of the period of menstruation;
    • The appearance of bleeding.

    Taking a contraceptive on the first day may not lead to side effects, which cannot be said about using it at a later date. There will be uterine bleeding, you will need immediate medical attention.

    Mifepristone

    The contraceptive is a means for medical abortion. It is permissible to use contraceptive during the first day after intercourse without protective equipment. When it turns out that the pregnancy has come, mifepristone is used to terminate it.

    The appointment of the drug in this period excludes independent use, you must consult a doctor. The uterus will gain tone, accompanied by contractile myometrium, which will lead to miscarriage. The fertilized egg will be destroyed due to the action of the drug that blocks progesterone. Contraindications make up a large list:

    • Excluded in renal failure;
    • With diabetes;
    • Suspicion of an ectopic pregnancy;
    • With inflammatory processes of the genital organs;
    • Anemia, bronchial asthma;
    • Infections, bad habits.

    Two days after using the remedy, the woman remains under the supervision of a doctor, and after 14 days she returns to the clinic for an additional health check. The drug is dangerous, sometimes it does not have the desired effect, an abortion will be required. The side effects of the early stages and time after an abortion with the use of a medication are identical.

    If unprotected sexual intercourse has occurred, and pregnancy is undesirable, then you can resort to the method of "emergency contraception". It involves taking special contraceptive pills after the act for 72 hours, which prevent the maturation of the egg and contribute to the rejection of the endometrial layer, to which the fetal egg can attach if fertilization has already occurred.

    It is possible to buy the drugs necessary for this without a prescription, but you should not use them as the main method of contraception. Each such pill contains a lethal dose of a hormone that will cause a strong hormonal imbalance in the body in order to protect a woman from an unplanned pregnancy.

    • Emergency contraception should only be used in exceptional circumstances and not regularly.

    How do these drugs work?

    The tablets contain a high dose of progestogen - a group of hormones, which includes the hormone of the second phase of the cycle - progesterone. If sexual intercourse occurred during the maturation of the dominant follicle, then gestagens cause the beginning of its regression so that the egg cannot mature and be ready for fertilization.

    If conception did occur, then another property of gestagens is abortive - contributing to the rejection of the endometrium. The fertilized egg is not destroyed directly, but the conditions for its normal functioning are eliminated. It has nothing to attach to, and therefore nowhere to develop, so after a few days it dies.

    Note that when taking conventional birth control pills, the fetal egg is not eliminated, because conception is impossible due to inhibition of ovulation.

    How to take birth control pills within 72 hours after intercourse?

    The scheme of taking tablets depends on their chemical composition. The difference in methods of use arises from the fact that birth control pills that are taken after unprotected sex may contain synthetic analogues of various hormones.

    The dominant active ingredient is levonorgestrel

    The drugs prevent an increase in the level of FSH and LH, as a result of which the capsule of the mature dominant follicle does not break, and the follicle itself regresses. Change the chemical composition of the endometrium, which becomes immune to the implantation of the fetal egg.

    Application scheme

    • 1 tablet - within 1-2 hours
    • 2 tablets - after 12-13 hours

    The dominant active substances are estradiol and gestagen

    These are conventional combined contraceptives. The method can be used if only COCs are at hand, and it is not possible to purchase special contraceptive pills after the act within 72 hours for emergency contraception.

    Application scheme

    • 2 tablets immediately after sex
    • 2 tablets 12 hours later

    The dominant active ingredient is mifepristone

    The drugs have an antiprogestogenic effect, which negatively affects the state of the endometrium. Its structure changes and the fertilized egg cannot be implanted into the mucous membrane. In addition, drugs with mifepristone stimulate uterine contractions, which lead to the expulsion of the fetal egg from its cavity.

    Application scheme

    There is no clear schedule, it is important to take the pill within 72 hours on an empty stomach. Naturally, the faster it is drunk, the more likely it is that the unwanted pregnancy will be terminated.

    Types of drugs and features of use

    For the entire category of women of childbearing age, any method of rapid contraception may be suitable, although birth control pills after 40 years should be purchased only after consulting a doctor. This is because the onset of menopause in many women suggests the occurrence of spontaneous breakthrough bleeding and some drugs with mifepristone can lead to to severe blood loss, life-threatening.

    The following drugs can be purchased at the pharmacy on your own:

    • Escapel - produced in Hungary, the active ingredient is levonorgestrel. Efficiency - 84%. Undesirable for women who have intestinal absorption disorders.
    • Postinor is a Hungarian drug, the main active substance is levonorgestrel. Efficiency - 95% (if the tablet is taken during the day). Under the supervision of a doctor, Postinor can be used for girls under 18 years of age.
    • Miropriston - produced in Russia. The active substance is mifepristone. Efficiency - 75%. Contraindicated in anemia, bleeding disorders, as well as in uterine myoma.
    • Genale - production - Russia. The main active ingredient is mifepristone. Effective in 90% of cases. The effect of the drug worsens if the woman is overweight, as well as in cases where alcohol has been consumed within 72 hours after sex.
    • Exinor F - manufacturing country - India. The main active ingredient is levonorgestrel. Efficiency - 95%. Contraindicated in liver disease, Crohn's disease.

    Who is not suitable for emergency contraception?

    Birth control pills that can be taken within 72 hours of unprotected intercourse are not suitable for all women. In some patients, their effectiveness will be greatly reduced, in others, taking the drug can cause conditions that threaten life and health.

    Blood clotting disorders- this category includes patients with hemophilia, thrombophilia and other hereditary diseases that affect hemostasis. All emergency contraceptive pills cause severe bleeding. If blood clotting is impaired, then this can cause the death of a woman.

    Overweight- a large body weight almost always reduces the effectiveness of the drug, and pregnancy may well develop after taking birth control pills. For such patients, for emergency contraception, a doctor's consultation is required, which will either increase the dosage of the drug taken, or suggest other ways to get rid of an unwanted pregnancy.

    Liver disorders- all emergency contraceptives adversely affect the functioning of the liver. If the patient has congenital or life-long problems with the functioning of the organ, then drugs based on mifepristone and levonorgestrel are contraindicated for them, since, unlike simple birth control pills, they contain high doses of hormones.

    Tumors of the uterus and cervix- a strong blood flow that begins immediately after taking hormonal drugs can adversely affect the condition of neoplasms located in the uterine cavity or cervical canal.

    This, in turn, will cause severe blood loss, threatening the woman's life. Therefore, birth control pills that must be taken after unprotected intercourse within 72 hours are not suitable for such patients.

    Consequences of taking drugs

    Hormonal failure - always happens after the use of funds based on mifepristone and levonorgestrel. Loading doses of hormones provoke changes in the work of the pituitary gland, hypothalamus, adrenal cortex and ovaries. Recovery will take weeks, months, and in some cases even years. That is why gynecologists recommend the use of such drugs only in exceptional cases.

    Failure of the menstrual cycle - a delay after the use of quick-acting birth control pills is also almost always the case. The endometrial layer is updated, the body is trying to rebuild its work in accordance with the dose of hormones that it has received. After the active substances are removed, the woman's body will have to reverse the restructuring at the usual pace.

    Anemia - occurs as a result of severe bleeding that occurs after taking abortion pills. To correct the patient's condition, iron preparations and a special diet are prescribed, which helps to increase hemoglobin.

    Infertility is one of the most severe consequences of using contraceptives. If getting pregnant after the abolition of conventional birth control pills in most cases is not difficult, then after taking Escapel, Postinor and other similar drugs, conception may become impossible due to hormonal failure, which cannot be corrected.

    After using emergency contraception, be sure to visit your doctor as soon as the bleeding stops or if the blood loss is too heavy and does not stop.