What pill is consumed within 72 hours. Chinese pills for abortion. Rules for the use of tablets

Unprotected sex can happen in the life of many, but here we are not talking 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 contraceptive 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 ideal opportunity for unprotected sex. These are single-use hormonal agents. They affect the woman's body. Gynecologists say that the maximum allowable intake is two capsules per year. Taking pills to a partner will not affect men's health in any way, but a woman can be critically hit. To be more precise, it is not the whole organism, but the organs responsible for the procreation. Medicines are not kept in home lockers as they are available at any pharmacy.

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

The harm of "emergency" contraceptives

Partners who have had joint unprotected intercourse resort to solving the problem without going to a doctor, on their own, fearing that the woman has become pregnant. The best option would be to contact a gynecologist in order to save yourself from the need to use harmful chemical constituents of drugs. When the decision not to see a doctor is deliberate and invariable, the couple needs to 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 woman's body 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.

Birth control pills and other express medicines are harmful and dangerous for young women who have never given birth. The price to pay for intercourse without the use of contraceptives is infertility. Before taking the pills, the couple should jointly think over and weigh all the pros and cons, and a trip to the gynecologist will allow you to choose formulations that cause the least harm, without greatly undermining the hormonal female system.

The list consists of popular drugs, where postinor is the strongest. The effect is comparable to hitting the reproductive female 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 deviations may appear in the embryo after a severe hormonal shock. Statistics say that cases when the drug did not help are resolved by the doctors' proposal to have an abortion, since complications are likely in both the mother and the child.

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

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

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

Contraceptive 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;
• Diseases of blood vessels and heart.

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 urge to pain in the lower abdomen;

A tool used in a medical clinic to prevent unwanted pregnancy, abortion, when the period does not exceed six weeks. Contraceptive is not sold in pharmacy chains, it is distributed and sold exclusively by prescription. It is used only under the condition of the blade so that the doctor can observe and control the process.

Among the contraindications, women have problems with the liver and kidneys. It is necessary to notify the healthcare professional about smoking or drinking alcohol if the patient often indulges in bad habits. The doctor should know if a woman uses, it is unacceptable to take the drug with her. Three weeks later, the woman needs to undergo an ultrasound scan to make sure that there is no pregnancy, if there is one, an abortion is performed. A child cannot be born full-fledged, healthy, if the person has taken agesta.

Side effects are expressed:

• In nausea, vomiting, diarrhea;
• Bleeding;
• Fainting;
• In menstrual irregularities.

The contraceptive, which must be taken within 24 hours from the moment 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 protective means, containing the substance mifepristone, are a synthetic steroid drug.

The active ingredients block the effects of progesterone, the pregnancy hormone. In a couple of hours, an environment appears 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, violation of the period of menstruation;
• The appearance of bleeding.

Taking contraceptive on the first day may not lead to side effects, which cannot be said about its use at a later date. Uterine bleeding will appear, and immediate medical attention will be needed.

Mifepristone

A contraceptive is a medication for abortion. It is permissible to use contraceptive during the first days after intercourse without protective equipment. When it turns out that pregnancy has begun, mifepristone is used to terminate it.

Prescribing the drug during this period excludes independent use, you must consult a doctor. The uterus will acquire a tone, accompanied by a contractile myometrium, which will lead to a miscarriage. The fertilized egg will undergo destruction due to the effects of a progesterone blocking drug. Contraindications make up a large list:

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

Two days after using the product, 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 proper effect, an abortion will be required. The side effects of the early stages and time after abortion with the use of the medication are identical.

Pregnancy pills are an opportunity to avoid an unplanned pregnancy. Let's look at what pills for pregnancy are, whether they help and how to take them correctly.

There are situations when, for one reason or another, a woman has to terminate her pregnancy. Since pregnancy can be unplanned or proceed with serious complications that threaten the life and health of the mother. Pregnancy pills are an opportunity to refuse abortion and carry out a medical abortion.

The first pills for pregnancy were invented in France at the end of the last century. All medications that terminate pregnancy are based on the synthetic drug mifepristone. This drug blocks the function of the female hormone progesterone. Progesterone is responsible for the normal and successful course of carrying a baby. Today, pills that terminate pregnancy are produced by many manufacturers. Sometimes in the composition of tablets, mifepristone is written as mifegin, pencrofton, or mytholian.

Pregnancy pills must be taken early. Up to about 40 days after the delay in the menstrual cycle. But you cannot take such drugs on your own. Only a gynecologist gives permission to take abortion pills after a full examination of the woman.

Previously, only abortion, that is, surgery was the only solution to get rid of unwanted pregnancy. But abortion poses a serious threat to the life and health of a woman and can deprive her of the opportunity to have children in the future. Pregnancy pills are an opportunity to reduce the high percentage of deaths and diseases during abortion. The most popular abortion pills are: Mifolian, Postinor, Mifegin, Mifeprison, Pencrafton and others.

Termination pills

Termination pills are hormonal steroids that cause fetal death. This is due to the fact that the tablets contain drugs that increase the sensitivity of the uterus to a hormone such as oxytocin. Because of this, the uterus begins to contract vigorously, because of this, the embryo is rejected and removed from the uterine cavity.

The procedure for taking pills for abortion, that is, carrying out a medical abortion, consists of the following stages:

1. Before taking drugs for abortion, a woman should undergo tests with a gynecologist. A full gynecological examination and testing make it possible to find out if a woman has contraindications to medical abortion. For these purposes, an ultrasound scan is performed, which determines the exact duration of pregnancy. If the test results are normal, then the gynecologist gives a prescription for pills for pregnancy, introduces the instructions for using the drug. Also, a woman signs papers that express her consent to the procedure and confirm that she is familiar with all the nuances and information about medical abortion.
2. Pregnancy pills are taken orally. After taking the drug, for 2-4 hours a woman should be under the supervision of a gynecologist and after his permission to go home. If necessary, the woman receives a prescription for a contraceptive drug. A few days after taking the pill, the woman begins to reject the ovum. The process is accompanied by profuse bleeding, which can last up to two weeks.
3. After 2-3 weeks, the gynecologist examines the woman. This allows you to check if the abortion procedure went well. If the fetus is not completely gone, then the gynecologist prescribes surgical intervention.

Do pills help with pregnancy?

Do pills help with pregnancy? Yes, they do help if they are taken early in pregnancy and after being examined by a gynecologist and obtaining a doctor's permission to take these drugs. Let's take a look at the benefits of pregnancy pills versus abortion.

• When performing a medical abortion, you do not need to go to the hospital.
• The procedure for terminating pregnancy, that is, rejection of the ovum, does not differ from normal menstruation.
• When taking pills for pregnancy, there is no possibility of HIV infection.
• Medical abortion does not require anesthesia or surgery.
• The tablets protect against the risk of secondary infertility.

But, despite these advantages of pills for pregnancy, do not forget that they can be taken only after the permission of the gynecologist. Taking pills on your own can be a threat to a woman's life. Also, before taking the drugs, it is necessary to conduct an examination for the absence of an ectopic pregnancy.

Name of abortion pills

Before deciding on a medical abortion, you need to know all the nuances of this procedure. Also, it will not be superfluous to get acquainted with the drugs, that is, find out the name of the pills for abortion. Represents the most common and reliable drugs.

• Postinor is a drug used for emergency contraception. As a rule, the drug is used in cases where unprotected intercourse has taken place. In its composition, the drug contains levonorgestre. These pills do not give a 100% result of abortion, but only 80-85%. The first tablet of the drug must be taken immediately after unprotected intercourse, but no later than 74 hours. But the second pill is taken 12 hours later. After that, you need to be examined by a gynecologist.
• Mifegin - French pills for pregnancy. The effectiveness of the drug is close to 100%. For the best effect of the tablets, they must be taken if the gestational age does not exceed 6 weeks.
• Pencrofton - pills for early termination of pregnancy, as well as a drug for emergency contraception. The tablets contain mifepristone. This drug can be taken by all women, even those who have their first pregnancy. The tablets do not cause secondary infertility.
• Mifepristone - tablets that contain the same active hormonal substance. It is this component of the tablets that contributes to the detachment and excretion of the ovum, if the gestational age does not exceed six weeks.
• Mifolian is an effective drug for abortion. In addition, these tablets are used in gynecological practice to speed up the process of natural childbirth.
• Mifeprex is a highly effective and well tolerated drug. Allows you to terminate a pregnancy for up to 42 days. Note that a woman may have spotting for several days after taking this drug.

Postinor for termination of pregnancy

Postinor for termination of pregnancy is a drug that is based on an experimentally selected dose of the active substance. It is this substance that helps prevent pregnancy. Taking the pills immediately after unprotected intercourse increases the chances of successfully protecting against pregnancy.

Postinor contains the synthetic hormone levonorgestrel, which is analogous to the corpus luteum. This hormone is included in almost all drugs that have the status of a contraceptive. Since postinor is a drug for preventing pregnancy, the above hormone is contained in it in high quantities. Therefore, pills should be taken only in emergency cases.

This drug must be taken within three days, that is, 72 hours after unprotected intercourse. The second tablet must be taken 12 hours after taking the first. That is, a woman must take two postinor tablets. The second tablet of the drug is required to be taken, especially if the woman had nausea and vomiting after taking the first one. But do not forget that the drug is not a means of regular contraception and should be used only in emergency cases.

Mifepristone for termination of pregnancy

Mifepristone for termination of pregnancy is an effective drug, the main action of which is to block progesterone. Progesterone is a hormone that is responsible for the normal course of pregnancy. The drug lowers the level of progesterone in the body and causes the lining of the uterus to flake off. This relaxes the muscles in the uterus, which can cause bleeding. After taking the drug, bleeding may occur after 6-8 hours, which will be an indication that the pregnancy has been terminated.

There is no strict time frame for mifepristone use. Therefore, a woman can take the second pill of the drug 12-72 hours after taking the first, which is taken immediately after unprotected intercourse or pregnancy for up to six weeks, that is, 42 days. Thanks to this, medical termination of pregnancy can be controlled. This allows for a comfortable and effective termination of a pregnancy at an early stage.

Escape from pregnancy

Escape from pregnancy is an emergency contraceptive. The drug is taken if the contraceptives did not work or were not effective and the pregnancy did occur. The main active ingredient of the drug is levonorgestrel. This substance prevents the fertilization of the egg. If fertilization has occurred, then the drug causes rejection of the embryo.

Escapel efficiency is 84%. The earlier a woman takes the drug, the higher the likelihood that pregnancy will not occur. Correct use of the drug does not adversely affect the body, blood coagulation or metabolism. Escapel is called the emergency contraceptive drug "72 hours after". Taking the drug is possible only after examination by a gynecologist. Escapel should not be taken during lactation. Since breast milk, 0.1% of the levonorgestrel substance enters the child's body.

Zhenale pills for pregnancy

Zhenale pills for pregnancy are an antihistamine for internal use. The drug is based on the drug mifepristone. This drug is of synthetic origin and blocks the action of progesterone. After taking pills from pregnancy to wife, the ovum is rejected, which causes the endometrium, that is, a slowdown in the ovulation process. As a result, the implantation of a fertilized cell does not occur in the female body.

The drug is available in the form of round tablets, which are yellow with a greenish tinge. Zhenale is used for emergency contraception, after unprotected intercourse, within 72 hours. But Zhenale has a number of contraindications that can adversely affect the vital functions and systems of the body. So, pills for pregnancy can cause bleeding from the vagina, cause pathologies of the uterine appendages, cause severe pain in the lower abdomen. Gastrointestinal upset, diarrhea and vomiting are also possible. If you experience these symptoms, immediately seek help from a gynecologist.

Vaginal pills for pregnancy

Vaginal pills for pregnancy is a safe drug that successfully prevents fertilization. Vaginal tablets contain an active substance - nanoxynalon. The main effect of the drug is that the contraceptive penetrates the vagina and reduces the activity of sperm. The effectiveness of vaginal tablets is 75-80%.

The advantage of pills is that they are safe for the female body. Vaginal preparations have virtually no side effects. Due to this, the drugs can be taken at any period of the menstrual cycle and the woman's condition. Vaginal pills can be used with other birth control drugs and over a long period of time.

The most popular vaginal tablets are:

• Benatex
• Pharmatex
• Gynakotex
• Traceptin

The choice of vaginal pills for pregnancy depends on each woman, the characteristics of her body and the method of protection. But do not forget that non-hormonal drugs that prevent pregnancy are much more effective when combined with other contraceptives.

Chinese abortion pills

Chinese abortion pills contain the same substances found in other contraceptive and emergency contraceptive pills. But taking Chinese abortion pills causes many complications and dangers that can lead to a woman's death.

Taking Chinese pills for abortion can only be prescribed by a doctor and only after a complete examination. Another rule for authorizing the use of Chinese drugs is the instruction translated into Russian. Since there are often cases when Chinese drugs contain completely different drugs that do not correspond to those indicated by the manufacturer.

If, after taking Chinese pregnancy pills, you experience symptoms such as fever, nausea or vomiting, then you should immediately contact a gynecologist, as there is a threat to life.

How to take pills for pregnancy?

If you have decided on a medical abortion, then you are probably wondering how to take pills for pregnancy. Abortion pills are taken in two stages.

• The first intake of the drug causes oxygen starvation of the amniotic fluid. That is, the embryo, which is three to five weeks old, dies from lack of nutrition and oxygen.
• Taking a second pregnancy pill causes the uterus to contract, causing nauseating and sometimes painful contractions. As a result, the dead embryo is removed from the uterus. This stage can be accompanied by bloody discharge, which resembles menstruation and can last up to two weeks.

Pregnancy pills can be taken in the first days after a delay in the menstrual cycle. But this is possible only after examination by a gynecologist, who will confirm that the woman has no contraindications for medical abortion, and the gestational age allows her to take the drug.

You can take pills for pregnancy on an outpatient or inpatient basis. If medical termination of pregnancy occurs in the clinic, then the gynecologist monitors the woman's condition for 2-4 hours. This helps prevent complications of early abortion.

10-15 days after taking the drug, the woman undergoes a full examination by a gynecologist. The gynecologist conducts a bimanual examination of the vagina, ultrasound examination. This allows you to find out how the abortion went, in case of an incomplete abortion, the doctor prescribes a surgical cleaning.

Early termination of pregnancy with pills

Early termination of pregnancy with pills is quite possible. Moreover, this type of abortion is the safest. There are practically no drawbacks to this method. The only thing worth remembering is that pregnancy pills only work if the pregnancy is not yet six weeks old. Due to the fact that not all women seek advice from a gynecologist and medical abortion is too late, they have to resort to more traumatizing and dangerous operations.

Early termination of pregnancy with pills gives almost 100% result. But before taking the drug, you must be examined by a gynecologist. In order to exclude an ectopic pregnancy and obtain permission to take pregnancy pills. After taking the drug, after 10-15 days, you also need to visit a gynecologist. The doctor should check how the abortion went and, if necessary, prescribe surgery or take other measures.

Emergency pill for pregnancy

The emergency pregnancy pill is taken immediately after unprotected intercourse. There are medications that need to be taken 24 hours and 72 hours after fertilization. Pills that protect against pregnancy for the first 24 hours are considered more effective. The emergency pill prevents pregnancy even before it occurs. That is, it can be used as an emergency aid. But an emergency pill will not help you get rid of a pregnancy that has already happened; it is effective as emergency contraception.

The mechanism of action of the emergency pill from pregnancy depends on the stage of the menstrual cycle. Let's take a look at the benefits of the emergency contraceptive pill:

• The emergency pregnancy pill delays the maturation of the egg and prevents it from leaving the ovaries.
• The active chemicals in the pill prevent the fertilization of an egg that has left the ovary.
• The pill prevents the egg cell, which has already been fertilized, from attaching to the endometrium.

Please note that after taking the emergency pregnancy pill, slight changes in your menstrual cycle may occur. Menstruation may start earlier or later, be scanty, or vice versa, very profuse and painful. Also, after taking the drug, a woman may experience spotting, which lasts until the next menstruation.

Pregnancy pills 24 hours

The 24 hour pregnancy pill is an emergency contraceptive. This drug is called the next day's birth control pill. Usually, this pill is used when:

• There was unprotected intercourse for two or more days ago.
• During intercourse, the condom broke or leaked, possibly causing fertilization.
• The woman was raped.

The effectiveness of the 24 hour pregnancy pill increases from how much time has passed after unprotected intercourse. So, according to studies, if the pill was taken within 24 hours, then the effectiveness of protection is 95%. If pregnancy has occurred, then taking the pill is not effective and will not cause rejection of the fetus.

Despite the effectiveness of the 24 hour pregnancy pill, the drug can cause a number of side effects. Let's take a closer look at them:

• Abdominal pain, nausea, diarrhea, vomiting
• Increased fatigue and headache
• Irregular menstrual periods and vaginal pain

Pregnancy pill 72 hours

Pregnancy pills for 72 hours are "emergency" conceptions to prevent unwanted pregnancies. The effective action of the tablets is possible if the intercourse was no later than 72 hours ago. Taking the drug during this period allows you to stop the process of conception.

Pregnancy pills 72 hours help if there was an unprotected intercourse or conventional concentrators do not help. The tablets can be taken no more than four times a month, as they are hormonal. The effectiveness of 72 tablets is slightly lower than that of the drug for 24 hours. Among all the pills for pregnancy, two of the most popular drugs can be distinguished: Postinor Duo and Escapelle. But taking pills to terminate a pregnancy can cause a number of complications.

Severe cutting pain in the lower abdomen, which appears 3-5 weeks after taking the pills. If you experience similar symptoms, then this is a sign that the embryo is in the fallopian tubes, then an ectopic pregnancy.

• Chest pain, swelling.
• Difficulty breathing, dim eyes.
• Pain and inflammation of the lower extremities, allergic rashes on the legs.

If you have any of the above symptoms, see your gynecologist immediately.

Action of tablets "72 hours after" The action of tablets "72 hours after" occurs in two stages. If, after taking the drug, the woman has not yet ovulated, then the pills slow down the onset of ovulation. Regardless of this, the effect of the tablets "72 hours after" makes it difficult for sperm to pass through the fallopian tubes. If fertilization has occurred, that is, the woman becomes pregnant, then the pills protect the egg from conception.

You can take pills only after being examined by a gynecologist. But do not use this drug too often. Since the basis of the pills is a potent hormone that can cause many side effects.

Price of abortion pills

Every woman who decides to go for a medical abortion is interested in the price of abortion pills. Let's look at the most popular drugs for pregnancy and their cost.

• Mifepristone - tablets, in a package of 200 mg of active ingredient, cost 700-900 hryvnia.
• Ginepristone - tablets, in a package of 10 mg of active ingredient, cost 50 hryvnia.
• Mifolian - Chinese tablets, in a package of 200 mg of active ingredient, cost 250-300 hryvnia.
• Zhenale - tablets, in a package of 10 mg of active ingredient, cost 70-100 hryvnia.
• Pencrofton - there are three tablets in the package, 200 mg of active ingredient, the cost is 100 hryvnia.
• Mifegin - French tablets, in a package of 200 mg of active ingredient, the cost of the drug is 700-800 hryvnia.

Please note that the price of abortion pills may differ from the above, but not significantly. Before buying and taking pregnancy pills, be sure to consult with your gynecologist.

According to international studies, 19% of Russian women have had an abortion. Almost half of them have been repeatedly. At the same time, according to surveys, only 1% of women in the 16-49 age group admit that they could go to terminate their pregnancy in the next three years. 54% think they would never choose this method. Moreover, there are now emergency contraceptives that allow you to safely prevent an unplanned pregnancy when used in the first 72 hours after intercourse. More than half of the women surveyed (57%) would rather take the "next day pill" than go for an abortion.

Modern women use all the measures of reproductive planning. At the same time, many couples (17%) still resort to outdated methods of contraception - the calendar method and coitus interruptus - which lead to pregnancy in 25 and 27% of cases, respectively.

True, even with the use of various methods of contraception, no one is immune from failure. For example, 35% of women found themselves in a situation where a condom broke or slipped out. But even in emergency situations, it is not necessary to think about abortion as the only way to solve the problem.

Need for emergency contraception

Emergency contraception pills (ECPs) are designed to prevent pregnancy after unprotected or inadequately protected intercourse. Therefore, they are sometimes called "next day pills".

Especially for emergency contraception, the following are used:

• Levonorgestrel. The dose is 1.5 mg or 0.75 mg (in this case, take twice with an interval of 12 hours).
• Ulipristal acetate. Dose 30 mg.
• Mifepristone. Dose 10-25 mg.

The tablets should be taken within 5 days after intercourse. Taking levonorgestrel reduces the chance of pregnancy by 60-90% (in the case of one unprotected intercourse). The use of ulipristal and mifepristone is more effective than the use of levonorgestrel.

To accept the fuel and energy complex, you do not need to undergo an examination or take laboratory tests.

Emergency contraceptive pills are indicated for use when:

• no other contraceptive was used;
• the contraceptive has been used incorrectly;
• the contraceptive was used correctly, but immediately it became clear that it did not provide the desired effect.

Here are the most common situations in which a woman using standard contraceptive methods may need an ECP.

Oral contraceptives, contraceptive patch, vaginal ring

• They began to apply this method at a later stage of the menstrual cycle than the instructions require.
• This method was not used correctly during the menstrual cycle.
• They took medications that could reduce the effectiveness of the method.

Progestin-only injections

• I began to apply this method at a later stage of the menstrual cycle than required by the instructions.
• The contraceptive protection provided by the injection expired before intercourse.

Implants

• The contraceptive protection provided by the implant expired before intercourse.

Intrauterine device or system

• The tool was unintentionally removed.
• You don't feel the antennae.
• Contraceptive protection expired before intercourse.

Condoms

• The condom has broken, slipped off, or has been misused.

Diaphragm or cap

• The agent has been dislodged or removed before or during intercourse.
• The agent was displaced or removed after intercourse earlier than the instructions require.

Spermicide

• A spermicidal agent was not administered before intercourse, as required by the instructions.
• The spermicidal tablet or film did not have time to dissolve before the start of intercourse.

Contraceptive methods based on self-determination of the fertility period

• Were in the fertile period during intercourse.
• Not sure if you were in the fertile period during intercourse.

Interrupted intercourse

• Ejaculation has occurred in the vagina or on the external genitals.

Contraindications and the effect of ECPs on the body

Women who plan to use ECPs are concerned with a number of issues. Let's look at them in order.

1. Are there any contraindications?

The tablets are not dangerous under any known circumstances: even if there are health problems. ECPs are not prescribed for women with the onset of pregnancy - they are no longer effective. However, if it is not clear whether there is a pregnancy or not, ECPs can be used since there are no examples of harm to a developing fetus.

But there are side effects - these are irregular vaginal bleeding, nausea, headache, abdominal pain, breast tenderness, dizziness and fatigue.

2. Impact on pregnancy

Studies of women who become pregnant despite taking levonorgestrel or using it accidentally after pregnancy show that this hormonal agent does not harm either the pregnant woman or her fetus. In particular, it does not increase the likelihood of miscarriage, low birth weight, birth defects, or pregnancy complications. There were only a few reports of pregnancy after taking ulipristal, but no complications were noticed.

3. Application by adolescents

4. Use during lactation

If less than six months have passed since the birth, and the woman is breastfeeding only, if there was no menstruation in the postnatal period, then ovulation is unlikely to occur. Then the fuel and energy complex is not needed. However, women who do not meet all three criteria may become pregnant. The use of levonorgestrel during lactation is not contraindicated.

5. Use before intercourse

There is no data on how long the contraceptive effect of ECPs persists after taking the pill. Presumably, ECPs taken immediately before intercourse are as effective as ECPs taken immediately after intercourse. However, if a woman has the opportunity to plan to use a contraceptive method before intercourse, then a method other than ECPs is recommended, such as condoms or another barrier method of contraception.

6. Use after several unprotected intercourses

Women should try to take ECPs as soon as possible after each unprotected intercourse; it is not recommended to postpone reception until the end of the last intercourse. However, a woman should not refrain from taking funds simply because she has had several unprotected intercourses. However, she should be aware that the effectiveness of ECPs may be limited if the earliest unprotected intercourse occurred more than 4-5 days ago. She should limit herself to one ECP intake at a time, regardless of the number of previous unprotected intercourse.

7. Reuse of tablets

ECPs are not intended to be deliberately reused or used as a regular, systematic method of contraception. Women who do not want to become pregnant in the future are advised to start or continue using contraceptives that they have been using for a long time after taking the ECP. There is no specific data on the efficacy or safety of frequent use of current ECPs. However, at least 10 studies have confirmed that multiple doses of 0.75 mg levonorgestrel per cycle do not cause serious adverse side effects. It is not known whether the effectiveness of levonorgestrel is reduced by recent or subsequent use of ulipristal, which is a progesterone receptor modulator. Therefore, if a woman who has recently taken levonorgestrel again needs emergency contraception, then it is better for her to use the same remedy.

8. Use of fuel and energy complex in the non-fertile period

Studies have shown that fertilization as a result of intercourse can only occur within 5-7 days before, after or during ovulation. In theory, ECPs might not be needed if unprotected intercourse occurs at a different time in the cycle, since the likelihood of pregnancy even without ECPs would be zero. In practice, however, it is often impossible to determine whether intercourse occurred on the fertile or non-fertile day of the cycle. Therefore, women should not refrain from using ECPs because of the assumption that a particular intercourse occurred during the non-fertile period.

9. Interaction with other medications

There are no specific data regarding the interaction of ECPs with other drugs. However, the effectiveness of levonorgestrel can be reduced by the use of drugs that can reduce the effectiveness of oral contraceptives.

Women who are using bosentan and medicines to treat stomach acid or stomach ulcers (such as omeprazole) or have taken them in the past month should consider inserting a copper IUD. If they opt for the levonorgestrel ECP, then a double dose should be taken. It is better not to use Ulipristal in these cases. Since it is a progesterone receptor modulator, it could theoretically reduce the effectiveness of other hormonal contraceptives containing progestin hormones.

Contraception after taking ECPs

Switching to (resuming) use of regularly taken contraceptives after using ECPs

ECPs do not provide contraception for subsequent intercourse. Therefore, a woman should choose another method of contraception before resuming sex. When should you do this?

Condoms or other barrier methods of contraception

Start using just before your next intercourse.

Hormonal methods: oral contraceptives, contraceptive patch, vaginal ring, injections, implants, levonorgestrel-containing intrauterine hormonal system.

Start using immediately - that is, on the day you take the ECP or the next day. Use the barrier method within 7 days of taking levonorgestrel or within 14 days of taking ulipristal.

Alternatively, start using after your next menstrual period, but use the barrier method in between.

By the way, before the introduction of implants or the hormonal intrauterine system, it makes sense to conduct a pregnancy test: this way you exclude the presence of an existing pregnancy.

If a woman asks for a copper-bearing IUD to be inserted and more than 5 days have passed since the ECP was applied, then this follows after the next menstruation begins.

Sterilization

This procedure should be undertaken after the onset of menstruation following the use of the ECP. The barrier method should be used until the final sterilization is completed.

Because it is difficult to determine the risk of pregnancy on a case-by-case basis, and because an untimely or unwanted pregnancy is fraught with serious consequences, a woman who wishes to avoid conception should consider taking ECPs after intercourse during which contraceptive protection has not been adequately provided.

Remember: if you don't have your period within 3 weeks of taking the ECP, you may have become pregnant.

Based on materials from the Scientific Center for Obstetrics, Gynecology and Perinatology named after Academician V.I. Kulakova

Discussion

Good day! I had unprotected sex with my boyfriend a week ago. What pill would you recommend to drink to avoid pregnancy?

01/12/2019 14:36:41, Asem

I do not support all these medots. This is terrible

05/10/2016 10:29:27, masha33

Extra protection is not the best solution. Now there are such a huge number of different, convenient for everyone and safe, methods of contraception that resorting to them is stupid.

I do not trust such methods of contraception, I think it has a strong negative effect on the body.

Killed: Most women would not have an abortion, but "there are now emergency contraception that can safely prevent an unplanned pregnancy." After all, the "next day" pill has an abortive effect - in case of conception, it prevents implantation.

A good article on the abortive effect of spirals and hormonal contraceptives incl. pills "next day" [link-1]

01/13/2015 11:50:11 PM, Baffy

This one especially killed:
3. Application by adolescents
Clinical or programmatic considerations should not place restrictions on adolescents' access to ECPs: they are safe regardless of age. Adolescents are able to understand the instructions for using this method of contraception.

02/03/2014 14:24:38, for life

02/03/2014 14:22:15, for life

Comment on the article "Birth control pills: 9 questions about emergency contraception"

You drink 4 tablets of Femoden (or any other OK, but only if 72 hours have not passed after unprotected intercourse). But to drink pills every day, and even when nothing hurts, only the most disciplined person can do it.

Discussion

My situation is similar, it’s too early to get married, and it’s not time to become a mother either. The spirals did not fit, there was even a flight with them, the gynecologist picked up the drug, the pills are called Chloe. Ugh ugh right now, no problems, the cycle began like a clock, even the pancake began to grow, although I don't really need it, with my natural, not small size. MCH only rejoices, the weight has not changed much from them, Well, maybe a little as a plus, But this is most likely from the fact that I finally calmed down. So that's it. I don’t know, it probably helps everyone.

In such cases, the most sensible thing is the sterilization of the "cat".

Interruption of sexual intercourse is the extraction of the male penis from the female. I had spirals 2 times, and I used candles and pills. everything And it is applied in the case of any unprotected intercourse, with the ineffectiveness of the barrier method (torn ...

Discussion

in general, just the opposite: with soda, many douche BEFORE PA, WITH THE PURPOSE to increase the chances of fertilization, because alkali suppresses the acidic environment of the vagina, contributing to the faster advancement of a larger number of sperm cells)))

Lemon and vinegar are acid, soda is alkali. Next time, it is better to dissolve an aspirin tablet (also acid) in water. And in principle, if you use douching for protection, then it is not necessary to poison yourself with acid, plain water is enough (boiled, of course). Better with chamomile. Only this should be done immediately after the PA. The less time passes, the less chance of pregnancy. In combination with an interrupted PA and an ovulation calendar, it is quite a protection.
I have ice cubes with chamomile and mint infusion at home. Usually I use them for my face, but sometimes, and not only :)) turn on the kettle before the PA and throw a few ice cubes into a glass of hot water before douching is not difficult. You can also buy chamomile bags and brew in advance in the afternoon.
The chances of pregnancy are few. And it’s a pity that I didn’t pass by here earlier. We here like to call others fools, while bursting hormonal pills like seeds.

Emergency contraception: when to start after unprotected intercourse. Girls, and how long does it take to restore the cycle after taking a year of pills (Diana)? the fact is that physically M. during admission does not Actually, if a woman after 22-23 years for ...

Emergency contraception can help prevent unplanned pregnancies that can occur after unprotected intercourse. As the name suggests, the use of these drugs does not in any way imply the regularity of such contraception and is intended only in emergency cases.

The next day pills, or as they are called otherwise, "contraceptive 72 hours" are usually used in cases where:

1. damage to the condom;
2. sexual intercourse occurred at a time when oral contraceptive use was discontinued for at least two days;
3. there was a rape.

Contraceptives for 72 hours have varying efficacy. The pill, which was taken the next day, gives the expected result in 95% of cases. If up to two days have passed, the effectiveness of this method of contraception decreases to 85%. On the third day after the act, the probability of preventing pregnancy does not exceed, as a rule, 58%. If the pregnancy has already begun, then contraceptives within 72 hours will have no effect.

What is the effect of birth control in the first 72 hours?

Contraceptive pills 72 hours work due to their ability to prevent the release of the egg and sperm. And if fertilization has occurred, they prevent the egg from penetrating into the walls of the uterus.

What 72-hour tablets are out there today?

Of course, permanent contraception will be more effective and safer than emergency contraception. But if it so happened that it cannot be avoided, then it is worth having at least the slightest idea about the drugs. Today, this is not a big deal. It is enough to enter the phrase "contraceptive pills 72 hours name" into any of the search engines, and the result will not be long in coming. The most common names for these drugs are listed below.

Postinor is far from a new drug, which, unfortunately, has a wide range of side effects. Its use should be carried out no later than three days, and the earlier, the better.

Ginepreston is also effective in the first three days. This agent, which prevents fertilization, is more modern than Postinor. Reviews of gynecologists testify to its quality and ability to cope with the task at hand.

Escapel, created on the basis of levonorgestrel, is another modern drug that works effectively within the first three days.

It is these contraceptive pills that will help you avoid unwanted consequences in 72 hours. It is worth remembering that if vomiting or diarrhea occurs after taking these drugs, you should repeat the reception, since the effectiveness in this case will be reduced as much as possible.

Birth control in the first 24 hours after intercourse
There are many ways to protect against unwanted pregnancy: barrier, chemical, hormonal and others ...

Postcoital contraception is considered to be the prevention of pregnancy, which is highly undesirable. The need to take these funds arises if a woman has forgotten to take an oral contraceptive on time, or a condom ruptured during intercourse. Often, postcoital contraception is used after violent intercourse.

It should be noted that prevention of pregnancy is possible only if the woman has taken emergency contraceptive within 3 days from the moment of unprotected intercourse.

Levonorgestrel-based birth control pills

Emergency contraceptives that contain levonorgestrel prevent the fertilization of the egg. After taking the pill, ovulation is delayed due to cervical mucus, which prevents sperm from entering the egg.

Will these birth control pills help after intercourse? depends on the time that has passed since sexual intercourse:

• up to 24 hours - efficiency 95%;
• 25 - 48 hours - efficiency 85%;
• 49 - 72 hours - efficiency 58%.

Consider which levonorgestrel-based birth control pills are currently the most effective:

Name	How long to take	Instructions	Photo
Within 72 hours	The use of an emergency contraceptive is effective for 3 days. It should be noted that the package contains 2 tablets, respectively, the emergency contraceptive must be taken twice. The second pill should be drunk 12 hours after the first one. Drink clean water without chewing.
Within 72 hours	One tablet must be taken within 3 days after sex (unprotected). If there are side effects in the form of vomiting, it is necessary to take the drug again.

Emergency contraception based on mifepristone

Thanks to the active substance (mifepristone), ovulation becomes impossible if you take the pill within 3 days from the moment of unprotected intercourse. In the event that more than 3 days have passed, mifepristone (increased dosage) is used as an early termination of pregnancy (up to 9 weeks).

Name	How long does it take to take	Instructions	Photo
Ginepristone	Within 72 hours	Take 1 tablet with a little water.
Zhenale	Within 72 hours	It is preferable to take this drug 2 hours before meals, provided that at least 2 hours have passed since the last meal.
Agesta	Within 72 hours	Take 1 tablet with a little water. It is preferable to take this drug 2 hours before meals, provided that at least 2 hours have passed since the last meal.

Combined oral contraceptives for emergency contraception (Yuzpe method)

The Yuzpe method is emergency contraception, which is based on taking oral contraceptives.

To effectively prevent unwanted pregnancies, it is recommended to take the tablets within 24 hours of unprotected intercourse. This method is characterized by taking the following medications:

• Marvelon.
• Microgenon
• Regulon.
• Rigevidon.
• Minisiston.

You can also use low-dose hormonal drugs such as Novinet, Logest or Mersilon. In this case, you need to take 5 tablets twice with an interval of 12 hours.

Emergency contraceptives for lactation

Women who are breastfeeding can use two types of emergency contraception:

Contraceptive	Characteristic
Installation of an intrauterine device	To prevent unwanted pregnancy, the installation of an ectopic spiral must be carried out within 5 days from the moment of unprotected intercourse. In this case, you do not need to interrupt breastfeeding. It should be noted that after the installation of the intrauterine device, the contraceptive effect will remain in the future.
Taking hormonal pills	If a woman, while breastfeeding, decides to use hormonal drugs to prevent unwanted pregnancy, stop breastfeeding for 36 hours. In order not to disrupt milk production in a given period of time, a woman needs to express milk, and replace the baby's nutrition with formula milk by age. During lactation, a woman can choose any of the above types of medications. However, experts recommend giving preference to levonorgestrel pills. The most suitable option would be Escapel tablets, which are taken once.

Non-hormonal emergency contraceptives

There are two types of emergency contraception:

1. hormonal drugs;
2. non-hormonal drugs.

Drugs that do not contain hormones include medications based on mifepristone. Let's list their names:

1. Zhenale;
2. Ginepristone;
3. Agesta.

Preparations based on this active substance do not violate the hormonal background. Mifepristone tablets are believed to be more effective than levonorgestrel tablets.

Another advantage of non-hormonal drugs is considered a lower percentage of side effects.

What are the safest contraceptives

The safest emergency contraception is the Yuzpe method. Low-dose medications have fewer side effects. If you follow the conditions for taking pills, the effectiveness of this method is 90%.

These birth control pills are available without a prescription.

It should be noted that vaginal contraceptives are not suitable for emergency contraception due to their low effectiveness.

Table: Comparison of the effectiveness and side effects of birth control pills after unprotected intercourse

The cost of emergency contraceptives

How much do pills that prevent unwanted pregnancies cost? Consider a list of pills and their average cost:

Please note that the price for drugs is average. Depending on the region of residence, the cost may vary.

When is postcoital contraception acceptable?

It is possible to use emergency contraceptives if pregnancy is highly undesirable:

1. Less than 2 years have passed since the cesarean section.
2. Sexual intercourse was violent.
3. Past attempts to get pregnant have ended with fetal freezing or ectopic pregnancy.

Before taking a serious medication, its contraindications should be considered:

• Age under 18.
• Existing pregnancy.
• Menstrual irregularities.
• Malignant tumors.

If, after taking an emergency contraceptive, bloody discharge occurs, urgently consult a gynecologist.

If, 2 weeks after using the contraceptive drug, your period does not come on time, you should also consult your doctor.

How to choose birth control pills after intercourse (