Consequences of emergency contraception. Emergency contraception What pills will help you not get pregnant after sex
Most pregnancy protection methods only work if you take care to use them BEFORE sexual intercourse. For example, it makes no sense to start taking birth control pills if sex has already happened. This is no smarter than putting on a condom after the man has ejaculated.
Emergency contraception is a method of preventing pregnancy after unprotected sexual intercourse has already occurred.
In what cases will emergency contraception help?
Emergency contraception will help avoid unwanted pregnancy in the following situations:
- If you have had unprotected sex
- If during sex and you didn't notice it in time
- If you missed 2 or more
Emergency contraception rules
- Almost any emergency contraceptive drug must be taken no later than 72 hours after sexual intercourse. If more than 3 days have passed since sex, the drug will be ineffective.
- If 3-5 days have passed since sex, then you can contact a gynecologist who will insert an intrauterine device. An intrauterine device is a device that is inserted into the uterine cavity and prevents pregnancy.
- Before taking any emergency contraception, you should consult your gynecologist.
- Certain digestive diseases (such as Crohn's disease) and other medications may reduce the effectiveness of emergency contraception. These medications are listed in the instructions for emergency contraception.
What pills will help you not get pregnant after sex?
There are several drugs that are classified as emergency contraception. We will look at each of them separately.
Postinor
Postinor is the oldest and most famous means of emergency contraception among women. This drug contains a loading dose of the hormone levongestrel, which prevents the implantation of a fertilized egg in the uterus.
One Postinor tablet contains 750 mcg of levongestrel. In order for the effect of Postinor to be maximum, you need to take 2 tablets 12-16 hours apart.
It is necessary to take the first dose of Postinor in the first 72 hours (3 days) after unprotected sex. The sooner you take the first pill, the higher the likelihood that Postinor will help avoid pregnancy. So, on the first day after sex, the drug will work in 95% of cases; if the interval between sexual intercourse and taking Postinor was 24-48 hours, then in 85% of cases, and if more, only in 58% of cases. Taking Postinor later than 72 hours after sexual intercourse will not bring any effect.
12-16 hours after taking the first tablet, you must take the second Postinor tablet. If you vomit a few hours after taking the first or second tablet, you need to take another tablet.
Postinor can cause disruption of the menstrual cycle, early or late arrival of menstruation, chest pain, and spotting. The presence or absence of menstruation (or discharge) after taking Postinor does not indicate its effectiveness.
You can be sure that you are not pregnant only by doing it at least 3.5 weeks after intercourse. You can find out if you are pregnant earlier by taking a test. This can be done as early as 11 days after unprotected sex. Postinor does not distort the results of a pregnancy test or hCG blood test.
If menstruation does not come on time and lasts more than 5 days, take a pregnancy test and consult a gynecologist.
What if Postinor didn't help?
If you have taken Postinor, but pregnancy still occurs, contact your gynecologist. Taking this drug increases your risk, so you need to undergo a test that will show where the fetus is located.
Taking Postinor, as a rule, does not have an adverse effect on the development of the child, so there is no need to terminate the pregnancy (abortion). If you decide to have an abortion, tell your doctor.
Escapelle
ATTENTION: The drug has contraindications. Do not start using this drug without first consulting your doctor.
Escapelle, like Postinor, contains a large dose of the hormone levongestrel, which prevents the fertilized egg from implanting in the uterus. The only difference is that one Escapel tablet contains 150 mg of levongestrel, and you only need to take this drug once.
Escapelle should be taken no later than 72 hours after sexual intercourse. The greatest effectiveness is observed if the pill is taken on the first day after unprotected sex.
Escapelle may cause nausea or vomiting. If you vomit within 3 hours of taking the tablet, you will need to take a repeat dose of Escapelle.
As a result of taking Exapel, disruption of the menstrual cycle, bleeding, and chest pain may occur. If your period is more than 5 days late, it is recommended to take a pregnancy test. Escapelle does not affect the result of a pregnancy test.
What if Escapelle didn't help?
If pregnancy does occur, contact your gynecologist. The doctor will perform an ultrasound and clarify where the fetus is located. If the pregnancy is proceeding normally, then there is no need to interrupt it, since taking Escapel does not affect the development of the fetus and the course of pregnancy. If you do decide to have an abortion, tell your gynecologist.
How often can I take Postinor and Escapelle?
Postinor and Escapelle are intended for emergency situations and cannot be used for regular contraception. However, these drugs can be taken as many times as needed, even if the need arises a second time during the same menstrual cycle. There are no studies that would prove the unsafety of repeated use of Postinor or Escapel.
If you often need to take Postinor or Escapel, you need to seriously think about which one is right for you.
How many days does Postinor and Escapelle protect against pregnancy?
Postinor and Escapelle act only after sexual intercourse has taken place. Any subsequent unprotected sexual intercourse may cause pregnancy, even if you have recently taken Postinor or Escapelle.
What happens if you take Postinor or Escapelle during pregnancy?
These drugs are ineffective if pregnancy has already occurred. Taking Postinor or Escapel during pregnancy will not lead to its termination.
Gynepriston and Zhenale
ATTENTION: The drug has contraindications. Do not start using this drug without first consulting your doctor.
These are modern means of emergency contraception that do not contain hormones, do not cause disruption of the menstrual cycle and other side effects, while being highly effective.
Both of these drugs contain the same substance in the same dose. The only difference is in the manufacturing company. Ginepristone and Zhenale contain the active ingredient Mifepristone in a dose of 10 mg. Mifepristone, unlike Postinor and Escapel, is not a hormone, but it also prevents pregnancy by preventing the fertilized egg from implanting in the uterine cavity.
The Ginepristone or Zhenale tablet should be taken in the first 72 hours after unprotected intercourse. The sooner you take the drug, the higher its effectiveness will be. If the pill is taken in the first 12 hours after sex, the effectiveness of the drug will be about 98%, if on the first day, then 95%, if later - 85-90%. These drugs are not effective if pregnancy has already occurred.
Important: in order for the drug to be as effective as possible, you should take a Ginepristone or Zhenale tablet 2 hours after meals and do not eat for 2 hours after taking the tablet. Within a week after taking the pill, it is not recommended to take Aspirin, Ibuprofen, Diclofenac, Indomethacin and other non-steroidal anti-inflammatory drugs.
What if Ginepriston or Zhenale didn’t help?
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Emergency contraception, although harmful to the body, still remains very, very popular. In some situations, the use of this kind of drugs is really the only way out of the situation, while in others it causes unjustified harm to the body. Let's look at the most popular emergency contraceptive drugs recommended by gynecologists, how to take them correctly, what side effects they have, what contraindications, etc.
When is emergency contraception needed?
The main reason for taking drugs for this purpose is unprotected sexual intercourse. Yes, despite the widespread use of modern contraceptive methods and their convenience, some couples forget about it. At the most necessary moment there is no condom at hand or... it just breaks. Should we panic in this case?
First, you should calm down and try to calculate which day of the menstrual cycle is currently underway. After all, emergency contraception is not so safe; pills taken can lead to unpleasant consequences. So, if you have unprotected sexual intercourse in the first or last 7-8 days of the menstrual cycle, and its (menstrual cycle) duration is the classic 28-30 days and it is regular, then most likely you should not take pills, since ovulation (the day when pregnancy may occur) falls in the middle of the menstrual cycle.
Another common question is whether emergency contraception can be used in conjunction with planned contraception?
For example, in the first 14 days of the first cycle of taking oral contraceptives, you should use another method of contraception at the same time, since the first one has not yet fully “taken effect”. Or there was simultaneous use of OCs with antibiotics or other drugs that tend to reduce the effectiveness of contraceptives. In this case, you should not take additional “emergency” medications. In addition to OCs, non-hormonal contraception should be used. Another thing is the use of spermicides (if, for example, a suppository was inserted into the vagina not before sexual intercourse, but after or immediately before sexual intercourse, without waiting the recommended time interval of 5-10 minutes) or condoms (they tend to sometimes tear).
What to do if a woman is breastfeeding? Is emergency contraception necessary in this case?
Of course, it is better to avoid such situations, but if this does happen, you can use emergency medications. But in this case, you will have to postpone breastfeeding for one day, until the drug is completely removed from the body.
Emergency contraceptives
Gynecologists offer several possible drug regimens.
The most famous and still popular is postinor. But it is considered an “old generation” drug that has a huge number of side effects. Reception is carried out as follows: within 48 hours (but no later than 72 hours) after sexual intercourse, a woman drinks one tablet, and after 12 hours - another one. Moreover, the earlier the first pill is taken, the higher the likelihood that emergency contraception will take effect, the drugs are taken for a reason, and pregnancy will not occur.
Escapelle is a more modern drug. Its distinctive feature is the content of 1.5 mg of levonorgestrel in 1 tablet. In connection with this, there is no need to take a second pill (previous generation emergency contraceptive drugs contained 2 times less of this hormone, which is why a double dose was required). WHO advises giving preference to drugs that contain 1.5 mg of levonorgestrel. Although both have side effects. Different women's reactions to taking pills are individual. Excapel should be taken no more than 72 hours after unprotected sexual intercourse.
And finally, the third option is to take regular combined oral contraceptives in a larger dosage according to a special regimen. Or take 3 tablets of Silest at a time (or its analogues - Regividon, Miniziston) and after 12 hours take 3 more tablets. Or take 4 tablets of Marvelon, and after 12 hours - the same amount.
The following rule applies to all the drugs described above - if vomiting or diarrhea occurs within 2-3 hours after taking them, it is likely that the tablets have not been fully absorbed and, accordingly, will not have a full effect, which means pregnancy is possible. You need to repeat the procedure.
What happens if pregnancy occurs?
Will this emergency contraception affect her and the health of her unborn child? Doctors agree that an abortion should not be done due to taking drugs; they will not have any effect on the child’s health. Another thing is if the drug is taken already during pregnancy (thus some people try to cause a miscarriage on their own), in which case problems may arise. However, in the early stages, the “all or nothing” principle applies, therefore, if a miscarriage does not occur in the early stages, most likely, everything turned out well, or rather, the screenings that the woman will undergo if she wants to continue the pregnancy will show.
Side effects
Emergency contraception should be used only in force majeure situations when there is no other option. It is advisable - no more than 2-3 times a year, and even better - if less often. The most common side effect from emergency contraceptive pills is uterine bleeding, which usually occurs a few days after taking them. But other women, on the contrary, experience delays in their periods and the menstrual cycle is disrupted. Other common side effects are headaches, dizziness, diarrhea and vomiting, and various allergic reactions.
There are other methods of postcoital contraception - effective, and not very effective. The first includes emergency installation of an intrauterine device (not always feasible in a short time, since you need to pass a number of tests and undergo an ultrasound; in addition, there are many contraindications to installation). If this is done within 3 days after unprotected sexual intercourse, then even if the egg is fertilized, it most likely will not be able to implant into the wall of the uterus. This option is suitable for women who were already planning to install a spiral. A significant disadvantage is that the cervix may be injured, since only at the beginning of the menstrual cycle the cervix is softened and more adapted to the safe insertion of an IUD.
Other methods are folk, with unproven effectiveness and even dangerous. With their help, women try to provoke the onset of menstruation ahead of schedule, but in fact, they want to cause a miscarriage in the early stages of pregnancy. Folk methods of emergency contraception include a “food” made from sugar with iodine, ascorbic acid, parsley, hot baths, herbs like tansy and much, much more. But we do not recommend using these means.
Always remember that emergency contraception is quite dangerous, but less dangerous than abortion. Choose a reliable method of routine contraception.
Menstruation after Escapelle may change beyond recognition or pass as usual. It all depends on what phase of the cycle the woman took the pill. And also from the characteristics of his own body. Emergency contraception should not be used several times a month. Serious menstrual irregularities are inevitable. What to expect from your period after taking Escapel?
Instant contraception - Escapelle, is produced in the form of tablets. The active substance is levonorgestrel. A synthetic analogue of the female hormone progesterone. Each tablet contains a significant proportion of progesterone. For example, in a similar one, this dose is divided into 2 tablets. Escapelle inhibits conception at the early stage of fertilization. The tablet must be taken within 72 hours after unprotected contact. The effectiveness of the drug depends on the speed of taking the tablet. According to WHO research, the drug can work if you take the pill even 102 hours after sexual intercourse. This statement once again confirms the strong impact of Escapelle on the human body.
Indications for use of the drug are:
- unprotected sexual intercourse;
- failures with a barrier method of contraception;
- rape.
Operating principle of Escapel
The drug has several mechanisms of action on a woman’s menstrual cycle. In this case, the contraceptive ability is 95%. Disruption of the normal operation of systems leads to a failure of the monthly cycle.
Thus, changes in the menstrual cycle directly depend on the phase in which the hormonal drug was taken. Menstruation comes earlier or there is a significant delay, which makes women quite worried.
Failure of the menstrual cycle due to Escapelle
The onset of menstruation excludes pregnancy and allows the woman to breathe easy. The situation is even better if your period comes earlier. But if your period is supposed to start, but it doesn’t, thoughts of an unplanned pregnancy come to mind. When menstruation begins after taking Escapel depends on the processes that took place in the body under its influence. This may happen sooner or later.
Failure in the first phase of the monthly cycle
After taking a hormonal pill before ovulation, in half of the cases spotting begins the next day. Women mistake this phenomenon for menstruation and are very surprised when, after 2 weeks, bloody discharge starts again. The presence of discharge after taking Escapel means a hormonal surge, which has become an obstacle to the further development of the egg. Ovulation has not occurred, which means there will be no pregnancy, menstruation should begin. In most cases they arrive on time or earlier. The discharge is scanty. Because the failure of hormones did not allow the endometrial layer to develop. There is nothing to reject during your period. However, spotting in the middle of the cycle cannot be ruled out while taking a strong hormonal drug.
Failure in the second phase of the menstrual cycle
Discharge after taking Escapel in the second phase of the cycle also leads to hormonal imbalance. Elevated progesterone levels cause the body to prepare for pregnancy, even if fertilization has not occurred. During this time, an excess layer of endometrium grows. After taking Escapel, the discharge becomes thick, but menstruation does not begin. The delay after hormonal treatment is observed for several days, or even weeks. Some women in the middle of the cycle experience a failure in the form of spotting, followed by a delay of 20 days after taking the pills. The discharge is profuse, bleeding appears, which seriously frightens the woman.
Delay after Escapelle with subsequent bleeding
There is nothing strange about this phenomenon. Heavy periods always appear against the background of hormonal imbalance, with a predominance of progesterone. Escapel tablets significantly increase hormone levels. The body doesn’t care where it came from - naturally or artificially. As ovulation occurred, the endometrial layer began to form. To ensure this process, progesterone must be at high levels. The artificial introduction of additional amounts of the hormone leads to excessive growth of the endometrial layer. For example, as happens with endometriosis. When the time comes for menstruation, it is very difficult for the uterus to reject a significant mass; it takes more effort. For this reason, pain increases.
The delay after Escapelle is accompanied by unusual pain in the lower abdomen of a cramping nature. What kind of discharge should come after taking Escapel - copious, similar to bleeding. Due to hormonal imbalance, bleeding can last up to 7 days. Then your periods should stop. If this does not happen, you should immediately seek help from a specialist.
In addition, bleeding after a delay can occur due to pregnancy failure. Tablets do not promise 100% results. A small percentage of pregnancy still remains. Due to hormonal imbalance, pregnancy is not able to develop normally. Initially, there is a delay after emergency contraception. Then bleeding may begin.
When should your period start?
When taking hormonal medications, the monthly cycle always goes wrong. There is nothing dangerous if your period starts a week or a few days early. Next month the body should fully recover. A delay after taking emergency contraception is also an understandable phenomenon. In this case, the absence of menstrual flow is allowed for about 20 days from the expected date of critical days.
It should be remembered that the drug is allowed to be taken only once per cycle. If a woman takes the pills twice, the consequences can be very different. Bleeding may begin immediately after taking Escapelle again. Significant hormonal imbalance is guaranteed. It will take about 3 months for the female body to recover.
Failure of the monthly cycle is always an undesirable phenomenon. Sometimes it takes several months to recover. Before using emergency contraception, you need to weigh everything carefully. The side effects from taking the drug are quite strong. They can last until the next menstruation begins. Nausea, general weakness, headache, disruption of the nervous system, insomnia, mood swings, decreased ability to work, apathy.
One more point should be taken into account: if pregnancy has already occurred, Escapelle is not able to disrupt it, but it is capable of causing harm. If you are absolutely sure that ovulation has passed, there is no point in taking pills.
The site provides reference information for informational purposes only. Diagnosis and treatment of diseases must be carried out under the supervision of a specialist. All drugs have contraindications. Consultation with a specialist is required!
Lera asks:
What can be the consequences after taking emergency contraception?
After using drugs for emergency contraception, women may develop various consequences related to temporary disruption of the functions of various organs and systems. In addition, the consequences may include some side effects of emergency contraceptive medications.
Side effects of drugs levonorgestrel (Postinor and Escapelle), COCs (Femoden, Regulon, Diane-35, etc.) and mifepristone (Mifepristone, Mifegin, Ru-348, Agesta, Zhenale, Ginepriston) are reflected in the table.
| Side effects of levonorgestrel drugs | Side effects of mifepristone drugs | Side effects of combined oral contraceptives (COCs) |
| Hives | Bloody vaginal discharge | Nausea |
| Skin rash | Pain and discomfort in the lower abdomen | Vomit |
| Itchy skin | Exacerbation of inflammatory diseases of the uterus and ovaries | Pain in the mammary gland |
| Facial swelling | Nausea | Breast engorgement |
| Bloody discharge in various phases of the cycle | Increased body temperature | Bleeding from the genitals |
| Vomit | Vomit | Pain in the lower abdomen |
| Diarrhea | Diarrhea | Delayed menstruation |
| Fatigue | Headache | |
| Headache | Dizziness | |
| Dizziness | Weakness | |
| Pain in the lower abdomen | Hives | |
| Nausea | ||
| Breast tenderness | ||
| Delayed menstruation | ||
| Menstrual irregularities |
The side effects indicated in the table disappear after the emergency contraceptive drug is eliminated from the body. However, the effects of hormonal drugs do not go unnoticed and can lead to malfunctions of various organs and systems. The entire set of long-term consequences of emergency contraception is divided into menstrual dysfunction, the appearance of spotting and changes in general well-being.
Menstrual dysfunction after emergency contraception. Even a single and rare use of Postinor, Escapel, Agesta and other drugs for postcoital contraception can provoke an irregular menstrual cycle. After taking these medications, your period may begin earlier or later than normal. Menstruation may come 1 to 2 weeks ahead of schedule, and the delay is usually up to 7 days. Such cycle fluctuations after taking emergency contraception do not require treatment.
Menstruation after taking emergency contraception may be unusual, for example, long or short, heavy or scanty, etc.
For several months after taking emergency contraception, a woman may experience slight fluctuations in the regularity of her menstrual cycle. For example, your period may come a few days earlier or later than due.
If, after taking emergency contraceptive medications, a delay in menstruation is observed for more than 7 days, then you should be examined for pregnancy, which could develop despite measures taken to prevent it.
Bloody discharge after emergency contraception. A few days after taking Postinor or Escapel, relatively heavy bleeding from the genital tract may appear, which continues for 1 to 7 days. This bleeding is a normal reaction to taking Postinor or Escapel and does not require special treatment. Quite often such spotting progresses into menstruation. In this case, the total duration of bleeding can be 10–13 days. Bleeding only requires treatment if it continues for 2 to 3 weeks. Bloody discharge may be accompanied by pain in the lower abdomen and poor general health.
Bloody discharge does not always appear after taking Escapel or Postinor. Moreover, the same woman may experience bleeding after one dose of tablets, but after the second use of Postinor or Escapel, there will be a complete absence of bleeding. Both options are normal.
Changes in general health after emergency contraception due to the effect of hormones on all organs and systems. So, after taking emergency contraceptive medications, a woman may experience the following:
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Nadezhda asks:
Tell me, what is the probability of pregnancy if 12 hours have not passed from the first sexual intercourse (protected) to the second (unprotected)? The cycle lasts 30 days, regular, the menstrual period is 3 days. (Today the delay is 1 day, the test is negative) .The date of the last menstruation is April 6, 2009 to April 8, 2009. There are two children (the same age). Can the cycle suddenly be disrupted? Thanks in advance.
Answers:
Hello, Nadezhda! Unprotected sexual intercourse always carries the risk of pregnancy. No matter how much time has passed between him and other sexual acts. Disruption of the cycle is also possible, especially if during the last month you have had nervous and physical overload, viral diseases, or you have gone on a low-calorie diet. In addition, fluctuations in the duration of the menstrual cycle within 5-7 days are normal and do not require treatment. Repeat the pregnancy test after 1-2 days, if the result is negative, wait 5-7 days and go for a consultation with a gynecologist. If the next pregnancy test gives a positive result, go to the doctor immediately to decide in a timely manner whether to continue or terminate the pregnancy. You can learn more about the main causes of menstrual irregularities in the article Delayed menstruation. Available guidelines for action on our portal. Do not be ill!
Ulya asks:
What types of hormonal disturbances may occur after taking levonorgestrel-based emergency contraception? How seriously does the drug affect the body?
Answers:
Good afternoon The reaction to taking the drug is very individual. It is possible that a single dose of the drug according to the regimen will not affect your health in any way. However, there are often situations where even a single dose causes significant changes. This is especially true in the presence of any even undetected pathology on the part of the female genital organs and the endocrine system. Possible menstrual cycle disorders: intermonthly bleeding and spotting, delayed menstruation, early onset of menstruation, change in the nature of menstrual flow, change in the duration of menstruation, lack of ovulation in this cycle or late ovulation (may shift by 10-15 days). Also, metabolic disorders are possible and, as a result, weight gain. By the way, such effects can occur after emergency contraception with any OC. Considering all these possible consequences, emergency prevention should be urgent, that is, no more than once every six months. Otherwise, you must choose another safer and more reliable method of contraception. Be healthy!
Natalie asks:
I am 22 years old and took emergency contraception with levonorgestrel 5 times a year. I had unprotected sex, but now I don’t take it. how long does it take to conceive a child, or may there be more serious consequences. I ask you to answer please. Thank you.
Answers Consultant at the medical laboratory "Sinevo Ukraine":
Good afternoon Your task is to contact a doctor who deserves your trust, since before a planned pregnancy it is better to undergo a full examination - of you and your partner in order to avoid problems with conception and pregnancy, as well as with the health of your unborn child. The doctor will prescribe the necessary studies, including tests of sex hormones, which will help determine what changes have occurred in the body after frequent use of the escapelle, and, if necessary, will correct these conditions. In addition, if you are planning a pregnancy, you must undergo an examination by a gynecologist for the presence of inflammatory diseases and abnormalities in the development of the genital organs. You should also be tested for sexually transmitted infections and TORCH infections (herpes, cytomegalovirus, rubella, toxoplasmosis). These types of infections can cause miscarriage, failure to carry a pregnancy to term, or cause fetal development abnormalities. The time required for the examination will be enough to prepare for pregnancy and childbirth. Be healthy!
svetlin asks:
Hello! Please tell me! On December 31st there was unprotected sex. After 5 hours I took the first tablet, and after another 12 hours I took the second. On January 3, my period started to look more like bleeding. As expected, we finished on the 5th day. Today is February 8th, and the next period has not yet arrived. Is there a possibility of pregnancy? Or is it related to taking the drug? And one more thing... In general, I regularly take contraceptives - COCs (except for the last three months) And only then does everything work out regularly for me. As soon as you stop taking birth control, delays begin, your periods become more painful, and you constantly feel nervous tension due to PMS. This is the situation. Is it possible to drink COCs regularly for several years? Thank you!
Answers Mikityuk Alexander Vladimirovich:
Hello. Taking the drug could cause menstrual irregularities. Pregnancy is unlikely. You did not write about the duration of your menstrual cycle, however, in case of a delay of more than 5 days, you should take a pregnancy test and visit a gynecologist. As for taking oral contraceptives, after a long period of use (more than a year), you need to visit a doctor, undergo an examination and, based on them, the doctor will make a decision: set the date for the next control examination or determine when to pause taking it. Usually a 6-month break is enough for the body to return to normal and you can resume taking the pills, but this must again be discussed with the doctor who is observing you; it may make sense to change the drug or method, it all depends on the state of your health and lifestyle. During the break, use barrier methods of contraception (condoms), otherwise your body will hardly be able to “take a break from hormones.” Do not be ill!
Maximilian asks:
Hello, I want to ask a question, could my girlfriend get pregnant because the first time was without condoms, and is it possible for her to get pregnant if I still managed to have an orgasm during the orgasm, and is it possible to somehow check this, or prevent it ahead of time, it happened this is 5 days ago, tell me, maybe there are some pills, or maybe traditional methods... and also tell me how you can find out in advance (that is, before the first menstruation, and up to two weeks after copulation) and she also has a stomach ache: (I don’t know what to do tell me please
Answers Karapetyan Eliz Martinovna:
Hello. According to statistics, out of 100 couples who use interrupted intercourse to prevent pregnancy, pregnancy occurs in 20-25 within a year. Therefore, this method of contraception is considered unreliable. The reason for this is the presence of live sperm in the lubricating fluid of a man, which are capable of fertilizing an egg. The earliest test to determine pregnancy is a blood test for hCG (human chorionic gonadotropin). In the blood, its concentration becomes sufficient to be determined 7-10 days after conception. Don’t even think about using any traditional methods to terminate a pregnancy. This can lead to very serious complications and sometimes even leads to the woman’s death. Any manipulation to terminate a pregnancy must be carried out by a specialist. In the early stages, a medical abortion is possible but, again, this should also be carried out by a specialist. I advise you to contact a gynecologist for a live appointment. He will be able to answer all your questions and provide the necessary assistance.
Tanya asks:
Good afternoon, doctor. The problem is this: I was afraid of getting pregnant, on the advice of my friends, I took 5 COC tablets (2 and another 3 after 12 hours). Nothing bothered me, a month later I went for an appointment. The doctor suggested an ovarian cyst, an ultrasound revealed inflammation and enlargement, the smear was clean. I didn’t tell the doctor about my “experiment,” which I now regret. six months before this incident, I treated sh/m erosion and papilloma. What can all this threaten me with?
Answers Mikityuk Alexander Vladimirovich:
Good afternoon
You do not indicate exactly when you took the COC. Postcoital contraception is most advisable in the first 24-72 hours after sexual intercourse (preferably, possibly earlier). For emergency contraception using the Yuspe method, after unprotected sexual intercourse, the following COC dosage is required - 4 tablets. Then repeat taking 4 tablets one more time, after 12 hours. As you can see, your dosage was incorrect.
It is better to take the tablets immediately after meals. After 2-3 days, bleeding begins, similar to menstruation. You didn’t tell the doctor completely in vain!
She needed information about emergency contraception to interpret the research results, especially since you already had gynecological pathology before.
To prevent “everything that may threaten you,” be sure to go for a second consultation with a gynecologist in the near future, discuss all your concerns with her, and also choose a safer and more reliable method of contraception. Do not be ill!
Alena asks:
Hello. There was an abortion on March 27, and unprotected sexual intercourse on April 18. On April 18, after 24 hours, I took 1 tablet. "postinora" and 12 hours later I drank the second one. Is it possible to get pregnant? (not an unwanted pregnancy) If you have unprotected sexual intercourse after an abortion, is it easy to get pregnant? Or is it the other way around that a period is passing? And another question? Is the Euro patch effective? How to use? His actions?
Answers Medical consultant of the website portal:
Good afternoon, Alena! If you have sexual intercourse after an abortion, it is really easy to get pregnant, since an abortion is akin to the beginning of a new menstrual cycle. Two weeks after the abortion, ovulation occurs as usual and you can become pregnant again. If emergency contraception is carried out according to the rules, that is, all instructions in the instructions are followed (the terms of administration are not violated), pregnancy is unlikely. But abortion and emergency contraception almost immediately after it are fraught with menstrual irregularities in the future. This is why the use of hormonal contraceptives is recommended after an abortion. But they should be prescribed by the attending doctor, after examination and assessment of the indications and contraindications for you personally. The patch is good, but whether it is good for you can only be assessed by a doctor during an in-person consultation. On our website you can watch a video Contraceptive hormonal patch. Therefore, do not delay your visit to the doctor!
Ira asks:
Hello, I need your help, I had sex with a guy (on Saturday) but the condom turned out to be of poor quality, a day later my period started, stopped yesterday (Thursday), I bought a test, the result is positive, recommend pills: oops:
Thank you very much for the answer!
Answers Karapetyan Eliz Martinovna:
Hello! Judging by your letter, you are writing a week after contact, which you consider to be the cause of pregnancy. It is unlikely that this contact was the cause, since the test becomes positive 12-14 days after sexual contact. You need to visit a gynecologist to accurately determine the duration of your pregnancy. This is the first. Secondly, the pills you are asking for information about cannot simply be recommended. If you mean means for medical abortion, then you need to know for sure that this is a dangerous procedure, and it is carried out only in gynecological clinics. Don't try to do this yourself! We also recommend that you refer to thematic articles on our website: Pregnancy test or how to find peace of mind and At a crossroads: unwanted pregnancy - to have an abortion or not to have an abortion? . Do not be ill!
Anastasia asks:
Hello dear specialists, I really want to receive qualified help from you. Previously, I didn’t turn to gynecologists for serious issues, since I wasn’t sexually active until I was 24 years old. Now I’m 25 and have been sexually active with my loved ones for more than six months. During sexual intercourse without a condom, there was no obvious ejaculation, when we went out to put on a condom, the erection disappeared, as after the completion of sexual intercourse, but my young man did not feel this, i.e. he was not sure whether there was ejaculation or not. I have an irregular menstrual cycle (30-35). Tell me what measures should be taken to prevent pregnancy, where to start? and what are the most dangerous days for pregnancy (the last menstruation was from April 21 to 28, and sexual intercourse was on May 10)? thanks in advance for your help. Regards, Anastasia.
Answers Medical consultant of the website portal:
Hello! It should be remembered that in order to fully receive qualified assistance, you need to visit the doctor in person, but we can only help you navigate your condition. Given the irregularity of your cycle, it is difficult to talk about certain safe days for you. The effectiveness of the calendar method with a regular cycle is 80-90%, but only with a regular cycle; in the absence of one, it is better to choose another method. We have an article on our website that will help you navigate the issue that interests you. If it turns out that the probability of pregnancy after sexual intercourse is high, then you can use emergency contraception (used after sexual intercourse), read about it in the article. All the best!
Andrey asks:
Hello. I have a question for you.....I had sex with a virgin, but I didn’t insert the penis all the way, that is, I didn’t take my virginity....I came in the vagina.....is there a possibility of pregnancy (menstruation should start after 8 days) And if so, what should I do?
Answers Medical consultant of the website portal:
Hello! The possibility of pregnancy does not depend on the girl’s virginity, and at what depth the ejaculation occurred; for this, sometimes a very tiny amount gets on the external genitalia. In such cases, it is usually recommended to use emergency contraception; you can read about it in the article What to do if pregnancy is possible, but unwanted? . You have a very limited amount of time for emergency contraception, but, assuming you are young, we advise you to visit a doctor first. You have 72 hours from the moment of sexual intercourse, hurry up. It is also very advisable not to use such methods often, since they are harmful to the girl’s health. You can choose a more humane method of contraception by reading the article Methods of modern contraception (protection against unwanted pregnancy). All the best!
nastja asks:
How to avoid pregnancy if my partner came inside me today,
Answers Medical consultant of the website portal:
Hello, Anastasia! Emergency contraception can help avoid unwanted pregnancy. Most often, for the purpose of emergency contraception, tablet preparations are used, which contain the hormone levonorgestrel in high concentrations. These drugs are sold in pharmacies without a prescription. This drug must be taken no later than 72 hours after unprotected sexual intercourse. Before taking the drug, carefully read the instructions. Take care of your health! Hello, Anastasia! Emergency contraception can help avoid unwanted pregnancy. Most often, for the purpose of emergency contraception, tablet preparations are used, which contain the hormone levonorgestrel in high concentrations. These drugs are sold in pharmacies without a prescription. This drug must be taken no later than 72 hours after unprotected sexual intercourse. Before taking the drug, carefully read the instructions. Take care of your health!
Misha asks:
Good evening! There was sexual intercourse without ejaculation (the condom broke). After 2 hours the girl took one tablet and after 12 hours the second tablet. The previous menstruation was not on time (~19 days), perhaps the hormonal balance was disturbed. 1. Will the drug help? 2. How to restore the body after its action (vitamins, etc.)? 3. How to determine pregnancy?
Answers Mikityuk Alexander Vladimirovich:
Good afternoon With any unprotected sexual intercourse, there is a possibility of developing pregnancy, since sperm are released in small quantities during the act, and not only during ejaculation. Your girlfriend took the drug according to the indicated regimen, it should help, so pregnancy is unlikely. A single use of the drug should not cause serious changes in your girl’s body, however, given that there was a disruption in the menstrual cycle before taking the drug, it is still advisable to conduct a study of sex hormones, do an ultrasound of the pelvic organs and, of course, get an appointment with a gynecologist, who Having assessed the results of the research, she will be able to correct the condition of the girl’s body. To determine if you are pregnant, take a pregnancy test at home. Choose a test with maximum sensitivity, preferably a jet test, and on the 14th day after intercourse with the condom breaking, conduct it, preferably on morning urine. Do not be ill!
Olya asks:
I had sexual intercourse on the 3rd day after the end of my period, now there is a delay of several days, on the advice of a friend I took 2 tablets of postinor. can my period come?
Answers Karapetyan Eliz Martinovna:
Dear Olya! Taking the drug for emergency contraception in your case (a month after unprotected intercourse) was absolutely not justified, since Postinor is effective as a contraceptive only for 72 hours after unprotected intercourse. Moreover, it is a very strong medicine. I strongly advise you, never listen to the advice of your friends in terms of treatment and do not self-medicate! Since in medical practice there are many cases where the result of such actions is enormous damage to health that doctors are not able to cope with. Don’t forget, your health is a gift that needs to be protected in all available ways, and not harm it yourself; no one can return it to you. As for the delay, to find out its cause, take a pregnancy test using the first morning urine and with its results, contact a gynecologist; after examination and examination, the doctor will tell you why the menstrual cycle is disrupted.
Katya asks:
I took the drug with levonorgestrel on the 10th day of the menstrual cycle, a week later menstruation began, and two weeks later, 2 weeks ahead of schedule, menstruation began again, but very strong. On the 4th day, the gynecologist prescribed 2 hemostatic injections - the bleeding became less, but did not stop on the 5th day. I took a pregnancy test and the result was negative. She says that the bleeding should stop completely and come back to her only when she has her next period, but she didn’t say to do any tests or examinations. Do I need to undergo any other examinations or ultrasounds now, or take hormone tests if my gynecologist has not prescribed them? When should menstruation stop? Maybe some other treatment is needed? When can I start having sex again?
Answers Mikityuk Alexander Vladimirovich:
Good afternoon If, despite the treatment, the bleeding still has not stopped, you need to go to the doctor again and conduct additional studies (ultrasound, hormones, etc.). You shouldn’t expect everything to resolve on its own, just as you shouldn’t self-medicate without establishing the cause of the condition. Apparently, after taking the drug, you experienced a menstrual cycle disorder (like uterine bleeding), and now you need to determine what exactly happened and why, and then correct the condition. Sexual life can begin only after the condition has returned to normal, since now your mucous membrane is very receptive, and the cervix is also open; the resumption of sexual activity can lead to infectious complications, or to the attachment of elements of the uterine mucosa in atypical places, which will lead to additional difficulties. Don't put off visiting the doctor!
Marina asks:
Good afternoon. Help me make the right decision. Sexual intercourse happened 3 days before ovulation, I was forced to take Postinor according to the regimen after 12 hours. After 2 days, the same situation occurs again, is there a need to take the drug again before 72 hours have passed or does the effect of the first dose remain?
Answers Skiba Alexander Pavlovich:
Good afternoon Pregnancy, apparently, should not occur, but still I cannot give you a 100% guarantee. Since there has been a precedent, take Postinor again, since the first dose will not protect you from the risk of pregnancy associated with repeated unprotected sexual intercourse. However, it must be remembered that with the frequent use of high doses of hormones, serious hormonal problems can arise, so this type of contraception can be used no more than 2 times a month. Emergency contraception should only be used in an EMERGENCY (unprotected sexual intercourse, rape, etc.). In other cases, it is advisable to use planned contraception (IUD, oral contraceptives, etc.). Talk to your gynecologist about routine contraception. First you need to purchase high-quality condoms, preferably with spermicidal lubricant, they will provide double protection against pregnancy. Do not be ill!