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Recommended contraception.

In order not to resort to ECPs, use permanent contraceptives, it is optimal to take COCs for this purpose. Best emergency contraceptive pills: Unplanned; Ginepriston; Postinor. All suggested medications must be taken within 72 hours of unprotected intercourse.

Doctors recommend using:

• Pharmatex,

• Nonoxynol.


THERE ARE CONTRAINDICATIONS. A SPECIALIST'S CONSULTATION IS REQUIRED.

You can use vaginal rings or uterine coils, but it is not recommended to insert them yourself. We remind you that before using any drugs, you should always consult with an obstetrician-gynecologist. Two weeks after taking the medicine, be sure to take a blood test for hormones to make sure that the background is normal and that there is no pregnancy.

Emergency contraception: how to drink?

The use of tablets takes place according to different schemes. If there is only one capsule in the box, it should be consumed within 120 hours of unprotected intercourse. The sooner this happens, the lower the risk of pregnancy. If there are two tablets in the box, they should be taken at intervals of twelve hours. It is recommended to consume them early in the morning and before going to bed, however, the order may change - this will not greatly affect the final result. Depending on the drug chosen, the time of admission will vary. Some of them should be taken with food, and others after.

It is worth considering that some diseases or conditions are a contraindication for taking ECPs:

• The period of lactation and feeding;

• Confirmed pregnancy;

• Hormonal disbalance;

• Oncological diseases;

• Infectious diseases of the reproductive system;

• Chronic diseases of the gastrointestinal tract and liver;

• Chronic diseases of cardiovascular diseases;

• Obesity;

• Varicose veins;

• Thrombosis.

Does emergency contraception always help? How often can you use a similar method of getting rid of an unwanted pregnancy? Remember that you can not resort to ECP too often. During one cycle, use is allowed only once - all others will be completely useless. Moreover, one should not resort to the monthly use of drugs of this type. Excessive use leads to the formation of severe side effects, including infertility and cervical cancer.

To minimize this risk, it is recommended to use contraception regularly and carefully protect yourself. If pregnancy is already confirmed, there is no point in using ECPs. This will not change the situation in any way, it will only provoke unwanted pain and vomiting. Remember that any drugs with UPA and LNG should be taken according to the instructions. Violation of the method of administration will provoke a number of side effects. Refrain from repeated unprotected intercourse after an ECP. Repeated use of this method of contraception in a cycle will not have an effect and will only worsen your overall health.

Return to conventional contraception.

After the end of taking ECPs, a woman can return to hormonal or any other contraception. It will not cause any serious changes if you do not use it every time. After taking the last pill, you can return to the old method of protection. If the reason for the appeal to the ECP was the omission of several days of medication, it is recommended to start it again.

Pros and cons of TEK.

Some women note that after taking the medicine they did not notice any side effects. However, the following reactions from the body are quite common:

• Intoxication;

• Vomit;

• Uterine bleeding;

• Violation of the hormonal background;

• Failure of the menstrual cycle;

• Fatigue and irritability.

The side effect does not occur in all cases, but these are the main disadvantages of using TEK.

The advantages include:

• Ease of use;

• Possibility of returning to habitual contraception;

• High efficiency;

• Minimal risk of infertility (if there were no such problems initially);

• A wide range of drugs.

If you choose the right medicine, you can minimize all side effects. Since the pills do not cause abortion, but prevent the fertilization process, it can be used without prior research.

How does emergency contraception work?

Is emergency contraception really that dangerous? The pills do not cause an abortion, but chemical changes in the sperm and egg. Until the moment of their contact and the beginning of the formation of the fetus, the bonds are broken, which is why fertilization does not occur. The drugs may have side effects. In different patients, the classic symptoms of poisoning (nausea, vomiting, diarrhea) occur, in the long run it causes a change in hormonal levels, which can cause cysts or infertility. Before choosing a medicine, be sure to consult your gynecologist. It is the doctor who will be able to correctly select the appropriate drug with a minimum number of side effects.

If severe bleeding or vomiting begins after taking the medicine, it is recommended to consult a specialist. The effectiveness of drugs with UPA and LNG is quite high. After taking them, the risk of unwanted pregnancy is reduced by 98-99% percent. It can only occur when the drug is taken more than five days after unprotected intercourse.

It should be borne in mind that in order to achieve the highest result, it is recommended to use the uterine spiral. It is placed inside for five days after intercourse without contraception. The principle of its action is that it does not allow to complete the process of fertilization. Unlike pills, it does not cause any hormonal changes. This minimizes the risk of side effects from all systems that produce female hormones.

Which way to choose? There is no single answer to this question. It all depends on the means, psychological readiness and individual characteristics of the body. The most commonly used tablets.

What is emergency contraception?

Emergency contraception is the prevention of fertilization of eggs with the help of drugs. The principle of action is that ovulation is interrupted with the help of the components that make up the selected capsules. It is advisable to use this method in the first hours or days after unprotected intercourse.

Emergency contraception is indicated after:

• Unwanted sexual intercourse without the use of protective equipment;

• Rape;

• Rupture of a condom;

• Missing several pills (hormonal contraception).

Using this method allows you to protect a woman from pregnancy. The remedy does not provoke an abortion, but makes the process of fertilization impossible. The sooner the medicine is taken, the higher the likelihood of its safe effects on the body.

There are two main types of emergency contraception:

• Tablets with UPA or LNG;

• Spiral.

The first method is the most optimal and less traumatic. Most often, the blister contains two tablets that must be taken at intervals of twelve hours or as a single dose. The instructions will indicate the number of tablets and intervals for taking. Follow directions carefully to avoid overdosing. Medicines are suitable for all women of reproductive age, but are not recommended for adolescents whose hormonal background is unstable.

Do I need to see a doctor before/after taking emergency contraceptives?

Given that the effectiveness of the drug depends on how quickly the woman takes it, it is not necessary to go to the doctor. But, if you have unprotected intercourse and you decide to use emergency contraception, be sure to read the instructions carefully. This is mandatory, as there may be contraindications.

Now about the consultation after the reception. Women who constantly take oral contraceptives should visit a gynecologist once a year and do tests, because these drugs contain estrogen, which can slightly increase blood clotting. There is no estrogen in emergency contraceptives (only progestogen), so blood clotting does not suffer, tests are not needed.

Do not be alarmed if after taking the drug you have two monthly periods. It often happens: a menstrual-like reaction occurs (sometimes prolonged - 10 days), and then normal periods follow. If nothing else unusual happens, a doctor's consultation is not required.

However, if you are not using any reliable permanent method of contraception, still contact your gynecologist for help in choosing.

Is it possible to take contraceptives constantly?

No. Emergency contraception is allowed 1-2 times a year.

Although these products are available in pharmacies without a prescription, like all medicines, they can cause side effects.

Unlike oral contraceptives, where everything is balanced and the dosage is small, emergency contraceptives contain an increased dose of the hormone, which can cause the menstrual cycle to go astray.

In addition, the constant use of progestogen sometimes leads to an increase in body weight.

Nausea, pain in the lower abdomen, headache, etc. may also occur.

How to choose a drug for emergency contraception?

Pharmacies offer emergency contraceptives with different dosages.

• In some preparations - 1 tablet, which contains 1.5 mg of levonorgestrel. So the woman immediately receives the entire dose of the hormone necessary to block ovulation.

• In other preparations - 2 tablets, which contain 0.75 mg of active ingredient. They are accepted with an interval of no more than 12 hours. That is, you should try to drink the first pill immediately after intercourse, and the second - after 12 hours. This option avoids an allergic reaction (it is possible for any drug).

Why does a contraceptive not work?

A high dose of the hormone levonorgestrel prevents up to 85% of expected pregnancies. Whether it works or not depends not on chance and luck, but on very specific factors: the phase of the menstrual cycle and the speed of taking the drug.

1. Pills may not work if unprotected intercourse occurs during ovulation or immediately after it, when the egg has had time to leave the ovary. It is impossible to block an ovulation that has already occurred.

Ovulation occurs 12-15 days after the onset of menstruation. And if the menstrual cycle is regular, then you can roughly understand whether the drug will work specifically in your case.

If unprotected intercourse did not occur in the middle of the menstrual cycle and after that you quickly took levonorgestrel, it should work.

2. Now let's figure out how much time a woman has after unprotected intercourse to drink the remedy and it was effective. The maximum is 72 hours, that is, 3 days. But it is better to do it in the first 12 hours.

The statistic is like this:

- if the pill is taken in the first 24 hours after unprotected sex, then its effectiveness is up to 90%;

– if within 24-48 hours, the effectiveness is reduced to 70%;

- if you take the drug after 48-72 hours, the probability of preventing pregnancy will be 50-58%.

The sooner you drink the drug, the better.