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medicalmeds.eu Gynecology Emergency contraception

Emergency contraception

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The emergency contraception though is harmful to an organism, and many women know about it, but despite it remains very much and very popular. In some situations use of this sort of drugs really only way out, in others — unjustified harm to an organism. Let's consider the most popular and the drugs of an emergency contraception recommended by gynecologists as it is correct to accept them what from them there are side effects, what contraindications etc.

In what cases the emergency contraception is necessary?

The unprotected sexual intercourse is the main reason for administration of drugs of this appointment. Yes, despite prevalence of modern methods of contraception and their convenience, some couples about it forget. At the most necessary moment near at hand there is no condom or... it is just torn. Whether it is necessary to panic in this case?

First, it is necessary to calm down and try to count what day of a menstrual cycle now goes. The emergency contraception is not so safe, the pill taken can lead to unpleasant effects. So, if you had an unprotected sexual intercourse the first or last 7-8 days of a menstrual cycle, and it (a menstrual cycle) duration makes classical 28-30 days and it regular, then you should not take a pill, most likely, as the ovulation (day when there can occur pregnancy) falls on the middle of a menstrual cycle.

One more frequent question — whether can be used an emergency contraception together with planned? For example, in the first 14 days of the first cycle of reception of oral contraceptives it is necessary to use at the same time other method of contraception as the first not completely "became effective". Or the concomitant use OK with the antibiotics or other drugs having feature took place to reduce efficiency of action of contraceptives. In this case it is not necessary to accept still "from above" drugs of "the emergency order". In addition to not hormonal contraception OK has to use. Another matter — use of spermitsid (if, for example, the candle was inserted into a vagina not before sexual intercourse, and after or just before sexual intercourse, without waiting of the recommended temporary interval 5-10 minutes) or condoms (they have property sometimes to be torn).

And what to do if the woman nurses? Whether the emergency contraception is necessary in that case? Of course, it is better to avoid similar situations, but if there was "discrepancy", it is possible to use drugs of an urgent order. But in that case it is necessary to postpone breastfeeding for one days, before full removal of drug from an organism.
Options of the emergency protection

Gynecologists offer several possible schemes of administration of drugs and drugs also there is a number.

The most known and still popular — postinor. But it is considered the drug of "old generation" possessing a huge number of side effects. Reception is carried out as follows: within 48 hours (but no later than 72 hours) after sexual intercourse the woman takes one medicine, and in 12 hours — one more. And, the first pill is taken earlier, the probability that the emergency contraception will take the effect is higher, drugs are accepted not just like that, and pregnancy will not occur.

Escapelle - drug more modern. Its distinctive feature — content is to 1 tablet of 1,5 mg of levonorgestrel. In this connection need of reception of the second tablet disappears (drugs of an emergency contraception of last generation contained twice less this hormone therefore double reception was required). WHO advises to give preference to drugs which contain 1,5 mg of levonorgestrel. Though side effects have both those, and others. Reactions at different women to reception of tablets are individual. Ekskapel it is necessary to accept no more, than in 72 hours after the unprotected sexual intercourse.

And, at last, the third option — to drink the usual combined oral contraceptives in a bigger dosage according to the special scheme. Or for time to take 3 medicines of Silest (or its analogs — Regividon, Miniziston) and in 12 hours to take 3 more medicines. Or to take 4 medicines of Marvelon, and in 12 hours — as much again.

Such rule concerns to all to the drugs described above — if within 2-3 hours after their reception there was vomiting or a diarrhea, it is quite probable that tablets completely were not acquired, respectively, fully and will not work, so — pregnancy is possible. It is necessary to repeat reception.

By the way, and what will be if there occurs pregnancy? Whether this emergency contraception will influence her and on health of future child? Physicians agree in opinion that abortion should not be performed because of administration of drugs, they any will not exert impact on health of the child. Another matter if drug is accepted already during pregnancy (thus some persons try to cause independently an abortion), in that case there can be problems. However, the principle "everything or nothing" therefore if there was no abortion on early term, most likely, everything was safely acts on early term, to be exact will show screenings which the woman will undergo if wants to keep pregnancy.
Side effects and frequency of reception

The emergency contraception has to be used only in force majeur situations when there is no other way out. It is desirable — not more often than 2-3 times a year, and it is even better — if is more rare. The most frequent side effect from an emergency contraception of tablets is uterine bleeding which arises in several days after their reception, as a rule. And other women on the contrary have delays monthly, the menstrual cycle is broken. Other widespread side effects — headaches, dizzinesses, diarrhea and vomiting, various allergic reactions.
Other options of an emergency contraception

There are also other methods of post-coital contraception — effective, and not really. The emergency installation of an intrauterine spiral concerns to the first (it is not always feasible in short terms as it is necessary to make a number of tests and to undergo ultrasonography; besides, there are many contraindications to installation). If to make it within 3 days after the unprotected sexual intercourse, then even if there was a fertilization of an ovum, it will not be able to be implanted into a uterus wall, most likely. Such option will suit women who already planned to establish a spiral. Essential minus — can be injured a neck of uterus as only at the beginning of a menstrual cycle the neck is softened, more adapted for safe introduction of Naval Forces.

Other ways — national, with unproven efficiency and even dangerous. By means of them women try to provoke the beginning monthly before term, and in fact, want to cause an abortion on early duration of gestation. "Food" from sugar with iodine, ascorbic acid, parsley, hot bathtubs, grasses like a tansy and many other things belongs to national ways of an emergency contraception. But we do not recommend to use these means.

Always you remember that the emergency contraception is quite dangerous, however is less dangerous, than abortion. That on own experience not to check either the first, or the second, choose a reliable method of planned contraception.



The used drugs:

  • Препарат Постинор.

    Postinor

    Contraceptive means (гестаген).

    Gedeon Richter (Gideon Richter) Hungary

  • Препарат Гинепристон®.

    Гинепристон®

    Antigestagen.

    Stada Arzneimittel ("STADA Artsnaymittel") Germany

    2

  • Препарат Женале.

    Zhenale

    Antigestagen.

    LLC Izvarino Pharm Russia


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