A pill with an unprotected act from pregnancy. What contraceptives can be used immediately after unprotected sex? The danger of emergency contraception

Date of: 02.04.2019

Birth control pills after intercourse

Postinor - birth control pills with experience, he vividly diverged back in the eighties.

The drug reaches its goal, it is especially effective in early (first – not later than second days after the act) use.

He has an unpleasant feature, which consists in a negative effect on the ovaries. For example, even with a single, and even more so repeated intake, a shift in menstrual bleeding occurs, and in this situation a woman cannot understand what phase of the cycle is occurring. It is impossible to understand whether she is pregnant or not, whether unprotected intercourse is possible today or not. And bleeding can be expected at any time.

The name of birth control

Taking the drug twice a year is real, but more often it should not. It is more correct to replace it with other drugs that contain an antagonist - Mifepristone, this is Ginepriston, Zhenale, Agesta. From them we can expect less impact on the hormonal system of women.

True and Ginepristonpo reviews, part of the women shifted their periods.

At the same time, do not forget, taking Ginepriston requires a two-hour hunger strike before and after.

In general, frequent use of postcoital drugs is undesirable; it is better to wear other contraceptives in your purse.

Birth control pills Postinor

So, Postinor is a synthetic drug with a contraceptive effect, and when used, levonorgestrel suppresses ovulation and fertilization, provided that sexual contact occurs in the pre-ovulation period, when the probability of fertilization is greatest. The drug is not effective if implantation has already occurred.

The postinor is used for emergency postcoital contraception, that is, after unprotected intercourse, or if the method of contraception used does not inspire confidence.

Birth control pills taken after intercourse inside, two tablets in the first three days after sexual intercourse.

Ginepriston

The next drug - Ginepriston - a postcoital contraceptive for oral administration

It is a synthetic steroidal antigestagen drug that blocks progesterone at the receptor level. It inhibits ovulation, changes in the endometrium and counteracts the implantation of an egg.

Birth control pills after intercourse within three days and after unprotected intercourse.

Ginepriston is applicable in any phase of the menstrual cycle, however, it is not recommended for regular use as a permanent contraceptive.

Escapel birth control pills

Escapel– is a white pill, engraved with “GOO” on one side.

This is a postcoital contraceptive with gestagenic and antiestrogenic effects. Suppresses ovulation and fertilization, but if sexual intercourse has occurred in the preovulatory phase of the menstrual cycle, (most likely fertilization). It prevents the implantation of a fertilized egg, but with the implantation is ineffective.

Escapel is used only for emergency contraception, it does not replace regular contraception. Repeated use of the drug during the menstrual cycle is not desirable. Accepted no later than three days after sexual intercourse.

Video

Anti-pregnancy pills after intercourse

Previously, only abortion, which brings not only psychological trauma to the body, but also physical, was a means of terminating an unwanted pregnancy. After an abortion, a woman's body must restore its hormonal background, which was aimed at pregnancy.

Due to abortion, the metabolism in the body, the function of the glands, the uterus is injured, bleeding occurs. Of course, all these consequences are serious, but one of the worst consequences of abortion can be infertility.

Not so long ago, humanity has developed a way to get rid of unwanted conception with the help of pills from pregnancy after the act.

Preparations for abortion:

Postinor - and its composition includes levonorgestrel, which is used in hormonal contraceptives. The first pill should be drunk immediately after intercourse or no later than 74 hours, and the second after 12 hours.
Pencrofton - a drug in which mifepristone is approved for use even in early pregnancy. This drug is safe in that it does not lead to secondary infertility.
Mifeprex - using these anti-pregnancy pills after the act, you can terminate the pregnancy for up to 42 days. The drug is well tolerated and effective.
Mifegin is perhaps the most highly effective drug that gives a 100 percent guarantee of abortion for up to six weeks.

Pregnancy pills after the act - the pros and cons

Disadvantages of abortion pills:

Blood coagulation and bleeding disorders.
Due to the high dose of hormones taken, kidney, liver, or reproductive function disorders are possible.
Side effects may occur - weakness, nausea and vomiting, severe pain in the lower abdomen, headache, pressure surges.
This type of abortion does not promise a 100% guarantee of success, unlike surgical intervention.

Advantages of tablets against pregnancy after the act:

Tablets can be taken at home without going to hospital.
The process of isolating a fetal egg is practically indistinguishable from menstruation.
The risk of secondary infertility is minimized.
It does not injure the walls of the uterus and vagina, as with surgery.
Anesthesia is not required, which does not cause a burden on the cardiovascular system.

If you still decide to terminate an unwanted pregnancy, you need to consult a doctor, because self-medication can be dangerous to your health!

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Does pregnancy occur with interrupted intercourse

Many couples do not recognize the use of contraceptives for various beliefs. For many years now, there has been a debate on whether it is possible to get pregnant with interrupted intercourse, because the process of ejaculation in the vagina is absent.

Despite the fact that scientists prove that it is impossible to get pregnant in this way, the experience of many women nevertheless confirms the opposite.

There are many sperm in male sperm that can fertilize an egg, and interrupting sexual intercourse is not a guarantee that you will not become pregnant.
This can also happen during intercourse, since at this time, pre-ejaculatory fluid is released in men, which also contains sperm.
Although the number of sperm in this fluid is small, but if this day falls during ovulation and you and your partner are completely healthy, then the risk of becoming pregnant is quite high.
Also, pregnancy can occur due to the fact that it is difficult for a man to control himself during ejaculation, and if you miss at least a few seconds, then drops of seminal fluid can enter the vagina.
Sperm can also get into the vagina if on the eve of sexual intercourse your partner did not carry out sufficient hygiene procedures after your previous connection.

Pregnancy during an interrupted act may not even occur for several years, but may occur immediately. In any case, in order to avoid unwanted pregnancy and abortion, it is better to consult a doctor what type of contraception may suit you and your partner.

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Can I have sex during pregnancy?

About whether it is possible to have sexual intercourse during pregnancy, there are many disputes and legends. With a normal pregnancy, there are no prohibitions for intercourse for a couple. The main thing is the mutual making of partners, since during pregnancy a woman’s desire can both intensify and completely disappear, which a man should not be offended by.

However, there are a number of special contraindications that are universal for all women:

Genetic abnormalities of the fetus.
Pregnancy complications or infectious diseases of the genital area.
The tone of the uterus that occurs in the early stages of pregnancy.
Bleeding or threatened miscarriage.
The last gestational age is about 4-6 weeks. The cervix opens slightly, and sexual intercourse can cause amniotic fluid to flow or provoke a premature pregnancy, causing a uterine tone.

Sexual intercourse should not last longer than 3 - 5 - 10 minutes.
The most comfortable and suitable posture is when a woman lies on her side and the man behind her is also on his side.
If dryness in the vagina makes you uncomfortable, you can use a lubricant, as it does not harm the unborn baby.
During pregnancy, anal sex should be avoided, as this can cause uterine contractions.
It is important for a woman to regulate the pressure and depth of the introduction of the penis into the vagina itself, so as not to cause uterine contractions.

Before you engage in sexual intercourse during pregnancy, be sure to consult your gynecologist about the course of pregnancy and possible complications. The main thing is to strictly adhere to all the recommendations and nothing bad will happen.

Of course, birth control pills after an unprotected act must be at hand, but few know how to use them. The benefits of such pills are significant, but also harm.

This is especially true for those women who believe that tablets immediately after the act are a panacea for an unplanned pregnancy.

Before using this contraceptive, you need to weigh all the positive and negative points, and assess the risk and likelihood of adverse effects.

Emergency contraception

Pills that prevent an unwanted pregnancy after unprotected coitus belong to the group of emergency contraception methods. Synonyms of emergency contraception are fire, postcoital or emergency contraception. There are several ways to prevent unwanted pregnancy in the absence of protective measures before or during intimacy:

a contraceptive pill after intercourse or a pill the next day (there are two types);
installation of an intrauterine device within 120 hours after sexual intercourse;
combined oral contraceptives containing estrogen and gestagen (COC).

How do pills work?

As mentioned above, there are 2 types of emergency birth control pills, both of these and other tablets are hormone-containing drugs:

group of drugs, they include levonorgestrel (progestogen)
tablets containing mifepristone (antigestagen)

Levonorgestrel

The mechanism of action of tablets, the active substance of which is levonorgestrel (names of birth control pills after the act of Postinor, Escapel, Eskinor F) consists of three points:

Delay or block ovulation. Acting on the ovaries, levonorgestrel prevents the egg from escaping from the main follicle (when taking the drug on the eve of ovulation), since it suppresses the effect of gonadotropic hormones (FSH and LH).
The composition of cervical mucus changes. Among other things, levonorgestrel increases the viscosity of the mucus of the cervical canal. It becomes thick and slows down the process of sperm penetration into the uterus.
Inadmissibility of implantation of a fertilized egg. 2 mechanisms prevent the introduction of an egg into the uterine mucosa. The first is that the structure of the endometrium changes, since levonorgestrel causes the reverse development of proliferative processes in the endometrium, which excludes the possibility of its transition to the secretory phase, so necessary for complete ovulation. Thus, postinor and other drugs containing levonorgestrel have a mild abortive effect. In addition, levonorgestrel affects the peristalsis of the fallopian tubes, their contractions decrease, which disrupts the delivery (in time) of the fertilized egg to the uterine cavity for implantation.

1 tablet of Postinor contains a huge dose of the hormone, after which a serious hormonal imbalance occurs in the woman’s body. WHO does not recommend the use of such contraceptives in general, the instructions for the drug indicate that even a healthy woman is not allowed to take it more than 4 times a year and no more than 1 time in the menstrual cycle. However, some women (unknowingly) use levonorgestrel uncontrollably, sometimes even several times per cycle - which is unacceptable and very dangerous.

When taking Postinor, a violation of the ovarian function occurs, and even with a single dose of the drug, the body needs a certain amount of time to restore their function, and in each case it is individual (see details about the harm and side effects of Postinor).

Postinor (price 240-260 rubles)

Excinor f

Mifepristone

The action of drugs from the second group of emergency birth control pills (containing mifepristone - Zhenale, Mifegin, Pencrofton, Miropriston) approximately corresponds to that of tablets, which include levonorgestrel:

inhibition of ovulation;
structural changes in the endometrium (mifepristone, the active component of this group of drugs, has antigestagenic activity, it blocks receptors in the uterine mucosa that respond to progesterone, the hormone of pregnancy, and as a result, the endometrium does not undergo changes necessary for implantation);
increased contractile activity of the uterus, which contributes to the expulsion of a fertilized and not attached to the mucous membrane of the uterus egg from its cavity.

When is postcoital contraception acceptable?

Life is life, and sometimes it throws up situations that seem hopeless. It is possible to prevent an unwanted pregnancy with the help of birth control pills, which should be taken after intercourse.

But it is worth bearing in mind that it is better never to use them at all, since the indications should be very serious when the risk of an unplanned pregnancy and possibly a future abortion exceeds the risk of complications:

rape;
condom damage or slipping during coitus;
prolapse (expulsion) of the spiral or displacement of the vaginal diaphragm;
skipping oral contraceptives.

How to take pills in case of unprotected sexual contact

To maximize the effectiveness of birth control pills for emergency contraception, you need to know the rules for taking them:

Levonorgestrel-containing tablets

Postinor is used no later than 72 hours after coition without the use of contraceptives. The first tablet is drunk immediately (the faster, the more optimal), the second after 12 hours (maximum after 16). In case of vomiting, an additional dose of Postinor should be drunk. Escapel or Escinor F are taken in the amount of one dose (tablets) once during the same 72 hours. Whether birth control pills will help after the act depends on the time elapsed between unprotected intimacy and taking the drug:

If a levonorgestrel-containing drug was taken after 24 hours or less after coition, protection against unwanted pregnancy is 95%
When using drugs after 25 - 48 hours, their effectiveness is reduced to 85%
When taking tablets in the period 49 - 72 hours after intimacy, their reliability drops to 58%

Pills that contain estrogen and gestagen

In this case, we are talking about the Yuzpe method, when COCs are used as fire contraception (see what good birth control pills are). Few women are familiar with this method, but sometimes it acts as a good alternative to the next day's pills (Postinor and Escapel).

Tablets are taken in 2 stages (from 2 to 4 pieces for each use, depending on the dose of hormones that determine their composition) no later than 72 days.
The second method is similar to the use of Postinor, that is, after 12 hours.
Most often used Rigevidon, Non-ovlon, Silest, Ovidon and others.
Protection against unwanted pregnancy reaches 75 - 85% (depending on the duration of taking the tablets after coition).

Mifepristone Tablets

Birth control pills after sexual intercourse, for example, Ginepriston, Mifolian, Zhenale, Agesta (the drug has recently been discontinued), are taken no later than 72 hours after the "free from obligations" sexual intercourse. You need to drink one tablet only once. Please note: 2 hours before consuming mifepristone-containing tablets and within two hours after taking it, you should starve (not eat).

Who doesn’t have emergency birth control pills?

It is better not to risk your own health and refuse to take levonorgestrel-containing drugs in case of:

It is not recommended to take drugs that contain mifepristone in the following situations:

pathology of the liver, biliary tract, as well as with existing liver failure;
adolescent girls (16 years old or less), since the cyclical nature of both ovulation and menstruation has not yet been established;
confirmed pregnancy (an egg has already been implanted, and it is impossible to expel it from the uterus);
in case of lactose intolerance and / or impaired absorption of glucose and galactose (component tablets);
crohn's disease (bowel disease);
at the stage of breastfeeding (prohibition of feeding the baby during the day after taking the drug);
unstable menstrual cycle or cycles with irregularities (bleeding between menstruation, their soreness or profusion);
hormone-dependent tumors of the reproductive system;
ectopic pregnancy in the past (see causes and consequences of ectopic pregnancy);
an increase in the coagulation system.

long-term use of glucocorticoids (prednisone, dexamethasone and others);
porphyria;
bleeding disorder or recent anticoagulant therapy;
adrenal insufficiency;

Kamasutra
Next day tablet

In case of unprotected intercourse (birth control methods were not used, I forgot to take a birth control pill, without a condom, an “accident” with a condom occurred), it is possible to avoid pregnancy by drinking the pill the next day or within 3 days (72 hours).

This pill is called the next day pill or the first aid pill.

What drug and what dosage

Within 72 hours you need to drink:
2 tablets of Tetraginone (Tetragynon) or Steridil (Steridil)
or 1 tablet Norlevo (Norlevo)

As soon as the pills are drunk, use condoms or spermicidal creams, for example, while waiting for your period.

Menstruation should begin on time. In anticipation of their arrival, go to the doctor and stock up on classic birth control pills. As soon as the menstruation begins, on the first day, start taking these pills according to the indicated pattern.

If your period did not come, do not wait and go to the doctor.

The next day pill can also be drunk if the birth control pill is forgotten and more than 24 hours have passed.

In France, schoolgirls can get such pills from a school nurse, thereby avoiding talking with parents. And the nurse has no right to talk about this to anyone. And again about emergency contraception. Article taken from farmo.ru

If you had unexpected “unprotected” sexual contact without contraception, rape occurred, you used one or another method of contraception, but there was a “failure” (for example, a condom burst) - do not despair, there is a way out!

For such situations, there is emergency contraception that will prevent the onset of an unwanted pregnancy. You have 3 options:

1. Within 24 hours: the Yuspe method - immediately after sexual intercourse and after 12 hours, the field must be taken ONE of these funds in a dose:

non-ovlon, ovidon - 2 tablets;

rigevidon, mikroginon-30, minisiston - 3 tablets, marvelon - 4 tablets

If the day has passed, then most likely, "this train has left," although it can help for three days.

2. Within 72 hours: 2 tablets of "emergency care" postinor with an interval of 12 hours.

3. If 72 hours have elapsed, within 5 days: a copper-containing spiral, its huge advantage is that it can be introduced even 5 days after the “accident” - it will prevent the attachment of a fertilized egg. But it is dangerous to introduce the spiral after rape, as this could lead to infection with sexually transmitted diseases, and this procedure facilitates the path of infection into the upper genital tract.

If the IUD is inserted no later than the 5th day after sexual contact, the possibility of pregnancy will be minimal, the effectiveness of the method is 98%. After the 5th day, using a spiral as a means of emergency protection is useless.

POSTINOR - EMERGENCY PILL COMPOSITION: 1 tablet contains 0.75 mg of levonorgestrel. ISSUE: 1 blister containing 4 tablets.

INDICATIONS: these pills are intended for women who fear an unplanned pregnancy after sexual intercourse in the event that no contraceptive measures were taken or a condom broke, or in case of violence, when the woman did not plan to have sex.

MECHANISM OF ACTION: These "emergency" pills essentially work as ambulance. Depending on what phase of the menstrual cycle the woman is in, the tablets either delay ovulation, or prevent fertilization, or prevent the implantation of a fertilized egg.

Due to the high hormone content (as in 3-4 regular birth control pills), postinor causes rejection of the uterine mucosa, which is prepared for the introduction of a fertilized egg, which helps to inhibit conception at an early stage and prevent pregnancy.

DOSAGE AND ADMINISTRATION: 1 tablet is taken within 72 hours (preferably immediately) after unprotected intercourse, another 1 tablet should be taken 12 hours after the first.

With multiple sexual intercourse - an additional 1 tablet 8 hours after taking the first. Suppose you take no more than 4 tablets per month (that is, you can protect yourself with a postinor no more than 2 times a month!). Therefore, in the package there are only 4 tablets.

SIDE EFFECT: Most often, a side effect is manifested in the fact that a woman is tormented by nausea or vomiting. After vomiting, you need to take a couple more tablets instead of those that did not enter the circulatory system. To avoid vomiting, it is best to take pills with meals.

The stomach can also hurt, spotting is possible.

In case of an overdose, the side effects will intensify - you have to rinse your stomach.

CONTRAINDICATIONS: diseases of the liver and gall bladder, jaundice (including in the past), young age.

Postinor is contraindicated during pregnancy and lactation!

SPECIAL INSTRUCTIONS: in case of uterine bleeding, a gynecological examination is recommended.

CONSUMER ANALYSIS OPINION OF THE GYNECOLOGIST: postinor has its pros and cons. The plus is that if a woman very rarely lives sexually (say, 1 time per cycle), then there is no reason for her to chew hormones every day. The game is not worth the candle.

And she eats a postinor pill after a fait accompli, gets as many hormones as three or four birth control pills, and sleeps calmly, and does not expect her to “break off” next Friday.

“Will the pill really help even three days after the fact?”

The farther, the more uncertain. If the pills are at hand, a woman drinks one tablet within an hour after ejaculation. If there were multiple intercourse, then - another second pill in the morning. And sleeps calmly.

If she forgot, if she didn’t have a pill, then within seventy-two hours she drinks the first pill, as soon as she remembered, the second pill - after 12 hours and the third - after 12 more. And then she hopes that she was "carried". But if it blows, it doesn’t, it’s a question.

IF CONTRACEPTION SUMMED: bearing such a pregnancy should be taken very carefully, but you can leave the baby.

INFORMATION ABOUT PRICES: 37-56 rubles.

EFFICIENCY: equal to 95%. But there are drugs that can reduce the contraceptive effect of postinor - these are rifampicin, ampicillin and tetracycline. So do not take these pills together.

ADVANTAGES: single use is possible. Suitable for women living irregular sex life (once every two to three months). "insurance" of contingencies.

NEGATIVE MOMENTS: the method may not work for women with menstrual irregularities; it has contraindications, like all hormonal pills. It is a gross intervention in a woman’s body and can cause complications.

OVERALL ASSESSMENT: the drug is intended only for emergency contraception! Permanent use is not allowed: with the simultaneous administration of large doses of hormonal tablets, sharp changes occur in the woman’s endocrine system. Therefore, do not drink postinor more than once in the menstrual cycle.

With regular sexual activity, choose a different method of protection.

P.S. The pills you take will not prevent pregnancy during subsequent “unprotected" sexual intercourse until the end of the menstrual cycle!

OVIDON, OVIDON, NON-OVLON (Uspe method) NON-OVLON (Uspe method) - High-Dose Monophasic Oral Contraceptives

MANUFACTURING COUNTRY: Hungary, Germany. COMPOSITION: high-dose (with a large number of hormones) oral contraceptives containing a combination of estrogen and progestogen. Each ovidone and non-ovlon tablet contains 0.05 mg of estrogen and 0.25 mg / 1 mg of estrogen, respectively.

RELEASE FORM: each tablet contains 21 tablets.

INDICATIONS: second-choice drugs for long-term hormonal contraception with individual inefficiency of low-dose contraceptives; for therapeutic purposes for a short period with menstrual disorders, premenstrual syndrome, as well as an ambulance after unprotected intercourse.

MECHANISM OF ACTION: long-term hormonal contraception works like this: two synthetic hormones contained in the tablet are close to those produced by the ovaries, but are more active than natural sex hormones.

When you take pills, your hypothalamus and pituitary gland receive a sufficient amount of synthesized hormones and "do not give the ovaries orders from above" so that they produce follicles. Therefore, your ovaries are at rest, and ovulation does not occur.

The contraceptive effect is enhanced by changing the cervical mucus. This mucus, which resembles a raw egg protein in appearance, is secreted at the time of ovulation to facilitate sperm access to the uterus. When taking the pill, the mucus becomes thick, impervious to sperm, and they will not be able to break through it.

Well, and thirdly, the mucous membrane of the uterus itself changes: it becomes so thin that attachment of the embryo to it is impossible.

And the mechanism of action of contraception "next day" is that when taking large doses of hormonal tablets at the same time, sharp changes occur in the woman’s endocrine system: estroprogestins do not allow the embryo to strengthen on the uterine mucosa.

METHOD OF APPLICATION AND DOSAGE: for long-term contraception women, starting from the first day of menstruation, should take one tablet daily until the pack is empty.

When a woman finishes drinking pills, she begins menstruation. As soon as menstruation ends (usually on the 28th day after taking the pills), the woman opens a new pack of pills.

For emergency contraception, the Yuspe method consists of using oral contraceptives according to the following schemes: immediately after sexual intercourse and after 12 hours, it is necessary to take 2 tablets of non-ovlon or ovidon (you can replace it with gravistat, continuin (it is, however, not registered in Russia), norethisterone). Rigevidon, microginin-30, minisiston (3 tablets), marvelon (4 tablets) are less commonly used for the same purpose.

In these three days, a woman should take the first dose of the drug as soon as possible, and 12 hours after that, repeat the drug (2nd dose). It is recommended to take pills after meals, for example, after breakfast at 8 a.m. and after dinner at 8 p.m.

ADVERSE EFFECTS: in case of emergency contraception: complications of the method are nausea, sometimes vomiting (if less than 3 hours have passed since the first or second dose was taken and vomiting has begun, the tablets should be repeated), acyclic uterine bleeding, breast engorgement, headaches.

With prolonged use, pigmented spots often appear on the skin, blood sugar levels and blood pressure increase. Thrombosis, gallbladder disease, jaundice, diarrhea, skin rashes, hair loss and fatigue increase.

CONTRAINDICATIONS: there are enough of them - hypersensitivity to the components of the drug, pregnancy, breast-feeding, liver disease, cholelithiasis, cholecystitis, chronic colitis, cardiovascular changes, tumors, lipid metabolism disorders, hypertension, diabetes mellitus, anemia, vaginal bleeding, migraine, otosclerosis, pregnant jaundice in the past, severe skin itching, or pregnant herpes in the past.

SPECIAL INSTRUCTIONS: 3 days after emergency contraception, a menstrual-like reaction should appear, in its absence, it is necessary to conduct a pregnancy test.

CONSUMER ANALYSIS GYNECOLOGIAN ADVICE: The vast majority of women in an abortion hospital did not know anything about this technique. Abroad, it is believed that 20% of abortions could have been avoided if a woman had consulted a doctor in a similar situation.

My opinion: success depends on the speed of your actions. The next day, even if it is Sunday, consult a doctor or the emergency gynecological service.

IF CONTRACEPTION DETERMINED: bearing such a pregnancy should be treated very carefully, but the child can be left.

PROTECTION AGAINST Sexual infection: no.

INFORMATION ON PRICES: ovidon: 36-47 rubles; non-ovlon: 70-94 rubles.

SUMMARY EFFICIENCY: The Yuspe method is effective at 98.5% (that is, 1.5% failure) if no more than 72 hours have passed from the moment of unprotected sexual contact, and preferably 24 hours.

ADVANTAGES: an opportunity to correct a mistake.

NEGATIVE MOMENTS: these drugs are not acceptable for every woman.

In addition, some drugs can neutralize the effect of hormonal drugs, for example, antibiotics, antiepileptic drugs, which should be considered when using postcoital contraception and should not be used simultaneously.

OVERALL ASSESSMENT: due to the fact that the use of postinor is accompanied by a significant number of complications in the form of various disorders of the menstrual cycle, the Uspe method is most preferred (the use of hormonal preparations containing only pure levonorgestrel is recommended).

Is it possible to terminate pregnancy with birth control pills?

29.03.2019

Usually it is accepted to protect oneself before sexual intercourse, but different situations happen in life ... I burst a condom ... I felt dizzy and forgot about everything ... The interrupted act did not work ... There are doubts about the contraceptive used ...

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

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

Contraceptive efficacy chart

In order to guarantee the prevention of conception after unprotected coition, a large concentration of hormonal substances is required, therefore this contraceptive option cannot be taken constantly. They are intended for SOS cases only. According to medical data and WHO recommendations, within a year, a woman can resort to emergency measures no more than three times.

When do women resort to emergency care?

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

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

Antibiotics, especially tetracycline.
Contraceptives less than six months ago.
Valproic acid and medicines based on it for the treatment of epilepsy.
Steroids.
Betta blockers.
Antiviral.
Anthelmintic.

Certain diseases, such as tuberculosis, hepatitis, syphilis, rubella, serious thyroid or kidney disorders, can also be indicated. The likelihood of conception exists if you take oral contraceptives, but missed a few doses. "Random" sex for one night or violence, after which you do not want to give birth, is also a good reason for emergency protection.

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

Contraindications

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

Nausea.
Weakness, dizziness.
Bleeding.
Pain in the lower abdomen.
Stomach upset.
Dry vagina.
Rashes on the skin.
Swelling.
Severe headaches.
Violations in the bloodstream, up to a heart attack.

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

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

Contraindications to emergency protection are:

Clotting problems and a tendency to bleed.
Young age - up to sixteen years.
Lactation.
Low hemoglobin.
Serious liver and kidney disease.

Mechanism of action

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

First group - prevents ovulation, that is, it does not allow the egg to mature and exit, therefore conception does not occur in principle.
Second group - does not allow an already fertilized egg to attach to the uterus, which for opponents of abortion and believers is equated with murder.

The first group includes agents with a gestagenic effect. They are similar to female hormones produced by the corpus luteum and adrenal glands during pregnancy. Substances inhibit the production of elements by the pituitary gland that provoke egg maturation. It is for this reason that women do not have menstruation during gestation. They also make the vaginal mucus thick and it is difficult for sperm to move in it. Such tablets are effective during the first half of the cycle up to three days before ovulation. If the egg has already left the ovary, progestogen contraceptives become useless.

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

Intrauterine devices with copper also belong to this group. Their installation should take place no later than 120 hours after sex. Prevention efficiency is 99%. The spiral does not allow the egg to attach, and also changes the environment inside and around the uterus, making it unsuitable for sperm. The method is not recommended for nulliparous. Also, not all women tolerate implantation well, the spiral causes uterine bleeding (24%), severe inflammatory processes (4%) and uterine perforation (0.5%).

Consider in more detail tablets from each group and determine which are most suitable after unprotected intercourse.

Birth control pills after the act for 72 hours

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

Eskinor F.
Escapel.
Gravistat.
Microlute.
Postinor.

Substances that protect the uterus from the ovum are made using mefipristone.

Zhenale.
Miropriston.
Mifegin.

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

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

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

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

Postinor

It is considered the best drug for efficacy and tolerance by the body. Contains synthetic levonorgestrel - an analogue of the natural hormone. Helps avoid unwanted pregnancy by slowing ovulation. Well suited for women with a regular cycle.

It is not used as a permanent protection, since the dose of progestogen in it is higher than in conventional medicines for every day. However, less than in some drugs with a similar effect.

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

Do not prescribe a remedy for women with cholecystitis and liver diseases. Treatment with antibiotics (tetracyclines and ampicillins) reduces the effectiveness of the defense. After using Postinor, nausea is observed, there is a lack of menstruation for some time, as well as spotting between menstruation. The cost of packaging, in which two tablets means, is about 350 rubles.

Escapel

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

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

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

Ginepriston

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

It can not be used for genital inflammation, anemia, bronchial asthma and renal failure. The action is the opposite of glucocorticosteroids (inhalation in asthma, drugs for the treatment of joints), therefore, Ginepristone is not used for therapy with these drugs. Also, after a contraceptive course for two weeks, non-steroidal anti-inflammatory drugs (analgin, ibuphene) are not prescribed.

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

Mifepristone

A concentrated drug based on mifepristone - 10 or 200 mg in each pill. It is used not only for prevention, but also for medical abortion, up to 1.5 months of pregnancy, as well as stimulation of childbirth. The active substance does not allow the egg to gain a foothold, delays ovulation, significantly enhances the contractile activity of the uterus. In combination with prostaglandin, muscle strength is enhanced. They use the drug in the treatment of certain cancers and uterine nodes, by blocking progesterone receptors.

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

Combination birth control pills after sex

Ovidon

A combined agent based on ethinyl estradiol (0.05) and levonorgistrel (0.25). Causes changes in the fallopian tubes, cervical canal, endometrium, ovaries. The latter are at rest, and the endometrium temporarily atrophies. Acts as efficiently as possible - 100% pregnancy barrier.

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

Feeding a baby.
Pathology of the heart.
Diabetes.
Hypertension
Thrombosis.
Anemia
Gallbladder disease.

For continuous oral contraception, use a tablet, and for urgent immediately up to 4 tablets, for example, 2 tablets with a break of 12 hours.

The consequences of taking postcoital birth control pills

Care should be taken in choosing partners and monitor their safety. Unprotected sexual intercourse is dangerous for a woman due to its consequences, both in the case of abortion and emergency care. The use of postcoital contraception can permanently unsettle and damage health. Many women experience:

Severe paroxysmal headaches of the type of migraine.
Violations of the cycle with delays of up to a week or more.
Bleeding after taking and in between periods.
Problems with bearing up to infertility.
Blood clots.
The risk of an ectopic pregnancy.

Therefore, if possible, the use of these drugs should be reduced or completely eliminated. If the reception cannot be avoided, then you should carefully study the contraindications and accurately calculate the dose without exceeding it.

In the recent past, when there were few effective means of protection, women often used the calendar method of calculating the safe period of the menstrual cycle, and also used the method of an interrupted act. Now, when medicine has stepped far forward, it does not make sense to use the above methods of protection, so an increasing number of couples are leaning toward officially recognized methods of contraception. But if they were not involved in time, then birth control pills after intercourse will save the situation. What is the most effective remedy?

When and who may need them

The correct answer to the question of when contraceptives may be needed is after unprotected intercourse, when there is a risk of pregnancy. This is possible in the following cases:

Prevention was not used.
Rape occurred, and the woman at that time did not take effective contraceptives.
The usual contraceptive did not work.

The last paragraph needs to be decrypted to clarify when this is possible. The most common cause is skipping OK (oral contraceptive), as well as an untimely injection of the hormone used for parenteral contraception. Sometimes, after sex, a woman notices that the contraceptive ring has shifted, the cervical cap was incorrectly installed, along with leucorrhoea and ejaculate, candles or tablets with a spermicidal effect and used for contraception came out of the vagina.

Any suspicion of a malfunctioning of the usual contraceptive is a reason for contacting a gynecologist for advice on further options for contraception.

Today, in any therapeutic drug for emergency contraception, as a result of defenseless sex, hormonal components are used.

What postcoital pregnancy prevention drugs are known? Two methods of emergency contraception after unprotected sex are now recognized as official medicine. They are the use of copper-containing intrauterine devices (spirals) during the first 5 days and the administration of tabletted post-coital agents. To use the first method, it is necessary to visit the obstetrician-gynecologist first for consultation, and then for the purpose of fixing the spiral. The second method is convenient because the doctor immediately recommends the necessary contraceptive pills, which you will take according to the scheme at home.

Currently, in any drug for emergency contraception after unprotected sex, a hormonal component is used, which can be progesterone or levonorgestrel. Contraceptives are available universally under the following trade names:

Escapel.
Postinor.

In both, levonorgestrel is used as the active component, only in Postinor it is 0.75 mg, and in Escapel it is 1.5 mg, which explains the peculiarities of their use. The mechanism of action is the same.

Levonorgestrel prevents the development of ovulation and the exit of the egg from the ovary, which is the main contraceptive effect. A sperm that enters the uterus after unprotected sex will die after some time without fertilizing the egg. In addition, these emergency contraceptives will increase the viscosity of the intramuscular mucus, which will create a mechanical obstacle to the movement of sperm into the uterine cavity.

Levonorgestrel prevents the development of ovulation and the exit of the egg from the ovary.

How to take and what is the effectiveness

It should be noted that these concepts intersect. A relationship has been noted for a long time between the increase in the contraceptive effectiveness of the tablets and the time they were taken: the earlier the drug was taken after unprotected intercourse, the less chance of pregnancy.

According to the annotation of manufacturers of tabletted postcoital contraceptives, the maximum interval between completed unprotected intercourse and taking the drug is 72 hours. Further use of this method of protection is impractical.

Emergency tablet contraceptives (reception features)

The instructions for use indicate that in the event of vomiting in the first 3 hours after taking birth control pills, the drug should be repeated.

When not to use

First of all, they will include an already confirmed pregnancy. These birth control pills do not have an abortive effect, so their use to get rid of an unwanted pregnancy is impossible. Medical contraindications in the annotation to both contraceptive drugs are indicated as follows:

An allergic reaction, already taking place earlier or potentially possible, to the active substance levonorgestrel or any other component of the tablet.
Pathology of the gastrointestinal tract (gastrointestinal tract). In some diseases, the absorption function of the small intestine is impaired, which leads to the fact that the necessary concentration of the hormone in the blood is not achieved. The contraceptive effect of contraceptives in this case is difficult to predict. An example of such diseases is Crohn's disease.
Serious liver disease with signs of liver failure, in which there is a decrease in its function.
Together with drugs for the treatment of HIV, tuberculosis, fungal diseases (referring to oral capsule or tablet forms), epilepsy, with emergency barbiturates and St. John's wort, emergency contraceptive in the form of tablets cannot be taken.

If you doubt that an emergency contraceptive is compatible with your current condition, discuss this with your healthcare provider.

Adverse reactions

In the case where the administration of postcoital birth control pills is carried out no more than once every six months, no undesirable effects are generally observed. However, a small number of women complained of headache or dizziness. Vomiting, nausea, or diarrhea may also occur. Reactions from the reproductive system are somewhat more often observed:

Blood clotting.
Pain in the lower abdomen due to spasm of the myometrium.
Dysmenorrhea.
The absence of regulation for 7 or more days, which is the reason for contacting an obstetrician-gynecologist to exclude pregnancy. For the same purpose, a woman is recommended to conduct an ultrasound scan.

Adverse reactions have every chance of causing abdominal pain, this is due to spasms of the myometrium.

The reason for the consultation with the doctor will be very different from the usual menstruation. This is manifested by the occurrence of minor hemorrhage during regulation.

Less commonly used tablet forms

To prevent the occurrence of pregnancy after unprotected intercourse, mifepristone preparations (the trade name for Genale) are also used. It increases the contractility of the myometrium (uterine muscle layer), changes the structure of the endometrium, into which the egg is normally implanted, and prevents the occurrence of ovulation. Mifepristone is recommended to be used in the first 72 hours after an unprotected sexual intercourse.

The following adverse reactions are indicated in the annotation to Genalia:

Allergic reactions of varying intensity.
Pain in the lower abdomen due to spastic contractions of the myometrium, hemorrhage.
Exacerbation of chronic inflammatory diseases of the female genital organs.
From the digestive tract: diarrhea, vomiting or nausea.

Mifepristone is used less frequently than levonorgestrel preparations and because of a wider range of contraindications. They cannot be recommended for women with anemia, kidney and liver failure, porphyria, and other serious pathologies of internal organs and systems.

Breastfeeding is a categorical contraindication to the appointment of mifepristone, but levonorgestrel for the purpose of emergency contraception in lactating women can be used. A necessary condition for this is its intake after feeding the baby.

Depending on the premium category of pharmacies, the price of Postinor ranges from 320 to 350 rubles, and Escapela 310–365 rubles. The cost of mifepristone preparations is 300-340 rubles.

It is up to you to decide which method of emergency contraception to choose. Whichever tool you choose, emergency contraception is a much easier way to prevent unwanted motherhood than having an abortion or vacuum afterwards. Take care of your health correctly.

"Take these pills one 2 times daily after meals." For sure, we have all heard this recommendation more than once. And now let's think about how accurate it is and whether it requires additional instructions. After all, when prescribing certain drugs, the doctor expects that they will be used correctly.

Rule 1. The multiplicity of our all

When prescribing pills several times a day, most doctors have in mind the day - not the 15-17 hours that we usually stay awake, but all 24. Because the heart, liver and kidneys work around the clock, and therefore the germs work without interruption lunch and sleep. Therefore, taking tablets should be divided as evenly as possible, this is especially true for antimicrobial agents.

That is, with a double dose, the interval between each dose should be 12 hours, three times - 8, four times - 6. True, this does not mean that patients should jump out of bed every night. There are not so many medicines, the accuracy of which is calculated per minute, and they are usually prescribed not in tablet form. Nevertheless, 2, 3, 4 times a day - this is not when it is convenient for the patient (“now and after an hour, because I forgot to drink in the morning”), but at certain intervals. In order to avoid interpretations when taking twice, for example, it is justified to prescribe a specific time for taking the pill: 8:00 and 20:00 or 10:00 and 22:00. And the patient is more comfortable, and it is impossible to understand in two ways.

Rule 2. Compliance, or commitment to receive

With short courses of pills, things are more or less normal: we usually do not forget to drink them a couple of days. With long courses already worse. Because we are in a hurry, because stress, because it just flew out of my head. There is another side to the coin: sometimes people mechanically, half asleep, drink medicine, and then forget about it and take more. And it’s good if it’s not a potent drug.

In the midst of doctors, before complaining about it on patients, they suggest conducting an experiment on themselves: take a jar of dark glass with 60 harmless tablets (glucose, calcium gluconate, etc.) and take one daily. There were many experimenters, but those who in two months did not have 2 to 5-6 “extra” pills left - only a few.

Everyone chooses how to combat such "sclerosis" for themselves: someone puts the medicine in a prominent place, ticks on the calendar help pedants, and especially forgetful ones - alarms, reminders on a mobile phone, etc. Pharmaceutical companies even produce special calendars where each appointment can be celebrated. Not so long ago (though, as usual, not in Russia) hybrids of an alarm clock and mini-first-aid kits appeared, ringing and giving out a tablet at a certain time.

Rule 3. Before or after a meal is important.

In relation to meals, all pills are divided into groups: “anyway”, “before”, “after” and “with food”. Moreover, in the mind of the doctor, the patient eats strictly according to the schedule, does not have a snack during breaks and does not drive teas. But in the patient’s mind, an apple, a banana and a candy are not food, and food is borsch with a patty and compote with pies. Unfortunately, these ideas also contribute to the misuse of drugs.

"Before meals".To begin with, it’s good to understand what a doctor means when he says “take 30 minutes before eating”. Does this mean that after taking the pill you need to eat thoroughly, or is it just a medicine taken on an empty stomach?

AT most cases, prescribing drugs "before meals", the doctor means:

that you did not eat anything (absolutely nothing!) before taking the pill;
that at least for the specified period after taking the medicine, you will also not eat anything.

That is, this tablet should get into an empty stomach, where it will not interfere with gastric juice, food components, etc. From our own practice, we can say that it is necessary to explain this many times. Because, for example, the active substances of the macrolide group are destroyed by an acidic environment. In this case, the eaten candy or a drunk glass of juice two hours before taking the medicine or one hour after can dramatically affect the result of treatment. The same applies to many other drugs, and it is not only about the gastric juice, but also about the timing of the drug getting from the stomach into the intestines, malabsorption, and simply the chemical reaction of the components of the drug with food.

There are, of course, exceptions to this rule when you need to eat exactly at the indicated time after admission. For example, with diseases of the gastrointestinal tract or endocrinopathies. Therefore, for your convenience, it is better to clarify what exactly the doctor had in mind when prescribing the drug “before meals”.

"While eating":everything is clear here. Just again, specify what to do and how much to eat with a tablet, especially if your meals are organized on a Monday-Wednesday-Friday basis.

"After meal"significantly fewer drugs are taken. As a rule, these include drugs that irritate the gastric mucosa or contribute to the normalization of digestion. “Food” in this case often does not mean a three-course change, especially if the drug needs to be taken 4–5–6 times a day. A limited amount of food will be sufficient.

Rule 4. Not all tablets can be drunk together.

Most tablets should be taken separately if the reception of the "wholesale lot" is not agreed with the doctor separately. This is not very convenient, but it is impossible to conduct studies on the interaction of all drugs in the world, and swallowing tablets with a handful is easy to obtain an unpredictable effect at the initial stage. Unless otherwise specified, at least 30 minutes should elapse between taking various drugs.

Now about compatibility. Often patients like to bring their own creativity to treatment. For example, "I am taking a medicine prescribed by a doctor, and since it is probably harmful, it’s nice to drink parallel vitamins or something else." And the fact that vitamins can neutralize the medicine or lead to unpredictable consequences when taking the main drug is not taken into account.

Hepatrotectors, vitamins, combined colds and herbs, recommended by our beloved grandmother, can be taken during treatment only after consulting your doctor in advance. If you are being treated by several specialists for various reasons, they should know about each other's appointments.

Rule 5. Not all tablets have fractional dosages.

Pills are different, and not all of them can be broken to be divided into several doses. Moreover, some tablets are coated, damaging which can affect the properties of the drug. Therefore, the absence of a "dividing strip" should be alerted - most often such a tablet cannot be divided. And dosages in one fourth or even one eighth of tablets also raise questions - it is practically impossible to measure correctly in such cases. If such a prescription was made by a doctor, one can ask him what it is fraught with. Well, we will not even talk about self-medication once again.

Rule 6. Medicines, with rare exceptions, are washed down only with water.

Not tea, coffee, not juice, not, God forbid, sweet soda, but nominal water - the most ordinary and still. This issue is even devoted to separate studies.

True, there are certain groups of drugs that are washed down with acidic drinks, milk, an alkaline mineral water and other separately specified drinks. But these are exceptions, and they will certainly be mentioned at the time of appointment and in the instructions.

Rule 7. Chewable tablets chew, dragees do not bite

Direct prohibitions, as well as indications of special methods of use, appear for a reason. A chewable or sucking pill that you swallowed whole will work after another time or will not work at all.

The form of release of the drug is also not chosen randomly. If the tablet has a special coating, it must not be crushed, crushed or cracked. Because this coating protects something from something: the active substance of the tablet from stomach acids, the stomach from the active substance, the esophagus or tooth enamel from damage, etc. The encapsulated form of release also says that the active substance should be absorbed only in the intestine and for a certain time. Therefore, capsules can be opened only as prescribed by the doctor with an eye on the instructions.

Rule 8. There are special cases, but they should be evaluated by a doctor.

Different doctors have their own tried-and-true treatment regimens for years, and sometimes the dosage and method of using the drugs may vary for different groups of patients. Similarly, in the presence of the patient's characteristics (concomitant diseases, individual reactions, etc.), the appointment can be adjusted for this particular case. Moreover, factors that are not always obvious to a person without a medical education influence the choice of the drug and the method of its use. Therefore, if your grandfather with hypertension took the same drugs according to a different regimen prescribed by the best doctor in the world, this is not a reason to drink them the same way. It is necessary to take pills, like any other medicines, without initiative, and absolutely any innovations that are not agreed with the doctor are superfluous.

Leonid Shchebotansky, Olesya Sosnitskaya

Birth control pills taken after intercourse are also called SOS contraception or rapid abortion. Among professionals, this method is called medication or drug termination of pregnancy.

These drugs can be purchased at a pharmacy without a doctor’s prescription. Such accessibility, coupled with quick action and ease of use, makes birth control pills popular among girls. But are they worth drinking without a doctor's recommendation, are they safe? Let's figure it out ...

The principle of the contraceptive drug is based on the artificial stimulation of menstruation in women. After unprotected intercourse, the girl should drink the pill according to the instructions (Postinor and Ovidon are drunk in two tablets within 72 hours after sex, Rigevidon, Diana-35 and Silest are taken in three tablets).

In fact, all these contraceptives are steroidal agents, that is, the main component in the composition is concentrated hormone. Once in the woman’s body, the hormone starts the process of menstruation, as a result, uterine contraction occurs, the fetal egg is washed out of the cavity. The production of progesterone, the female hormone responsible for the preservation and development of the embryo, is also blocked.

Benefits and Dangers

Of course, it is better not to bring the situation to the point that you have to use some kind of abortion. However, if all the same, unprotected sex has occurred, then drinking a birth control pill is the best option. At least this type of contraception is safer than surgical abortion, and here's why:

After taking the birth control SOS pill correctly, complications occur less frequently than with other methods of terminating a pregnancy.
Recovery is fast (faster than after a surgical abortion).
The medical abortion procedure does not require hospitalization of a woman.
From one course of serious changes in the functioning of the hormonal system does not occur.

Although rapid birth control pills are considered safer than surgical abortions, they are still not completely harmless. Birth control medications interfere with the body's natural function and cause stress. In addition, they do not give a 100% guarantee of the removal of a fertilized egg from the uterus. That's why after taking the pill you need to go to the doctor - it is important to make sure that the drug worked correctly.

It is worth remembering contraindications to taking pills. This method of contraception should not be taken:

People allergic to components (before use, study the composition!).
Women with chronic diseases of the gastrointestinal tract.
During pregnancy at a later date than indicated in the instructions.
With various inflammatory, tumor, cystic processes.
With violations of the circulatory system, especially with problems with blood coagulation.

Common Tools Overview

Birth control pills taken after intercourse are of two types - with a moderate and high concentration of the hormone. The first group of contraceptives includes the previously mentioned Postinor, Ovidon, Rigevidon, Silest. They can be found in wide sale. They are taken within 70–72 hours after unprotected sex.

If more time has passed after intercourse, then the listed birth control pills are useless. With a period of 1 to 6 weeks, you can take stronger drugs, for example Mifepristone (the drug has other names - Mifegin, Mifolian). This is a powerful tool, so it is prescribed by a doctor.

There are a lot of pills for urgent abortion in the very early stages. However, they are all alike. Their main difference, as a rule, is the concentration of the hormone. Here is a brief overview of the most common drugs:

Postinor.

Composition: 0.75 mg of levonorgestrel.
Form: The package contains a blister with two birth control pills.
Application: 1 tablet within 72 hours after unprotected sex and another 12 hours after taking the first.
Price: 350-390 rubles.

Ovidon (another name: Non-Ovlon).

Manufacturer: Gideon Richter, Hungary.
Composition: levonorgestrel 0.25 mg + ethinyl estradiol 0.05 mg.
Application: immediately within 12 hours, the field of sexual intercourse must take the first dose of 2 tablets, repeat after 12 hours.
Price: from 450-510 rubles per package.

Ginepriston.

Producer: CJSC Obninsk Chemical and Pharmaceutical Company, Russia.
Composition: mifepristone 0.01 g.
Form: in the package there is a blister with 1 birth control pill.
Application: take 1 tablet within 72 hours after unprotected intercourse.
Price: 360-390 rubles.

Rigevidone.

Composition: ethinyl estradiol 0.03 mg and levonorgestrel 0.15 mg.
Application: two doses of three tablets within 72 hours after unprotected intercourse.
Price: from 230 rub.

Escapel.

Producer: Gideon Richter, Hungary.
Composition: levonorgestrel 1.5 mg.
Form: one tablet per pack.
Application: one piece is accepted. within 72 hours after intercourse.
Price: from 410 rub.

Do not forget to visit the doctor

To minimize the risk of drugs for quick abortion, you should definitely see a doctor within two weeks after a mini-abortion, even if you feel good and there is no reason to worry. Only a doctor can determine whether everything went as it should. The fact is that abortion pills do not give 100% of the result - there is a small chance that despite the provoked menstruation, pregnancy will still continue to develop or the fetal egg will not come out completely and part of it will remain in the uterus and provoke inflammation.

It is worth remembering that birth control pills taken after intercourse are an emergency aid. It is not suitable as a permanent method of contraception. It can not be taken more than once every six months. If you drink the drug more often, then a hormonal malfunction will occur, which subsequently can become the main cause of problems with conceiving and bearing a child.

Remember the time

Another point: the sooner the pill is drunk, the more likely it is to work. Although the package says that it should be drunk within 72 hours after unprotected sex, but you should not pull it much. It is better to take the drug not the next day, but immediately after sexual intercourse. During the first two hours, the probability of complete leaching of the fertilized cell is 94%. After 3-12 hours, the probability decreases to 84%. In 24–48 hours - up to 80%. In 48–72 hours - up to 58%.

To summarize: termination of pregnancy with pills in the first days after sexual intercourse is the safest of all allowed types of abortion. However, it is not at all harmless, as many girls think, and you should not use it often. It is better not to bring the situation to this and take care of a suitable contraceptive before having sexual intercourse.