Fertility pills after intercourse during. Abortion pills. Price, where to buy, how to use correctly. Combined oral contraceptives - urgently

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

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 At the same time, many couples (17%) still resort to outdated methods of birth control - the calendar method and coitus interruptus - which lead to pregnancy in 25 and 27% of cases, respectively.

True, even if various methods of contraception are used, no one is immune from failure. For example, 35% of women found themselves in a situation where a condom broke or slipped off. But even in emergency situations, it is not necessary to think about abortion as the only method of solving the problem.

The need for emergency contraception

Emergency contraceptive pills (ECPs) are intended to prevent pregnancy after unprotected or insufficiently protected sexual intercourse. That's why they are sometimes called "morning after pills."

Especially for emergency contraception, the following are used:

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

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

To take ECP you do not need to undergo an examination or undergo laboratory tests.

Emergency contraceptive pills are indicated for use when:

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

Here are the most common situations in which ECPs may be needed for a woman using standard contraceptive methods.

Oral contraceptives, contraceptive patch, vaginal ring

• We started using this method at a later stage of the menstrual cycle than required by the instructions.
• During the menstrual cycle, this method was not used correctly.
• We took medications that could reduce the effectiveness of the method.

Progestin-only injections

• I started using this method at a later stage of the menstrual cycle than the instructions require.
• The contraceptive protection provided by the injection expired before sexual intercourse.

Implants

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

Intrauterine device or system

• The product was involuntarily removed.
• You don't feel the antennae.
• The contraceptive protection expired before sexual intercourse.

Condoms

• The condom has broken, slipped, or been used incorrectly.

Diaphragm or cap

• The product was dislodged or removed before or during sexual intercourse.
• The product was dislodged or removed after sexual intercourse earlier than required by the instructions.

Spermicide

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

Contraceptive methods based on self-determination of the fertile period

• Were in the fertile period at the time of sexual intercourse.
• Unsure whether you were in your fertile period at the time of intercourse.

Coitus interruptus

• Ejaculation occurred in the vagina or external genitalia.

Contraindications and effects of ECPs on the body

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

1. Are there any contraindications?

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

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

2. Effect on pregnancy

Studies of women who became pregnant while taking levonorgestrel or used it accidentally after pregnancy show that this hormonal drug does not harm either the pregnant woman or her fetus. In particular, it does not increase the chance of miscarriage, low birth weight, birth defects, or pregnancy complications. There have been only a few reports of pregnancy occurring after taking ulipristal, but no complications have been observed.

3. Use by teenagers

4. Use during lactation

If less than six months have passed since the birth, and the woman is only breastfeeding, if there has not yet been menstruation during the postpartum period, then ovulation is unlikely to occur. Then fuel and energy complexes are not needed. However, women who do not meet all three criteria may become pregnant. The use of levonorgestrel during lactation is not contraindicated.

5. Use before sexual intercourse

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

6. Use after several unprotected sexual intercourses

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

7. Repeated use of tablets

ECPs are not intended for intentional reuse or use as a regular, systematic method of contraception. Women who do not want to become pregnant in the future are advised to start or continue using contraception on a consistent, long-term basis after taking ECPs. There are no specific data on the effectiveness or safety of frequent use of current ECPs. However, at least 10 studies have confirmed that taking multiple doses of levonorgestrel 0.75 mg per cycle does not cause serious adverse effects. side effects. It is unknown whether the effectiveness of levonorgestrel is reduced by recent or subsequent use of ulipristal, which is a progesterone receptor modulator. Therefore, if a woman who has recently taken levonorgestrel needs emergency contraception again, it is better for her to use the same drug.

8. Use of ECPs during the infertile period

Research has shown that fertilization through intercourse can only occur 5-7 days before, after or during ovulation. Theoretically, ECPs might not be needed if unprotected intercourse occurs at other times in the cycle, since the likelihood of pregnancy even without ECPs would be zero. However, in practice it is often impossible to determine whether sexual intercourse occurred on a fertile or infertile day of the cycle. Therefore, women should not refrain from using ECPs because of the assumption that a particular sexual act occurred during a nonfertile period.

9. Interaction with other drugs

There are no specific data regarding the interaction of ECPs with other drugs. However, the effectiveness of levonorgestrel may be reduced due to the use medicines which may reduce the effectiveness of oral contraceptives.

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

Contraception after taking ECPs

Transition to (resumption of use) regularly taken contraceptives after ECP use

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

Condoms or other barrier methods of contraception

Start using immediately before your next sexual intercourse.

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

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

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

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

If a woman requests to have a copper-containing IUD installed, and more than 5 days have passed since the use of ECPs, then this will be done after the next menstruation begins.

Sterilization

This procedure should be undertaken after the onset of menstruation following the use of ECPs. Until the final completion of sterilization, the barrier method should be used.

Because it is difficult to determine the risk of pregnancy in each individual case, and because mistimed or unwanted pregnancy has serious consequences, a woman who wants to avoid conception should consider taking ECPs after sexual intercourse during which contraceptive protection was not adequately provided.

Remember: If you don't get your period within 3 weeks of taking ECPs, you may be pregnant.

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

Discussion

Good afternoon A week ago I had unprotected sex with my boyfriend. What pill do you recommend taking to avoid pregnancy?

I don’t support all this honeymoon. It's horrible

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

I do not trust such methods of contraception, I think strongly negative impact on the body.

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

A good article about the abortifacient effect of IUDs and hormonal contraceptives, incl. "next day" tablets [link-1]

This one especially killed me:
3. Use by teenagers
Clinical or programmatic considerations should not limit adolescent access to ECPs; they are safe regardless of age. Teenagers are able to understand instructions for using this method of contraception.

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

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

Take 4 tablets of Femoden (or any other OC, but only if 72 hours have not passed after unprotected intercourse). But taking pills every day, and even when nothing hurts, is something only the most disciplined person can do.

Discussion

My situation is similar, it’s too early to get married and it’s not time to become a mother either. The spirals didn’t fit, there was even a problem with them, the gynecologist picked up a drug, tablets, called Chloe. ugh ugh right now, no problems, the cycle became like a clock, even my breasts began to fucking grow, although I don’t really need it, with my natural not small size. MCH is just happy, the weight hasn’t changed much because of them, well, maybe a little plus, but this is most likely because I’ve finally calmed down. Just like that. I don’t know, it probably helps everyone in their own way.

In such cases, the most sensible thing is to sterilize the “cat”.

Coitus interruptus is the removal of the male penis from the female. I had coils twice, and used suppositories and pills. everything And it is used in the case of any unprotected sexual intercourse, if the barrier method is ineffective (torn...

Discussion

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

Lemon and vinegar are acidic, soda is alkali. Next time, it’s better to dissolve an aspirin tablet (also an acid) in water. But in principle, if you use douching for protection, then you don’t have to poison yourself with acid, just plain water (boiled, of course). Better with chamomile. You just need to do this immediately after PA. The less time passes, the less chance of pregnancy. In combination with interrupted PA and an ovulation calendar, this is quite a protection.
I have ice cubes with chamomile and mint infusion at home. I usually use them for my face, but sometimes I use them for other things as well :)) Turning on the kettle before a PA and throwing a few ice cubes into a glass of hot water before douching is not difficult. You can also buy chamomile in bags and brew it in advance during the day.
There is little chance of pregnancy. And it’s a shame that I didn’t pass by here earlier. Here we like to call others fools, while popping hormonal pills like seeds.

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

Very often, during sexual intercourse, partners forget about contraception. After its completion, many women think about preventing pregnancy if it is unwanted. To solve this issue, there are contraceptives after sex.

Emergency postcoital contraception

One of the fastest ways of contraception after sex is douching. This method includes washing with a spermicidal solution and warm water. The solution is prepared at home using acetic acid and lemon juice, which are diluted in low concentrations in warm water. At the pharmacy you can buy a ready-made douche solution, the effectiveness of which is much higher than the solution prepared by yourself. Douching can be done using a special rubber bulb (syringe). Since sperm penetrate the fallopian tubes in about 90 seconds, this method should be used immediately. Therefore, it is effective to use such a contraceptive immediately after sex, or within 5 minutes.

The procedure itself, hormonally, does not harm the female body, but girls who use douching should remember that a high concentration of the solution’s ingredients can disrupt the internal microflora of the vagina and severely damage the mucous membrane. This may cause discomfort in the female genital area. Douching is harmless, but not as effective as an emergency means of preventing pregnancy. What contraceptives still exist after sex?

If 5 days have not passed since the last unprotected sexual intercourse, an intrauterine device is used as contraception. It is used mainly by women who have already given birth, or who have had abortions in the past. The uterine device can be inserted by an experienced gynecologist. It is T-shaped and made of copper. It is placed for a fairly long period (up to 7 years). A woman must understand that during this period she will not have the opportunity to have children.

A vaginal smear is first taken for analysis. This remedy is considered the most effective method of emergency contraception. Despite this, it is not used often, due to the complexity of installation with an individual approach to each case. The installation of the IUD is contraindicated for women with a history of inflammatory diseases.

What emergency contraceptive pills can be used after sex?

The female body is built in such a way that its entire reproductive function is completely subordinated to hormones. Modern medicine, as a result of numerous studies, has learned to manage them. It is on this principle that emergency contraception is based.

Hormonal contraceptive pills after sex include progestogen and antigestagen drugs. Taking hormonal drugs changes the natural, functional cycles of a woman’s ovaries. This means that it is impossible to get pregnant (as a result of the follicle not maturing, ovulation does not occur). Birth control pills after sex affect various functions of the reproductive system: they thicken the mucus in the cervical canal, which prevents the male seed from entering it, and block the entrance to the fallopian tubes.

Progesterone is the main hormone included in postcoital contraceptive drugs (methods that facilitate termination of pregnancy in the early stages by taking potent hormonal agents and drugs). The effectiveness of the tablets reaches 98% guarantee of protection.

If up to 96 hours pass after intercourse, the following emergency hormonal postcoital contraceptives are used:

1. Postinor. The most common progestin drug that has been used by women for a long time. It is effective in the first 48 hours (take 1 tablet immediately after sexual intercourse, 12 hours later, take another tablet). After taking it, sharp pain in the abdominal area may occur, and the functioning of the ovaries and menstrual cycles may be disrupted. Its composition contains a large number of hormones that affect all organs. These tablets are prohibited for use by women with unstable hormonal balance and underage girls.
2. Escapelle. It belongs to modern gestagenic postcoital contraceptive drugs, but it is safer than Prostinor. Used during the first 96 hours after sex (one tablet is taken). Therefore, the sooner you take it, the greater the likelihood of pregnancy contraception.
3. Zhenale (Ginepreston, Agest). Antigestagenic drug. The most common and effective modern contraceptive that women take after sex and for 72 hours (1 tablet).
4. Mifepristone (Mifegin). The use of these tablets is effective for from one day to 8 weeks. Refers to potent abortifacients. This remedy is prescribed only by gynecologists who have permission to use it. It is not available for free sale.

After taking contraception after sex, a number of side effects may occur - constant dizziness, high blood pressure, nausea, an acute gag reflex, and possible fainting.

Contraindications to the use of emergency hormonal postcoital contraceptive pills are severe diabetes mellitus, pregnancy and lactation, breast cancer, a history of thrombosis, heavy smoking.

It should be remembered that emergency postcoital contraceptives are effective only in the first three days after sexual intercourse. They are used strictly in emergency cases. If the fertilization process has already passed, taking such drugs is strictly prohibited. It is also not recommended to take them as a frequent preventive method. Emergency postcoital contraceptive drugs can be used no more than once every 6 months, since this is a powerful hormonal blow to the female body. If it is used incorrectly (more than once/six months), irreparable processes may occur, the consequences of which will be difficult to correct or control.

But it brings a lot of worry and worry. The most difficult thing for a woman in this situation is to wait for the onset of menstruation and listen to her body every minute. The only question that haunts me is: what to drink after unprotected intercourse, what medicine to take to avoid unwanted pregnancy. At such moments, more than ever, you feel your own helplessness and there is a desire to influence the situation in such a way as not to harm your health and be 100% sure of a happy ending.

Contraception after unprotected intercourse: studying drugs

Contraception will help correct the situation after an unprotected act. The use of tablets of this group in medicine is also called postcoital contraception. Its actions stimulate the uterus and cause frequent contractions in the fallopian tubes. This prevents the egg from attaching to the wall of the uterus. If several days have passed after conception, then the use of post-coital drugs leads to egg rejection, rearranges the woman’s hormonal balance and accelerates the onset of menstruation.

Drugs such as “Continuin”, “Pastorin”, “Escapelle” are the most popular and widespread contraceptives after unprotected intercourse today. “Pastorin” gives results if you start taking it no later than 12 hours after sexual intercourse, since the drug acts on a fertilized egg that has not yet had time to attach to the wall of the uterus. The medicine must be taken for three days every 12 hours, strictly following the instructions. After the first doses, the egg only slows down, but does not die, so you should complete the entire course to achieve a positive result. “Escapal” - tablets after unprotected intercourse based on levonorgestrol. They can be taken within 24 hours after intercourse: three days once a day.

Drugs containing mifetpristone (“Moripristone”, “Mifegin”, “Zhenale”) work well, but it is advisable to use them only if the menstrual cycle is delayed. The instructions indicate that the tablets are effective for three days after contact, but they can be taken only once a month after consultation with a doctor. Frequent use of drugs in this group leads to hormonal imbalances that are difficult to restore. Bloody discharge after an unprotected act is the result of correct... They must appear before 12 hours after the end of the course.

The name of the pills after an unprotected act is not as important as the substance on which they were developed. The effectiveness and duration of action depend on it.

Unprotected sexual intercourse: problem or pleasure?

Taking birth control pills is a necessity that many women undertake to avoid unwanted pregnancy. This is harmful to their health and negatively affects hormonal processes. Contraception after an unprotected act can be used only in exceptional cases, since after taking drugs of this group it is necessary to restore the female body over several weeks.

Unprotected intercourse before or immediately after menstruation does not risk pregnancy. In this case, you do not need to take pills, but there are situations when it is better to insure yourself once again.

The need for postcoital contraception

• If you do not take birth control pills regularly.
• If there was an unprotected act in the middle of the cycle.
• In case of rape.
• If there is no confidence in the reliability of the partner or contraception ().

During unprotected intercourse, tablets can be taken once or twice a year, which means only in emergency cases. Nausea and dizziness are side symptoms of taking the drugs. If you vomit up to two hours after taking the medicine, the effect of the drug will drop sharply and the possibility of unwanted pregnancy increases. Only repeated taking of the pill can guarantee the desired result.

Contraindications for use

• Poor blood clotting.
• Migraines and spasms of blood vessels in the head.
• If you suspect an ectopic pregnancy.
• While taking other medications.
• With frequent uterine bleeding.
• If you have kidney problems.

During lactation, you can resume breastfeeding only after 36 hours from the last dose of the drug.

If there was an unprotected act, then the sooner you take the pills, the greater the guarantee that pregnancy will be prevented. If you use the first dose immediately after intercourse, you can be 90% sure of its effectiveness. After 24 hours, the effectiveness of the medicine decreases significantly, as well as if the daily dose is not taken on time. It is very bad if taking the pills was disrupted and did not give the desired result, since the drug has a negative effect on the development of the embryo and can cause genetic abnormalities in the child.

The concept of emergency or, as it is also called, postcoital contraception is usually understood as measures aimed at eliminating the possibility of pregnancy after unprotected sexual intercourse. This may happen within 1-3 days. The most commonly used method is the hormonal method, i.e. a woman drinks a medicine containing hormones.

The need to use post-coital contraception may arise for a number of reasons: rape has been committed, unprotected sexual intercourse has occurred, interrupted sexual intercourse has been performed incorrectly, the integrity of the condom has been compromised, etc. Let's take a closer look at this method and tell you which anti-pregnancy pills can be used after unprotected intercourse sexual intercourse, we list their names.

In order to avoid pregnancy, progestogen and antigestagen drugs are currently actively used.

Representatives antigestagens are Agest. The drugs are used within 3 days from the moment of sexual intercourse, no later.

Progestin drugs used for postcoital contraception for a long time. A representative is pills used against pregnancy after unprotected sexual intercourse for decades. The earlier the pill was taken, the greater its effect. The drug contains a high concentration of levonorgestrel. It significantly affects the ovaries, as a result, a woman may have problems with the menstrual cycle in the future. The product should be used in exceptional cases.

Escapelle is also a gestagen, a new drug that is highly effective. Unlike those discussed above, it is effective even after 96 hours from the moment of sexual intercourse. However, manufacturers note that 100% results are achieved when applied within 1-2 days.

The main consequences of using emergency contraception drugs include:

• subsequent menstrual flow may occur earlier or later than expected, and their volume is large;
• the appearance of pain in the lower abdomen.

If these symptoms appear, you should consult a doctor, especially in cases where, 3 weeks after taking, menstruation is not observed and signs of pregnancy appear.