Birth control pills after sexual intercourse

“Welcome children at the desired time” – this phrase is familiar to many women. In cases when a couple is not even theoretically ready to be parents at the most inopportune moment, modern medicine offers the use of emergency contraceptive pills. Even in the case of careful attitude to their reproductive health, there are cases that anticipate did not happen. There are different reasons: did not work method of “the interrupted sexual intercourse” or “calendar”, was damaged condom, forgot to take oral contraceptive or misused vaginal and other. Here come to the aid of birth control emergency contraception. Are they so harmless?

As with any hormonal agents and medications to prevent pregnancy make significant changes in the reproductive system and the organism as a whole. Keep this in mind, making a decision in emergency cases.

If precious time was lost, on oral contraceptives pregnancy have high expectations. Nice to have a personal gynecologist, who can be reached at any time, but not always. Which drug to choose? Is there an alternative to hormones? Help birth control pills? These questions often concern women when choosing an effective means of emergency contraception.

Types of emergency contraception

To prevent an unwanted pregnancy, you can use:

  • one-component or combination hormonal contraceptives;
  • the establishment of the intrauterine device within 5 days;
  • vaginal contraceptive of local action.

Each of these methods has its own contraindications or limitations of use. When looking for an effective way, consider the following facts:

  • the General condition of the reproductive function;
  • the blood clotting;
  • the presence of hormone-dependent tumors;
  • cases available in the past extrauterine (ectopic) pregnancy;
  • menstrual disorders (pain, abundant menstrual flow);
  • adolescence unspecified recurrence;
  • confirmed pregnancy;
  • lactation;
  • functional disorders or diseases of the liver, kidneys and other organs;
  • anemia;
  • the presence of chronic diseases of the urogenital area.

Given the fact that the egg remains capable of fertilization for up to two days, you need to take immediate action. The sooner adopted pill after sex, the higher the chances of success of therapy. Hour period of time should not be increased by more than 72 hours. Mechanism of action the most effective watch within 24 hours after sex.

Sperm remain viable in female reproductive organs up to 8 days. But to perform the function of fertilization after at least 6 hours after the stay in the uterine cavity or fallopian tubes. This explains the urgency of the time interval in 72 hours.

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Based on what the effect of extra hormone therapy

Gormonoterapii contraceptive drugs are of two types. The first are preparations containing levonorgestrel (a progestogen). The second included mifepristone (antigestagen).

Specifics levonorgestrel

Preparations based on levonorgestrel have a locking function in relation to the process of ovulation. Specifically affecting the ovaries, levonorgestrel delay the release of an egg from the follicle. Due to the increase in the viscosity of cervical mucus to sperm difficult to penetrate into the uterus.

Even if the fertilization effect of the drug prevents implantation of the egg in the endometrium. It caused structural changes of the endometrium do not allow a full ovulation. Lock contractile function violates peristalsis in the fallopian tubes, preventing the eggs from entering the uterus. For drugs in this group include: Postinor, Escapel, Eksinor-F.

Drugs in this group is taken not later than 72 hours after unprotected sex to ensure maximum effect. Postinor should drink according to the scheme, divided into 2 doses: 2 tablets for the first 72 hours after intercourse and the next pill, not before 12 hours. Postinor has a contraceptive effect, effectively prevents pregnancy, reaches its maximum concentration after 1.5 hours, the half-life of up to a day. This drug is widely used for many years. It has proved its effectiveness according to medical statistics.

Escape or Eksinor f taken in the first 72 hours, increase the chances of success. Prevent ovulation and fertilization. Reach the absolute bioavailability. The recommended dose does not violate the metabolism and blood clotting. It should be remembered that drugs are ineffective in cases of the implantation of the ovum.

Specifics of mifepristone

Tablets mifepristone have a similar impact. Mifepristone inhibits ovulation, blocks the receptors located in the mucosa of the uterus, namely, the pregnancy hormone – human chorionic gonadotropin produced by the placenta with the appearance of pregnancy. Increased contractile activity of the uterus expels the fertilized egg, leaving no possibility of attaching to the endometrium. Are drugs: Misoprostol, Ginepreto, Mifegyn, Genale, Mifolian, Agest.

Tablet of Misoprostone in combination with Misoprostol interrupts pregnancy in amenorrhea to 42 days. The drug has a high antigestagen activity. Slowly excreted in the first 72 hours after admission. Tablet Mifegyne in combination with synthetic prostaglandin analogues (Misoprostol) is also highly effective in the first 42 days after the act. Half of the dose is excreted slowly in the first 72 hours.

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The remaining medication is removed from the body, after subsequent 16 hours. Tablet Genale has similar characteristics. Mifolian on the basis of mifepristone, taken in a dose of 600 mg reaches its maximum concentration during the first 2 hours after ingestion. A contraceptive of Agest blocks the action of progesterone in early pregnancy and has the ability to inhibit the growth of tumors and reduce the size of fibroids.

Hormonal therapy during lactation

In the lactation period most of the drugs are contraindicated. Penetrates into breast milk, hormones break the imbalance of the hormonal system of the developing organism. Although the evidence about the negative effects of emergency contraception in medical practice is not described completely reject their influence is not worth it. In any case, the restriction during lactation should be at least 24 hours from the moment of reception of contraceptive. Breast milk need to pump during the day. The risk-benefit ratio should be assessed by the attending physician, admission to which is necessary.

Hormonal pills for emergency assistance

The majority of women faced with this problem, searching for alternative solutions of unwanted pregnancy. A number of contraindications to hormonal therapy does not allow to take birth control pills containing hormones. Come to the aid of the intense local impact. They help to prevent pregnancy. Nonoxynol, benzalkonium chloride or other active substance to destroy the sperm for a few seconds. In addition, an active spermicide, preventing growth of pathogenic flora, a beneficial effect on the vaginal microflora. While the use of systemic hormonal means the effect is amplified several times. This combination (two drugs), can be called a panacea. It should be remembered that preparations of local action must be taken prior to sexual intercourse.

Method of issuance of non-hormonal means of emergency

Hormonal therapy is widely used among women of any age. The whole group of non-hormonal means of emergency protection against pregnancy contains in its composition of Mifepristone (MPT). Spermicides come in the form of:

  • candles;
  • vaginal suppositories (tablets);
  • foam;
  • jaws;
  • cream.

Drugs of any shape can be used as preventive measures against unwanted pregnancy and women breastfeeding, as breast milk active ingredients do not fall.

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The benefits of non-hormonal contraceptives

Regardless of these benefits, like any medication, have their disadvantages:

  • virtually no contraindications and limitations to use;
  • usually always at hand;
  • do not require daily use;
  • the best option postpartum contraceptive;
  • shows lactation;
  • it is advisable their use in the absence of regular sexual life;
  • not affect the menstrual cycle;
  • reduce the risk of infection by pathogenic flora.

Disadvantages of local contraceptive agents

These include:

  • a ban on the use of water treatments after copulation;
  • requires proper use of funds;
  • not always available before the act;
  • spermicides may cause an allergic reaction in the vagina and on inner thighs;
  • prolonged use disrupts the microbial landscape of the vaginal environment.

To widely used drugs include: Incotex, Benateks, Patentex, Conceptrol, farmateks, and others. Spermicidal effect observed in their destructive properties and blocking ovulation. Drugs spermicides destroy the sperm membrane from the first seconds of application. Neutralize the sperm of the same ejaculate. With repeated sexual acts repeated dose is required despite the fact that each drug has an individual duration of exposure (up to 24 hours).

Combined with spermicides, intrauterine devices (lippes loop) increases the chances of success. And rationally the combination with a cervical cap, condom, diaphragm. This will prevent the risk of exposure to pathogens: chlamydia, Trichomonas, gonorrhea, herpes, Staphylococcus aureus.

Proper use drugs with precautions and dosage preclude unexpected complications.

Inadequate treatment of this issue threatens the development of serious complications, among which are:

  • the development of ectopic pregnancy;
  • excessive bleeding;
  • the likelihood of scraping;
  • reproductive disorders in the future;
  • blood clots that trigger heart attack and stroke;
  • the appearance of Crohn’s Disease;
  • disorders of the digestive system;
  • mastalgia.

Respect to their health forces a woman to think about contraception in advance, eliminating the likelihood of unplanned situations.