Emergency postcoital contraception

Emergency postcoital contraception.  Photo from http://creative.gettyimages.com

Emergency (urgent) emergency contraception is done after unprotected intercourse (within 1-3 days) to prevent an unwanted pregnancy.

For emergency contraception commonly used hormonal method (antigestagens, gestateny) or intrauterine contraception (The introduction of an intrauterine device).

Emergency contraception resorted to in the event that:

  • committed rape;
  • there was unprotected sexual intercourse;
  • was incorrectly performed coitus interruptus;
  • during intercourse the condom broke;
  • other similar situations.

Hormonal method

Emergency contraception — contraception at once, it can not be used all the time!

Attention! Before using the product, carefully read the instructions for use. It should be remembered that a large number of sex acts efficacy is reduced.

1) antigestagens drugs

  • Ginepriston or Agest Active hormonal postcoital drug. Compared with postinora almost harmless. Use within 72 hours of unprotected sexual intercourse.

2) progestational drugs

  • Eskapel — exclusive new tool for emergency contraception. Recommended for use within 96 hours after unprotected sex. The earlier approved pill, the more effective its action.
  • Mifegin (Mifepristone) modern medicine, which helps to obtain medical (non-surgical) abortion on the age of the first day of a missed period to 8 weeks. To conduct this procedure should see a gynecologist, having a license to use the drug.
  • Postinorhormonal drug for emergency contraception from the "last century." The earlier adopted a tablet, the more pronounced the effect konratseptivny. Postinor contains a very high dose of the hormone levonorgestrel, which have been significantly impacts the ovaries. Therefore, after the drug menstrual cycle can be broken. This drug should not be used more than 2 times a year and considered as one of the possible birth control! This is especially true for young women under 18 years of age who strike the perfect balance hormones have not yet installed.

After taking the drugs for emergency contraception:

  • next period may start earlier or later than usual;
  • menses may be more abundant, in which case you should contact your doctor;
  • be sure to see a gynecologist until the next menstrual period to screen for sexual infections, at a reception report that they had used emergency contraception;
  • if in three weeks after taking the drugs for emergency contraception you have not started menstruating or showing signs of pregnancy — urgently visit a gynecologist;
  • with the appearance of abdominal pain should consult a gynecologist;
  • until the next menstrual period is necessary to use a barrier method (condom).

Contraindications:

  • thromboembolism and uterine bleeding in the past;
  • severe liver disease;
  • severe headache (migraine);
  • age over 35 years;
  • long histories of smoking.

Possible side effects of hormonal emergency contraception:

  • nausea;
  • vomiting;
  • headache;
  • breast pain;
  • abdominal pain;
  • various disorders of the menstrual cycle;
  • thrombosis.

The side effects of emergency contraception usually diminish or disappear completely within two days.

Because of the possibility of damaging (teratogenic) the action of hormones on the fetus, in the case of an unsuccessful emergency contraception and pregnancy of a recommended medical abortion.

Intrauterine Contraception

Intrauterine emergency contraception is the intrauterine device (IUD) in the first 5-7 days after unprotected sexual intercourse to prevent implantation of the already fertilized ovum.

The method is slightly more efficient than the method of hormonal emergency contraception, but in its application should be tailored to the individual characteristics of the woman, her desire to continue for a long time to use this method of protection from unwanted pregnancy, and any possible contraindications to the introduction of an intrauterine device.

Emergency insertion of intrauterine devices do not recommend the use of young nulliparous women, as well as a large number of sex partners, and, in casual sex. If a woman wants to put an intrauterine device, but in the past was often ill inflammatory diseases of the genital organs, you must do it before installing the intrauterine device and the next 5 days to apply antibiotics.

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