The risk of unintended pregnancy and contraceptive

What determines the reliability of the chosen contraceptive? Let's not kid ourselves: the reliability of a contraceptive depends not only on the drug manufacturers and technological progress, but also on us.

If you want to criticize the creators of contraceptives that do substandard condoms (tear), or are not comfortable spiral (falls) or terrible plugs (not completely dissolve) — do not rush. Maybe the problem is that You did not react to the rules of admission and the use of contraceptives? Unfortunately, this is quite a common situation, so we decided to give it special attention.

1. Use Condomduring the act — quite a popular method of preventing pregnancy. However, condom sredneeffektivnym refers to contraceptive methods, in part because it is used not in the "instructions".

Many people know that if you put on a condom correctly, it can be broken. But if we remember that the condom may affect the integrity of the fat-containing creams and lubricants (such as petroleum jelly, vegetable oil or baby lotion), and failure to comply with the rules of storage (near a heater, light sources, or in the cold). If the packaging is damaged, such a condom is better not to use it. Also, do not use a condom with an expired date. That condom guaranteed protection, it must be put on before you have sex, but not in the middle, as a number of sperm allocated with grease. Also, do not forget the rule: "one condom — one act." If a couple wants to have sex and after ejaculation, the man must change the condom. You also can not continue sexual intercourse without a condom. It is absurd to think that after what happened ejaculation can not get pregnant.

2. A kind of "instruction manual" is not only condoms, but chemical contraceptives: Vaginal suppositories and tablets.

We are all sure to read the rules of admission, prior to using the drug previously unknown to us. The truth? Almost all of the chemicals necessary to enter as deeply as possible into the vagina 10-15 minutes before intercourse. This time is given to the fact that the drug is dissolved and began to act. If for 1-4 hours intercourse has occurred, to use a new candle or tablet. Do not forget that before each re-act to introduce a new spermicide. In addition, some manufacturers do not recommend the use of soap for personal hygiene for 2 hours before and 2 hours after sexual intercourse. If you are using a spermicide, it is not recommended to have sex in the bath or pool, and combine it with a dip in the river or other water bodies. For obvious reasons, this will reduce the effectiveness of the drug. Before you start using your chosen spermicide, be sure to read the manual.

3. Hormonal birth control pills — One of the most reliable means of protection against unwanted pregnancy. More often than gynecologists prescribe the combined pill (COC) containing analogues of two female hormones — estrogen and progesterone. Their effectiveness depends on the validity of the drug: pills to be taken each day at about the same time. If the graph is broken receive less than 12 hours — the reliability of the drug will not change. If you forget about the COC for more than 12 hours, within 7 days after missing pills be sure to use an additional means of protection: condoms or spermicides.

The effectiveness of oral contraceptives may affect use of other drugs (e.g. antibiotics, activated charcoal, laxatives, drugs for treatment of epilepsy, and others). Remember that. If the doctor assigns you some medicine, be sure to ask whether these drugs affect the effectiveness of the contraceptive. Gastrointestinal disorders that are accompanied by vomiting or diarrhea (loose stools), reduce the reliability of the contraceptive pill. In this case, too, need more protection. Unfortunately, we do not always know about the possible reduction of efficiency and do not take the necessary measures: According to a study conducted by the Dutch agency TNS NIPOtolko 26% of women who take birth control pills, are aware of the factors that reduce the reliability of contraceptives.

3. Do any contraceptives with the same high efficiency as the pill, but with a more convenient mode of reception and smaller number of factors reduce the efficiency? Yes, there is another highly effective — more than 99% efficiency — a method of contraception — vaginal ring.

A flexible ring containing very small doses of hormones and injected locally, taking the shape of a woman's body and is conveniently placed in the vagina. This ring is designed for one menstrual cycle use — 21 days is a ring into the vagina, then the ring is removed, and then made a 7-day break. During the time when the ring is in the vagina, it allocates constant minimum daily dose of hormones falling through the vaginal mucosa into the blood. Protection against unwanted pregnancy remains all 4 weeks. The arrangement of the ring has no effect on efficiency.

If a woman is just starting to use the ring, the first 7 days of the first cycle must also use a condom. In subsequent cycles, additional measures are required. Women like the ring that do not need to remember every day pill or worry before every sexual intercourse, as is the case with condoms or spermicide. Furthermore, gastro-intestinal disorders, activated charcoal or purgatives and some antibiotics have no effect on the contraceptive efficacy ring.

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Thus, it is clear that the efficiency of almost all contraceptives depends on the correctness of their application. If you are worried, you are not sure of the contraceptive, or violated the rules for its use, be sure to consult a doctor.

For more information about the indications, contraindications, side effects and rules of administration is to read the instructions for use. Remember that you can start taking the contraceptive only after consultation with a gynecologist!

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