Urgent contraception: indications
- absence of other contraceptives during sexual intercourse (more details about contraceptives can be read here );
- sexual violence;
- incorrect use of a planned contraceptive;
- tearing / slipping of the condom;
- expulsion of the ectopic spiral;
- The progestin OK is accepted with a delay of 3-5 hours;
- incomplete dissolution of the spermicide (sponge, suppository, tablet) prior to initiation of coition.
Contraindications:
- individual intolerance to the components / component of the drug;
- severe hepatic impairment;
- age to 16 years, the onset of pregnancy.
Preparations for emergency contraception for women
Postinor
This hormonal contraceptive after the act has pronounced anti-estrogenic and gestagenic properties. It inhibits ovulation, changes the endometrium, prevents the introduction of a fertilized egg, increases the viscosity of cervical mucus, preventing the progress of spermatozoa. Contraceptive reliability: in the first 24 hours between sexual intercourse and reception of Postinor - 94-96%, 24-48 hours - 80-85%, 48-72 hours - 50-55%.
Instructions for use
To take a single contraceptive Postinor in a dosage of 750 mcg (1 tablet) during the first 48 hours after coition, after 12 hours take another 750 mcg of the drug. One course is 2 tablets. If vomiting occurs on the background of the reception, repeat taking the pills. Postinor can be used on any day of the cycle. It is not allowed to use the contraceptive as a means of continuous protection - this leads to an increase in adverse reactions and a decrease in effectiveness.
Contraindications:
- lactation period, pregnancy;
- severe diseases of the bile duct and liver;
- vaginal bleeding of unknown origin;
- hypersensitivity to the ingredients of the drug;
- vein / arterial thrombosis, history of thromboembolism;
- the period of puberty (relative contraindication);
- delay in menstruation.
Side effect:
dizziness, fatigue, a feeling of tension in the mammary glands, intermenstrual bleeding, diarrhea, vomiting, nausea.
Escapel
The gestagenic preparation for postcoital contarception The escapel suppresses fertilization and ovulation if the vaginal contact occurs in the preovulatory phase of the cycle. Can change the endometrium, preventing ovulation. It is ineffective with the implantation of a fertilized egg. Contraceptive reliability of the Escapel: in the first 24 hours after intercourse - 94-95%, 24-48 hours - 80-85%, 48-72 hours - 55-57%. In the recommended dosage does not affect the metabolism of carbohydrates / fats, blood coagulability.
Instructions for use
Take 1 tablet (1.5 mg) within 72 hours after unprotected contact. If vomiting occurs within 3-4 hours after ingestion, take 1 tablet additionally. It is allowed to take the contraceptive on any day of the cycle.
Contraindications:
- individual intolerance to the components of the drug;
- pregnancy, age of 16 years;
- deficiency of lactase, glucose-galactose malabsorption;
- severe liver disease.
Side effect:
headache, dizziness, diarrhea, vomiting, abdominal pain, delayed menstruation, acyclic bleeding.
Mirena
Tablets for emergency contraception with a synthetic gestagen content. They differ in anti-estrogenic and gestagenic properties, inhibit ovulation, change the endometrium, prevent the implantation of a fertilized egg. By increasing the viscosity of the cervical secret, the progress of the spermatozoa is stopped. Contraceptive reliability with timely use is 90-95%.
Instructions for use
Take 1 tablet (0.75 μg) after sexual contact for 48 hours, after 12 hours take another pill. Limit: no more than 4 tablets in 30 days. If vomiting occurs on the background of Mirena's reception, repeat taking the pills. In the case of intensive uterine bleeding, a gynecological examination is indicated.
Contraindications:
- severe pathology of the biliary tract / liver;
- individual intolerance;
- the period of puberty;
- jaundice in anamnesis, presumed pregnancy.
Side effect:
nausea, intermenstrual bleeding, dysmenorrhea.
Important: emergency contraceptive pills prevent conception for 5 days, passing from the moment of vaginal contact until the moment of pregnancy. They can not damage the developing embryo and interrupt the onset of pregnancy.