Emergency postcoital contraception

Emergency (urgent) postcoital contraception is performed after unprotected sexual intercourse (within 1-3 days) to prevent unwanted pregnancies.

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

By resorting to emergency contraception if:

committed rape;
unprotected sexual intercourse took place;
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 drug, carefully read the instructions for use. It should be remembered that a large number of sexual acts efficacy is reduced.

1) Antigestagennye drugs

Ginepriston or Agest – Contemporary hormonal postcoital drug. Compared with Postinor almost harmless. Use within 72 hours after unprotected intercourse.

2) progestin preparations

Eskapel – exclusive new tool for emergency contraception. Recommended for use within 96 hours after unprotected intercourse. The earlier approved pill, the more effective its action.
Mifegin (Mifepristone) – Modern medicine, by which the drug is produced (non-surgical) abortion in the period from the first day of a missed period to 8 weeks. To perform this procedure should apply to a gynecologist who has a license to use the drug.
Postinor – a hormonal drug for emergency contraception from the “last century”. The sooner the pill was adopted, the effect is expressed konratseptivny. Postinor contains a very high dose of the hormone levonorgestrel, which is very significantly impact the ovaries. Therefore, after treatment the menstrual cycle can be broken. This drug should not be used more than 2 times a year and considered as a possible contraceptive! This applies in particular to young women under 18 who have a hormonal BALANCE yet been established.

After taking the emergency contraceptive drugs:

next period may start earlier or later than usual;
menstrual flow may be more abundant, in this case, you must consult a doctor;
necessarily refer to a gynecologist before the next menstrual period for the survey on sexual infections, at a reception report that they had used emergency contraception;
If in three weeks after taking emergency contraceptive drugs you have not started menstruating or showing signs of pregnancy – immediately go to a gynecologist;
with the appearance of abdominal pain should be immediately reported to a gynecologist;
until the next menstrual period is necessary to use barrier methods (condoms).

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.

Side effects of emergency contraception is usually diminish or disappear completely within two days.

Due to the possible harmful (teratogenic) effect of hormones on the fetus in case of failure of emergency contraception and pregnancy recommended by a medical abortion.
Intrauterine Contraception

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

The method is slightly more efficient than the method of hormonal emergency contraception, but its application must take into account the individual characteristics of a woman, her desire to continue for a long time to use this method of protection from unwanted pregnancy, as well as all possible contraindications for the insertion of intrauterine devices.

Emergency insertion of intrauterine devices is not recommended to apply to young nulliparous women, as well as a large number of sexual contacts and partners within casual partnerships. If a woman wants to put an intrauterine device, but in the past was often ill inflammatory diseases of the genital organs, it is necessary immediately prior to the installation of an intrauterine device in the next 5 days of antibiotic use.