Pills for termination of early pregnancy 72 hours. Alternative to pills for emergency contraception

Emergency contraception is a one-time protection against conception, acceptable for use 1-2 times a year. The action of postcoital drugs is aimed at preventing the process of ovulation, changing the structure of the uterine mucosa, reducing the likelihood of implantation even in the case of fertilization.

In contact with

After taking contraceptives, the changes that occur in a woman's body are completely reversible. Sometimes gynecologists prescribe emergency remedies to correct hormonal disorders. The choice of drugs requires an individual approach.

Do birth control pills really protect against pregnancy?

Oral contraceptive pills prevent the risk of pregnancy in 98 cases out of a hundred. The effectiveness of oral contraception is affected by interactions with other drugs (antibiotics, activated charcoal, laxatives).

Gastrointestinal disorders, accompanied by vomiting or diarrhea, reduce the reliability of contraceptives.

It is also important to take into account the period of taking the pills, set by the gynecologist after studying the woman's history, the results of laboratory tests. During the medical examination, a number of parameters are subject to assessment:

• weight, blood pressure;
• type of skin, hair;
• condition of the mammary glands;
• blood biochemistry;
• the state of the organs of vision (examination by an ophthalmologist);
• the presence of somatic pathologies;
• predisposition to major diseases of the risk group;
• contraindications.

Assign oral contraception, based on the ratio of hormones:

1. COC - combined composition. The active substance is progestogen and ethinylestradiol. Depending on the ratio of hormones, there are monophasic, biphasic, triphasic COCs.
2. Mini-pill is a non-combined oral contraceptive based on the hormone progestogen (does not contain estrogen).

Benefits of taking hormonal contraceptives:

1. Improving the condition of hair and skin, treatment of skin diseases.
2. Prevention of severe complications (ectopic pregnancy).
3. Reducing the risk of developing osteoporosis.
4. Blocking the development of tumor diseases. Therapeutic effect (gynecologists note many cases of curing uterine fibroids).
5. Prevention of inflammatory processes.
6. Elimination of premenstrual syndrome, painful physical sensations during menstruation.

Pills for unwanted pregnancy within 72 hours

Pills against pregnancy after an unprotected act at least once used by every woman. You need to drink the drug within 72 hours after intercourse.

TOP 5 popular emergency contraceptive drugs (COCs):

1. Preven is a combined remedy. The course is 4 pills, 2 per reception. The method of postcoital contraception includes taking 0.1 mg of ethinyl estradiol and 1.0 mg of norgestrel. The method is especially popular in the USA.
2. Ovral. In the US and Canada, the postcoital drug is known as Priven, containing 50 micrograms of ethylestradiol and 0.50 mg of norgestrel. The course involves taking 4 tablets, two pills for 3 days, after 12 hours another 2 tablets.
3. Ovidon. The content of one tablet - 0.25 mg of levonorgestrel, 0.05 mg of ethinyl estradiol is indicated for the predominant estrogen phenotype.
4. Ginepristone contains 10 mg of the antiprogestogen mifepristone. It has a high effect (99% within 2 days, 97.9% at the end of the third day), minimal side effect. The drug is recommended for women of all ages, including adolescents.
5. Genale. The active substance is mifepristone 10 mg. Take 2 hours or 120 minutes after a meal for the next 3 days.

The list of emergency "antitropic" COCs will be supplemented by Escapel, Tetragynon, Danazol, Postinor, Escapel. Among the progestogen preparations (mini-pills), Norkolut is recommended, recommended for women and girls who plan to have unprotected sex for no more than 2 weeks / year.

The earlier emergency contraception is used, the greater the chance of successful drug action. It is advisable to take the remedy in the first 12 or 24 hours. The deadline is 72 hours, later the pills will not work.

The best contraceptive medicines

Correspondence of oral contraceptives to female phenotypes:

1. Estrogen predominance. Phenotype - femininity, dry skin and hair, short stature, prolonged menstruation. With the predominance of estrogens, protective agents with a high content of hormones are recommended: Rigevidon, Triziston, Milvane.
2. Balanced composition of estrogens and androgens. Phenotype - femininity, developed mammary glands of medium size, oily skin, normal hair, no PMS, menstrual cycle of 30 days. The optimal choice of contraception: Microgynon, Silest, Femoden, Marvelon, Lindinet-30.
3. Increased content of androgens (gestagens). Phenotype - high growth, poor development of the mammary glands, oily skin and hair, PMS in the form of depression, pain in the lower abdomen, lower back, scanty menstruation, cycles of 28 days. The preferred choice of drugs: Jess, Janine, Yarina, Diane-35.

Emergency Methods

There are 4 types of emergency contraception:

• ECPs containing UPA;
• TEK containing LNG;

ECP with UPA is taken as a single dose of 30 mg, ECP with LNG - 1.5 mg. The advantage of ECPs over COCs is determined by the lower degree of nausea and vomiting. The effectiveness of alternative emergency contraceptive pills is 98-99%. ECP with UPA is recommended for use within 72-120 hours after unprotected intercourse.

Copper-containing intrauterine devices (IUDs) provide immediate protection to be inserted within 5 days. The method is especially suitable for women relying on long-acting highly effective and reversible methods of contraception. Vaginal tablets (Pharmatex, Benatex, Ginacotex) are non-hormonal substances that determine the effective, safe use in conjunction with other contraceptives.

The cost of tablets

Approximate cost of contraceptives:

The name of the tablets	Price, rubles
Microgynon	310
Lindynette	340
Jeanine	790
Chloe	760
Femode	820
Tri Merci	1000
Regulon	480
Mercilon	1560
Marvelon	1530
logest	810
Ginepriston

An unplanned pregnancy is usually a consequence of the neglect of protective equipment or the use of poor-quality contraceptives. Such a problem requires an immediate solution, since it is easier to eliminate it in the early stages.

Pills for unplanned pregnancy after intercourse are almost as effective as surgical abortion. However, such medications should be used with caution, so it is advisable to learn more about them before use.

Pills from pregnancy after an act in which fertilization of the egg may have occurred should be taken as soon as this fact has been discovered.

There are several types of drugs to end a pregnancy:

Drugs belonging to these species act differently and have different properties. However, the discomfort that occurs after taking is similar, since the action has one direction. Regardless of the type of drug, side effects such as vomiting, headache and abdominal pain cannot be avoided.

Medicines for emergency contraception

Emergency contraception (other names for ambulance, emergency) involves the termination of pregnancy using various medications. With emergency contraception, the attachment of a fertilized egg to the uterus and further development of the fetus at an early stage is prevented.

The effectiveness of emergency contraception depends on when the funds were taken and on the type of drug itself.

The following are the most effective emergency contraceptives:

The drugs listed above are the best for emergency contraception. If the instructions are followed, the effectiveness is 95%.

Mifepreston preparations

The drugs in the composition, which include mifepreston, are effective even 3 weeks after conception. Mifeprestone acts on the uterus, increasing its tone. As a result, the fertilized egg is rejected by the uterus. Preparations containing mifeprestone have a strong effect on the female body, so they should be used only in the presence of a specialist.

The most popular drugs in this group are:

1. Mifepristone- These are tablets that have a yellowish or greenish tint. In addition to the main component, the following substances are included in the composition: cellulose, magnesium stearate, lactose, a mixture of amylose and amylopectin polysaccharides, polyvinyl lyrrolidone. You need to take the tablets 1.5 hours after a small snack, 3 tablets at once. They must be washed down with water. You can buy them in a pharmacy only by prescription, the approximate cost is 1500-3000 rubles.
2. Mifegin- These are tablets with a yellowish tint, having a biconvex shape. On the front side there is an engraving in the form of the numbers 167. The composition also includes silicon dioxide, magnesium stearate, cellulose and povidone. Mifegin is the most effective remedy that has few side effects compared to others. Mifegin should be used in the same way as Mifepreston 3 tablets at a time, in the presence of a doctor, after meals (at least 1 hour). The price of the drug ranges from 2500 to 3500 rubles.
3. Genale. The drug Genale is available in the form of yellow or green tablets of a round shape. The composition includes magnesium stearate, a mixture of amylose and amylopectin polysaccharides, povidone and lactose monohydrate. Unlike the drugs listed above, it can be taken on its own in 1 tablet. After the last meal, at least 2 hours should pass. After taking it, you can not eat for 2 hours. It is not recommended to use the drug for people suffering from porphyria, sexually transmitted diseases, anemia, liver and kidney diseases. It is also not recommended to take it together with painkillers, anti-inflammatory and antipyretic drugs. The price of the drug ranges from 300 to 800 rubles.
4. Mytholean Mifepreston Abortion Pills. Mifolean tablets are round and yellowish in color. In addition to mifepreston, the composition also includes a mixture of amylose and amylopectin polysaccharides, magnesium stearate, lactose, hypremelose. Like other medicines containing mifepreston, it should only be used under the supervision of a physician. You need to take 3 tablets at once. The effect of the drug will decrease if it interacts with anti-inflammatory drugs. The approximate price of the mitelian is 2000 rubles.

Products containing mifeprestone are 98% effective. Their effectiveness does not depend on the time of admission. However, you can take such drugs only under the supervision of a doctor.

Termination of pregnancy with birth control pills

Pills from pregnancy after an act that has passed without the use of contraceptives give a result if taken within 3 days. During the first few days, even birth control pills can be used to terminate a pregnancy.

However, these pills are less effective than other drugs because they simply suppress ovulation and increase the production of mucus, which prevents the seed from reaching its target.

There are exceptions among contraceptives that are quite effective:

1. Yarina tablets. The drug is a yellowish tablet in the shape of a hexagon. On the front side there is an inscription "DO". The main components are ethinyl estradiol and drospirenone, it also contains a mixture of amylose and amylopectin polysaccharides, lactose, magnesium stearate and povidone. The cost ranges from 1000 to 1500 rubles.
2. Logest Available in the form of round white tablets. The main components of the composition are ethinyl estradiol and gestodene, the composition also includes starch, lactose monohydrate, polyvidone, calcium carbonate, sucrose, talc, glycol wax. Price 700-2500 r.
3. Novinet- tablets with a yellowish tinge, having a convex round shape. Both sides are engraved. The main active ingredients are ethinylestradiol and desogestrel. Also included are: silicon dioxide, stearic acid, povidone, tocopherol, a mixture of amylose polysaccharides and amylopectin, dye. The cost ranges from 500 to 1000 rubles. The price depends on the number of tablets in the package and the region of sale.
4. Silest- tablets with a blue tint, having a round shape with modified edges and engraved on both sides. The main elements in the composition are norgestimate and ethinylestradiol. In addition, the composition includes a mixture of amylose and amylopectin polysaccharides, a compound of magnesium and stearic acid, and a dye. Approximate price - 500 rubles.

Abortion pills (birth control) can only be used 1 to 3 days after intercourse. You need to drink 2-5 tablets at once. The same amount you need to drink after 12 hours. Birth control pills very often fail, their effectiveness is 80%, even if taken immediately, so it is better to use other drugs.

The effectiveness of drugs for unwanted pregnancy

Medical termination of pregnancy is much simpler than surgical. However, pills do not always bring results.

The effectiveness of medicines depends on the following factors:

1. age;
2. physical data (weight, height);
3. health;
4. menstrual cycle.

Most of all, the effectiveness is affected by the amount of time elapsed after sexual contact. If you use emergency contraception immediately after contact or after a short time, the effectiveness is 99%. With each passing hour and day, the percentage of success decreases.

The most effective emergency contraceptive drugs are drugs that include mifepristone:

1. Mifegin.
2. Mytholian.
3. Mifeprex.
4. Pencrofton.

It is forbidden to use them on your own.

Contraindications

Pills from pregnancy after an act that took place without the use of contraceptives should not be taken without familiarizing yourself with the composition and contraindications, since they affect not only the uterus and the egg, but completely the entire body. Some people are advised against terminating a pregnancy with pills. This can lead to childlessness.

It is prohibited to perform a medical abortion procedure:

• with a long gestation period or ectopic pregnancy;
• with violations in the liver, kidneys;
• with anemia, blood leukemia, etc.;
• with inflammation of the pelvic organs;
• people with asthma;
• women with tumors of the breast and uterus;
• with venereal diseases;
• with hormonal failure.
• in the event of an allergic reaction to the components that are indicated in the composition.

These are general contraindications that apply to all means for terminating a pregnancy in the early stages. Some drugs have additional contraindications, so it is important to fully study the characteristics of the selected drug before use.

Side effects

The termination of pregnancy with the use of medicines always causes discomfort, since pregnancy, even at an early stage, changes the female body, and the elimination of the seed is an external intervention. There are almost always side effects after emergency contraception.

It could be:

Such discomfort should not cause concern for a woman, as they are natural and pass quickly. But sometimes (when taken incorrectly) more serious side effects can occur.

For example:

• uterine bleeding;
• unbearable pain in the abdomen;
• infertility (with frequent use of tablets).

Where can I buy abortion pills and can I use them myself

You can buy emergency contraceptives only at a pharmacy. Medicines will be issued only if there is a doctor's prescription. Most emergency contraceptives can be taken on their own, but only after carefully studying the characteristics and instructions.

However, it is advisable not to perform abortions on your own, since complications often occur after an incorrectly performed procedure. Emergency contraceptives, which include mifepreston, can only be used in a medical facility, under the supervision of a specialist.

How to check if the abortion was successful

It is impossible to verify the success of the procedure on your own. You can find out if the procedure was successful only by conducting a follow-up ultrasound or by visiting a specialist. Only a specialist in this field will be able to determine the result of taking drugs, for this he needs to study the condition of the woman's reproductive organs.

A woman should choose means for terminating a pregnancy, taking into account the characteristics of the body and contraindications.

Pregnancy pills will help prevent the development of a fertilized egg after an unprotected intercourse, however, they can also cause serious complications.

Before the procedure, it is necessary to consult with a gynecologist who will help you choose the drug. Pregnancy, even in the early stages, is a serious change in the body, and carrying out the procedure without due care often leads to infertility.

Article formatting: Lozinsky Oleg

Video about pregnancy pills after the act

Emergency contraception:

Types of contraception:

In the work brought to your attention, we will consider pills against pregnancy after an unprotected act. Let's start with the fact that unwanted pregnancy is a fairly common phenomenon in our country. At the same time, the position of the girl in society does not matter at all.

Sociologists noted that half of the pregnancies in Russia are unplanned. And a quarter of all cases are perceived by future parents as highly undesirable. Very often, women resort to artificial interruption (medical or surgical). In order not to resort to the help of a gynecologist, it is necessary to properly protect yourself. If this is not taken into account, then there are pills against pregnancy after an unprotected act, the names of which we will consider in the article.

What drugs can be used?

Anything can happen in our life, but, unfortunately, few people remember about safe sex. Pay attention to the fact that it is simply necessary to protect yourself with non-permanent partners. This will protect you not only from unwanted pregnancy, but also from the mass of infections that can be transmitted from a partner. In this case, we are talking about condoms, which are a barrier to infection from both a woman and a man.

Birth control pills after an unprotected intercourse will only prevent an unplanned pregnancy. This method of contraception can only be used with a regular sexual partner that you are sure of. A woman who is not protected during sex and does not plan to have a baby in the near future is simply obliged to always have drugs with her that can prevent pregnancy, since this event is not currently desired.

What birth control pills to take after an unprotected intercourse, we will consider a little later. Now it is worth noting that any medication, if used incorrectly or for a long time, can be harmful to health. Be sure to read the instructions before use (duration and regularity of use, dosage and side effects, composition of the drug - to exclude the appearance of allergies).

Use oral contraceptives with great caution. To exclude side effects and the occurrence of health problems, you should contact a specialist so that he selects the drug that is the least dangerous and most suitable for you.

Pills against pregnancy after an unprotected intercourse is an emergency measure to prevent an undesirable phenomenon. To avoid pregnancy, it is necessary to take a special drug in the near future. Please note that these drugs should not be taken continuously. Be sure to monitor your menstrual cycle: there are days that are unfavorable for conception, during these periods you can avoid taking the drug. We are talking about days: from the 5th to the 7th and from the 16th to the 28th. This example is given for a menstrual cycle of twenty-eight days, provided that it is constant. If your menstrual cycle is unstable, then this method of contraception will not work for you. With this problem, you should definitely contact a gynecologist to find out the cause of this phenomenon.

When choosing an emergency contraceptive, pay attention to the following points:

• contraindications;
• application scheme;
• duration of use;
• regularity;
• compound.

All this will help you avoid unpleasant consequences after application. Please note that this method is effective only in the very early stages. That is, the earlier you take the pill, the less likely you are to get pregnant. For example, if you drank the drug within a few hours after intercourse, then the chance of pregnancy is 5%, but by the third day this figure increases to 45%.

If you take a pill during the day?

Pills after an unprotected act of pregnancy, the names of which will be presented in this section of the article, help if they are used within a day after sex on fertile days. Pay attention to the fact that there are drugs that need to be taken once, but there are also those that should be taken according to the scheme for several days. For this reason, be sure to pay attention to the method of application and dosage. If you take a birth control pill after an unprotected intercourse, then the probability of preventing an adverse pregnancy is more than ninety percent.

Now we will present to your attention a number of drugs recommended by gynecologists throughout Russia. These medicines include:

• Ovidon.
• "Non-Ovlon".
• Ministison.
• "Rigividon".
• Marvelon.

Be sure to pay attention to the number of tablets that you should take. For the first two drugs above, the dosage is two tablets, for the next two, three tablets, and for Marvelon, the dosage is four tablets. Taking more than the prescribed norm is highly discouraged to prevent unpleasant consequences.

There are also some anti-pregnancy pills after unprotected intercourse that are worth taking within twenty-four hours. These include drugs based on levonorgestrel or mifepristone. For emergency use, drugs can be used:

• Eskinor F.
• "Postinor".
• Escapelle.
• "Mifetin".
• "Mytholian".
• "Ginepriston".
• "Genele".

Tablets against pregnancy after an unprotected act "Postinor", "Eskinor F" and "Escapel" contain levonorgestrel as the main component. Now we will consider the effect of drugs. It is based on the fact that the efficiency of the uterus decreases, which produces fewer hormones than is necessary for fertilization. As a result, the fertilized egg cannot reach the uterus and dies. If she nevertheless reached it, then the drug affects the state of the endometrium, as a result of which the fixation of the egg in the uterine cavity becomes impossible.

In the next three drugs from our list, the main component is mifepristone. This substance can cause uterine contractions and changes in the endometrium. These are new generation drugs, if you take one pill, then the egg will not be able to gain a foothold in the uterine cavity and will come out.

In any case, you can not use these drugs often, so as not to harm your health and not harm the functions of the ovaries, which can later lead to infertility.

Combined oral contraceptives (COCs)

What other anti-pregnancy pills exist after an unprotected intercourse? In this section, you will learn about combined oral contraceptives, which are called COCs for short. These drugs contain a very large dosage of the hormone progestogen and estrogen. When taking these drugs, it is necessary to strictly observe the dosage and the scheme of application. Long-term and uncontrolled use of hormonal drugs brings with it a whole list of serious problems that will affect reproductive function.

They act as follows: the rejection of the endometrium occurs, so the fertilized egg will not be able to gain a foothold in the uterine cavity. Be sure to take COCs very responsibly, because their action can cause bleeding.

• Ovidon.
• "Non-Ovlon".
• "Silest".
• "Rigevidon".

Tablets after an unprotected act of pregnancy, the names of which are presented above, belong to the COC group. Note that there are several contraindications to taking these drugs. If you have found at least one of them, then you should stop taking COCs. Contraindications include:

• thrombosis or a high probability of occurrence of this disease;
• congenital thrombophilia;
• stroke;
• cardiac ischemia;
• arterial hypertension;
• atrial fibrillation;
• septic endocarditis;
• age more than thirty years (there is a possibility of occurrence of cardiovascular diseases);
• smoking;
• diabetes;
• hypertension;
• the presence of viral hepatitis;
• cirrhosis of the liver;
• liver tumor;
• migraine;
• diabetes mellitus that lasts more than twenty years;
• breast cancer (this includes cases where the diagnosis is confirmed or only suspected);
• lactation period;
• pregnancy.

In all of the above cases, the use of COC preparations is strictly prohibited.

We have discussed how to prevent pregnancy after an unprotected intercourse with a COC tablet, now we will talk a little about the return of the proper functioning of the ovaries and the return of reproductive capacity.

In 90% of cases, women were able to become pregnant within a year after stopping taking contraceptives. Do not worry that taking drugs can somehow affect your future reproductive life. If you follow the instructions, then the possibility of becoming pregnant after discontinuing the medication is very high and the intake will not affect the development of pregnancy in any way.

The erroneous use of the COC drug during pregnancy should not cause anxiety, this is not the reason for the appointment for an abortion. Nevertheless, it is simply necessary to refuse to take COCs so that pregnancy and fetal development take place correctly.

Action COC

This section will discuss the mechanism of action of contraceptive pills after unprotected intercourse (COCs). These drugs are able to suppress the process of ovulation, thicken the cervical mucus so that the movement of spermatozoa is much more complicated, change the endometrium, which is an obstacle to the implantation of a fertilized egg in the uterine cavity.

This action provides a component that is part of the drug - progestogen. Also in the composition you can find ethinyl estradiol, which provides a normal menstrual cycle, that is, there should be no intermediate bleeding. The menstrual cycle should not go astray. In addition, it is worth knowing that when taking COCs, estradiol is not produced in the ovaries, which is responsible for the growth of the follicle. The substance ethinylestradiol replaces it.

Emergency contraception regimen

The most popular contraceptive pills after an unprotected act, the names of which are:

• "Postinor".
• "Ginepriston".
• Ovidon.

Now we propose to get acquainted with the scheme of their use. Let's start with Postinor. This drug is available in one tablet per pack. For the least chance of getting pregnant, you should purchase four packs. It is worth taking according to this scheme:

• two tablets once within twelve hours after sexual intercourse;
• one tablet twelve hours after the first dose;
• one tablet twelve hours after the second dose.

Within 72 hours after an unprotected intercourse, Ginepristone anti-pregnancy pills will prevent unwanted conception. It is very important to know that this drug is taken once. Re-admission is not required.

The drug "Ovidon", which we mentioned earlier in this section, should be taken in a course:

• first you need to take two tablets at a time (note that this must be done in the first 24 hours);
• repeat the reception after 12 hours.

Indications

Pills against pregnancy after an unprotected act, the names of which were presented to your attention in the article, have a list of indications and contraindications. We suggest that you familiarize yourself with the indications for use in this section. These include:

• spontaneous sex;
• skipping oral contraceptives;
• frequent change of sexual partner;
• torn condom during sex;
• sexual intercourse while intoxicated;
• untimely interruption of contact if a condom is not used;
• negative attitude towards contraceptives;
• sexual abuse.

These drugs contain a large amount of hormones. With frequent use, serious health problems can occur. Gynecologists recommend using emergency protection against unwanted pregnancy no more than three times a year. Before use, you must carefully read the instructions, familiarize yourself with the contraindications and dosages. One of these questions will be considered right now.

Contraindications

Before you get acquainted with the contraindications for use, it is worth clarifying one fact: the more time has passed after sex, the greater the likelihood of pregnancy. The likelihood that pregnancy pills will help after an unprotected intercourse a week later is very small. It is recommended to take emergency contraceptive measures during the first three days.

Contraindications to their use include:

• liver disease;
• over thirty-five years of age;
• thromboembolism;
• migraine;
• age less than sixteen years;
• lactation;
• uterine bleeding;
• instability of the menstrual cycle;
• pregnancy;
• kidney disease;
• anemia;
• smoking (especially long experience).

This issue should be taken with the utmost responsibility, because the drugs are hormonal. They can be very harmful to health. Be sure to carefully read the instructions that come with the medicine before use.

Side effects

Any woman is obliged to read the instructions for the use of these drugs. This should be approached with great responsibility, because hormonal drugs can lead to a whole list of serious diseases and consequences. Some of them are incurable. Side effects after using emergency contraception include:

• infertility;
• ectopic pregnancy;
• thrombosis;
• Crohn's disease;
• violations in the menstrual cycle;
• stomachache;
• nausea;
• hormonal disruptions;
• severe fatigue;
• allergic reaction;
• emotional stress and so on.

Many women are interested in - what anti-pregnancy pills will help after an unprotected act in a month? Such miraculous drugs do not exist, since the period is already very long. In this case, you have to resort to the help of gynecologists to terminate the pregnancy with the help of special drugs. Tablets for this procedure are not sold in pharmacies, they can only be obtained from a doctor and drunk under his supervision. We propose to discuss this issue in the next section.

How is a medical abortion procedure performed?

We note right away that even this type of abortion has its own specific terms of usefulness and safety. It can be carried out until the tenth obstetric week. A woman herself can easily calculate the last day of the opportunity to terminate a pregnancy with a medical abortion (sixty-three days from the first day of the last menstruation). Going beyond these limits is highly discouraged, it is not only useless, but also very dangerous.

• familiarization (a woman signs papers stating that she is familiar with the rules and possible complications);
• taking the drug (this drug completely blocks the production of progesterone);
• taking a prostaglandin preparation (the stage is not mandatory, since in 99% of cases the fetal egg comes out on its own and stimulation of this process is not required);
• ultrasound procedure.

It is important to clarify what drugs are used in this method of abortion. As a rule, they are based on mifepristone. These include:

• "Mifegin".
• Mifeprex.
• "Mifepristone".
• "Mifolian" and others.

Cost and reviews

In this section, we will briefly review the reviews and price of anti-pregnancy pills after an unprotected intercourse. Reviews of women are numerous and varied. In 90% of cases, with proper intake and compliance with the terms, women did not experience any discomfort and could get rid of an unwanted pregnancy.

Prices in Russia are shown in the table.

When buying any drug, read the instructions, dosage, indications, contraindications and composition.

Contraceptive pills after intercourse for 72 are the first thing that comes to mind when it is urgently necessary to take care of preventing pregnancy. This method of protection is popular very often among women who do not plan to have children, but due to life circumstances: a torn condom, rape, an incorrectly chosen method of protection before, pushes them to use a special pill. In most cases, emergency care in this way is better than a planned abortion.

In our article you will find answers to such questions:

• What are the pills to prevent unwanted pregnancy after intercourse?
• How to apply them?
• How much and where to buy?
• Comparison of drugs with different active ingredients.
• What are the contraindications?
• How else to prevent conception?
• Why is it dangerous to use "fire" pills?

Today, pharmaceutical companies offer a variety of types of planned and urgent protection. These are all kinds of plasters, rings, candles, spirals, tablets. You need to know more about the tablet form, since they are in demand and are assigned to the fair sex.

The tablet form is easy to use, does not require additional preparation before use. It is important to remember that the tablets in question are not suitable for continuous use and should only be used urgently. The recommended frequency is no more than 1 - 2 times per calendar year.

Important: do not choose the tool yourself. Consultation with the supervising physician is necessary.

Levonorgestrel

How does it work?

Levonorgestrel (a progestogen) works in three ways to help prevent egg fertilization:

• After using the drug, ovulation is canceled or delayed by the action of the active substance on the ovaries. The egg does not leave its house, so it does not meet with the sperm. By the time ovulation occurs, male cells die;
• Cervical mucus changes its properties and becomes viscous. Throughput is reduced to 0;
• Reduced contraction of the fallopian tubes;
• Changes in the structure of the endometrium. The walls of the uterus become loose and thin, due to which the fertilized cell cannot be implanted.

Drug options

Name		Instructions for use	Price, ₱	Vacation
Postinor	The recommended time for admission is 72 hours.	The package contains 2 tablets. They drink the first one, then keep an interval of 12-14 hours and take the second one.	340-450	On prescription
Escapelle		Two tablets are drunk in turn with an interval of 12-14 hours. If vomiting occurs in the next 180 minutes, they resort to a second dose.	450-650	On prescription
Exinor-F		Similarly, two tablets are drunk, as above. The interval between them should be about 12 hours, but not more than 16 hours. It is possible to take two tablets at the same time for a high effect.	from 300	On prescription
MODEL 911		It is recommended to drink the tablet within 12 hours after the act, but no later than 72 hours.	from 350	On prescription

Efficiency

Taking the drug shows that pregnancy can be prevented in 95% of cases if the pills are taken quickly (up to 24 hours). The effectiveness decreases in the following hours, which increases the risk of pregnancy.

Indications

Levonorgestrel is used for rapid contraception after intercourse. Indications for use: unreliable methods of contraception, unprotected intercourse, including rape.

Contraindications

Ladies who decide to use the above described means should study the instructions well. Pay attention to contraindications. If there is at least one of the items, you should exclude taking pills:

1. the age of the person taking the drug is not younger than 16 years. The use of EC (emergency contraceptives) from the age of 16 should be supervised by a doctor.
2. acute or chronic problems with the liver, kidneys, pancreas. Since the elimination of the drug is a huge burden on the kidneys and liver, women with problems should consult a gynecologist for advice and choose another more gentle method of protection, including an urgent one.
3. allergy to the main component of drugs - levonorgestrel, or lactose.
4. presence of pregnancy. Before taking the pill, pregnancy should be excluded. The active substance adversely affects the condition of the fetus, and can also lead to an ectopic pregnancy.
5. not recommended for breastfeeding, Crohn's disease.

Side effects

If the remedy is not suitable or an overdose occurs, then the following symptoms can be observed:

• allergy, which is expressed by redness, swelling, itching, rash;
• nausea, possible vomiting;
• pain or dizziness in the head, tiredness, lethargy;
• soreness of the bottom in the region of the ovaries and uterus;
• swelling and pain syndrome of the mammary glands;
• copious or scanty bleeding;
• changing the calendar of menstruation by delaying up to 7 days.

Mifepristone

How does it work?

Mifepristone in its pure form is used only in medical institutions. The acquisition of drugs with the same active substance is possible through pharmacies, but only by prescription.

It aims to block the production of progesterone. Changes in the ability of the myometrium. Ovulation is inhibited or does not occur at all. In addition, the active substance reduces the possibility of implantation of a fertilized egg.

Drug options

Name	Recommended time for taking	Instructions for use	Price, ₱	Vacation
Mifepristone	Use as rapid contraception after NPA, when 72 hours have not yet passed after ejaculation. The risk of getting pregnant is quite low if you follow the instructions and drink the drug as quickly as possible.	The dosage is determined solely by the doctor. The drug is taken on an inpatient basis. It is not recommended to eat food on the eve (for 1-2 hours). Observation of a woman takes place for several more hours from the start of the procedure.	from 5000	Through a medical facility
Ginepriston		It is recommended to eat, and then drink the drug after a couple of hours. One tablet is washed down with plain water. After the procedure, it is not recommended to eat food for 2 hours.	400-600	On prescription
Mifegin		The dosage is prescribed by the attending physician. The drug must be taken in a hospital.	from 3000	Through a medical facility
Ginestril		The 10 mg tablet must be ingested within 3 days of intimacy. Do not eat for a couple of hours before and after the procedure.	from 4500	On prescription
Jenale		The procedure is carried out before or after meals for 2 hours. It is important to take the pill no later than 3 days after intercourse.	from 300	On prescription
Mifeprex			from 1100	On prescription
Agesta			from 300	On prescription

Efficiency

Taking into account that drugs with the active substance - mifepristone, should be drunk within the next 72 hours after intercourse with an unreliable method of protection, it is believed that a high probability of preventing pregnancy occurs within 12-24 hours. The effect decreases when taken after 25 hours after NPA.

Indications

Application options are quite wide:

• medical abortion at a gestational age of not more than 9 weeks;
• emergency contraceptive when consulting a doctor. Often used after violent intimacy. The relevance of the method is 72 hours. Use in the following hours is impractical;
• use during childbirth to stimulate labor. Reception is carried out in several stages within 3 days. An important feature - pregnancy should be considered full-term.

The appointment of this or that remedy should be carried out by a doctor who will determine the necessary dosage, taking into account the elapsed time after intimacy, the duration of pregnancy.

Contraindications

The list of diseases and conditions when the use of drugs based on mifepristone is inappropriate is quite wide. Namely:

• problems with the adrenal glands;
• kidney and liver diseases;
• large and small fibroids;
• anemia;
• inflammatory processes;
• smoking after 35 years;
• pregnancy more than 9 weeks;
• sensitivity to the main active substance;
• heart problems;
• chronic lung disease.

Doubt about taking the drug? Contact your doctor for advice!

Side effects

When taking mifipristone in large quantities, as well as ignoring contraindications, you can get the following side effects:

• head spinning;
• headache;
• nausea, often turning into vomiting;
• stomach upset;
• depression or lethargy;
• fatigue;
• allergic rashes (urticaria);
• pain in the ovaries and uterus;
• spotting or copious discharge of blood;
• change in the menstrual calendar;
• adrenal insufficiency.

The use of combined contraceptives

The Yuzpe method involves taking oral contraceptives, used on an ongoing basis, as a quick and temporary way to exclude an unplanned pregnancy immediately after intimacy. Not all drugs are suitable, but only combined OK. The effectiveness of taking pills in this way is determined by the time elapsed since the NPA. When using a high dose of hormones in the first 12-24 hours, the probability of fertilization is 75-95%.

The drugs combine two different active ingredients: levonorgestrel, estrogen, progestogen, ethinyl estradiol, desogestrel. It is important to observe the number of tablets, which corresponds to the increased dosage, as well as the time of re-admission.

How does the method work?

After taking COC drugs (combined oral contraceptives) in a large dosage, the body responds to their effects:

• changes in the endometrium;
• blocking or inhibiting the release of the egg.

Drug options

Name	Price, ₱	Recommended time for taking	Instructions for use	Vacation
Rigevidon	from 250	The relevance of the method is 72 hours from the NPA. It is recommended to use an increased dose in the first 12-24 hours.	4 tab. should be taken in a time interval of 0-72 hours. Then the interval is maintained and the same dosage is repeated.	On prescription
Microgynon	from 350
minisiston	from 400
Femodene	from 800
Regulon	from 400
Marvelon	from 1400
Novinet	from 450	Similar indications in time, as in the above means	5 tab. should be taken in a time interval of 0-72 hours. Then the interval is maintained and the same dosage is repeated.	On prescription
Mercilon	from 1500
Logest	from 800

Indications

Reception justifies itself if "fire" contraception is necessary for:

• wrong choice of a permanent method of protection;
• torn condom;
• unprotected sexual contact;
• rape.

Contraindications

The shock dose of hormones can greatly affect health. It is important to consider when taking pills and contraindications. The diseases included in the list can worsen, and the consequences become irreversible, up to death. Do not neglect the instructions, it is better to contact a specialist for advice.

So, under what diseases is it better to forget about combined contraceptives in huge dosages:

• the presence of inflammation of the genital organs;
• bleeding;
• problems with the kidneys, liver, pancreas;
• problems with the mammary gland: the presence of neoplasms, both benign and malignant;
• intolerance to the main or auxiliary components, and then it is an allergic reaction (Quincke's edema);
• various problems with the heart, blood vessels;
• pregnancy;
• epilepsy;
• thrombosis;
• excess weight.

Side effects

Incorrect use of COCs can lead to side effects. Treatment is prescribed depending on the symptoms and drug withdrawal. What to expect:

• the chest swells and begins to hurt, as before menstruation or worse;
• profuse bleeding is observed;
• changes in the nature of vaginal discharge;
• pain in the lower abdomen;
• there is nausea, which can turn into vomiting;
• change in the sharpness of vision;
• a tired, depressed state sets in;
• the skin becomes oily, there are numerous rashes, redness, nodularity, itching;
• a sharp increase in weight;
• puffiness.

Photo: Which birth control pills to choose after the act for 72, 24 hours

Alternative to pills for emergency contraception

If for some reason you cannot use the pill method of emergency contraception: the presence of contraindications, breastfeeding, you should resort to an immediate consultation with a specialist. The doctor often suggests an alternative method: the installation of an intrauterine device (IUD). Girls and women who are breastfeeding prefer this option. It is gentle and makes it possible to continue to feed the child. In addition, the effect remains for subsequent times (up to 5 years).

It is important to contact the clinic as soon as possible. This must be done no later than 5 days after the NPA.

How does it work?

The spiral is made of plastic (first part) and copper (can be replaced by silver) / hormones (second part). The device itself is aimed at maintaining a small inflammatory process that prevents the cell from attaching after fertilization. At the same time, copper or a hormone creates conditions for the death of germ cells.

When not to put the IUD?

Intrauterine devices cannot be used:

• girls under 18;
• women who have not given birth;
• in the presence of inflammatory processes of the genital organs;
• with STIs and STDs;
• with cancers;
• if there was at least one ectopic pregnancy in the anamnesis;
• with heavy blood loss;
• with spontaneous displacement of the intrauterine device earlier;
• irregular shape of the uterus;
• with intolerance to a hormone or metal component.

What drug to choose?

First of all, the selection of funds should be carried out by a doctor. Many factors are taken into account: age, hormonal levels, diseases, the presence of pregnancies in the past and present. If we compare drugs with mifepristone and levonorgestrel in terms of sparing effect, we can get the following data:

	Mifepristone (usually 10 mg)	Levonorgestrel (usually 1.5 mg)
Pregnancy does not occur	in 98-99%	in 95% when taking the pill on the first day (24 hours); in 85% (24-48 hours); in 58-60% in the last time period.
Application time after NPA	72 hours	72 hours
Risks of developing an ectopic pregnancy	0,8%	1,6%
Changing the menstruation calendar	26%	43%
The number of respondents who noted pain in the chest	8%	8%
The number of respondents who noted pain in the uterus and ovaries	14%	15%
Percentage of patients with bleeding	19%	31%
Age restrictions	May be used in adolescence	Contraindicated under 16 years of age

Danger of using EC

Sometimes the harm is greater than the benefit. It is recommended to use such "fire" methods of preventing pregnancy as birth control pills after the act. no more than 1-2 times a year. What can happen if you neglect the instructions, contraindications and frequency of use:

1. an increase in risk with each reception of the development of pregnancy outside the uterine cavity. In the future, the body's adjustment to the correct fertilization and attachment of the egg in the right place is disrupted;
2. development of the diagnosis of infertility. Violation of the menstrual cycle, as well as the absence of menstruation, leads to the fact that women cannot become pregnant. Oocytes are not formed or are rejected until the moment of conception;
3. the presence of uncontrolled bleeding. Women who have used EC incorrectly or frequently enough should be aware of the increased risk of heavy and prolonged bleeding. In most cases, hemostatic drugs and curettage of the uterine cavity are used;
4. uncontrolled doses of hormones can develop diseases associated with thrombosis, which leads to strokes and thromboembolism;
5. increased risk of developing Crohn's disease.

Contraceptive pills after the act - reviews