All tablets for emergency contraception have side effects and contraindications for use. In order not to hurt yourself, a woman should use such drugs only on prescription. The right thing would be to always use the services of the same obstetrician-gynecologist.

The main principle of the emergency contraceptive pill

The action of emergency contraceptive pill is a sharp suppression of acts of female sex hormones estrogen or progesterone. And with that, and the other case is delayed ovulation and a violation of the state of the inner layer of the uterus: violated his willingness to receive the embryo.

All preparations for emergency contraception has an effect as a hormonal impact, which is not indifferent to the woman's body. It is especially dangerous to use these drugs in adolescence, when still not fully formed the menstrual cycle. These drugs have contraindications and side effects, sometimes quite significant. Therefore, they are sold in pharmacies by prescription, which determines whether this woman used the drug or not.

Total produced two types of emergency contraceptive pills, some of them are hormones (Postinor eskapel), others do not apply to hormones, but also affect the hormonal system (zhenale, ginepriston).

How do the pills Postinor and eskapel

The main active ingredient tablets postinor Postinor - used very carefully!   and eskapel (producer - Hungarian pharmaceutical company Gedeon Richter) is a synthetic analogue of progesterone levonorgestrel. In eskapel, which was released after Postinor, it twice, so it is taken disposable, as a single tablet. Postinor take a tablet twice with an interval of 12 hours (which is allowed a break of up to 16 hours). Since levonorgestrel can give the side effect of emesis, if it occurs within three hours after administration of the tablet, it is recommended to adopt another tablet. Take postinor and eskapel as soon as possible after unprotected intercourse, but no later than 72 hours.

Levonorgestrel can cause side effects such as nausea, vomiting, diarrhea, headache, dizziness, uterine bleeding unrelated to the menstrual cycle. Sometimes, on the contrary, the delay of menstruation, but no more than a week. If the delay lasts longer, then you need to take a pregnancy test.

Application Postinor and eskapel contraindicated in severe liver disease with impaired function of the body, intolerance to lactose deficiency of the enzyme lactase or malabsorption of simple sugars in the intestine (tablets have lactose - milk sugar), in case of hypersensitivity to the components of the tablets of the female organism and during pregnancy. But if, despite the use of Postinor or eskapel pregnancy did take place, it can be saved, since these drugs do not have a negative impact on the child.

During feeding baby Breastfeeding - a personal choice   their breasts should be used with caution and not put baby to the breast within a day (levonorgestrel is excreted in human milk).

How do the pills and zhenale ginepriston

In tablets zhenale (producer - Russian pharmaceutical company Izvarino Pharma) and ginepriston (Nizhpharm pharmaceutical company, which now became part of the international concern STADA), the main active ingredient is mifepristone - a drug that previously used for the production of tablets of abortion. But zhenale ginepristone and it is contained in a small dosage and does not have an abortive action. Mifepristone - is not a hormonal drug, which, however, has a hormonal effect, as inhibits the function of the female sex hormone progesterone.

Since progesterone Progesterone - norm and pathology   promotes the release of mature egg from the ovary, the suppression of his actions leads to ovulation does not occur, and hence it is impossible to conceive. There is also the suppression of the second (secretory) phase of the endometrium (the mucous membrane of the uterus), making it impossible to consolidation and development of the embryo in the uterine wall.

Zhenale or ginepriston take as soon as possible after unprotected intercourse, but no later than three days. Take one tablet per two hours before or two hours after a meal.

Mifepristone can cause nausea, vomiting, abdominal pain Abdominal pain: Types and Symptoms , Dizziness, headache, uterine bleeding.

Tablets are contraindicated zhenale ginepriston and in violation of the kidneys, adrenal glands, liver, severe diseases of internal organs, prolonged use of glucocorticoid hormones and increased sensitivity to the woman's body mifepristone. If after mifepristone still become pregnant, it is better to interrupt, because of possible adverse effects of mifepristone on the child. If the drug is used during breast-feeding, it should be stopped for two weeks.

All tablets are used for emergency contraception prescribed by a doctor.

Galina Romanenko

There are instructions intended to facilitate the recovery period after surgical abortion, but most of them are also suitable for patients after medical abortion.

What to do and what not to do after an abortion

• Drink plenty of fluids
• If possible, rest a few days
• Take your vitamins, eat a healthy diet; healthy sleep Dreams: how to understand our dreams   It can be a problem, but still try to sleep
• Take the full course of antibiotics prescribed by a doctor that you
• Do not engage in activities in two weeks
• Do not swim or take a bath at least two weeks
• Within two weeks after the abortion, do not lift anything heavier than 6.5 kg. Also during this period, do not use tampons How to use sanitary pad - basic precautions Do not have sex, do not douche - In general, if possible, nothing should enter the vagina.
• Ovulation may begin two weeks after the abortion, therefore, two weeks after an abortion you can get pregnant. Therefore it is necessary to take measures in advance to protect.
• After an abortion, start to have sex, but if you feel fully recovered and after discuss with your partner your feelings and desires, and make sure you understand it. Do not let yourself persuade to have sex, if you think they are not ready physically and / or emotionally. Be sure to discuss with your partner how you will be protected from future. Not only do you have every right to his support and understanding; claim them - your responsibility in relation to their own health.

Women who had an abortion for medical reasons (related to health for both women and fetuses), you need to further consult with your doctor about contraception and pregnancy planning in the future.

This is a normal reaction to a sharp change in hormone levels - it stimulates the production of milk no matter what term to terminate the pregnancy. Breasts may swell and become more sensitive. Wear tight bras to not wet spots stood out on clothes and avoid nipple stimulation. Typically, the milk is terminated no later than four weeks. If at the same time you have a fever, and breast tenderness, you need to see a doctor. This can be an infection of the mammary glands, it is rather easy and quickly to be treated with antibiotics. However, such complications are rare.

Examination

Two weeks after the abortion, you will be assigned a survey. It is very important and in any case not to be missed, because:

• The physician should make sure that you do not have any infection of the uterus
• It is important to ensure that the recovery process is going well
• It is necessary to ensure that the cervix is ​​fully "closed" - this is two weeks after the abortion, and more. Swim, take a bath, have sex, and so on can only be after the cervix has returned to its normal, closed position. If it is still "open", there is a significant risk of penetration of bacteria into the uterus, which can lead to infection with severe complications.
• It is important to confirm that the abortion is complete. Sometimes part of the fabric remains in the uterus and this is called a failed or incomplete abortion. To avoid severe complications requiring immediate re-cleaning of the uterus Cleaning the uterus: what are the procedures? .

Some women say that they can be psychologically difficult to come back after two weeks in the hospital, where they had an abortion. This is normal, but absolutely necessary to overcome itself. If you would be particularly difficult to go to the same hospital, try to arrange for inspection from another doctor.

In any case, keep in mind that doctors will not look at you with conviction when you come for an examination after an abortion or in the future will say that early abortions (this fear many women) and even less will lecture about any aspects of the procedure.

Physiological effects of abortion

If you have these symptoms as soon as possible to see a doctor:

• Temperatures above 38 C for more than 48 hours, which can not be to bring down the drug - in this case you need to call your doctor
• Very heavy bleeding. As a rule, the woman herself is well aware that the bleeding is within normal limits, and when it becomes potentially dangerous. But in general, bleeding is considered to be too strong, in which you have to change more than two large pads Feminine pads - talk about wings   one hour and when it goes with a lot of clots that are larger than the size of the ball for table tennis. If you have these symptoms, and especially if you feel weak and dizzy from loss of blood, you should immediately seek medical help.
• Severe menstrual cramping is normal after an abortion. However, it is a sharp pain, which is not acted painkillers can talk about serious complications. Be sure to consult a doctor.
• Abundant output REMNANTS
• Vaginal discharge with a strong unpleasant odor
• Swelling of the lower abdomen and increased sensitivity in the area
• Saving signs of pregnancy
• The presence of blood in the stool and / or urine
• Dizziness, fainting, nausea,