Eskapel - a tool for emergency birth control that contains a very large doses of a synthetic analogue of the female hormone progesterone. Only such high doses can prevent pregnancy. But they can also cause a number of side effects, including hemorrhage.
Why when receiving eskapel can cause bleeding
The active ingredient is eskapel levonorgestrel - a synthetic analogue of the female hormone progesterone. Action large doses of progestogen (progesterone analogues) is based on the fact that they inhibit ovulation
Ovulation - How to determine as accurately as possible?
(release of an egg from the ovary). There is indirect: a large amount of progestin inhibits the secretion of the pituitary luteinizing hormone, which is under the influence of the follicle bursts and the egg is released from the ovary to fertilize. That is inhibited conception at an early stage.
If this mechanism it works, then there is one more: progestins suppress the growth of the mucous membrane of the uterus (the endometrium) and the fetus (if fertilization has occurred) can not penetrate the wall of the uterus.
The sharp break in the reception progestogen leads to what may be rejected by the mucous membrane of the uterus, accompanied by bleeding. Such bleeding can be so severe that women need hospital care.
But eskapel usually well tolerated and severe bleeding caused by inappropriate use of the drug. So, it is not recommended to use eskapel as a permanent means of contraception, it is not recommended to take it twice during one menstrual cycle. And even for several consecutive cycles (once per cycle) using this drug is not recommended. If a woman has emerged bleeding after taking eskapel, it must undergo a full examination.
What other menstrual disorders may occur when taking eskapel
They can not develop bleeding and spotting, indicating a partial detachment of the mucosa. This can lead to a variety of disruptions of the menstrual cycle, which is again more likely to develop in the wrong dose.
Acyclic bleeding and spotting can occur not only immediately after receiving eskapel, but also during subsequent menstrual cycles. If a woman is not taking eskapel abused, it is usually after a few menstrual cycles are acyclic bleeding through.
It can change the duration of the menstrual cycle and the nature of menstruation. The menstrual cycle can be shorter or longer, and menstruation increasingly shorter and less abundant. Sometimes menstruation may be missing quite a long time. In this case, you must first rule out pregnancy and then undergo a full examination. Sometimes developing dysmenorrhea
Dysmenorrhea - the basis of infertility
- Irregular periods, which are accompanied by severe pain in the lower abdomen. But once the correct application of long menstrual disorders are rare.
Rules of admission
Eskapel shall be assigned a doctor, as it has contraindications for use. It is also recommended to use it in a regular menstrual cycle. On prescription drug can be taken any day of the menstrual cycle
The days of the menstrual cycle: Four phases
. It is taken immediately after unprotected sexual intercourse (preferably not later than the day after, then the efficiency will be highest, but not too late to be taken on the second and third day, despite the fact that the effectiveness of the drug will be lower). One tablet eskapel (1, 5 mg) taken by mouth with water. Eskapel some women may cause nausea and vomiting if vomiting has begun no later than three hours after administration, it is recommended to take another pill again eskapel.
Repeatedly during one menstrual cycle eskapel can not accept. In this case, sexual partners are encouraged to use barrier contraception (eg, condom use). Repeated reception eskapel during one menstrual cycle will dramatically increase the risk of bleeding acyclic. If, after receiving eskapel next menstruation delayed more than a week you should see a doctor to rule out pregnancy.
Who should not take
Eskapel has some contraindications, but it is necessary to comply with them. Acceptance of this drug is contraindicated in severe liver diseases, which are accompanied by significant impairment of its functions under certain enzyme disorders associated with impaired absorption of carbohydrates during pregnancy, infant feeding
Breastfeeding - a personal choice
feeding, at the age of 16 years and are hypersensitive to the drug.
Precautions eskapel prescribed for any liver or biliary tract, and ulcerative lesions of the bowel (Crohn's disease).