To date, the pharmacies represented a huge variety of contraceptives. Any woman can choose the best way to prevent pregnancy depending on indications, contraindications, and financial condition. However, despite this, the percentage of abortions compared with delivery still remains high.

One of the new contraceptive patch Evra is. It has many advantages: easy to use, compared with the same oral contraceptive pill, not to mention the other methods of protection against unwanted pregnancy.

What is Evra patch?

Evra patch - this very thin patch size of 20 square centimeters and is used as a contraceptive agent. The structure includes a patch 600 mcg of ethinyl estradiol and 6 mg norelgestromina. Every day Evra patch releases 20 micrograms of ethinyl estradiol and 150 mcg norelgestromina, thereby providing daily contraceptive effect. A similar effect is similar to oral contraceptives, only difference is that the Evra patch is a transdermal system, ie, its action is based on the absorption of hormones through the skin.

The mechanism of action of the patch Evra

Action Evra patch is based on the release of hormones that suppress the formation of the body's own hormones. Due to this blocking ovulation occurs Ovulation - How to determine as accurately as possible? That is, it suppressed the maturation of follicles in the ovaries and disrupts the process of entering the mature egg. In addition, the patch Evra affects the cervical mucus Cervical canal - the path traversed by every person   (it happens thickening), which also produces an additional contraceptive effect (the inability of sperm penetration through the viscous mucus in the uterus). Thus, the contraceptive effect is maximum (99, 4%).

Advantages Evra patch

Firstly, in contrast to combined oral contraceptive patch Evra more convenient to use. If the tablets need to drink every day, the Evra patch should be changed once a week. This eliminates the option "forgotten tablet." In addition, when the patch is stored untimely change contraceptive effect within 48 hours, and additional contraceptive use is required.

Secondly, Evra patch is very easy to use and does not affect daily activities. With the patch, you can take a shower, sunbathing, swimming pool or sauna, because it is securely attached to the skin. Among other things, it has a therapeutic effect. Using Evra patch reduces pain during menstruation, eases symptoms of premenstrual syndrome.

Contraindications to the use of the patch Evra

Like all hormonal protection against unwanted pregnancy, Evra patch is a contraindication to the use of:

• thrombosis of the veins and arteries;
• a history of stroke;
• suspicion of a malignant tumor;
• bleeding from the genital tract of unknown etiology;
• age (younger than 18);
• the first 4 weeks post-partum period;
• breast-feeding;
• diabetes;
• disorders of the cardiovascular system (hypertension);
• postmenopausal Postmenopause - is it possible to control it? .

How to use the patch Evra

There are two ways you start using the patch Evra:

• paste adhesive on the first day of menses (in addition there is no need to be protected);
• stick the patch on any day of the menstrual cycle The days of the menstrual cycle: Four phases   (in this case the first week is necessary to use additional means of contraception, such as condoms).

Attach the patch to be intact skin (no scratches, redness, peeling). Places sticking plaster - it's buttocks, shoulder, abdominal region or the outer surface of the shoulder.

The patch should be changed every 7 days, according to the scheme:

• Day 1 - stick the patch;
• Day 8 - Change the patch;
• Day 15 - Back to the patch;
• 22 Day - to remove the patch and make the seven-day break, during which must go through menstruation.

If a break in the change of the patch is less than two days, you should replace it with a new and additional precautions are required.

If a break in the change of the patch is more than 48 hours, you need to change it, and in the next 7 days to use additional means of contraception.

Anna Sozinova

Abortion in early pregnancy - abortion is for a period of six to twelve weeks. The main methods by which make early abortions - a vacuum aspiration and medical abortion.

Vacuum aspiration

Vacuum aspiration, sometimes also called mini-abortion, it is a fairly simple non-surgical procedure which, if all goes well, lasts only a few minutes. It is believed that this procedure is more forgiving with respect to women's health than normal surgical abortion, during which the contents of the uterus are literally scraping with metal tools.

Vacuum abortion effective in 98-99% of cases. This procedure has been used for many years and is considered quite safe for women's health.

Before vacuum aspiration woman must undergo a thorough medical examination in which the doctor sets the pregnancy. Then take blood for testing. Before the procedure, doctors need to know whether a woman infections that can complicate the recovery process after abortion Recovery after abortion: whether it is necessary to you?   (these include, in particular, diseases, sexually transmitted diseases). Some private clinics offer abortion immediately after the minimum examination. Although thanks to modern equipment and training of doctors the risk of complications in such cases is minimal, this approach still can not be considered a conscientious and responsible. Women who plan to have in the future of children, care should be taken that the abortion took place with all possible precautions.

When the results of the necessary tests studied, appointed date of the abortion. During the procedure, a local anesthetic is injected into the cervix. At the request of the woman an abortion can be performed under general anesthesia, but in the early stages it is not necessary. Then inserted into the cervix dilator and a thin tube, which is attached to the end of the apparatus to aspirate. During the procedure, a woman may feel weak or moderate spasms in the lower abdomen. Typically, within an hour after vacuum aspiration patient can leave the hospital and return to their daily activities. If you used a general anesthesia may have to stay in hospital a little longer. Two weeks after the abortion is necessary to pass a second medical examination, to make sure that the pregnancy terminated and recovery is proceeding normally.

Medical abortion

Medical abortion - yet another way to terminate a pregnancy in early pregnancy. To do this, the woman should take two drug. First, under the supervision of a doctor, taking mifepristone. This substance blocks the activity of a pregnancy hormone - progesterone Progesterone - norm and pathology , Resulting fertilized egg stops growing and starts to separate from the wall of the uterus. A few hours later, at home, the patient takes Misoprostol - a prostaglandin drug that causes uterine cramps. It starts bleeding and the uterus expels the ovum. Bleeding lasts 9-16 days; smearing bleeding can continue for up to a month. In the first days after taking misoprostol Misoprostol - indications for abortion   along with blood clots may go big, which is normal, because it is part of the ovum and the endometrium. If the clots are, and a week after the abortion, you should consult a doctor.

As after vacuum aspiration Vacuum aspiration - widely used method , Two weeks after a medical abortion need to be examined by a doctor. Approximately 2% of pregnant women can not be interrupted using mifepristone and misoprostol. In this case, the patient is assigned to vacuum aspiration or surgical abortion. Save pregnancy after a failed medical abortion can not be due to the very high risk of serious birth defects in the child.