Hormonal contraceptives have become part of the life of the modern woman. That's just to use them without a prescription is not recommended: these drugs have contraindications. Therefore, before prescribing hormonal contraceptives required to examine a woman gynecologist.

The mechanism of action Novinet

Novinet - a monophasic (ie it is taken all the time in the same dose) hormonal contraceptive drug for oral administration, which is composed of synthetic analogues of female sex hormones estrogen (ethinyl estradiol) and progesterone Progesterone - norm and pathology   (desogestrel). Available Novinet Hungarian pharmaceutical company Gedeon Richter in the tablets, and 21 piece per blister. The mutual action of these hormones is that they suppress the secretion of pituitary gonadotropins (follicle - FSH and LH - PH, between the gonadotropic hormones and sex inverse relationship exists: the more sex hormones, the less gonadotropin). Under the influence of FSH comes oocyte maturation in the ovary, and LH promotes the release of mature egg from the ovary. If these hormones are produced it is not enough, there is no ovulation Ovulation - How to determine as accurately as possible?   (release of the egg from the ovary), which means that the pregnancy may not.

Also under the influence of hormones increases the viscosity of the mucus of the cervical canal, which impedes the progress of sperm into the uterus, and changes the state of the mucous membrane - the fertilized egg to attach it will be difficult.

Novinet normalizes fat metabolism, increasing blood levels of "useful" cholesterol, which has been actively involved in all metabolic processes.

If a woman were to receive Novinet prolonged menstruation with great loss of blood, in patients receiving hormonal contraceptive normal menstrual cycle and menstrual blood loss may be significantly reduced. Novinet also positively affects the skin, especially if the woman is prone to acne.

Indications and contraindications for admission

The indication for admission Novinet is to prevent unwanted pregnancy. Novinet begins to take on the first day of the menstrual cycle The days of the menstrual cycle: Four phases   (first day of menstruation) and take three weeks, then make a break for a week (starting menstrualnopodobnoe bleeding), and after the break are beginning to take a new pack. Skip taking the pill is not allowed - this reduces the effectiveness of the drug.

Like all hormonal contraceptives, Novinet has a lot of contraindications, therefore before taking a woman have to be examined. Novinet contraindicated:

• in violation of blood clotting and a tendency to form blood clots in the veins and arteries;
• high blood pressure;
• during migraine attacks with focal neurological symptoms (such as movement disorders, or sensitivity);
• diabetes, complicated by changes in the blood vessels;
• in inflammation of the pancreas (including last year), which was accompanied by severe disorders of lipid metabolism;
• in disorders of fat metabolism of any origin;
• with severe liver disease, jaundice bile against the backdrop of stagnation in the biliary tract, hepatitis, including in the past - only three months after the full recovery of the liver;
• If jaundice occurred in patients receiving glucocorticoid hormones;
• cholelithiasis;
• in hereditary jaundice (Gilbert syndrome, Dubin-Johnson syndrome, Rotor);
• for tumors of the liver;
• with a strong itching, deafness;
• when hormone-dependent cancers of genitals and mammary glands;
• bleeding from the genitals of unknown origin;
• tobacco use at the age of 35 years;
• Pregnancy and breast- Breastfeeding - a personal choice   breast;
• if you are hypersensitive Novinet components.

Side effects

There are side effects requiring discontinuation of the drug, and those that do not require the immediate abolition of - or not to accept in this case Novinet, solves a doctor. Novinet canceled if there were side effects such as high blood pressure and a tendency to thrombosis of arteries and veins. The immediate abolition of the drug is required when hearing loss, blood in urine, signs of systemic lupus erythematosus and certain disorders of the central nervous system.

Side effects that do not require immediate discontinuation of the drug (at the discretion of the physician)

• Reproductive system - bleeding or spotting from the vagina is menstruation, various menstrual disorders, inflammatory and fungal diseases of the genital organs, pain in the breasts, discharge from the nipple;
• from the gastrointestinal tract - nausea, vomiting, canker colon, jaundice, accompanied by pruritus;
• from the skin - different kinds of rashes and liver spots;
• the central nervous system - headache (including migraine), changeable, often depressed mood;
• side view - increased sensitivity of the cornea;
• by metabolic processes - edema, weight gain;
• allergic reactions.

Novinet - a drug that can be prescribed only by the doctor.

Galina Romanenko

The problem of emergency contraception - the prevention of pregnancy after unprotected sex. How well it will be held depends on the method and the state of health of the woman. Today there are effective non-hormonal methods of emergency contraception, but they can be performed only by a physician.

Why are ineffective traditional methods of emergency kontratsenptsii

All traditional methods of emergency contraception are built at a distance from the body of sperm or the fertilized egg. But be sure that absolutely all the sperm can not be removed, even if douching Douching - a controversial procedure   It held immediately after sexual intercourse and using resources effectively kills sperm. All the same, a single sperm, but it will overcome all obstacles and fertilize the egg.

It is also difficult to get rid of the already fertilized egg. During the week it moves through the fallopian tube toward the uterus, without being connected to the body while the woman (the egg during this period completely autonomous). What would this time it worked either, the desired effect is not the cause.

Non-hormonal methods of emergency contraception using drugs

There are drugs that inhibit the action of hormones that support the process of conception. These drugs include, for example, mifepristone (mifegin, zhenale, ginepriston), which inhibits the action of progesterone Progesterone - norm and pathology . This drug is used mainly for medical abortion, but it can be used for emergency contraception.

Progesterone - a hormone of the second half of the menstrual cycle, it causes inhibition of ovulation Ovulation - How to determine as accurately as possible?   and changes in the mucous membrane of the uterus, which impede the implementation of a fertilized egg into it.

For emergency contraception mifepristone used under medical supervision no later than 72 hours after unprotected sexual intercourse at a dose of 10 mg two hours before or two hours after a meal. The phase of the menstrual cycle, in this case irrelevant.

This drug has many side effects, and therefore contraindicated. Especially its use may adversely affect the female reproductive system. Therefore mifepristone Mifepristone: medical termination of pregnancy by the French pharmacists   can not be bought over the counter without a prescription, it is used only on prescription and under its control, taking into account all contraindications. When used properly, is an effective method of emergency contraception.

IUD as a non-hormonal method of emergency contraception

Intrauterine device (IUD) can also be not only planned, but also the emergency contraceptive method. If it is entered within three days after unprotected sex, you can be almost sure that conception will occur.

IUD - a small device made of plastic and copper. While in the uterus, the IUD, and is supported without the presence of infectious agents in the inflammatory process of the uterine wall, which does not penetrate the fetus is not. In addition, part of the copper IUD in the uterus creates the conditions under which goods are not vitality and sperm and the egg, preventing thus conception.

Navy - it is a very effective means of emergency contraception. But as for this purpose the Navy introduced not later than within three days, the woman must be constantly observed at the gynecologist. This is necessary in order to eliminate all the contraindications for IUD insertion.

In addition, a woman should be agreed that the Navy - a tool for long-term contraception. Apply it is only in the event that it has only one sexual partner. This is a very important condition - Navy maintains an ongoing inflammatory process in the uterus, and getting any kind of infection is caused by an infectious-inflammatory diseases.

Contraindications for IUD insertion are pregnant, any infectious and inflammatory diseases as well as benign and malignant tumors of the genital organs, and bleeding from the genital tract of uncertain origin.

IUDs are usually administered to women have given birth, as long flowing inflammatory processes can cause nulliparous women menstrual irregularities. After removal of the Navy women's reproductive function is restored very quickly. Not a very good property IUD is that after its removal increases the risk of ectopic pregnancy.

An effective non-hormonal emergency contraception can be performed only by a physician. All other methods, including people, have a very low efficiency.

Galina Romanenko