Pharmatex - local contraceptive preparation with antiseptic and spermicide. It can prevent an unwanted pregnancy, and at the same time protect against certain types of infections. But not all agents of genital infections are showing sensitivity to it.

Release form and mechanism of action

Pharmatex (active ingredient - benzalkonium chloride) - a local contraceptive, which is produced by the French company "Laboratory Innotech International" in various dosage forms - vaginal tablets, vaginal suppositories, vaginal cream and vaginal swabs How to use sanitary pad - basic precautions . Farmateksa analogs are drugs: benzalkonium chloride, intsidin extra micro 10+, nick-2, benzalkonium chloride.

Pharmatex able to damage the membrane of sperm, resulting in damage to the sperm becomes unable to fertilize an egg. As an antiseptic farmateks able to actively influence the pathogens that cause infections such as gonorrhea Gonorrhea - self-ruled , Trichomoniasis, genital herpes, some species of staphylococci. Not sensitive to it mycoplasmas, Gardnerella, pale treponema (syphilis) and fungi genus Candida.

Manufacturers indicate that the drug does not affect the normal microflora of the vagina and hormonal cycle, but it is obvious when applied correctly. If used farmateks long or even permanently, the natural vaginal flora may be affected.

Farmateks not absorbed into the mucosal surface it is placed only on the walls of the vagina. Remove it very simple - it is washed off with water. Furthermore, it is removed together with conventional vaginal secretions of women.

Indications and contraindications

Indications for use Farmateksa a temporary prevention of unwanted pregnancy for any woman of reproductive age having no contraindications to this:

• if you have the time or absolute contraindications to the use of hormonal contraceptives or IUDs, for example, after childbirth and during breast-feeding a child after an abortion, before the onset of menopause, if necessary, periodic of birth control (non-regular sexual intercourse), and pass receiving regular tablets hormonal contraceptives;
• farmateks can be used as an additional opportunity to prevent unwanted pregnancies when used vaginal diaphragm or IUD.

Contraindications for use Farmateksa are individual intolerance of components, the failure of women correctly, in accordance with the instructions to use the drug (for example, if she has a variety of mental disorders), inflammation of the vagina (colpitis - farmateks can translate sharp colpitis in chronic, brushing picture of the disease ), erosive and ulcerative processes in the mucosa of the vagina and cervix.

Pregnancy and breast-feeding Breastfeeding - a personal choice   feeding is not a contraindication for use Farmateksa, since it is not absorbed into the blood stream and can not enter the human milk. In addition, studies have shown that this drug does not possess teratogenic properties, that is not able to cause birth defects.

Side effects

Pharmatex - a drug that is used temporarily. If you use it all the time, it is quite possible violation of the natural microflora of the vagina The microflora of the vagina: purity , Which normally protects the mucosa from invading pathogens.

Furthermore, there may be side effects such as irritation of the vaginal mucosa and allergic reactions. Allergic reactions usually occur burning and itching, and require immediate discontinuation of the drug.

Efficiency Farmateksa

Farmateks significantly reduces the possibility of pregnancy, but does not eliminate it completely. Its effectiveness depends on the accuracy and the correct use of the drug. In this regard, manufacturers of the drug is recommended to combine it with barrier methods of protection against unwanted pregnancy (eg, vaginal diaphragm) or IUD.

When using Farmateksa soap can not be used for oral hygiene, because it destroys the active ingredient of the drug. For this purpose, use only clean water or a special foaming agent farmateks, which does not include soap. When using vaginal swabs farmateks can not take a bath, to bathe in any waters. Furthermore, it is impossible to additionally introduce other topical medications, since they can destroy the active ingredient Farmateksa.

Galina Romanenko

What a pleasure to hear the words of a woman gynecologist that is necessary to curettage? The colloquial name curettage - a cleansing of the uterus that exactly reflects the essence of the procedure. But the fears of patients about the upcoming small operation absolutely groundless, because this manipulation is done under anesthesia, more general and does not take much time. In the case of a favorable outcome of a woman a few hours after cleaning the uterus go home.

What is a curettage?

Curettage (Latin abrasio cavi uteri) - this is a small surgical procedure that is used in gynecology at the technique similar to medical abortion. There are two types of uterine curettage: separate diagnostic curettage (WFD) and medical-diagnostic (LDV).

Excursion to the anatomy

The uterus - a hollow muscular organ consisting of three layers. Outside it is covered with serous membrane, followed by a sufficiently thick muscle layer, and inside the uterus is lined by the endometrium (the mucosa). The endometrium is also presented in the form of several layers, the surface or the functional layer has the ability to be updated every month, due to cyclic hormonal changes that occur in a woman's body.

In addition, the uterus is the pelvic ligaments fixed to form an open anterior angle formed by the body and cervix. The shape of the uterus and looks like a pear, but its cavity resembles a triangle, the apex of which is directed to the cervical canal.

Technique scraping the uterine cavity

The patient gets a gynecological chair, and then the anesthesiologist injected into a vein drug soporific drugs (intravenous anesthesia). Gynecologist handles external genitals, inner thighs, and the anus of the patient with an antiseptic solution (alcohol or iodine). Then, the patient is injected into the vagina spoon-shaped mirror to expose the cervix, which "cling" bullet forceps (pliers with sharp teeth at the end). This is necessary to equalize the angle between the neck and body of the uterus, as well as for fixing it (since it is very mobile).

After treatment, antiseptic cervix and vagina made careful probing of the uterus to measure the length. Then begin to expand the cervical canal with special metal rods (dilators Gegara), starting with small diameter tools and ending with the largest dilator. As a result, the diameter of the cervical canal reaches nine - ten millimeters. Then proceed directly to the scraping, which is held curette (an instrument resembling a loop). The whole of the material collected in the tray, and then sent for histological examination. In the case of separate diagnostic curettage first cervical canal is cleaned (collected from the obtained tissue), and then the uterine cavity.

Indications curettage

Based on the name of the operation, curettage Scraping - heavy and unsafe procedure   uterine cavity is performed with the therapeutic and / or diagnostic purposes. Medical scraping carried out in the presence of:

• prolonged or excessive bleeding (surgical hemostasis);
• remnants of the ovum after a medical abortion;
• hematometra (accumulation of blood clots in the uterus with a closed neck);
• remnants of the placenta after delivery (in the case of dense placental or manual removal of the placenta);
• in the case of missed abortion Missed abortion - do not lose faith in yourself ;
• abortion in progress, incomplete abortion (miscarriage);
• polyps and endometrial hyperplasia Hyperplasia endometrial cancer - requires timely detection and treatment ;
• adhesions in the uterus (in the form of adhesions adhesions).

For diagnostic purposes scraping is carried out in the case of:

• heavy and prolonged, with clots of menstruation;
• intermenstrual bleeding Spotting - it is important to rule out pathology , Irregular menstrual cycles;
• infertility;
• endometrial changes detected by ultrasound;
• pathological changes in the cervix (the suspicion of cancer);
• uterine fibroids (myoma is often combined with the pathology of the endometrium).

Anna Sozinova