Postcoital birth control (emergency contraception, additional EC) is shrouded in a host of horror stories concerning its extreme damage to the body.
As well as certainly, the very first thing that any type of gynecologist claims when starting a discussion on this topic is that this is a severe measure that in no situation can be used regularly, which, turning to it, one need to consult a doctor.
The words «severe procedure» are so highly occasionally taken care of in the subconscious that the brain generally puts a taboo on this device, viewing it as so harmful that it is simply unacceptable. Neglecting that a tool called «perhaps» is a lot even worse, a lot more harmful, extra unsafe and also unacceptable. Gynecologists of three clinical centers told SHE what to do if there was an unprotected sexual intercourse.
Postinor, in contrast to the viewpoint of the bulk, is not identified with emergency birth control. To him, according to physicians and also stats of acquisitions of drug stores, resorted most commonly.
Alla Teplitskaya, the head doctor of the Zdravitsa MC, stated that this solution is prominent among youngsters, who, as a rule, merely most likely to the drug store without turning to the recommendations of physicians. Just like Postinor, the «possibly» tool is also preferred: «People simply do not understand about the possibilities of such birth control and also rely upon the odd,» commented gynecologist Endocrinologist Professor Pasman Alla Dudareva.
Where to run According to the web site vapteke.ru, in July 2010, 125 Novosibirsk pharmacies were purchased for the sale of 1670 bundles of Postinor, 310 Eskapela, 16 Ginepristone, 31 spirals of the intrauterine tool Multiload and 5 spirals of Mirena. Despite the reduced appeal, the most secure methods gynecologists take into consideration the just recently appeared «Ginepriston» (or «Agest»)— 156-176 rubles.
The least expensive remedy is the intrauterine tool (Yunona, Vector— from 60-80 rubles), one of the most expensive is likewise the intrauterine spirals (the hormonal agent Mirena— 10 000-11 500 rubles and also even more prominent «Multiload» and» Nova 1700-3300 rub.). The long-term leader of sales «Postinor» prices from 208 to 273 rubles. for 2 tablets.
The advised time of application of all EC instruments is 72 hours from the minute of unprotected sexual intercourse, «Ginepristone» and intrauterine device deserves utilizing for five days (120 hrs), although the efficiency after conventional 3 days is already lowering.
The mechanism of action of all hormonal medicines is based upon a sharp change in the hormonal history. «The goal is to damage the cycle at the degree of ovulation, implantation or transportation of the amniotic egg. After taking the medicine after 2-3 days, menstrual bleeding occurs, «- states Alla Dudareva.
The consequence may be a violation of the menstrual cycle, the reconstruction of which occasionally uses up to six months. As a result, it is not suggested to utilize such drugs more than as soon as every 6 months or a year.
Contraindication, also for a solitary admission are pronounced violations of the liver, since it is a severe impact to it, and it is contraindicated to safeguard it from this stroke. «There is no point in checking with sustaining medicines. There is a double-edged sword: any kind of drugs to enhance liver function serve as sorbents, gather this medication (emergency contraception— ZK) as well as thus reduce its efficiency— there is no reasoning in it, «the obstetrician-gynecologist MC «Avicenna» Elena Loginova.
How much to await grams?
When every little thing has actually taken place, there are just two choices to emergency situation contraception. Perhaps, and also abortion— and also for the first, as a rule, stealthily creeps up the second.
Gynecologists are consentaneous in the viewpoint: when abortion and EC tablet computer get on 2 scales, you need to choose the second readily— abortion clearly outweighs the risk as well as unfavorable prospects.
«Abortion is an injury to the uterus, cervix and a hormonal tornado. The microorganism is currently working in a particular rhythm, is set up for pregnancy, as well as we as soon as— and all this was taken from him,— claims Elena Loginova.
— Inflammation, obstruction of the tubes, practical cysts in the ovaries— abortions without problems do not take place. These can all be concealed consequences, however they will certainly be essential. «
There is a softer, as it is called— «velour abortion», medicamentous. For this, the medication «Mifegin» is utilized, which is taken at the gestation duration approximately 8 weeks and just under the guidance of a doctor. Initially, it is very important to leave out ectopic pregnancy, and, secondly, after receiving it, you may still require an abortion (clinical or vacuum cleaner). «The underwater stone is whether the uterus will certainly turn down the fetal egg. Pressed— terrific. If not— are required to still utilize the devices of the egg from there. Abortion in any case— it’s a calamity, «- states the gynecologist» Avicenna. »
When choosing «avosya» many hope for the supposed «safe days». It is thought that the «dangerous», that is, beneficial for conception— three days before ovulation as well as 3 after. Ovulation, generally, falls on the middle of the cycle, while it can vary from the 11th to the 15th day, that is, possibly hazardous are the 9-17th days of the cycle. This rule can be applied only if you have a clear, as set up, 28-day cycle without hold-ups as well as failures, or else count on these calculations— is highly skeptical. «There are situations when ovulation occurs against a background of some kind of anxiety, so it’s difficult to state precisely when it’s a secure duration,» cautions Alla Dudareva.
Children’s mistakes
It is feasible that even after using postcoital birth control, pregnancy will certainly still come— the performance of emergency situation contraceptive methods changes around 99%. According to the recognition of Novosibirsk gynecologists, 1% of instances in their technique were. «There are researches that recommend that there is no destructive impact of these tablets on the fetus. A lady can bear, if she desires, «- observes Alla Dudareva.
However, whatever takes place, despite which method of birth control you choose, you need to clearly adhere to the prompt beginning of the following cycle. With a delay of 1-2 days, you can give away blood for quantitative HCG (human chorionic gonadotropin), a pregnancy examination can be favorable after 3-5 days of delay, and with a hold-up of 7-10 days you can already make ultrasound. Regardless, if the pregnancy is still there, it is necessary to learn about it asap— despite whether you are going to deliver or otherwise.