A cure for an insecure act. Emergency contraceptives. The need for postcoital contraception

What's in the article:

Is it safe to take birth control pills? Despite the proven effectiveness of these contraceptives, many girls are still asking this question. And not in vain, because, having heard enough frightening stories about the dangers of PRT for the figure and health of the whole body, the fairer sex begins to look for a worthy replacement for oral contraceptives.

However, the “scarecrows” that it is better not to take birth control pills because they are harmful are not entirely true. If a particular drug was prescribed by a gynecologist, it is unlikely to harm a woman's health. But for COCs and other forms of oral contraception to truly protect against unwanted pregnancies, it's important to know how to take them correctly.

When should you not take birth control pills?

Not every woman can take birth control pills so as not to get pregnant. There are a number of contraindications to their use, among which most COC manufacturers include:

  • arterial hypertension;
  • thrombophlebitis;
  • thromboembolism;
  • disorders of blood circulation in the brain;
  • previous heart attacks or strokes;
  • pathological processes that affected the heart valves;
  • neurological manifestations of migraine;
  • diabetes mellitus, accompanied by a violation of the functioning of the vascular system of a woman;
  • hepatic pathologies - acute or chronic, but in the acute phase;
  • oncological processes in the liver.

These are not all situations when taking birth control pills is strictly prohibited. It is better to refuse such a means of preventing pregnancy if there is:

  • genetic predisposition to CVD;
  • diabetes mellitus diagnosed in a patient more than 20 years ago;
  • vaginal or uterine bleeding of unknown etiology;
  • breast cancer.

It should also be remembered that not all COCs can be used during pregnancy (for therapeutic reasons), during breastfeeding, as well as after a woman reaches the age of 40. Based on this, you should definitely check with your gynecologist which birth control pills are best taken in each case.

When can and should I take birth control?

Taking hormonal contraceptive pills is recommended not only in order not to become pregnant. Many COCs are used in gynecology for:

  • treatment of endometriosis;
  • stopping the progression of uterine myomatosis;
  • normalization of the menstrual cycle;
  • elimination of menopausal manifestations in women over 40;
  • relief of PMS symptoms.

There are quite a few types of birth control pills, so only a competent specialist should be engaged in their selection.

Briefly about the groups of contraceptive pills

All birth control pills can be divided into 2 large groups:

  1. COOK. Combined oral contraceptives contain synthetic estrogen and progestogen. They can be monophasic, two-phase and three-phase (see below).
  2. Mini-drank. These contraceptive pills contain one active substance from the group of progestogens. Due to this, they are often prescribed to nursing mothers, and sometimes to pregnant women.

To understand which contraceptive pills you can take in order not to get pregnant, we will consider these groups of contraceptives separately.

COC: types, list of tablets

COCs, as noted earlier, have their own varieties, which we will discuss in more detail.

Monophasic COCs

These birth control pills contain estrogen and progestogen, the proportion of which does not change depending on the menstrual cycle. Good feedback from patients and gynecologists was received by such monophasic COCs as Regulon, Janine, Siluet, Lindinet, Logest, Femoden. Also, these contraceptives, if necessary, can be replaced with Rigevidon, Microgynon, Minisiston.

Biphasic COCs

For such contraceptive pills, it is characteristic that the proportion of estrogen remains the same in all phases of the menstrual cycle, but the proportion of progestogen for phases 1 and 2 of the MC changes. The following biphasic COCs have earned positive feedback from women and doctors:

  • Femoston;
  • Anteovin;
  • Binordiol;
  • Sevularum;
  • Adepal;
  • Sequilar;
  • Bifasil.

No less effective contraceptive pills from the COC category are Binovum and Neo-Eunomine.

Three-phase COCs

This group of combined contraceptives is different in that during the menstrual cycle, the proportion of hormones contained in the drug will change 3 times. The following COCs have proven themselves well: Tri-Regol, Tri Mercy, Triziston.

Mechanism of action of combined contraceptive pills

The main action of COCs is aimed at suppressing ovulation by inhibiting the synthesis of follicle-stimulating and luteinizing hormones. This is achieved due to the impact of the main components of the tablets on the cells of the adenohypophysis - the area of ​​\u200b\u200bthe brain responsible for the production of these elements.

In addition, COCs also affect the structure of the uterine mucosa. Under the influence of contraceptive tablet preparations of this group, a process of so-called "glandular regression" occurs. This leads to the impossibility of implantation of a fertilized egg to the wall of the reproductive organ.

Features and list of "mini-pills"

Single-component birth control pills, better known as mini-pills, contain only one active ingredient - the synthetic hormone progestogen. Such drugs affect only the peripheral zones reproductive system women.

Firstly, such birth control pills make the cervical mucus thicker, thereby preventing the penetration of sperm into the cervix. In addition, under the influence of these contraceptives in the middle of the menstrual cycle, the amount of vaginal secretion decreases, but its viscosity remains elevated. This contributes to the impossibility of conception even during the period of ovulation.

Secondly, the use of contraceptive drugs from the mini-pill group causes certain changes in the structure of the uterine endometrium. Ultimately, these changes create unfavourable conditions for attaching a fertilized egg to the wall of the reproductive organ. In many women, in addition, taking this group of contraceptives often leads to a complete blockage of ovulation.

Mini-pills are often prescribed to patients over 40 years of age, as well as nursing mothers. To the category of these contraceptive pills include Charozetta, Lactinet, Orgametril, Microlut, Exluton.

How to choose birth control pills?

What birth control pills are best to take in order not to get pregnant? This issue cannot be dealt with on your own - the choice of the drug should be provided to the gynecologist. This requires a thorough examination of the patient, during which the doctor:

  • evaluates the patient's skin for petechiae, hypertrichosis, signs of hyperandrogenism, etc.;
  • measures the level of blood pressure;
  • palpates the mammary glands;
  • taking smears for detection pathogenic microflora on the mucous membranes of the cervix;
  • makes a smear for cytology.

In addition, before prescribing contraceptives, the gynecologist directs the patient to a number of laboratory tests: on liver enzymes, levels of sex hormones, blood clotting. Of no small importance is ultrasound of the pelvic organs and thyroid gland. Women over 40 must undergo a mammogram of the mammary glands.

When choosing contraceptives, it is also mandatory to undergo an examination by an ophthalmologist to examine the fundus and measure eye pressure. This is necessary because long-term use of birth control pills significantly increases the risk of developing glaucoma.

As you can see, for the selection of an oral hormonal contraceptive, it is important to undergo a whole range of examinations. In view of this, the patient should not independently deal with this issue, otherwise the consequences of the uncontrolled use of contraceptives can be the most serious, and even dangerous!

How to take oral contraceptives correctly?

How to take birth control pills? There are a number of general rules for taking oral hormonal contraceptives that must be followed strictly.

  1. It is better to start taking birth control pills from the 1st day of menstruation. It should be taken every day, preferably at the same time.
  2. Every day you need to drink one tablet until the plate is over. After that, it is recommended to take a week break, and then resume taking COCs or mini-pills.
  3. During a break in the use of the contraceptive, bloody discharge from the vagina may occur. Exactly 7 days after the pause, you should start using the tablets again, regardless of whether the menstruation has ended or is still ongoing.
  4. If vomiting occurs during the use of contraceptives, you can take another pill, but this option should be discussed with the gynecologist beforehand.
  5. If a woman has forgotten to take a pill, this must be done as soon as possible. In this case, as well as in the previously described case, the use of additional contraceptives is necessary.
  6. The appearance of menstrual bleeding may not be a reason to stop taking the pills. However, it is necessary to notify the doctor about the occurrence of such a side effect when using a contraceptive.

Take hormonal birth control pills after medical interruption pregnancy follows either on the day of an artificially provoked miscarriage, or upon the onset of the next menstruation that began after an abortion.

E that's important! In order not to become pregnant, along with taking PZ pills, you must additionally protect yourself for another 2 weeks. It is after this time that the maximum contraceptive effect begins to appear.contraceptivedrug.

Possible side effects

Despite the fact that the reviews of most women on the use of PZ tablets are positive, and side effects are rare, nevertheless, no gynecologist can exclude the possibility of their occurrence. Often acute reaction organism on COC or mini-pill makes itself felt:


Despite the unpleasantness of these symptoms, they are only the most mild manifestations side effects from PZ tablets. More serious consequences of taking oral contraceptives include:

  • the formation of edema in the area calf muscles and the occurrence of pain in them;
  • the appearance of acute retrosternal pain;
  • migraine attacks;
  • development of hemicrania;
  • the appearance of a cough - dry or productive, accompanied by the release of clear mucus with greenish or yellow streaks;
  • bouts of shortness of breath;
  • visual impairment;
  • pre-syncope, less often - syncope;
  • mechanical jaundice;
  • the appearance of hives;
  • BP fluctuations.

The occurrence of these symptoms, or the prolonged course of the previously described side effects when taking contraceptives, requires the immediate cancellation of the tablets, followed by symptomatic therapy.

As you can see, not everyone positive feedback about taking contraceptive drugs - COCs or mini-pills - can be blindly trusted. In principle, comments on women's forums, where patients describe a number of “side effects” that have arisen when using PZ pills, should not be taken to heart either.

Each organism is individual. And this is what gynecologists always take into account when it comes to choosing a contraceptive to protect against an unplanned pregnancy. Therefore, follow the recommendations of your doctor, because he will never advise you bad!

Contraceptive pills after intercourse for 72 are the first thing that comes to mind when it is urgently necessary to take care of preventing pregnancy. This method of protection is very popular among women who do not plan to have children, but life circumstances: a torn condom, rape, an incorrectly chosen method of protection earlier, pushes for the use of a special pill. In most cases, emergency care in this way is better than a planned abortion.

In our article you will find answers to such questions:

  • What are the pills to prevent unwanted pregnancy after intercourse?
  • How to apply them?
  • How much and where to buy?
  • Comparison of drugs with different active ingredients.
  • What are the contraindications?
  • How else to prevent conception?
  • Why is it dangerous to use "fire" pills?

Today, pharmaceutical companies offer a variety of types of planned and urgent protection. These are all kinds of plasters, rings, candles, spirals, tablets. You need to know more about the tablet form, since they are in demand and are assigned to the fair sex.

The tablet form is easy to use, does not require additional preparation before use. It is important to remember that the tablets about which will be discussed, not suitable for permanent use and should only be used in emergencies. The recommended frequency is no more than 1 - 2 times per calendar year.

Important: do not choose the tool yourself. Consultation with the supervising physician is necessary.

Levonorgestrel

How does it work?

Levonorgestrel (a progestogen) works in three ways to help prevent egg fertilization:

  • After using the drug, ovulation is canceled or delayed by the action of the active substance on the ovaries. The egg does not leave its house, so it does not meet with the sperm. By the time ovulation occurs male cells are dying;
  • Cervical mucus changes its properties and becomes viscous. Throughput is reduced to 0;
  • Reduced contraction of the fallopian tubes;
  • Changes in the structure of the endometrium. The walls of the uterus become loose and thin, due to which the fertilized cell cannot be implanted.

Drug options

Name Instructions for use Price, ₱ Vacation
Postinor The recommended time for admission is 72 hours. The package contains 2 tablets. They drink the first one, then keep an interval of 12-14 hours and take the second one. 340-450 On prescription
Escapelle Two tablets are drunk in turn with an interval of 12-14 hours. If vomiting occurs in the next 180 minutes, they resort to a second dose. 450-650 On prescription
Exinor-F Similarly, two tablets are drunk, as above. The interval between them should be about 12 hours, but not more than 16 hours. It is possible to take two tablets at the same time for a high effect. from 300 On prescription
MODEL 911 It is recommended to drink the tablet within 12 hours after the act, but no later than 72 hours. from 350 On prescription

Efficiency

Taking the drug shows that pregnancy can be prevented in 95% of cases if the pills are taken quickly (up to 24 hours). The effectiveness decreases in the following hours, which increases the risk of pregnancy.

Indications

Levonorgestrel is used for rapid contraception after intercourse. Indications for use: unreliable methods of contraception, unprotected intercourse, including rape.

Contraindications

Ladies who decide to use the above described means should study the instructions well. Pay attention to contraindications. If there is at least one of the items, you should exclude taking pills:

  1. the age of the person taking the drug is not younger than 16 years. Application of EC ( emergency contraceptives) from the age of 16 should be supervised by a doctor.
  2. sharp or chronic problems with the liver, kidneys, pancreas. Since the elimination of the drug is a huge burden on the kidneys and liver, women with problems should consult a gynecologist for advice and choose another more gentle method of protection, including an urgent one.
  3. allergy to the main component of drugs - levonorgestrel, or lactose.
  4. presence of pregnancy. Before taking the pill, pregnancy should be excluded. The active substance adversely affects the condition of the fetus, and can also lead to an ectopic pregnancy.
  5. not recommended for breastfeeding, Crohn's disease.

Side effects

If the remedy is not suitable or an overdose occurs, then the following symptoms can be observed:

  • allergy, which is expressed by redness, swelling, itching, rash;
  • nausea, possible vomiting;
  • pain or dizziness in the head, tiredness, lethargy;
  • soreness of the bottom in the region of the ovaries and uterus;
  • swelling and pain syndrome of the mammary glands;
  • abundant or meager discharge blood;
  • changing the calendar of menstruation by delaying up to 7 days.

Mifepristone

How does it work?

Mifepristone in its pure form is used only in medical institutions. The acquisition of drugs with the same active substance is possible through pharmacies, but only by prescription.

It aims to block the production of progesterone. Changes in the ability of the myometrium. Ovulation is inhibited or does not occur at all. In addition, the active substance reduces the possibility of implantation of a fertilized egg.

Drug options

Name Recommended time for taking Instructions for use Price, ₱ Vacation
Mifepristone Use as rapid contraception after NPA, when 72 hours have not yet passed after ejaculation. The risk of getting pregnant is quite low if you follow the instructions and drink the drug as quickly as possible. The dosage is determined solely by the doctor. The drug is taken on an inpatient basis. It is not recommended to eat food on the eve (for 1-2 hours). Observation of a woman takes place for several more hours from the start of the procedure. from 5000 Through a medical institution
Ginepriston It is recommended to eat, and then drink the drug after a couple of hours. One tablet is washed down with plain water. After the procedure, it is not recommended to eat food for 2 hours. 400-600 On prescription
Mifegin The dosage is prescribed by the attending physician. The drug must be taken in a hospital. from 3000 Through a medical institution
Ginestril The 10 mg tablet must be ingested within 3 days of intimacy. Do not eat for a couple of hours before and after the procedure. from 4500 On prescription
Jenale The procedure is carried out before or after meals for 2 hours. It is important to take the pill no later than 3 days after intercourse. from 300 On prescription
Mifeprex from 1100 On prescription
Agesta from 300 On prescription

Efficiency

Taking into account that drugs with the active substance - mifepristone, should be drunk within the next 72 hours after intercourse with an unreliable method of protection, it is believed that a high probability of preventing pregnancy occurs within 12-24 hours. The effect decreases when taken after 25 hours after NPA.

Indications

Application options are quite wide:

  • medical abortion at a gestational age of not more than 9 weeks;
  • emergency contraceptive when consulting a doctor. Often used after violent intimacy. The relevance of the method is 72 hours. Use in the following hours is impractical;
  • use during childbirth for stimulation labor activity. Reception is carried out in several stages within 3 days. Important feature- Pregnancy should be considered full-term.

The appointment of this or that remedy should be carried out by a doctor who will determine the necessary dosage, taking into account the elapsed time after intimacy, the duration of pregnancy.

Contraindications

The list of diseases and conditions when the use of drugs based on mifepristone is inappropriate is quite wide. Namely:

  • problems with the adrenal glands;
  • kidney and liver diseases;
  • large and small fibroids;
  • anemia;
  • inflammatory processes;
  • smoking after 35 years;
  • pregnancy more than 9 weeks;
  • sensitivity to the main active substance;
  • heart problems;
  • chronic lung disease.

Doubt about taking the drug? Contact your doctor for advice!

Side effects

When taking mifipristone in huge quantities, as well as ignoring contraindications, you can get the following side effects:

  • head spinning;
  • headache;
  • nausea, often turning into vomiting;
  • stomach upset;
  • depression or lethargy;
  • fatigue;
  • allergic rashes (urticaria);
  • pain in the ovaries and uterus;
  • smeared or copious discharge blood;
  • change in the menstrual calendar;
  • adrenal insufficiency.

The use of combined contraceptives

The Yuzpe method involves taking oral contraceptives used on permanent basis, as a quick and temporary way to exclude an unplanned pregnancy immediately after intimacy. Not all drugs are suitable, but only combined OK. The effectiveness of taking pills in this way is determined by the time elapsed since the NPA. When using a high dose of hormones in the first 12-24 hours, the probability of fertilization is 75-95%.

The drugs combine two different active ingredients: levonorgestrel, estrogen, progestogen, ethinyl estradiol, desogestrel. It is important to observe the number of tablets, which corresponds to the increased dosage, as well as the time of re-admission.

How does the method work?

After taking COCs (combined oral contraceptives) in large dosage the body responds to their influence:

  • changes in the endometrium;
  • blocking or inhibiting the release of the egg.

Drug options

Name Price, ₱ Recommended time for taking Instructions for use Vacation
Rigevidon from 250 The relevance of the method is 72 hours from the NPA. It is recommended to use an increased dose in the first 12-24 hours. 4 tab. should be taken in a time interval of 0-72 hours. Then the interval is maintained and the same dosage is repeated. On prescription
Microgynon from 350
minisiston from 400
Femodene from 800
Regulon from 400
Marvelon from 1400
Novinet from 450 Similar indications in time, as in the above means 5 tab. should be taken in a time interval of 0-72 hours. Then the interval is maintained and the same dosage is repeated. On prescription
Mercilon from 1500
Logest from 800

Indications

Reception justifies itself if "fire" contraception is necessary for:

  • wrong choice permanent way protection;
  • torn condom;
  • unprotected sexual contact;
  • rape.

Contraindications

The shock dose of hormones can greatly affect health. It is important to consider when taking pills and contraindications. The diseases included in the list can worsen, and the consequences become irreversible, up to lethal outcome. Do not neglect the instructions, it is better to contact a specialist for advice.

So, under what diseases is it better to forget about combined contraceptives in huge dosages:

  • the presence of inflammation of the genital organs;
  • bleeding;
  • problems with the kidneys, liver, pancreas;
  • problems with the mammary gland: the presence of neoplasms, both benign and malignant;
  • intolerance to the main or auxiliary components, and then it is an allergic reaction (Quincke's edema);
  • various problems with the heart, blood vessels;
  • pregnancy;
  • epilepsy;
  • thrombosis;
  • excess weight.

Side effects

Incorrect use of COCs can lead to side effects. Treatment is prescribed depending on the symptoms and drug withdrawal. What to expect:

  • the chest swells and begins to hurt, as before menstruation or worse;
  • profuse bleeding is observed;
  • changes in the nature of vaginal discharge;
  • pain in the lower abdomen;
  • there is nausea, which can turn into vomiting;
  • change in the sharpness of vision;
  • a tired, depressed state sets in;
  • the skin becomes oily, there are numerous rashes, redness, nodularity, itching;
  • a sharp increase in weight;
  • puffiness.
Photo: Which birth control pills to choose after the act for 72, 24 hours

Alternative to pills for emergency contraception

If for some reason you cannot use the pill method of emergency contraception: the presence of contraindications, breastfeeding, you should resort to an immediate consultation with a specialist. The doctor often suggests alternative way: installation of an intrauterine device (IUD). Girls and women who are breastfeeding prefer this option. It is gentle and makes it possible to continue to feed the child. In addition, the effect remains for subsequent times (up to 5 years).

It is important to contact the clinic as soon as possible. This must be done no later than 5 days after the NPA.

How does it work?

The spiral is made of plastic (first part) and copper (can be replaced by silver) / hormones (second part). The device itself is aimed at maintaining a small inflammatory process that prevents the cell from attaching after fertilization. At the same time, copper or a hormone creates conditions for the death of germ cells.

When not to put the IUD?

Intrauterine devices cannot be used:

  • girls under 18;
  • women who have not given birth;
  • in the presence of inflammatory processes genital organs;
  • with STIs and STDs;
  • with cancers;
  • if there was at least one ectopic pregnancy in the anamnesis;
  • with heavy blood loss;
  • with spontaneous displacement of the intrauterine device earlier;
  • irregular shape of the uterus;
  • with intolerance to a hormone or metal component.

What drug to choose?

First of all, the selection of funds should be carried out by a doctor. Many factors are taken into account: age, hormonal levels, diseases, the presence of pregnancies in the past and present. If we compare drugs with mifepristone and levonorgestrel in terms of sparing effect, we can get the following data:

Mifepristone (usually 10 mg) Levonorgestrel (usually 1.5 mg)
Pregnancy does not occur in 98-99%
  • in 95% when taking the pill on the first day (24 hours);
  • in 85% (24-48 hours);
  • in 58-60% in the last time period.
Application time after NPA 72 hours 72 hours
Risks of developing an ectopic pregnancy 0,8% 1,6%
Changing the menstruation calendar 26% 43%
The number of respondents who noted pain in the chest 8% 8%
The number of respondents who noted pain in the uterus and ovaries 14% 15%
Percentage of patients with bleeding 19% 31%
Age restrictions May be used in adolescence Contraindicated under 16 years of age

Danger of using EC

Sometimes the harm is greater than the benefit. It is recommended to use such "fire" methods of preventing pregnancy as birth control pills after the act. no more than 1-2 times a year. What can happen if you neglect the instructions, contraindications and frequency of use:

  1. an increase in risk with each reception of the development of pregnancy outside the uterine cavity. In the future, the body's adjustment to the correct fertilization and attachment of the egg in the right place is disrupted;
  2. development of the diagnosis of infertility. Violation of the menstrual cycle, as well as the absence of menstruation, leads to the fact that women cannot become pregnant. Oocytes are not formed or are rejected until the moment of conception;
  3. the presence of uncontrolled bleeding. Women who have used EC incorrectly or frequently enough should be aware of the increased risk of heavy and prolonged bleeding. In most cases, hemostatic drugs and curettage of the uterine cavity are used;
  4. uncontrolled doses of hormones can develop diseases associated with thrombosis, which leads to strokes and thromboembolism;
  5. increased risk of developing Crohn's disease.

Contraceptive pills after the act - reviews

It is usually customary to protect yourself before sexual intercourse, but different situations happen in life ... The condom burst ... Turned my head, and forgot about everything ... Interrupted intercourse did not work out ... There are doubts about the contraceptive used ...

For all these situations, there are emergency methods defenses called postcoital.

Such tablets can be taken within three days after intercourse. The performance will be the higher, the less time passes after the act.

Table of the effectiveness of contraceptives

To ensure that conception is prevented after unprotected intercourse, a large concentration of hormonal substances is required, so this option of contraceptives cannot be taken constantly. They are only for SOS cases. According to medical data and WHO recommendations, during the year a woman can resort to emergency measures no more than three times.

When do women seek emergency help?

It is worth using postcoital contraception in every case when pregnancy is undesirable.

This is necessary even with permanent partner if the contact took place, but in this moment you or he accepts certain medicines capable of causing abnormalities in fetal development. These include:

  • Antibiotics, especially tetracyclines.
  • Contraceptives less than six months ago.
  • Valproic acid and drugs based on it for the treatment of epilepsy.
  • Steroids.
  • Beta blockers.
  • Antiviral.
  • Antihelminthic.

Certain diseases such as tuberculosis, hepatitis, syphilis, rubella, serious violations thyroid or kidney function. There is a chance of conception if you are taking oral contraceptives but missed a few doses. "Casual" one-night stands or violence that you don't want to have a baby after are also good reasons for emergency protection.

Unplanned pregnancy is a very common event. Of all the cases of conception in the world, 66% are unplanned. Therefore, if you are sure that in any case you will interrupt the gestation, it is better to take pills. Preventing conception is much more humane for possible baby and safer for a woman than abortion.

Contraindications

Like any hormonal drugs, contraceptives after intercourse introduce an imbalance in the woman's body. In this case, there may be a deterioration in well-being.

  • Nausea.
  • Weakness, dizziness.
  • Bleeding.
  • Pain in the lower abdomen.
  • Stomach upset.
  • Dryness in the vagina.
  • Eruptions on the skin.
  • Puffiness.
  • Severe headaches.
  • Violations in the blood circulation system, up to a heart attack.

In the future, you can observe changes in the monthly cycle, failures in menstruation. The consequences are especially pronounced after 35 years and in those women who smoke. If you use drugs too often, then over time there is a threat of ectopic pregnancy or miscarriage.

The body will take time to recover and return to a balanced state. The optimal interval between tablets is three to six months..

Contraindications to emergency contraception are:

  • Problems with blood clotting and a tendency to bleed.
  • Young age - up to sixteen years.
  • Lactation.
  • Low hemoglobin.
  • Serious liver and kidney disease.

Mechanism of action

You should know that contraceptives after sex have two mechanisms of action and the choice can make a fundamental difference on the moral side.

  1. First group- prevents ovulation, that is, it does not allow the egg to ripen and come out, so conception does not occur in principle.
  2. Second group- does not allow an already fertilized egg to attach to the uterus, which for opponents of abortion and believers is equivalent to murder.

The first group includes drugs with a progestogen effect. They are similar to female hormones produced corpus luteum and adrenal glands during pregnancy. Substances prevent the pituitary gland from producing elements that provoke the maturation of the egg. It is for this reason that women do not have periods during gestation. They also make the vaginal mucus thick and difficult for sperm to move through. These pills are effective during the first half of the cycle up to three days before ovulation. If the egg has already left the ovary, progestin contraceptives become useless.

The second group includes substances with an antiprogestogenic effect. They act in two ways. On the one hand, like the previous group, they inhibit the maturation of the egg, on the other hand, they block the hormones that make the uterus a suitable place for the maturation of the fetus. In order for the egg to merge with the endometrium, a number of changes occur in the mucosa, which stop antigestagens. In parallel, they increase muscle contraction, pushing the zygote out of the organ cavity.

This group also includes intrauterine devices with copper. Their installation should take place no later than 120 hours after sex. 99% protection efficiency. The spiral prevents the egg from attaching, and also changes the environment in and around the uterus, making it unsuitable for sperm. The method is not recommended for nulliparous. Also, not all women tolerate implantation well, the spiral causes uterine bleeding (24%), severe inflammation (4%) and uterine perforation (0.5%).

Let's take a closer look at the pills from each group and determine which ones are most suitable after unprotected intercourse.

Birth control pills after intercourse within 72 hours

Drugs that delay the release of the egg are released on the basis of levonorgestrel. Trade names may be different:

  • Eskinor F.
  • Escapelle.
  • Gravistat.
  • Microlute.
  • Postinor.

Substances that protect the uterus from gestational sac, do with the use of mefipristone.

  • Genale.
  • Miropriston.
  • Mifegin.

Another group is combined preparations with levonorgestrel and estradiol. They are allowed to be taken as permanent oral contraceptives. Due to the presence of estradiol, they regulate the monthly cycle and lead to the onset of menstruation before the maturation of the egg - rejection of the endometrium. When used as emergency assistance the dosage must be strictly observed so as not to cause uterine bleeding. These include:

  • Triziston.
  • Triquilar.
  • Trinordiol.
  • Gravistat 125.
  • Klimonorm.
  • Microgynon.
  • Minisistron.
  • Miranova.
  • Anteovin.
  • Silest.
  • Non-Ovlon.

Despite the use of the same active ingredient different drugs are transferred differently. It depends on the auxiliary components, the degree of purification, the concentration of the active component. Consider the most effective in the opinion of women and physicians.

Good and effective birth control pills after the act: a list with names

Postinor

Counts the best drug efficacy and tolerability. Contains synthetic levonorgestrel, an analogue of the natural hormone. Helps to avoid unwanted pregnancy by slowing down ovulation. Good for women with regular cycles.

It is not used as a permanent contraceptive because it contains a higher dose of progestogen than conventional medicines for every day. However, less than in some drugs of similar action.

It is best to take the pill in the first two days after contact. Drink the remedy twice. The first tablet during the first or second day and another one twelve hours after the first. If vomiting occurs, and two hours have not passed after using the contraceptive, the dose is repeated. Due to the low concentration of the active substance, this combination is allowed twice a month.

Do not prescribe the drug to women with cholecystitis and liver disease. Treatment with antibiotics (tetracyclines and ampicillins) reduces the effectiveness of protection. After using Postinor, nausea is observed, there is a lack of menstruation for some time, as well as spotting between menstruation. The cost of a package containing two tablets of the product is about 350 rubles.

Escapelle

Two pills include high concentration active component- levonorgestrel (1.5 mg). Take them simultaneously or sequentially with an interval of 12 hours. In this case, the efficiency will be different. If you drink two tablets at once within three days, then the probability of becoming pregnant will be 16%. When taken at intervals, it all depends on the timing of the start of treatment. By the last third day, the probability of protecting yourself from an unplanned pregnancy is only 58%.

It should be understood that the severity of side effects with a double dose is much higher. They consist of migraine and loss of consciousness, weakness, pain in the lower abdomen and nausea, bleeding in 10% of cases and more often.

There is evidence of a decrease in the effectiveness of treatment in obesity. Do not use Escapel if there is severe liver failure. The drug does not affect the development of the child, if you did not know about the pregnancy that had already begun, the medicine will not affect the baby. Three hundred rubles costs one pack of 2 pieces of 0, 75 or one piece of 1.5 mg.

Ginepriston

Includes 10 milligrams of mifepristone. According to research this optimal dose, increasing the concentration does not increase the effectiveness of the drug. Pills work by blocking the receptors for progesterone, the hormone of pregnancy. As a result, the body does not undergo the changes necessary to start the development of the baby. Starts to work very quickly. The maximum concentration in the blood is observed after an hour and a half.

Do not use for inflammation of the genital organs, anemia, bronchial asthma and kidney failure. The action is opposite to glucocorticosteroids (inhalations for asthma, drugs for the treatment of joints), therefore, Ginepristone is not used during therapy with these drugs. Also, after a course of contraception, non-steroidal anti-inflammatory drugs (analgin, ibufen) are not prescribed for two weeks.

To get the maximum effect, you should not eat for two hours before and after taking the Ginepristone tablet. One tablet costs 180 rubles.

Mifepristone

Mifepristone concentrated preparation - 10 or 200 mg in each pill. It is used not only for protection, but also medical abortion, up to 1.5 months of pregnancy, as well as stimulation of childbirth. The active substance does not allow the egg to be fixed, delays ovulation, significantly increases the contractile activity of the uterus. In combination with prostaglandin, the strength of the muscles increases. The drug is used in the treatment of certain cancer and uterine nodes, by blocking progesterone receptors.

For protection use 10 mg once. May lead to exacerbation of inflammatory processes in the genital organs, vomiting, diarrhea. It is considered a strong drug in a pharmacy released by prescription.

Combined birth control pills after sex

Ovidon

Combined agent based on ethinylestradiol (0.05) and levonorgistrel (0.25). Causes changes in the fallopian tubes, cervical canal, endometrium, ovaries. The latter are at rest, and the endometrium temporarily atrophies. It works as efficiently as possible - 100% obstacle to pregnancy.

However, there is a large list of contraindications, including:

  • Feeding a child.
  • Pathology of the heart.
  • Diabetes.
  • Hypertension.
  • Thrombosis.
  • anemia.
  • Diseases of the gallbladder.

For permanent oral contraception, one tablet is used, and for urgent, up to 4 tablets at once, for example, 2 tablets with a break of 12 hours.

Consequences of taking postcoital contraceptive pills

You should carefully approach the choice of partners and monitor your safety. Unprotected intercourse is dangerous for a woman with its consequences, both in the case of an abortion and in emergency care. The use of postcoital contraception can permanently unsettle and damage health. Many women experience:

  • Severe paroxysmal migraine headaches.
  • Violations of the cycle with delays up to a week or more.
  • Bleeding after taking and in between periods.
  • Problems with bearing up to infertility.
  • Thrombus formation.
  • risk of ectopic pregnancy.

Therefore, whenever possible, the use of these drugs should be reduced or completely eliminated. If the reception cannot be avoided, then you should carefully study the contraindications and accurately calculate the dose, not exceeding it.

Most pregnancy protection methods only work if you take care to use them BEFORE intercourse. For example, it makes no sense to start taking birth control pills if sex has already happened. It's no smarter than putting on a condom after a man ejaculates.

Emergency contraception is a method of preventing pregnancy when unprotected intercourse has already taken place.

When will emergency contraception help?

Emergency contraception can help prevent unwanted pregnancy in the following situations:

  • If you have had unprotected sex
  • If during sex and you didn't notice it in time
  • If you missed 2 or more

Rules for emergency contraception

  • Almost any emergency contraceptive should be taken no later than 72 hours after intercourse. If more than 3 days have passed after sex, then the drug will be ineffective.
  • If 3-5 days have passed after sex, then you can contact a gynecologist who will put an intrauterine device. Inside uterine spiral is a device that is inserted into the uterine cavity and prevents pregnancy.
  • Before taking any emergency contraceptive, you should consult with your gynecologist.
  • Some diseases digestive system(e.g. Crohn's disease) and other medicines may reduce the effectiveness of emergency contraception. These medicines are listed in the emergency contraceptive product label.

What pills will help not get pregnant after sex?

There are several drugs that are classified as emergency contraceptives. We will consider each of them separately.

Postinor

Postinor is the oldest and most well-known emergency contraceptive among women. This drug contains a loading dose of the hormone levongestrel, which prevents the attachment of a fertilized egg in the uterus.

One tablet of Postinor contains 750 micrograms of levongestrel. In order for the effect of Postinor to be maximum, you need to drink 2 tablets with a difference of 12-16 hours.

It is necessary to take the first dose of Postinor in the first 72 hours (3 days) after unprotected sex. The sooner you take the first pill, the higher the likelihood that Postinor will help avoid pregnancy. So, on the first day after sex, the drug will work in 95% of cases, if the interval between sexual intercourse and taking Postinor was 24-48 hours, then in 85% of cases, and if more - only in 58% of cases. Taking Postinor later than 72 hours after intercourse will not bring any effect.

12-16 hours after taking the first tablet, you must definitely drink the second Postinor tablet. If you vomit a few hours after taking the first or second tablet, you need to take another tablet.

Postinor can cause menstrual irregularities, early or late menstruation, chest pain, spotting. The presence or absence of menstruation (or discharge) after taking Postinor does not indicate its effectiveness.

You can be sure that you are not pregnant only by making at least 3.5 weeks after intercourse. You can find out if there is a pregnancy before by passing. This can be done as early as 11 days after unprotected sex. Postinor does not distort the results of a pregnancy test or a blood test for hCG.

If the menstruation did not come on time and lasts more than 5 days, take a pregnancy test and consult a gynecologist.

If Postinor did not help?

If you took Postinor, but pregnancy still occurred, contact your gynecologist. Taking this drug increases the risk, so you need to get a test that will show where the fetus is located.

Taking Postinor, as a rule, does not adversely affect the development of the child, so there is no need to terminate the pregnancy (abortion). If you decide to have an abortion, let your doctor know.

Escapelle

WARNING: The drug has contraindications. Do not start using this drug without first talking to your doctor.

Escapel, like Postinor, contains a large dose of the hormone levongestrel, which prevents the fertilized egg from gaining a foothold in the uterus. The only difference is that one tablet of Escapel contains 150 mg of levongestrel, and you need to take this drug only once.

Escapel should be taken no later than 72 hours after sexual intercourse. The greatest efficiency is observed if the pill is drunk on the first day after unprotected sex.

Escapelle may cause nausea or vomiting. If you have vomited within 3 hours of taking the tablet, then you need to take another dose of Escapelle.

As a result of taking Exapel, there may be a failure of the menstrual cycle, the appearance of spotting, chest pain. If your period is more than 5 days late, a pregnancy test is recommended. Escapelle does not affect the result of a pregnancy test.

If Escapelle did not help?

If pregnancy still occurs, consult a gynecologist. The doctor will perform an ultrasound and specify where the fetus is located. If the pregnancy is proceeding normally, then there is no need to interrupt it, since taking Escapel does not affect the development of the fetus and the course of pregnancy. If you do decide to have an abortion, tell your gynecologist about it.

How often can I take Postinor and Escapel?

Postinor and Escapel are intended for emergency situations and cannot be used for regular contraception. However, these drugs can be taken as many times as necessary, even if the need arose a second time within the same menstrual cycle. There are no studies that would prove the unsafety of repeated use of Postinor or Escapel.

If you often need to take Postinor or Escapel, you need to seriously think about what is right for you.

How many days Postinor and Escapel protect against pregnancy?

Postinor and Escapel act only after sexual intercourse has taken place. Any subsequent unprotected intercourse may provoke pregnancy, even if you have recently taken Postinor or Escapelle.

What happens if you take Postinor or Escapel during pregnancy?

These drugs are ineffective if pregnancy has already occurred. Taking Postinor or Escapel during pregnancy will not lead to its termination.

Ginepristone and Genale

WARNING: The drug has contraindications. Do not start using this drug without first talking to your doctor.

These are modern means of emergency contraception that do not contain hormones, do not cause menstrual cycle failure and other side effects, while being highly effective.

Both of these drugs contain the same substance in the same dose. The only difference is the manufacturer. Ginepristone and Genale contain the active ingredient Mifepristone at a dose of 10 mg. Mifepristone, unlike Postinor and Escapel, is not a hormone, but it also prevents pregnancy by preventing the fertilized egg from attaching to the uterine cavity.

Ginepriston or Genale tablets should be taken within the first 72 hours after unprotected intercourse. The sooner you take the drug, the more effective it will be. If the pill is taken in the first 12 hours after sex, then the effectiveness of the drug will be about 98%, if on the first day, then 95%, if later - 85-90%. These drugs are not effective if pregnancy has already occurred.

Important: in order for the drug to be as effective as possible, you should drink a Ginepriston or Genale tablet 2 hours after eating and do not eat for 2 hours after taking the tablet. Within a week after taking the pill, it is not recommended to take Aspirin, Ibuprofen, Diclofenac, Indomethacin and other non-steroidal anti-inflammatory drugs.

If Ginepriston or Genale did not help?

How not to get pregnant at home, what methods of contraception exist? There are enough of them. This includes barrier methods - female and male condoms, oral contraceptives, the use of vaginal irrigation, coitus interruptus, etc.

How not to get pregnant, ways

Many girls and women are interested in how not to get pregnant, of course, there are ways. There are several of them:

  • Counting "dangerous" days. The method is suitable only in the case of a stable menstrual cycle. Conception falls strictly on the period of ovulation, and this is only a few days. So, for example, with a 28-day cycle, ovulation occurs on the 12th - 14th day, but at 35 days it is somewhere around the 17th day. good effect gives a dimension basal body temperature(in the rectum) for several menstrual cycles. For the first half of the cycle - before the release of the egg - the indicator is 36.6 - 36.9 degrees. After ovulation, it rises to 37 degrees and above.
  • Ovulation tests. They resemble classic pregnancy tests and the two strips that appear indicate that ovulation has occurred.
  • Interrupted intercourse. One of the fairly common methods of contraception. It is quite reliable, but you need to remember some points. The first is that it is recommended to practice it only with one-time sexual contact. Second - if repeated sex is planned, then the man needs to take souls or release bladder(this will help to get rid of any viable sperm that are left on the head of the penis or inside the urethra).
  • Sanitation of the vagina. Spermatozoa cannot survive in an acidic environment and the task of a woman is to create it. This will help the treatment of the vagina with any acidic solutions, for example, lemon juice diluted in water. It is not recommended to use the method too often, since it can negatively affect the condition of the mucosa: overdry it and cause vaginal dysbiosis.

In addition, you can use lubricant, condoms, hormonal and local contraception.

How not to get pregnant for the first time

How not to get pregnant for the first time, what can be done? The very first option that a gynecologist and common sense will recommend is the use of a condom. It almost completely eliminates the likelihood of pregnancy, and also protects the girl from unwanted diseases.

How not to get pregnant at home if there was no condom at hand? Alternatively, douching with various formulations can be used:

  • Weakly acidic solutions. Using acidified water to sanitize the vagina, you can significantly reduce the speed of movement of spermatozoa and even completely destroy them. As a remedy, you can use the following compositions: 1 tablespoon of vinegar per 1 liter of water, 2 tablespoons of lemon juice per 1 liter of water, or a teaspoon of boric acid per 1 liter of water.
  • Solution (dim) potassium permanganate. Sanitation of the vagina with this composition helps not only to prevent pregnancy, but also helps to speed up the healing of microtraumas that inevitably occur after sexual contact.
  • Ordinary water. This type of douching helps to simply wash the ejaculate out of the vagina and prevent sperm from entering the uterus.

How not to get pregnant during ovulation

How not to get pregnant during ovulation, which method of contraception can be used in this case? There are several options:

  • Interrupted intercourse. Most used, but far from the most reliable way. Its essence is extremely simple: to prevent ejaculate from entering the vagina. But not all men are so completely in control of their orgasm. In addition, the composition of the secreted lubricant contains a certain amount of spermatozoa, which can fertilize the egg.
  • Condom. This is the most reliable way to prevent unwanted pregnancy during ovulation.
  • Oral contraception (OK). Modern contraceptives may or may not contain hormones. A qualified specialist should select drugs, based on the characteristics of the body. Daily intake of OK helps to completely eliminate the onset of pregnancy.
  • Women's condoms. These include uterine caps and diaphragms, which are installed in the vagina. They prevent the advancement of spermatozoa into the uterine cavity, which excludes the development of gestation. A woman can put protection on and take it out on her own.

How not to get pregnant after unprotected intercourse at home

How not to get pregnant after an unprotected intercourse at home, how to prevent unwanted conception? Alternatively, vaginal douching can be used. The technique is simple, but it is highly undesirable to practice it regularly.

An exception is the irrigation of the vagina after sex with just clean water. In this case, the goal pursued is to wash out all the ejaculate without allowing it to enter the uterus. A good combination in this case would be the achievement of an orgasm by a couple when the woman is in the “rider” position. Then most of the male biomaterial will flow down the walls, and the water will wash away the remnants. But the technique, of course, does not give a 100% guarantee.

To enhance the result, you can add a couple of tablespoons of fresh lemon juice or a little vinegar to the water. The main thing is to get a sour-tasting composition. But it is very often forbidden to practice sanitation of the vagina with such means. This can cause increased dryness of the mucous membranes and cause dysbiosis (violation of the composition vaginal microflora). Both conditions are accompanied by unpleasant symptoms and require long-term treatment.

How not to get pregnant after an unprotected intercourse

How not to get pregnant after an unprotected act, what to do? Even if spermatozoa were able to penetrate the vagina, there are several ways to protect yourself from unplanned conception. Folk remedies and emergency contraception can help with this.

Among popular recommendations how not to get pregnant at home, vaginal douching can be distinguished. The task of washing is to remove all the missing male biomaterial. It will not be possible to achieve complete removal of the ejaculate, but the probability of conception is somewhat reduced. To enhance the effect, you need to prepare a sour-tasting composition. In an acidic environment, spermatozoa simply die. But sanitation with acidified water has its dangers: it can disrupt the composition of the vaginal microflora and provoke the development of thrush. For 1 liter of water, either 2 tablespoons of lemon juice or 1 tablespoon of table vinegar is taken. Douching should be done immediately after unprotected sex.

The second option is emergency contraception. What is the methodology? To prevent an unplanned conception, a woman needs to take drugs that contain hormones. Tablets should be taken within the first two days after unprotected sex.

Taking the drug creates a strong hormonal imbalance in the female body, which does not allow the fertilized egg to attach to the uterine mucosa.

How not to get pregnant if a guy cum inside you

How not to get pregnant if the guy finished in you, but there is nothing at hand? You can use folk methods:

  • To accept hot shower. The method is simple, but not effective enough. It can be supplemented by douching the vagina with clean water.
  • Sanitation of the vagina with a weak solution of potassium permanganate or lemon juice diluted in water. Such washing helps to destroy all spermatozoa and exclude the fertilization of the egg.
  • A decoction of tansy. The drug should be drunk immediately after unprotected sex.

How not to get pregnant at home, you now know. But before you choose "your" method, you need to consult a gynecologist. You can read reviews on this topic or write your opinion on the forum.

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As soon as a woman begins sexual activity, she faces a problem - how to make sure that she does not get pregnant. This problem is constant, it haunts us women for decades. Everyone deals with it in their own way and everyone has their own preferences. The most important thing is to approach this with all responsibility and not let this matter take its course.

20 ways to not get pregnant

There are many ways to avoid getting pregnant. Some are more efficient, some less. But no method guarantees a hundred percent result, even a condom.

First way. Examination by a gynecologist

There are women who get pregnant instantly, there are those for whom pregnancy is very difficult. This can be found out from a female doctor. In some women, the reproductive system is arranged in such a way that the risk of conception and pregnancy is initially greatly reduced. For example, with various bends of the uterus or its incorrect position, with obstruction of the fallopian tubes, with various hormonal failures, and for many reasons. A woman is obliged to know about her state of health and draw conclusions about which methods of contraception are best used.

The second way. Calculate ovulation


There are only a few days in a woman's cycle when fertilization can occur. This is four to five days before ovulation and one to two days after ovulation (ovulation is the maturation of the egg). At this point, the female body is fully prepared for conception. It remains only to find out when ovulation occurred. This method allows you not to get pregnant without contraception, because the day of egg maturation is known.

There are several options for this.

The egg matures somewhere in the middle of the cycle. This day can be calculated, firstly, using the calendar method.

Calendar method of contraception.

Every woman, as soon as her menstruation begins, keeps her own calendar - notes menstrual days and knows how many days the entire cycle lasts from the first day of the onset of menstruation to the first day of menstruation. The average cycle is 28 days. But it happens both less and more. With a 28-day cycle, ovulation occurs approximately on the twelfth day, with a 35-day cycle, on the seventeenth. The disadvantage of the calendar method is that it does not guarantee a 100% calculation of the day of ovulation, only an approximate one.

Guaranteed without dangerous days when unprotected intercourse is allowed is two days before menstruation and two days after menstruation.

First determine how many days the longest and shortest menstrual cycles lasted. Then subtract 18 from a short number. For example: 26 - 18 \u003d 8. So you can easily get pregnant from the eighth day of the menstrual cycle.

After that, subtract 11 from the longest period. For example: 30 - 11 = 19. This means that the 19th day of the menstrual cycle will be the last "dangerous" day when an unwanted pregnancy can occur.

So we calculated the "dangerous" period - from the 8th to the 19th day of the menstrual cycle. These days, an unwanted pregnancy may occur.

Measurement of basal body temperature.


Basal temperature is measured in the rectum through anus. These measurements should be taken at the same time (usually in the morning after sleep) for several months. The essence of this method is that during ovulation, the basal body temperature rises by 0.3-0.4 degrees.

Therefore, you need to record your measurements daily and after some time draw up a graph based on them, which will show on which day of the cycle ovulation occurs. By calculating the day of ovulation, you can choose how not to get pregnant. Either use contraceptives (such as condoms or silicone cups) during the “dangerous” period, or not have sex at all during these days.

The only thing that can be confusing when measuring basal temperature is a cold or infection when the body temperature is elevated. But you're not more than every month.

Ovulation tests.

Now they can be bought at any pharmacy. They are quite accurate, as they are based on the release of female hormones (similar to pregnancy tests). The essence of the ovulation test is that during ovulation, the female hormone lutein appears in the blood and urine. On other days, it is absent in the female body.

An ovulation test, like a pregnancy test, will be more reliable if done in the morning immediately after sleep (on the first urine). At this point, the concentration of hormones is large enough to more accurately determine it.

This method of determining ovulation will help determine the days to avoid unwanted pregnancy.

Woman's intuition.

This method is not suitable for all women. But only to the most sensitive natures. Some women are acutely aware of the state of their cycle. So much so that they physically feel when they ovulate. Their lower abdomen begins to hurt, vaginal discharge appears, sexual appetite increases. And after one or two days, when ovulation ends, these symptoms disappear.

Calculating ovulation as a method of contraception is suitable only for those women who have a clear and uniform menstrual cycle, without failures, there are no hormonal disturbances. Those women who have a stable weight, a constant work schedule and a calm atmosphere in the family and in the team. In other cases, when a woman has constant nervous tension, work related to travel, flights, night mode, health problems, sudden weight loss or weight gain, the method of determining ovulation is useless.

The third way. Coitus interruptus

This method has only forty percent reliability, but it is quite popular. It consists in the fact that the man takes out the penis before ejaculation. Here, much depends on the "skill" and experience of the partner. It happens that at first a man is sure that he will be able to control himself, but in reality it turns out the opposite. So a woman is completely dependent on the ability of a man to restrain himself.

This method is convenient in that no devices are needed, everything happens naturally. But it has a lot more cons than pros.

Firstly, in the male lubricant there is already not a large number of spermatozoa, and secondly, spermatozoa are viable for five days and can move independently. With this method, they easily get from the external genital organs into the inside of the female body. Therefore, if you use coitus interruptus, after ejaculation, you must definitely take a shower for both partners (and the man, in addition, urinate so that there is no sperm left).

The fourth way. acid environment

You can prevent unwanted pregnancy with a douche. It is known that spermatozoa lose viability in an acidic environment. For this, lemon juice or your own urine is suitable.

But this method should not be carried away. The vaginal mucosa has its own microflora, and when douching, it instantly collapses. Because of this, there may be various diseases at a woman. In addition, there is a risk of getting a mucosal burn. So be careful with this method.

Fifth way. Heat

You can not get pregnant without contraception by reducing the viability of sperm in a man. This can be done with a high body temperature. Nature has made sure that spermatozoa are actively produced and viable - they can do this only at a temperature below body temperature. Therefore, the scrotum is outside the body. If body temperature rises, spermatozoa reduce their viability and much less is produced.

In the Ancient East, it was in this way that they were protected from unwanted pregnancy - on the eve of the night of love, a man sat over a bucket of boiling water.

That is why men are not recommended to wear tight underwear, often bask in the sauna or bath. But if you want to prevent an unwanted pregnancy in this way, go to a hot sauna or Russian bath the day before with your partner, or tell him to take a hot bath. This method will help to avoid unwanted pregnancy.

Sixth way. Sex in the water

Some believe that if you have sex in water, then the sperm will lose its strength. A slightly controversial assumption. Sperm itself is initially liquid, and in water it will retain its viability better than in air and will more easily penetrate the internal genital organs of a woman.

Seventh way. gravity

The laws of physics (in particular gravity) work after ejaculation, causing the sperm to flow down. The likelihood of her further penetration is reduced if during sex you choose the "rider" position. But, unfortunately, this does not always work. Because the force of the "shot" of the sperm is usually enough for the spermatozoa to reach the target. Regardless of the chosen position.

Eighth way. intimate lubricants

How not to get pregnant after using a special lubricant? Easily. On the one hand, natural female lubrication facilitates deep and easy penetration of the partner's penis, and on the other hand, it prevents spermatozoa from moving towards the internal female genital organs. Artificial female (or male) lubricant, especially antibacterial, further impairs the vital activity of spermatozoa and helps not to become pregnant.

Ninth way. condoms

Whatever men say (about inconvenience, deterioration of true sensations, loss of precious time for putting on), condoms remain one of the most reliable means of contraception. In addition, condoms help prevent sexually transmitted infections.

When using a condom, a woman feels more confident and does not worry about how not to get pregnant, she can calmly relax during intercourse. Ignore your partner's complaints - it is better to use this contraceptive than to terminate an unwanted pregnancy or be treated for venereal disease. Always keep a condom “just in case” in your purse, and your head will not hurt, how not to get pregnant.

tenth way. Hormonal pills

These contraceptives are very popular. They have a very high degree of protection against pregnancy. This method allows you not to think about how not to get pregnant, even without using a condom. The basis of the action of contraceptives is the suppression of ovulation. Birth control pills stimulate the production of hormones that change the structure of the endometrium (it becomes too thick), and sperm cannot move through such uterine tissue.

Especially in recent times the pharmaceutical industry has gone very far, creating hormonal contraceptives that are close to natural and have much fewer side effects. A gynecologist will best help you choose the right birth control pills. It can reveal your hormone levels and find the best birth control for you. A woman is required, firstly, not to skip the daily pill intake, and secondly, to drink them at the same time.

Some women say that birth control pills make them very fat, or menstruation is painful. Apparently, these women simply had the wrong choice of contraceptives, or they are not satisfied with this method, how not to get pregnant.

In addition to the contraceptive effect, the pills will help normalize the menstrual cycle in a woman and adjust the hormonal system, for example, after childbirth.

The downside of pills is that they do not protect against genital infections, and they are best used with proven partners. Other than that, it's the safest harmless remedy contraception.

Eleventh way. Uterine spirals

For some reason, with the latest advances in modern pharmaceuticals, gynecologists have become less and less likely to offer women to use uterine spirals. Although this is a very good tool, how not to get pregnant without a condom. The uterine spiral can be put on enough long term- from three to five years. Its action will not become less effective over time.

When the coil is inserted into the cervix, the fallopian tubes begin to contract more actively during ovulation, the egg increases the rate of release, and the spermatozoa become less viable. This is due to the fact that intrauterine device creates a harmful environment for spermatozoa. There are also intrauterine contraceptives that are capable of releasing hormones.

Although this is a rather convenient way that makes you not think about how not to get pregnant, it has its own "dark" sides. Firstly, a foreign body in the body (and even more so for such a long time) is not always good. Secondly, the spiral does not protect against genital infections. Thirdly, and most annoyingly, the uterine coil contributes to female infections because the cervix opens slightly after the coil is inserted. Fourthly, after the installation of this contraceptive, there is a risk of an ectopic pregnancy, the appearance of cysts and erosion.

Twelfth way. Extra

There are moments in life when you know that you have ovulated, or there is a high probability of getting pregnant, but unprotected sex has already happened. How not to get pregnant after unprotected intercourse? Emergency contraception works well in this case. An important condition is time. The less time elapses between sexual intercourse and taking a special pill, the less likely it is to have an unwanted pregnancy. If less than 72 hours have passed, then it makes sense to take such a pill, if more than 72 hours, then the reception is useless.

I will not say that this method is very useful, because it is a strong blow to the female hormonal system.

Thirteenth way. injections

Or rather hormonal injections. Hormonal injections work, as well as hormonal pills. The composition for injection is selected by the gynecologist. The difference with birth control pills is that the pills are drunk every day for one month, and injections can be given once every two or three months.

The negative side of hormonal injections is that they are allowed for women who already have children and women who are not going to become a mother in the near future. Cancel hormone injection immediately impossible, only after full course. Therefore, if the selected composition is not suitable, you will have to wait for the end of the course and endure side effects.

When using such injections, it is necessary to be examined by a gynecologist two or three times a year.

Fourteenth way. Implants

Another form of hormone administration for contraception is hormonal implants. They also allow a woman not to worry about how not to get pregnant. They act similarly with tablets and injections, but put them on for a longer period - a year or more. Negative sides the same - do not protect against sexual infections and it is impossible to refuse them instantly.

Fifteenth way. Condoms for women

An unwanted pregnancy will not occur if a woman uses her own "female condoms". They are produced from various materials (silicone, latex) of various shapes - rings, caps, cups. The first time to use "female condoms" to put it mildly is not easy. But then comes the twist. The main condition is a consultation with a gynecologist. This doctor will be able to correctly determine the size of such a condom and tell you how to install it correctly. Unfortunately, not every woman can talk to a doctor about how not to get pregnant. So that he picked up her optimal means of contraception. Condoms for women prevent pregnancy during ovulation

There is no need to be shy in such matters - this is the work of a doctor, and health is your main value.

sixteenth way. Spermicides

Spermicides- These are substances that affect spermatozoa, reducing their viability and impairing mobility. Spermicides are part of creams, gels, lubricants. They are applied either to the penis, or lubricate the walls of the vagina with special devices(usually sold in a kit with a tool).

Before use, read the instructions, because after applying the spermicide, most often some time must pass.

A very effective method of contraception, so as not to worry about how not to get pregnant.

seventeenth way. Vaginal suppositories

Vaginal suppositories with a contraceptive effect too excellent tool. At the heart of contraceptive suppositories is one of the active ingredients - benzalkonium chloride or nonaxinalone. These substances can have a destructive effect on spermatozoa. After interacting with the partner's sperm, the spermatozoa lose their viability, their shell partially dissolves.

Manufacturers, of course, give a guarantee of how not to get pregnant after using birth control candles. But contraceptive effect very often reduced due to improper storage, incorrect use vaginal suppositories.

Some women do not know that the maximum effect of the candle comes about an hour after the introduction. Also, not everyone knows that it is necessary to maintain the acidic environment that a vaginal suppository creates. And for this you do not need to use alkaline soap for washing. Otherwise contraceptive action reduced by about twenty percent.

Also, not all women know that the candle "works" only for forty minutes. If you need more time for sex, you need to put another vaginal contraceptive candle (but do not forget, it will begin to work only after an hour).

Unlike spermicides, vaginal contraceptive suppositories are still good antiseptics. They prevent the appearance of some sexual infections. Plus, they act as an additional lubricant.

The negative side of contraceptive suppositories is that with frequent use they can "kill" the natural microflora of the vaginal mucosa, cause allergies and even chemical burns.

When using contraceptive vaginal suppositories, there are contraindications - they cannot be used for diseases of the genitourinary system and during the treatment of these diseases.

eighteenth way. Patch

The contraceptive patch is a new generation hormonal contraceptive. It is convenient because by sticking it only once a week on the shoulder, stomach, buttocks or shoulder blade, you can not worry about how not to get pregnant. For one month, you will need only three patches, because one week of the cycle is occupied by menstruation (at this point, the patch is not needed).

How does this contraceptive "work"? The patch contains hormones that enter the bloodstream and affect the woman's ovaries. These hormones inhibit ovulation, create such an environment in the mucous membrane of the cervix that not a single sperm is able to overcome it. In addition, contraceptive hormonal patch is able to “fight” with “extra” bleeding, menstrual irregularities, painful periods, premenstrual syndrome, and even has a beneficial effect on the condition of a woman’s skin (if the skin condition - acne, spots - depends on the cycle).

But remember: hormonal remedies are not always and not good for everyone, and without the support of a gynecologist, periodic examinations, they must be used with caution.

Nineteenth way. Combine methods!

If you forgot to take a birth control pill, how not to get pregnant in this case? Additionally, use a vaginal suppository.

If you don't trust one method of contraception (like spermicides), add another one (like "female condom") to it. The combination of methods of contraception also reduces the risk of unwanted pregnancy.

Twentieth way. Most Efficient

How not to get pregnant with a 100 percent guarantee? It doesn't come in sexual intercourse! At all! One hundred percent guarantee against unwanted pregnancy and sexually transmitted diseases can only give this way. If you are ready for abstinence, very good. You will not think about how not to get pregnant, and sign up for the righteous. I do not rule out that there are such people in the world. But nature has created people in such a way that once they experience the joy of sex, they can no longer stop.

As you can see, there are quite a few ways to prevent an unwanted pregnancy. For every "taste and color". You can choose the one that is convenient for you. And please feel free to discuss the issue of contraception not only with your partner, but also with your gynecologist. Only a specialist will select the method of contraception that is right for you.

AT modern world Pregnancy planning means a lot for both the family and the couple. A lot of girls and women want to give pleasure to a partner and not to give up the delights of an intimate life themselves.

Methods that are used to prevent conception are called contraception. Their mass. There are some that were invented in the 21st century. There are some that have come down to us from biblical times.

Practical Approach

From the school course, everyone knows that in order to conceive, the male reproductive cell needs to fertilize the female. The egg then attaches to the wall of the uterus and the embryo begins to develop.

So, in order not to get pregnant after an act with a man, one of the conditions must be met:

  1. Prevent an egg from meeting a viable sperm.
  2. Prevent the egg from attaching to the endometrium.

Due to this, it is possible to avoid unwanted pregnancy and related problems.

Any of the existing methods of contraception allows you to fulfill either one or both conditions at once.

To achieve the desired effect, many tricks and ways not to get pregnant have been invented.

Principles of classification

Contraceptive methods differ from each other in the principle underlying the action and effectiveness. So, some allow you to count on a result close to 100%. Others give an absolute guarantee that pregnancy will not occur. There are some that only slightly reduce the risk of conception.

The variety of principles is impressive:

  1. barrier methods.
  2. Intrauterine contraception.
  3. Calendar, period of lactational amenorrhea.
  4. Hormonal preparations.
  5. Surgery.
  6. Means for topical application.
  7. Postcoital contraception (what to do so that you do not get pregnant after unprotected intercourse).

Most of the presented categories have their own, internal varieties. That is why a universal method of contraception has not yet been invented that would suit everyone and suit everyone.

Barrier Methods

They prevent the fertilization of the egg, preventing it from meeting with the sperm.

condoms

This is the first thing that comes to mind. By the way, they are for both men and women.

Prevention of pregnancy is achieved by isolating sperm from contact with the woman's body. The ejaculate is collected in a special bag and cannot get into the female genital tract.

This method owes its popularity to its positive aspects:

  • Cheap.
  • High efficiency.
  • Virtually no effect on health.
  • Protects against venereal diseases.

However, it is not without some disadvantages:

  • Reduces tactile sensations (the female version of the condom - to a lesser extent).
  • To use it, you need to digress from the foreplay (although you can make it part of the pre-game).
  • Some people are allergic to latex.
  • Protection largely depends on third-party factors: the manufacturing method, the features of transportation and storage of finished products.

The effectiveness of barrier methods of contraception when used correctly is 100%, in real life - 98%. The remaining 2% is due to poor quality (the condom breaks) and misuse.

Coitus interruptus

It can be attributed to barrier methods only conditionally. Yes, contact of sperm with the woman's genital tract is prevented. But not by isolating the ejaculate, but by removing the partner's penis before he has an orgasm.

One of the worst ways, which can be selected to be protected.

The disadvantages are very significant:

  • Absolutely no protection against predominantly sexually transmitted diseases (STDs).
  • FROM male lube viable sperm can be isolated.
  • The result depends entirely on the reaction of the partner. Often a man fails to stop on time.

There is only one advantage: the whole range of tactile sensations from bodily contact is preserved.

Intrauterine devices

A very old and proven method. Bedouins have long placed stones in the wombs of camels to prevent them from becoming pregnant during long journeys. The principle of action is to prevent the implantation of the embryo in the uterine mucosa.

With the help of a gynecologist, a simple device is inserted into the uterine cavity, which is commonly called an intrauterine device, although its shape is far from spiral.

A good method for those who are thinking about how to protect themselves and maintain a sensual relationship. Efficiency is quite high - more than 90%.

Additionally, reliability can be increased due to a special material for the spiral, impregnated with hormonal contraceptives.

Those are gradually released and maintain a high density of the cork on the cervix. An obstacle is created for spermatozoa that is not easy to overcome, and the likelihood of conception is significantly reduced.

Pluses - completeness of sensations. But there are also disadvantages:

  • Danger of STDs.
  • The help of a gynecologist is required for installation (there may be contraindications).
  • There is a risk of developing inflammation in the uterine cavity, as it is a foreign body.
  • Requires periodic replacement.

This method is very good for a permanent couple without numerous sexual partners. It does not provide 100% security, but is still popular.

calendar method

Widely popular, because with a well-established menstrual cycle it really works without contraceptives. Based on the belief that at certain points in time ( safe days), the egg is not yet mature. And the absence of ovulation is just what is needed so that conception does not take place.

Ovulation control

Indeed, with regular menstruation, ovulation occurs approximately in the middle of the cycle. The measurement of basal temperature helps to capture the moment of egg maturation more accurately.

It is quite logical that until this moment you will not get pregnant, no matter how hard you try: there is simply nothing to fertilize. This method is suitable for women with excellent health and an orderly sex life. But he's not perfect either.

A strong sperm cell can remain viable in the fallopian tubes for several days, and it has a chance to “wait” for an egg.

And the cycle is also not always like clockwork. The onset of ovulation 1-2 days earlier will be enough for conception to take place.

Breast-feeding

During lactation, the hormonal background of a woman does not allow new eggs to mature. Many couples use this to enjoy each other without contraception.

However, the risk that ovulation will still occur is quite high. To increase the reliability of the method, it is recommended to combine it with the measurement of basal body temperature. And still, the method does not give a 100% guarantee.

Hormonal contraceptives

The principle of operation is the creation in the body of a woman of such a balance of sex hormones, in which ovulation does not occur. If they are properly selected with the help of a gynecologist, the effectiveness is very close to 100%.

Now released different forms and drugs:

  1. Tablets.
  2. Patch.
  3. Injectable forms (monthly).
  4. subcutaneous implants.
  5. Intrauterine devices containing hormones.

Indeed, very good means in terms of contraception.

They belong to medications, so a mandatory step before using them is to consult a doctor.

Moreover, undesirable phenomena may develop or chronic chronic diseases may worsen. Disadvantages include the need for regular use (with the exception of the IUD) and the lack of protection against STDs.

If pregnancy has become desirable and the use of hormonal contraceptives is stopped, the ability to give birth returns quickly enough. And you need to be prepared for a surprise - multiple pregnancy. Twins after the end of hormones are born much more often.

Surgical intervention

Many will immediately think about sterilization and only partly turn out to be right. Yes, indeed, tubal ligation in women or spermatic cord in men leads to irreversible loss of reproductive function.

There are conditions in medicine in which an operation helps to preserve both the health and life of a woman.

Modern surgery also offers methods of reversible sterilization.

The bottom line is that on the fallopian tubes wide (so as not to injure the fabric) and dense latex rings are superimposed on both sides. Obstruction of the tubes makes it impossible to conceive and allows you to forget about how not to get pregnant without protection.

When conception is desired, the rings are removed and childbearing function is immediately restored. Minimize the consequences of the intervention allows laparoscopic surgery, which does not require large incisions.

Means for local use

This means that a woman injects herself into the vagina with any means that have a detrimental effect on spermatozoa (spermicides). There are many options offered: from folk to modern medicines.

  • Vaginal suppositories and tablets.
  • Cream.
  • Penki.
  • Vaginal rings.
  • Condoms with spermicides.

They must be applied shortly before sexual contact and this is the main drawback of these funds.

Alternative methods, such as a slice of lemon in the vagina or douching with potassium permanganate, can lead to severe microflora disorders.

emergency contraception

Often there are situations when unprotected intercourse has already taken place, and pregnancy is undesirable. Then, to avoid abortion, methods of postcoital contraception are used. Modern medicine offers 4 main approaches:

  1. Taking combined postcoital contraceptives (CPCs). Used twice tablets with estrogen and gestagen. The break between doses is 12 hours. The total dose for both doses should not exceed 200 micrograms of ethinylestradiol and 1.5 mg of levonorgestrel. Individual dosage should be selected by a doctor.
  2. Installation of an intrauterine device made of copper-containing material. The procedure is also medical, as there may be contraindications to it.
  3. The use of monopreparations - the same levonorgestrel in the same dosage in one or two doses.
  4. Taking an antigestagen - a drug that prevents pregnancy. One of the representatives of this group is mifepristone.

The choice of technique in each individual case should be done by a specialist, since many factors are taken into account. Starting from the day of the cycle and the time elapsed after intercourse, ending with the woman's body weight.

it extreme case and do not take COCs regularly. You can cause serious harm to your health.

For getting desired result you need to see a gynecologist as soon as possible. Ideally, within 24 hours of unprotected intercourse.

Nowadays, a woman can choose what to do so that she does not become pregnant even after the first sex. From condoms to tube rings. It is only important to find the best option for contraception, a constant faithful companion, and then do not deny yourself and your partner high-quality sex.

Folk remedies to prevent a woman from getting pregnant

What kind of goals can be pursued by a person who is trying to find information about what folk remedies exist for a woman not to get pregnant? After all, it is clear that not a single contraceptive that can be found on sale, including condoms, is able to prevent pregnancy by one hundred percent, and it is just as pointless to look for such effective means among people's councils.

Probably, the knowledge of some "tricks" that allow, under certain conditions, at least to some extent to prevent conception, can sometimes be useful. Imagine a situation where a married couple is in a place where “civilization” with its shops and pharmacies has remained far away, for example, in a country house or “in nature”, conventional contraceptives have been forgotten, and suddenly making love is very impatient. What to do in this case?

The most correct and, perhaps, the most unpopular among many people could be advice, which we will also refer to the “folk remedies” section, namely, complete abstinence from sex until the moment when it becomes possible to purchase condoms or pills so as not to become pregnant for a woman. Another category of those interested, perhaps, are those who have recently had unprotected sexual intercourse, and are now in a panic looking for some kind of magical remedy so that conception does not happen. Useless. There are no such funds. If you allowed yourself to make contact without proper “equipment”, did not think about all the consequences in advance, then and now hope for a chance, suddenly it will blow through? However, are there really no folk remedies in nature in order not to become pregnant for a woman, how did people manage in the old days, because our ancestors often had the question of how to protect themselves from unwanted pregnancy? So, the most popular (but not very effective) folk remedies used in order not to get pregnant.

1. The most popular, truly popular, and the most effective of all other popular advice and means, is considered such a way to prevent pregnancy as interrupted sexual intercourse. In many cases, this method does work, it is believed that only about 25-30% of cases of coitus interruptus can result in pregnancy. Is it a lot or a little? Depending on what to compare. If we talk about such a means of protection as a condom, then interrupted sexual intercourse, as a method of contraception, of course, significantly loses to “product No. 2”. However, in emergency cases such a method may be justified if nothing else remains. Why, then, in many cases, pregnancy occurs even when the natural completion of the act - ejaculation occurs already outside the female body? It is believed that extracted from male organ liquid, even initial stage able to contain a certain amount of spermatozoa. If the guy is young, healthy, it is possible that even such a few and not so mobile spermatozoa can do their job.

2. Washing, douching. These folk remedies can be attributed to emergency, postcoital methods, so as not to become pregnant for a woman. In cases where it was not possible to interrupt sexual intercourse, something urgently needs to be done and the most logical in this case is the treatment by a woman of her genitals in order to wash and remove the male seed as much as possible. Simple washing can also be somewhat useful, especially when there is nothing else left. More effective, perhaps, is the method of douching, and to heighten the effect, they are offered for this different solutions, however, you should think with your head before applying many of them. Some of the remedies offered by not very smart advisers can harm and even injure the vaginal mucosa and then you will have to decide more serious problems With women's health. If there is a need for douching, it is best to use ordinary clean water for this.

3. Many folk remedies that are advised by "experienced" in order not to become pregnant are designed to change the natural microflora of the vagina in order to produce an unfavorable environment for spermatozoa in it. It is often said to use laundry soap or lemon, but it should be remembered that these products can have the most negative effect on the vaginal mucosa. What complications can this lead to? Quite serious: from burns to inflammation and serious illness.

4. We will not describe in detail all the means (up to chemical ones) that are used by not very smart women, “stuffing” them inside themselves, otherwise someone decides to use this advice, considering it a recommendation for action. There are dozens of various ridiculous and absolutely ineffective means, and it would be fine if all of them were absolutely safe for health. But one of the most popular methods in recent times folk contraception becomes again calendar method. It is based on the calculation of the day of ovulation for the days of the menstrual cycle. The method, firstly, is rather tricky: in order to try to use it, a woman should clearly know the work of her body. Secondly, an unexpectedly seized passion and, as a result, sexual intercourse - this is why it is unexpected, because they simply did not have time to prepare for it. And if you scrupulously calculate the days when you can safely have sex, then you can just as scrupulously stock up on condoms and lay them out wherever your hand reaches. We consider the calendar method of contraception illogical, and, therefore, useless for us.

So what do we have? You should not experiment with your body and with your own health. Have sex for health, best with a regular partner, but remember: the most effective contraceptive today is a condom.

Source: do not get pregnant?

Sexual life is created by nature not so much for pleasure as for procreation. But I want to get pleasure, but pregnancy is not planned yet. And what should I do to avoid getting pregnant?

Now there are a large number of hormonal drugs that can prevent the onset of an unwanted pregnancy on time, but situations are different. And the age of women who have sexual intercourse often simply does not allow the use of many of them - we are talking about girls from 15 to 19 years old and women after 45 years old. What should they do to avoid getting pregnant?

We take care of contraception in advance

The ideal method for contraception is contraceptives to be taken according to the scheme. The action of each such drug is strictly individual, like the woman's body, so their intake should be prescribed by a doctor after all the necessary tests have been carried out.

Many people incorrectly believe that after several months (or even years) of taking these drugs, when they already want to have a child, they will not be able to get pregnant. This is completely wrong - just a month or two after stopping such drugs, and now the desired pregnancy occurs.

But, I repeat, everything will be so only if the drug is prescribed by a doctor according to your individual indications.

Also, "female condoms" - a variety of caps and diaphragms - help to avoid unnecessary pregnancy. They are as effective as possible, but very inconvenient to use, considerable experience is needed to learn how to use them correctly. Right size the gynecologist will pick up, he will also show how to use them.

And, of course, you can not do without the most common, "male" condoms. Today there are many for various purposes, density, taste and even smell, I’m not even talking about color. The problem is that cheap condoms are not always of high quality, they can break at the most inopportune moment and the sperm enters the vagina. And not all expensive ones can boast of exceptional quality. But it's always better to have them if you're contemplating sexual intercourse.

Calculate and then avoid sexual contact on dangerous days

This method is based on the very physiology of the female body and reproduction, but in order to use it, you need to know your cycle exactly (if it is constant), calculate your dangerous and safe days, keep a calendar table and strictly follow this calendar method.

All the danger of getting pregnant falls only on the days of ovulation, while on other days there is practically no such danger (only if there was a sharp failure of the cycle due to a hormonal disorder).

The ovulation cycle itself, when a woman's egg is ready to accept sperm and fertilization, is only 2 or 3 days a month. This is somewhere in the middle of the menstrual cycle, so it will not be difficult to calculate. But only if the cycle is relatively stable.

It is done like this:

The study period must be at least six months. For this period of time, it is necessary to allocate both the shortest cycle and the longest.

We subtract the number 18 from the shortest - we get the first dangerous day. Example: your cycle is 26 days, subtract 18 from 26 and get 8 - your probability of getting pregnant becomes maximum from the 8th day of your cycle.

We subtract the number 11 from the longest cycle - we get the last day of the "dangerous" period. Example: this cycle lasted 28 days, we subtract the number 11 from 28 and get the number 17 - this is the last day of the “dangerous” period.

It turns out that it is your dangerous period from the 8th day of the menstrual cycle to the 17th day - you must be especially careful during these same 9 days. But the period of abstinence is not small, so it is necessary to protect yourself as much as possible.

What to do so as not to get pregnant after the act

Many try to practice “interrupted” intercourse so as not to become pregnant on “dangerous” days, but the thing is that sperm is released not only during ejaculation, it can be released little by little throughout the entire intercourse.

The method of "interruption" - that is, the cessation of sexual intercourse before a man ejaculates, is not very reliable. And, to be honest, it is not always possible to control yourself during this process.

The second, also quite common version of “prevention” is to urinate immediately after intercourse and wash yourself with your urine. This too does not stand up to scrutiny or the test of time. Of course, urine can weaken the spermatozoa a little, but they are so agile (nature took care of this) - you just won’t have time to “eliminate” everyone in this way.

How to be? There are special contraceptives for quick, even "emergency" action, these include Postinor and Escapel, as well as Ginepriston. But the problem is that you should not use them often - no more than twice a month, otherwise it can damage your hormonal balance and cause big problems.

There are also spermicides that can be used immediately after intercourse, but they have the (rather unpleasant) property to cause a burning sensation inside the vagina for quite a long time. There are also lubricants with protective lubricants that can prevent pregnancy and make it easier for the penis to enter the vagina, but they may not always be available.

All funds must be used in the first 72 hours after intercourse with unplanned ejaculation, otherwise it will be too late later. You can try regular birth control (if you have them), but at a higher dose than usual.

The same Rigevidon should be taken 4 tablets in two days - in the morning and in the evening. This is not suitable for everyone, as it can cause severe nausea with profuse vomiting. Therefore, all of the above drugs are most often used in cases of violence or spontaneous intercourse.

And in all other cases, each girl (woman) should have funds for emergency “contraceptive care” in her first aid kit. Then the question “what to do after intercourse so as not to get pregnant” will disappear by itself. If there are no medications for this, folk remedies can always come to the rescue.

Folk remedies not to get pregnant

These funds were used by our grandmothers and great-grandmothers, and they have been tested not only by time, but also by many generations of women. In those distant times there was not such an abundance of means to prevent pregnancy at the level of medicine, especially its hormonal components, as it is today. But they themselves came up with ways that allowed them to avoid pregnancy at an unnecessary time for them.

Acidic solutions for douching. Spermatozoa are very afraid of the acidic environment in the vagina, so one of the most common folk remedies was considered "acidification" of its internal environment either before or after intercourse.

To do this, it was enough to introduce a small piece of lemon (or other sour fruit) into the vagina before starting sexual intercourse. Or it is good to wash or douche after intercourse with a solution that is made from water and lemon juice, or water and vinegar. Only often this cannot be done - acid can damage the walls of the vagina.

Douching with a decoction of yellow water lily (pods). It is better to prepare the solution in advance and keep it in your first aid kit. For 1 liter of boiling water, take 50 grams of water lily roots (dried) and cook for no more than 15 minutes. After cooling to body temperature, it can be drained and used for douching after intercourse.

Hot bath for a man (or sauna). Spermatozoa can't stand elevated temperature and die, so if a man sits in a sauna or lies in a hot bath for about half an hour before sexual intercourse, he will not be able to fertilize a woman, so there is no threat of unwanted pregnancy.

Seated bathtub with hot water. This method was used earlier not only in Russia, but also in many other countries. In well-heated, almost hot water, in which a little mustard powder is diluted, a woman should sit down immediately after intercourse.

Mustard powder should be diluted as follows: 1 full tablespoon per 1 liter of warm water. Then this solution is added to a hot bath. The system here is practically the same as in the case described above - the spermatozoa will simply “cook” in such a steam room. But a man must do this before intercourse, and a woman immediately after. And the faster, the more reliable.

Ordinary laundry soap is a unique way of protection. A small piece of such soap - only the soap should be old-fashioned and not bleached - is inserted into the vagina before sexual intercourse. Raise alkaline environment inside, due to the “work” of soap, it completely kills spermatozoa.

Marjoram. This spicy plant in Asia has long been used as a contraceptive. During menstruation, you should drink tea from one teaspoon of marjoram brewed with a glass of water at least three times a day. You can add honey to it. But before sexual intercourse, you need to mix a teaspoon of marjoram (dried) with a teaspoon of the same honey, soak any tampon with this mixture and insert it into the vagina.

Grass "shepherd's bag". This herb in dried form should be taken every day as a powder, one tablespoon, washed down with cold water. You can not use it during menstruation (or better even a couple of days before it) and in the form of tea or decoction. When hot, it can provoke uterine bleeding, as well as in powder form during menstruation.

Ginger root is a cure for a hundred ills. If every day you drink one teaspoon of fresh ginger, finely chopped and brewed with a glass of boiling water, there will be no conception. And you need to drink at least three times a day, like a medicine.

Pineapple is a woman's best friend. From time immemorial, this remedy has been used in Malaysia to prevent unwanted pregnancy, and it also made a woman slimmer and more resilient for quite hard housework.

It is not for nothing that pineapple is considered today to be an excellent “burner” of subcutaneous fat. To prevent pregnancy, you need to drink a glass of juice every day at a time (and you need two or three such methods) of slightly unripe pineapple juice. Moreover, the juice must be freshly squeezed and not subjected to heat treatment.

Good old permanganate. For one liter of boiled and slightly chilled water, add one teaspoon without a slide of potassium permanganate and then insert it into the vagina with a syringe or Eismarch's mug after intercourse. This will wash out the sperm and kill the activity of the remaining sperm.

Any means - folk or medicinal - are best checked in advance for allergies and susceptibility of the body. An unwanted pregnancy is, of course, bad, but getting a health disorder due to improper contraception is also not very good.

And it's all general tips, but it is best to consult with a gynecologist in advance. This is precisely his specialization - to take care of a woman's sexual health and monitor her reproductive function!

Source: and mom

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How not to get pregnant without protection

Today we will analyze the most common ways on how not to get pregnant without fuses at home. The life of a modern woman runs at a frantic pace: household chores, fitness, cosmetic procedures, career. In many cases, the appearance of a child in the family is planned in advance, and a variety of methods are used to protect against unwanted pregnancy.

There are currently many contraceptive drugs, ranging from banal condoms, lubricants, hormonal pills and contraceptive suppositories to newfangled patches. However, not all women agree to use modern contraception. In part, this depends not only on the desire, financial costs and time spent, but also on medical contraindications, allergies and other types of intolerance to a particular drug. The question arises how not to get pregnant without fuses at home. There are such methods, our ancestors used them, they are popular even now.

How not to get pregnant without fuses at home

Before you look for ways to protect yourself from unwanted pregnancy, you need to make sure that you can easily have children. Sadly, our world is full of the fair sex, for whom getting pregnant is a big problem. This is related to both congenital features body and other obstacles.

Addressing such a question to a gynecologist will allow not only to get to know your body better, but also to take appropriate measures at the moment when the time comes to have a baby.

If you do not have health problems, we suggest considering a number of ways to not get pregnant without fuses at home.

Important! None of them, as well as modern means, will not give you one hundred percent confidence in the desired result.

calendar method

As you know, the female body is predisposed to pregnancy only a few days a month - during the period of ovulation, which occurs approximately in the middle of the cycle. If your menstrual zinc is 28 days, then the moment the egg is ready for fertilization will fall somewhere on the twelfth day. If the menstrual cycle is 35 days, then ovulation occurs on the seventeenth day. Of course, these are approximate dates. To achieve accuracy, you need to be patient in observing your body, as well as a pencil and a calendar.

Calculating your own menstrual cycle and finding out when ovulation will occur is carried out in several stages and takes a long time, at least six months:

  • First of all, follow your body and every month accurately mark the days of menstruation on the calendar.
  • Choose the shortest cycle, for example, you have it is 26 days, and subtract 18 from it. It turns out 26 - 18 \u003d 8. This is the day the "dangerous" period begins.
  • Then choose the most long cycle, and subtract 11 from its number of days. Let's say it is 29 days for us, subtracts 11, it turns out 18. Therefore, the eighteenth day is the end of the period when there is a possibility of your pregnancy.
  • We compare the results obtained and conclude: from the 8th to the 18th day of the menstrual cycle, you need to actively take measures to protect against unwanted pregnancy.

Important! Despite the fact that this method is considered the most effective, errors and inaccuracies are allowed if your menstrual cycles are not stable and have significant deviations from each other.

Measurement of basal temperature

The ovulation period can be calculated in other ways, among which the measurement of basal temperature also occupies a reliable place. This method is also lengthy. It consists in the fact that for about the same period (half a year), every day in the morning, without getting out of bed, measure body temperature in anus. We put the result on the scale and admire the resulting graph.

To analyze the data obtained, you need to stock up on the following knowledge:

  • At the beginning of the menstrual cycle, body temperature varies from 36.6 to 36.9 degrees.
  • After twelve to sixteen days, the temperature drops by about one and a half degrees - this means that the body is already ready for ovulation and the journey of the finished egg has begun.
  • The end of ovulation is indicated by an increase in temperature of 37 degrees or more.

Having determined the boundaries of ovulation, we begin to prepare for the protection of sexual intercourse for this period.

Other methods for determining ovulation

There are women who are able to determine the time of their ovulation without any special calculations. To do this, they pay attention to the pain in the lower abdomen and the accompanying stretching transparent discharge. In addition, at the time of ovulation, it is so laid down by nature, the need for sexual intercourse increases dramatically.

In addition, in any pharmacy you can buy a test that can determine if ovulation is occurring or not. This test is very similar to the one that clarifies the existence of pregnancy. The presence of both strips on the test means the presence of ovulation. However, this kind of tests are best done not once, but twice a day in the morning and evening hours. The reason for this is the behavior of the ovulation hormone. If the test turned out to be positive in the morning and negative in the evening, it is better to beware, perhaps the egg may still be ready for fertilization.

If your menstrual cycle is shifting, then it becomes almost impossible to calculate the time of ovulation. Nobody is immune from this. Cycle fluctuations can be caused by taking certain medications, nervous tension, constant or severe stress, unstable hormonal background. In such cases, it is extremely difficult to catch the time of ovulation. The maturation of the egg may not occur for several months, or vice versa, it may occur 2 times in one cycle. To determine the cause of ovulation instability and treatment, you must consult a specialist.

Interruption of sexual intercourse

This method of protection against unwanted pregnancy largely depends on strong half humanity and the relationship between the existing couple. Therefore, it does not differ in high performance, however, being in demand.

The essence of the suspension of sexual intercourse is that the partner removes the sexual organ from the woman before the splash of spermatozoa occurs. In addition to the readiness of a man for an interrupted act and the ability to control himself, there are several other important aspects that impede safety:

  • The life span of spermatozoa is very long. Therefore, the spermatozoa remaining on the penis after the first intercourse may be active during repeated sexual intercourse.
  • Even if you exclude repeated lovemaking, or take a shower after it, the entry of sperm into the vagina still occurs. This happens even before ejaculation, since the lubrication of the penis also contains a small amount of fully active spermatozoa.

douching

Douching can be used as an attempt to prevent an unwanted pregnancy. This method does not require special costs, but its effectiveness is very low. In addition, to some extent, frequent use of these particular methods can harm female body. So, the essence of douching is to introduce about a liter of clean water into the vagina after unprotected intercourse. Thus, trying to wash the semen.

The effectiveness of the method can be increased by using lemon juice or vinegar instead of water. The acidic environment formed after this kind of washing into the vagina has a deadly effect on spermatozoa.

To use lemon juice follow these steps:

  • Dip your fingers in the lemon juice and insert them as deep as you can into your vagina.
  • Repeat this procedure 3-4 times.
  • Leave the juice inside you for two to three hours.
  • After the allotted time, wash yourself.

If you don't have a lemon on hand, you can also use your own urine to douche, although you will agree that this is not the most pleasant way. It must also be inserted into the vagina with fingers or a syringe.

Be careful! Frequent use of acidic solutions can cause irritation and imbalance of the vaginal microflora. Neither one nor the other is notable for pleasant sensations and requires enhanced treatment. Fever against pregnancy

Spermatozoa are distinguished by a certain vitality. Therefore, after entering the body of a woman hot tub unlikely to help. Those who claim otherwise are most likely wrong.

Another thing is if making love takes place in a bath or sauna. And hot couples do not act on the beautiful half of humanity, but on men. The fact is that under the influence of heat, sperm is not produced at all, or sperm activity is significantly reduced. Therefore, after spending one and a half to two hours in the bath, a man will not be able to give you a child. The effect of partial "sterility" of the stronger sex after such a procedure lasts for 12 hours.

If there is no time and desire to visit the sauna, you can take a hot shower or take a bath. Wearing tight clothing can also heat up the scrotum through friction. Cold that persists for three days high temperature in the area of ​​​​degrees is also able to disrupt the natural formation of sperm for a period of about 2-3 months.

Making love in the water

Our ancestors claimed that making love in water reduces the risk of getting pregnant, but this theory is not particularly worth believing. Certainly, using this method romance will be provided for you, but he certainly will not save you from an unwanted pregnancy.

The basis for asserting the effectiveness of "love in water" was the opinion that when sperm comes into contact with water, it loses its properties. In other words, ejaculation directly into the water protects the partner from pregnancy. Despite the various statements on this subject, this method of protection inspires a great deal of distrust and cannot be considered effective.

Safe Posture

The final method of protection is based on the laws of physics and inspires more confidence than the previous one. Its essence lies in the fact that the final moment of sexual intercourse occurs when a woman is in vertical position. Moreover, even after that, she should not go to bed for some time, at least until the sperm comes out of the vagina.

Of course, there is common sense in this method, but no one is immune from the fact that one of the most active spermatozoa still does not reach its cherished destination.

As you have already seen, there are quite a few answers to the question of how not to get pregnant without fuses at home. However, you must carefully listen to your body in choosing the most acceptable and safe for you. The effectiveness of these methods will increase if they are used in tandem. If you doubt the choice, you should consult your gynecologist. The specialist will help you with the choice of the most effective and safest method of protection for your health.

The best methods of contraception - video

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Source: Don't Get Pregnant: Safe Ways to Protect Against Unwanted Pregnancy

Family planning methods include contraception, as it helps prevent the development of unwanted pregnancies and avoid abortions. Most of the currently known methods and means of protection were developed in the second half of the last century. Each has its own advantages and disadvantages, but in one way or another performs its function.

Contraception can be biological, barrier, chemical, implantation, hormonal and surgical. To assess its effectiveness, the Pearl index is used, which reflects the number of pregnant women out of 100 using a certain type of contraception. The indicator is displayed as a percentage.

Hormonal contraceptives

Hormonal contraception is the most popular and effective way preventing unplanned pregnancy.

  • Combined preparations containing estrogen and progestin (Rigevidon, Tri-Regol, Marvelon, Femoden, etc.).
  • "Mini-drank" - drugs with progestin (Microlut, Exluton, etc.).

The action of these drugs is based on the following processes:

  • suppression of ovulation (the egg does not mature and does not come out);
  • thickening of the mucus secreted into the cervix does not allow the passage of spermatozoa;
  • a change in the mucous membrane of the uterus, as a result of which the fertilized egg is not able to gain a foothold on it;
  • decline motor activity spermatozoa in the fallopian tubes.

Thus, various stages of the onset of pregnancy are blocked: from the maturation of the egg to its fertilization and attachment to the uterus. Due to this, the efficiency of the method reaches 99.9%.

Such a strong effect of drugs can cause a number of side effects. Nausea, vomiting, headaches, edema, vaginal discharge, irritability, depression, acne, decreased sexual attraction and weight gain.

Contraindications include the presence malignant neoplasms in the mammary glands and genitals, vascular diseases brain, venous thromboembolism, unrecognized acyclic vaginal bleeding, migraine, hereditary hyperlipidemia.

Among the advantages of hormonal contraception, its effectiveness comes first. In addition, these drugs have a number of positive effects: they reduce the likelihood of ectopic fixation of the fetal egg, prevent the formation and spread of inflammatory processes in the genital organs, prevent the development of neoplasms, restore the menstrual cycle, and reduce pain during menstruation.

Hormonal drugs are convenient to use, they are available and presented in a wide range in most pharmacies. The possibility of conception is restored 2 months after the pills are discontinued.

disadvantage hormonal method contraception is the presence of contraindications, side effects. Long term use or an overdose can lead to disturbances in the functioning of the cardiovascular system, to an increase in the risk of developing hypertension, atherosclerotic changes, blockage of blood vessels.

An effective method is only with daily pills, so constant monitoring is necessary. In addition, do not forget that hormonal drugs do not protect against infections. Read more about hormonal contraception→

condoms

Condoms are male barrier methods of contraception. The action is based on the physical obstruction of the penetration of spermatozoa into the vagina. The effectiveness of this method with the correct use of a condom is about 90%.

The advantages of using a condom include the absence of contraindications and side effects, protection against sexually transmitted diseases, the presence of additional lubrication, availability and “mobility” in use (does not require prior preparation, consultation with a doctor, adherence to a schedule, can be used at any time).

The downside is a decrease in sensitivity during sexual contact, the need to interrupt it to put on a condom. In addition, in rare cases, latex causes an allergic reaction.

Intrauterine device

This intrauterine device is a T-shaped device made of copper and plastic. The action of the spiral is based on inhibition of the advancement of spermatozoa into the uterus, reducing the viability of the egg and preventing its attachment to the uterine mucosa after fertilization. The efficiency of the method is more than 95%.

The undoubted advantage of the intrauterine device is its ease of use: a woman does not need any additional actions, the gynecologist installs it in 1 appointment. The spiral begins to "work" immediately after the installation procedure. At the same time, if a woman wants to get pregnant, she will not need to wait for some time as when taking hormonal drugs. The ability to conceive resumes immediately after the removal of the IUD.

The intrauterine device is a reliable way to prevent unwanted pregnancy during breastfeeding. It does not affect the production of milk and its composition. Does not affect sexual activity, is not felt by the woman herself or her partner.

The disadvantages of the intrauterine device include:

  • the presence of contraindications (blood diseases, detection of precancerous processes in the cervix, neoplasms in the genital organs, a history of ectopic pregnancy, trauma to the cervix during childbirth);
  • installation is not recommended for nulliparous, as there is a risk of inflammation and subsequent infertility;
  • after installation procedure discomfort, the appearance of bloody discharge is possible;
  • pregnancy occurs in 5-10% of cases, often - ectopic;
  • The IUD does not protect against infections and, when infected, increases inflammation;
  • The risk of developing inflammation due to injury to the walls of the uterus with a spiral.
  • This method of contraception is most suitable for those who have given birth, including lactating women, who have a permanent partner.

Coitus interruptus

With an interrupted act, the man removes the penis before the onset of ejaculation. The effectiveness of such contraception compared to the previously discussed methods is low, about 70%.

The advantages of interrupted sexual intercourse in the first place include its absolute availability and the absence of monetary and time costs. Proponents of this method of contraception emphasize the ease of use, the absence of contraindications and side effects, and the preservation of high sensitivity of the genital organs. Coitus interruptus - a way to help not get pregnant without protection additional funds. More about coitus interruptus→

The main disadvantage is high risk development of an unplanned pregnancy: every 4 women become pregnant. In addition, the method does not protect against infection and contributes to the development of impotence in men, as the blood supply to the penis deteriorates. Women, on the other hand, often do not reach orgasm, and with prolonged practice of this method of contraception, they develop frigidity.

Other methods of contraception

Hormonal contraceptives, condoms, the intrauterine device, and coitus interruptus are the most common methods of preventing unwanted pregnancies.

The following options are less popular:

  • Female barrier methods: vaginal diaphragm, cervical cap, contraceptive sponge. All of them have the same advantages and disadvantages as condoms: they are effective, affordable, protect against genital infections, but require certain manipulations before sexual intercourse. In addition, unlike condoms, female barrier methods have contraindications (mainly gynecological diseases).
  • Chemical methods. Spermicides inactivate sperm and prevent it from entering the vagina. They are easy to use, provide a certain degree of protection against genital infections, and can be used alone or in combination with other methods. Disadvantages: not a high degree of protection against pregnancy (16 cases out of 100).
  • Biological methods (calendar, temperature, cervical, symptothermal). Based on the identification of the days of the cycle, in which the fertility of a woman is increased and abstinence during these periods from sexual intercourse. Depending on the correct application of the methods, the efficiency ranges from 60% (cervical mucus assessment) to 99% (temperature determination). The absolute advantages include the safety and availability of biological methods. They have no contraindications, side effects, do not require material costs. The disadvantage is the complexity of measurements, the need to constantly monitor the characteristics of the organism, accuracy is required in calculations when calendar method. The biological method does not protect against sexually transmitted diseases and is not always effective.
  • Sterilization (surgical method) is the most effective, but irreversible method of contraception. At proper conduct procedure efficiency is 100%. Advantage: does not require constant control, material costs, refers to natural methods. Disadvantages: contraception is irreversible, may develop postoperative complications there are contraindications. More about sterilization→

To date, there are several effective methods contraception. Choice the best option must take into account the advantages and disadvantages of each.

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Useful video about contraceptive methods

Of course, pills are the most reliable way, but it’s scary to drink them, to be honest ... These are solid hormones, they don’t essentially block all female system and what could be the consequences? It’s even scary to think, while being overweight and acne are flowers. I know cases when gynecologists specifically put girls on them, who do not even live a sexual life yet, what kind of pregnancy is there. Condoms can be problematic too. I know a case when a friend had them on terrible allergy, everything itched, was treated then for a long time. Of course, everyone chooses for himself, but this topic should be carefully discussed and considered with a partner, and ideally with a doctor.

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