What are the types of contraceptives. Mechanical methods of female contraception. Melting candles for contraception


It's hard to say how barbaric modern methods contraception will be considered by our descendants, because the most progressive and safe contraceptives of two hundred years ago look today as an instrument of torture. It is known, for example, that in the Middle Ages, women put iron caps on the cervix, lubricated it with a solution of mercury and lead, and inserted pessaries made of steel wire into it and caused infection and bedsores. reproductive organs. AT different time and in different countries contraceptives were repeatedly banned by the authorities, then by the church, so devices such as a vaginal syringe or vaginal douche, which were used to cleanse the internal female organs, periodically appeared on the market.

Current contraceptives promote the principle of safety and guaranteed protection against unwanted pregnancy. Justified and approved official medicine contraceptives of three types: physiological, barrier and medication.

  • Barrier. Prevent sperm from entering the uterus. The most famous barrier contraceptive is the condom (both male and female). Other barrier contraceptives - intrauterine devices, contraceptive sponges, cervical caps, and spermicides.
  • Physiological. Expect sexual intercourse on certain days female cycle when the risk of getting pregnant is minimal. Another method physiological control- PPA method (coitus interruptus).
  • Medical. Presented by pills, as well as vaginal rings and spirals that release hormones that block the onset of ovulation.

When prescribing a certain method of contraception to a woman, gynecologists often give her the opportunity to choose independently. suitable remedy from a number of similar ones. But how to do this if the same drug has dozens of analogues that are identical in composition and mode of action? The rating of the best contraceptives takes into account the opinion of other women, the cost of drugs, the correspondence between the expected effect and the real one, as well as the presence of additional benefits and side effects.

Please note that the information below is not a buying guide. Consultation needed with a specialist!

There are contraindications. Check with your doctor.

The best birth control pills

It has long been proven that a prolonged absence of pregnancy can disrupt a woman's health, provoking hormonal disbalance, as well as mental and organ diseases associated with it. The Frenchman Verne Bullo, a historian by profession, spoke about this back in the 19th century: “If a woman is not regularly pregnant, she will suffer from hysteria and from a whole category somatic symptoms, stimulating almost any kind physical illness or mental state". At the same time, unwanted pregnancy and abortion can cause no less harm to a woman than a prolonged absence of pregnancy.

Hormonal contraceptives are chosen by millions of women around the world as the preferred method of contraception. They do not affect the sensations during intercourse and are guaranteed to protect against unwanted pregnancy and the consequences of its absence. The action of hormonal contraceptives is based on the prevention of ovulation. Scientists have calculated that at the time of birth, the girl's ovaries contain about 1 million follicles that can become eggs, and by the age of 37 there are only 25,000 of them. Hormonal drugs do not allow the body to ovulate, so the woman's ovarian reserve remains full. Meanwhile, hormonal pills have not only advantages, but also an impressive list of side effects, often life-threatening.

3 Lactinet

The best contraceptive for adult women
Country: Hungary
Average price: 675 rubles.
Rating (2018): 4.6

Unlike Jess and Marvelon, Lactinet contains the only active substance- desogestrel. Belongs to the category of mini-pills (drugs containing minimal amount hormones). Lactinet mini-pills are often prescribed for lactating women with an active menstrual cycle, as well as for those women who are contraindicated in combined OK. Lactinet is one of the few oral contraceptives appointed smoking women and women over 45 years of age.

Another feature of the Hungarian OK is that its protective effect against unwanted pregnancy is somewhat lower than that of modern COCs. For this reason, the drug is not recommended for use by women in the active reproductive age(up to 30 years). Otherwise, it is a fairly effective contraceptive that has less than modern pills, a list of contraindications and side effects.

Advantages:

  • allowed during lactation;
  • does not affect weight gain;
  • suitable for those who are intolerant to synthetic estrogens.

Flaws:

  • provokes the occurrence of mastopathy;
  • violates the menstrual cycle during the reception;
  • causes depression;
  • causes nausea at the beginning of the course.

2 Marvelon

The cheapest tool
Country: Netherlands
Average price: 1,425 rubles.
Rating (2018): 4.8

Combined contraceptive drug from the Dutch company Organon. Approved for use by women over 35 years of age, as it contains a reduced amount active components. In addition to the contraceptive effect, it normalizes the volume of secretions and eliminates pain syndrome during menstruation. Can be used as a remedy emergency contraception but not more than once every 6 months. The effectiveness of Marvelon as a postcoital agent does not exceed 80%.

According to women taking Marvelon, the drug has Negative influence on the ability to get pregnant in the case of its long-term use, therefore, it is recommended to drink these pills in courses. Considering increased risk the occurrence of thrombosis, before taking the drug, it is recommended to be examined by a hematologist, hepatologist and vascular surgeon.

Advantages:

  • is inexpensive;
  • normalizes the cycle;
  • increases libido.

Flaws:

  • causes acne;
  • thickens the blood;
  • increases appetite.

1 Jess

Best birth control pills
Country: Germany
Average price: 922 rubles.
Rating (2018): 4.9

Jess is a combined oral contraceptive from the German pharmaceutical company Bayer. The active ingredients are drospirenone and ethinylestradiol. Used to protect against unwanted pregnancy severe forms PMS and also for acne treatment. The contraceptive effect of the pills is based on blocking ovulation and changing the quality of cervical mucus, which becomes too thick for sperm to move.

Unlike other COCs with the same active ingredient, the Jess formula has been improved: it uses the latest (4th) generation drospironene, and each tablet contains 1.5 times less ethinylestradiol than other COCs. For this reason, Jess is less likely than other drugs to cause swelling, mastopathy and weight gain.

Advantages:

  • eliminates menstrual pain;
  • improves skin condition.

Flaws:

  • the cycle is restored for a long time after the completion of the Jess course;
  • addictive;
  • reduces libido;
  • causes migraines.

The best birth control candles

Contraceptive suppositories belong to the category of spermicidal contraceptives. The principle of action of chemical spermicides is to destroy the membrane of spermatozoa: interacting with spermatozoa, the components of the drug destroy their membrane, separate the head from the tail, depriving them of the ability to move. Especially strong spermatozoa, however, are still able to get to the egg and fertilize it. This can be fraught with the birth of a child with certain physical deformities. Such a relationship has not been proven, but many women testify to this. It is not recommended to use such contraceptives regularly, because the acids contained in the candles can have a negative effect on the condition of the mucous membrane in the vagina, as well as on the cervix. Candles are not distinguished by the highest contraceptive ability. According to statistics, 15 out of 100 women who use birth control candles become pregnant within a year.

Thus, contraceptive suppositories are convenient option protection for women who have infrequent sex. Candles are ideal as an additional contraceptive - when the pill regimen has been violated or during the completion of lactation. The undoubted advantages of this method of contraception are the absence of a systemic effect on the body and the safety of intimate sensations.

3 Gynecotex

The best cost contraceptive candles
Country Russia
Average price: 140 rubles
Rating (2018): 4.7

Gynecotex suppositories use the same active ingredient as Pharmatex suppositories - benzalkonium chloride, so these products are similar. Fundamental difference Gynekotex from Pharmatex - in cost: Russian candles are about 3 times cheaper than German ones. Some women note that these suppositories dissolve somewhat worse in the vagina and give more foam.

Advantages:

  • are inexpensive;
  • do not cause burning;
  • protect against infections.

Flaws:

  • dissolve for a long time.

2 Patentex Oval

Most popular remedy
Country: Germany
Average price: 370 rubles.
Rating (2018): 4.5

The main active ingredient in Pantex Oval is nonoxynol. Included in many contraceptives as a lubricant: due to its spermicidal properties, it enhances contraceptive effect cervical caps, condoms, sponges and vaginal films. When interacting with a sperm cell, it damages its membrane, thereby depriving it of the ability to dissolve the egg cell membrane. The time required for the destruction of the spermatozoon is 40 seconds (10 times more than that of Pharmatex). The drug does not have bactericidal and antiviral properties, therefore it cannot be used as protection against STIs. There are studies proving that nonoxynol contributes to human morbidity with certain types of human papillomavirus.

Advantages:

  • effective;
  • quickly dissolve;
  • have a stimulating effect.

Flaws:

  • have an unpleasant odor;
  • cause itching;
  • foam excessively.

1 Pharmatex

The best birth control candles
Country: France
Average price: 349 rubles.
Rating (2018): 4.8

The main component of the drug is benzalkonium chloride. it medicine used in medicine since 1935. It has not only a contraceptive effect, but also an antiviral (protects against infection with viruses herpes simplex), antifungal and antiprotozoal. The substance has an instant effect on the sperm: its shell is completely destroyed within 10 seconds after contact with benzalkonium chloride. The rest of the drugs in this group require at least 30 seconds. Due to irritation of the mucous membrane of the vagina and cervix, the drug is able to increase the amount of secreted mucus, which has an additional contraceptive effect.

Advantages:

  • have a pleasant smell;
  • dissolve in 5 minutes;
  • protect against infections.

Flaws:

The best intrauterine contraceptive coils

The intrauterine device is a contraceptive that has been well known since the Ancient China. In the past, coils were made from aluminum wire and wood, but today they are made from hypoallergenic plastic impregnated with anti-inflammatory compounds. According to its action, the spiral refers to barrier, abortive and spermicidal agents at the same time.

  • Decreased fertility. The presence of an inflammatory process in the uterus contributes to the production of proteins that inhibit the maturation of the egg. As a result, ovulation is inhibited and fertilization does not occur.
  • abortive effect. Located inside the uterus, the spiral negatively affects the endometrium, inhibiting its growth and ability to accept a fertilized egg. In fact, the spiral provokes a miscarriage on early dates pregnancy.
  • spermicidal effect. In response to the located spiral, superficial inflammation occurs inside the uterus. As a result of inflammation, the alkaline environment in the uterus is replaced by an acidic environment that is detrimental to spermatozoa and contributes to their destruction. To increase the acidity of the intrauterine space, copper is additionally used in the spirals, which stimulates the release of an acid secret.
  • Barrier contraceptive effect. Inflammatory process causes irritation of the cervical canal, which, in turn, produces increased amount thick cervical mucus that prevents sperm from entering the uterus.

Intrauterine devices (IUDs) - reliable and effective method preventing unwanted pregnancy, which, however, is associated with the creation of a focus of chronic infection in the body.

3 Spiral Nova T

The most accessible hormonal spiral
Country: Germany (made in Finland)
Average price: 800 rubles.
Rating (2018): 4.6

Nova T is a non-hormonal coil shaped like the letter T. Its base is made of hypoallergenic plastic, which is wrapped with copper wire. In order to enhance the radiopacity, barium sulfate is added to the plastic - it allows you to determine the position of the spiral during x-ray examination if required.

Advantages:

  • not felt by partners during sex;
  • has an affordable price.

Flaws:

2 Mirena

The best hormonal spiral
Country: Finland
Average price: 11500 rubles.
Rating (2018): 4.7

Mirena belongs to the category of hormone-containing spirals, therefore, the principle of its action is similar to that of hormonal pills. The fundamental difference is only in the way hormones are delivered to the body. True, according to some women, the hormonal spiral, unlike OK, does not cause increased appetite, does not provoke swelling and does not cause irritation of the digestive system. Like Multiload, Mirena is installed for 5 years.

Advantages:

  • normalizes hormonal background;
  • inexpensive hormonal contraceptive;
  • reliably protects against pregnancy.

Flaws:

  • requires large one-time costs;
  • causes back pain
  • contraindicated in the presence of benign tumors.

1 Multiload

The best intrauterine device
Country: Ireland
Average price: 2800 rubles.
Rating (2018): 4.8

Multiload is a spiral made of plastic and copper. It looks like a rounded T with uneven surfaces that prevent the spiral from slipping out of the uterus. Aseptic inflammation in the uterus provokes a copper wire wrapped around a plastic carrier. Interacting with alkaline environment, copper wire releases about 30 micrograms of copper oxide daily. The contraceptive effect of Multiload lasts for 5 years.

Advantages:

  • reliably protects against pregnancy;
  • economical;
  • does not fall out.

Flaws:

  • provokes inflammation;
  • increases the duration of menstruation;
  • causes discomfort after installation.

The best barrier contraceptives

Barrier contraception is the oldest, cheapest, most versatile and common method of contraception. A typical representative of this category is the condom. Less known are contraceptive sponges and rings, cervical caps, vaginal films and diaphragms, as well as chemical barrier agents (candles, aerosols, gels). There are practically no contraindications to the use of these drugs, so they are ideal for those who have intolerance to OK or IUDs. Some of the barrier contraceptives are able to prevent premature ejaculation in men, protect against STIs and allergic reactions to ejaculate in women. Main disadvantage barrier means is that they act only at the time of their use. Our rating includes the best barrier contraceptives - the Nuvaring ring and Pharmatex sponges.

2 Contraceptive sponges Pharmatex

The best spermicide
Country: France
Average price: 65 rubles.
Rating (2018): 4.7

Contraceptive sponges as a barrier method have been used by women for many centuries: in ancient times they were sea sponges soaked in oils, and today they are polyurethane foam soaked in chemical spermicidal compounds. Pharmatex sponges use benzalkonium chloride as a spermicide. Unlike contraceptive suppositories, the sponge has not only a spermicidal effect, but also a mechanical one - it physically prevents the penetration of spermatozoa into the cervix. After installing the sponge, the partners can immediately begin the PA, and in the case of repeated sexual intercourse, they do not need to insert a new sponge into the vagina, as it retains its effect during the day.

Advantages:

  • does not flow;
  • convenient to enter;
  • long-term;
  • has a pleasant smell.

Flaws:

  • inconveniently removed;
  • hard to find in pharmacies.

1 Contraceptive ring Novaring

The best hormonal contraceptive
Country: Netherlands
Average price: 1050 rubles.
Rating (2018): 4.8

Nuvaring is one of the methods hormonal contraception, which uses, however, a fundamentally different method of administering hormones - vaginal. Due to this, the hormone does not pass through the liver and organs of the gastrointestinal tract, therefore it does not affect them. negative impact. The ring releases the minimum required amount of the hormone throughout the day, which eliminates hormonal surges during the day (as is the case with oral contraceptives) and creates an even hormonal background. Another advantage of the tool is the confidentiality of its use: the ring is easy to install on your own, it is not felt during intercourse and does not require removal after. Duration of action - 3 weeks. After 21 days, the ring is removed, and after 7 days it is installed again.

Advantages:

  • set once a month;
  • does not cause nausea;
  • has less pronounced side effects compared to OK.

Flaws:

  • sometimes falls out when straining;
  • causes headache;
  • provokes the development of vaginitis;
  • allergic;
  • enhances appetite.

The ability to relax during sex helps to increase libido. What is needed for this? Cozy bedroom, subdued light, beautiful bed sheets, good soundproofing in the room, soundly sleeping children in the next room. But the main thing for young parents is protection from unwanted pregnancy. Agree, being in suspense and not getting enough joy from intimacy with your loved one is bad. Yes, and children must be desired, otherwise it will be difficult for them to become happy later. So taking care of contraception, you do a lot to improve the quality of life of the whole family.

There are a lot of contraceptives available today. And they all have their pros and cons. Some you can choose yourself, for others you will need to consult a doctor.

Local and barrier contraceptives

Among such contraceptives that are safe from the point of view of the impact on the body, condoms are in the lead. They are especially shown to those who have not yet decided on a partner. But for married couple they are redundant, and the sensitivity is significantly reduced. So you are probably thinking about something new.

vaginal diaphragms and cervical caps- inconvenient to use, so they could not gain popularity. In addition, their effectiveness depends on the correct selection: after childbirth or when gaining weight more than 5 kilograms, you need to go through the selection procedure again.

Local non-hormonal agents contraceptives (candles, tampons, tablets) contain spermicidal substances that destroy sperm and prevent it from penetrating through cervical canal because they make the mucus thick. They are indicated for those who have contraindications for the use of hormonal contraceptives and intrauterine devices in postpartum period and during lactation. Their effectiveness also depends on the correct application: you need to enter into certain time before sex, do it before each sexual intercourse, do not wash with soap after, but it is better to lie down for a while so that the remedy does not come out ahead of time. In general, this is a wonderful tool for responsible women. They are contraindicated in those who have already violated the microflora of the vagina, there is erosion of the cervix or unhealed damage after childbirth.

Hormonal contraceptives

This type of contraception is oral (pills) and non-oral (the funds come in other ways, bypassing the intestines). Combined oral contraceptives (COCs) suppress ovulation - prevent the maturation and release of the egg, thicken cervical mucus to make it difficult for sperm to pass through the cervix, they change the lining of the uterus so that the fertilized egg cannot attach to it. They consist of artificially created substitutes for estrogen and progesterone - the natural sex hormones of women.

These tablets must be taken regularly at the same time for 21 days. You need to start from the first day of menstruation. Each missed tablet increases the risk of pregnancy. If missed, you need to take the drug as soon as you remember, and use additional methods contraception (condom or topical non-hormonal drug) in the next couple of days.

Non-oral hormonal contraceptives provide hormones in different ways (through the vagina, skin, intrauterine). The vaginal ring - a flexible transparent ring with hormones - is in the vagina for three weeks, then it is removed, and after menstruation a new one is inserted. A low dose of hormones and no load on the gastrointestinal tract are undoubted advantages. At long-term use causes dysbacteriosis and inflammatory processes.

The intrauterine device is placed by a gynecologist. It can be left on for a long time, and its effectiveness is high. But you can't put nulliparous women, it often causes inflammation of the pelvic organs.

The patch delivers small doses of hormones through the skin. But in case of peeling off or damage, its effectiveness is reduced.

Preparation for contraception

Any contraceptives (except condoms) require a visit to a gynecologist. He will assign you necessary tests, will conduct an inspection and, based on the data received, will offer the most suitable one.

  • First, the doctor will ask you about your health, previous illnesses, complaints. Then he will examine on the armchair, take the material for research in the laboratory.
  • Do general analysis blood and urine.
  • Cytological examination smears of the cervix is ​​very revealing, so the doctor will take a smear for these purposes.
  • The gynecologist will perform an extended colposcopy (examination of the cervix with a special magnifying glass) according to indications.
  • The specialist will certainly examine your breasts, as well as appoint a consultation with a mammologist. If necessary, he will offer to do an ultrasound or X-ray of the mammary glands. But only if there are serious indications.
  • Ultrasound of the uterus and appendages may also be needed. It is better to do it with a vaginal probe.
  • You also need to be tested for sexually transmitted infections.

Contraceptives

Contraceptives are traditionally divided into mechanical, biological and chemical. Miscellaneous naturally have varying degrees efficiency. Virtually none of the methods of preventing pregnancy (except for sexual abstinence) can not give a 100% guarantee. Quite often, in order to achieve greater safety and reliability, various contraceptives are combined. However, it is best to choose a contraceptive, after consulting with a gynecologist.

In this article, we will talk in detail about the most popular types of contraception.

CONDOMS


Condom (condom) - made of latex (polyurethane). It is put on the male penis during an erection, before starting sexual intercourse. After ejaculation, the condom is immediately removed and discarded. This contraceptive, in addition to its main purpose, also protects partners from most sexually transmitted infections (syphilis, gonorrhea, AIDS, chlamydia, herpes, hepatitis B). The percentage of effectiveness of this contraceptive is quite high - 85-95%. However, not all 100%, because condoms can break and sometimes they are used incorrectly.

SPIRAL


An intrauterine device (it is also an IUD, and in everyday life a spiral) is a convenient and highly effective device that is placed in the uterus. Spiral despite high percent efficiency (98-99%), has a number possible complications. For this reason, the spiral is not recommended for women under the age of 23 who do not yet have children. Only a gynecologist should install and remove this tool after carrying out medical examination. The advantages of the spiral include its long-term use - up to 5 years.

CONTRACEPTIVE PATCH


The principle of the patch is that it is glued to a certain area of ​​the body, and then the hormones are absorbed into the body through skin covering. The effect of this contraceptive is that there is a delay in the development of the egg and the viscosity of the mucus in the cervical region increases. For one menstrual cycle, three patches are usually used, that is, one patch is pasted for seven days. Next, you need to take a week break, and at this time menstruation occurs. The disadvantages of this method include the appearance of secretions (between cycles), headache.

VAGINA RING


This protection is a transparent elastic ring, which is made of synthetic material and contains hormones that begin to be released only after the introduction of the ring into the vagina. With the help of a complex system of membranes, only a strictly defined amount of hormones is released daily. The ring can be easily inserted and removed by the woman herself. It is used for contraception for one menstrual cycle, which includes 21 days of application and seven days off. Side effects: spotting, nausea, headaches, etc.

LONG-LASTING INJECTIONS


The method of protection with the help of injections consists in stopping ovulation (the process of the release of an egg from the ovary) due to changes in the mucus in the cervical region, changes in the mucous membrane of the uterine cavity itself, as a result of which the development of pregnancy is impossible. The contraceptive effect of this method lasts 3 months. However, this method there are also a number of fairly serious shortcomings. Bleeding problems may occur, as well as swelling, headaches, decreased levels sexual attraction. Also, with prolonged use of this method, it is destroyed bone.

NORPLANT


The Norplant contraceptive system is six small capsules that contain the hormone levonorgestrel (progestin). Capsules are placed under the skin, on the inside of the shoulder, after which the hormone gradually begins to be released into the blood. The contraceptive effect begins in a day and lasts for five years. It is achieved by changes in the endometrium, which lead to disruption of the process of attachment of the egg to the walls of the uterus. When using this implant, intermenstrual discharge may occur, the menstrual cycle may also be disturbed, depression will appear, headache fluid retention in the body, acne and pain in the mammary glands.

MALE AND FEMALE STERILIZATION


It should be remembered that sterilization is a method of irreversible contraception, which leads to complete infertility(however, even in this case, we cannot talk about 100% reliability, because there is always a chance that even the operation will not bring desired result). male sterilization- it's quite simple surgical procedure, which includes the intersection and subsequent ligation of the vas deferens. Female sterilization takes place in a hospital and consists in cutting and bandaging fallopian tubes. Do not forget that, as with any other surgical operation, during sterilization, there is always a risk of complications - bleeding, infection, adhesions.

DIAPHRAGM


It looks like a domed cap made of latex or rubber. It is inserted into the vagina no earlier than 6 hours before the onset of sexual intercourse, while closing the cervix. Also, the diaphragm serves as a container for a special cream that inhibits the activity of spermatozoa. The principle of its action coincides with the principle of the condom - these barrier means do not allow mechanically sperm enter the uterus.

BIOLOGICAL PROTECTION


Biological contraceptives - a way to prevent pregnancy with the help of hormonal contraceptives. With this method of contraception, a woman must take daily pills, which include female sex hormones. After their use, the general hormonal background changes, which in turn inhibits ovulation, changes the state of the intrauterine environment, preventing a possible pregnancy. The effectiveness of hormonal contraceptives is 97-99%. Oral hormonal contraceptives are combined, that is, those that contain estrogen and progestogen, and non-combined, that is, those that contain only progestogen. You need to select a hormonal contraceptive with the help of a gynecologist. Since there are diseases in which taking hormonal contraceptives is contraindicated.

MINI-PILI TABLETS


These are hormonal pills that do not contain estrogens. Their action is to increase the viscosity of the cervical mucus, which in turn makes it very difficult for sperm to pass into the uterus. Also, these drugs inhibit the maturation of the endometrium, as a result of which it becomes impossible to attach the egg to the walls of the uterus for its further development. Mini-pills are taken without interruption, for the entire time necessary to prevent pregnancy. The main disadvantage of this method is a slightly higher frequency (in comparison with other oral contraceptives) breakthrough bleeding. Mini-pill is a way out for women who are contraindicated in the use of estrogens, including nursing mothers.

CALENDAR METHOD


It consists in calculating, using simple mathematical operations, the estimated date of the onset of ovulation and abstaining from sexual intercourse during the fertile phase (the phase of ovulation during which a woman can become pregnant).
The beginning of the fertile phase described above is determined by subtracting 18 days from the shortest cycle, and the end by subtracting 11 days from the longest cycle.

Example:
Most short cycle lasts 28 days, and the longest is 30 days.
The beginning of the fertile phase is 28-18 = 10th day of the cycle.
End - 30-11 = 19th day of the cycle.

That is, from the 10th to the 19th day of the cycle, fertilization can occur, which means that these days you need to use barrier contraceptive methods or refrain from sex altogether. The disadvantages of this method include, first of all, its unreliability, since initially it assumes a regular, constant menstrual cycle, which, unfortunately, no woman has.

TEMPERATURE METHOD


Based on the calculation of the fertile phase by measuring the basal (or rectal) temperature in women. Start measurement basal body temperature needed on the first day of the cycle. After waking up in the morning, without getting out of bed, you need to place the thermometer in the rectum at a level of 1-2 cm, and hold it there for 5-6 minutes. The data obtained must be entered into a special graph of your basal temperature. It should be remembered that throughout the entire time it is necessary to use one thermometer, and the temperature measurement should be carried out at the same time every day.

During the first half of the cycle, the basal body temperature is usually below 37°C. 12-24 hours before ovulation, body temperature drops by 0.1-0.2°C, and after ovulation it rises by 0.2-0.5°C (usually up to 37°C or higher). And this temperature is kept at this level throughout the second half of the cycle until the onset of menstruation. The fertile period begins six days before the preovulatory recession and lasts three more days after it ( total duration fertile phase - 9 days).

The advantages of the temperature method of contraception include: ease of use; absence of any side effects; most precise definition days of probable conception when planning a pregnancy.
To the disadvantages: high risk unwanted pregnancy (because a very large number of factors affect the level of basal temperature); the need for daily measurement of basal temperature.

COMMISSIONING


This method consists in the complete removal of the male penis from the woman's vagina before the onset of ejaculation. Coitus interruption is one of the least effective methods contraception. According to statistics, out of a hundred couples who use this method, approximately 20-25% experience an unplanned pregnancy. First, in the process of initiating sexual intercourse, a certain amount active sperm released along with natural lubrication. Secondly, not every man can control himself during an orgasm. Also, when having sex again, you should use a different method of contraception to avoid getting sperm into the vagina. The advantages of this method include accessibility and simplicity, while the disadvantages are the incomplete satisfaction of the partners with the process.

EMERGENCY (aka postcoital, fire) CONTRACEPTION combines methods of preventing unwanted pregnancy, which are used after unprotected intercourse has taken place. Most emergency contraceptives can be purchased from pharmacies without a prescription and self-administered, but we strongly recommend that you consult a doctor so that he selects the most appropriate method of emergency contraception for you, checks for contraindications to the chosen method and selects the appropriate dosage.

TYPES OF EMERGENCY CONTRACEPTION:


1) douching
Douching with various solutions, even immediately after unprotected intercourse, is very ineffective, because spermatozoa penetrate the cervical region within a minute after ejaculation. Also, do not forget that a small amount of active spermatozoa can also stand out directly during sexual intercourse - with lubrication.

2) Hormonal contraceptives
The first way to use hormonal contraception is simultaneous reception several types of COC tablets (combined oral contraceptives). The number of tablets required for taking is based on the dosage of the hormone level in the preparations: Miniziston, Rigevidon, Femoden, Marvelon, Microgynon, Regulon - two times four tablets (the interval between taking is 12 hours), Logest, Mercilon, Novinet - two times five tablets. This method called the Yuzpe method and it is effective for three days after unprotected intercourse. The efficiency of this method is not very high - 75-85%.

The main advantage of this method is its availability, since all drugs are sold in any pharmacy without prescriptions. Side effects after application - nausea, pain in the mammary glands, vomiting, dizziness, headache.

An alternative to COCs is preparations that contain only progestins and do not contain estrogens. The most effective drugs of this type are Escapel and Postinor. Escapelle contains 1.5 mg of the hormone and is used once. Postinor also contains 0.75 mg of levonorgestrel and it must be applied twice with an interval of 12 hours. Minor side effects, which can be called hormonal methods emergency contraception, usually within two days pass.

It must be remembered that after using methods of emergency hormonal contraception, it is necessary to without fail use additional methods of contraception until the next menstrual cycle: spermicides, condoms, etc.

3) Non-hormonal emergency contraception
Mifepristone (Ginepristone) is one of the most effective drugs emergency protection. Single dose small dose this drug in for three days after the unprotected incident happened intercourse causes a slowdown in ovulation (this process depends on the phases of the menstrual cycle), a change in the endometrium, and also prevents the attachment of a fertilized egg.

This drug has less pronounced side effects - for example, the frequency of bleeding is only 15%, compared with 31% when taking levonorgestrel. The effectiveness of this method of emergency contraception is 98.8%. The advantages of this method include the fact that it can be used for a longer period compared to other means of emergency contraception, as well as the fact that after its administration there are practically no hormonally dependent side effects.

4) Intrauterine devices
Another way to prevent an unplanned pregnancy is to use an intrauterine device (IUD). To achieve the desired effect, copper-containing IUDs are inserted within five days after unprotected intercourse.

Emergency contraception is an alternative to abortion, but it is strongly discouraged from being used as permanent contraception, but only in "emergency" situations (maximum once every six months). Because the frequent use emergency methods contraception may lead to violation reproductive functions women.

Vaginal contraceptive pills belong to the group of spermicides, being a type of chemical method contraception. It's lightweight and affordable way prevention of unwanted pregnancy. Operating principle vaginal tablets comes down to the introduction of spermicides into the vagina, which have a local effect. Contraceptive pills for vaginal use are indicated for women who are not suitable for other, more effective means contraception ( hormonal preparations and spirals).

To increase the contraceptive effect, the use of vaginal contraceptive pills, experts recommend supplementing the use of a condom.

Indications for the use of vaginal contraceptive pills.
Vaginal birth control pills local action should be used before every act of sexual intimacy. Tablets do not reduce lactation and do not affect its quality, therefore, they can be used by women in the period after the birth of a child and during breastfeeding. Substances present in their composition do not violate hormonal balance women and the microflora of the vagina. Such contraception is ideal for women after an abortion, as well as for those whose intimate life not regular. Vaginal tablets are indicated for use during menopause, in the second phase of menopause.

Advantages of local contraceptive pills.

  • Few adverse reactions.
  • Reduces the risk of contracting STDs.
  • You do not need to use daily and keep track of the time of admission.
  • Permitted to use with female diseases, after childbirth and during breastfeeding.
Cons of local contraceptive pills.
  • Small compared to hormonal contraceptives, contraceptive efficacy(75%), so it is desirable to combine their use with condoms.
  • With daily use, vaginal dysbacteriosis develops, therefore it is suitable for women with an irregular intimate life.
  • In some cases, there may be allergic reaction with skin irritation.
  • The drug should be injected into the vulva fifteen minutes before intimacy.
  • For some time before and after sexual intercourse, you should limit the use of water procedures with the use of intimate cosmetics.
  • The need to plan sexual intercourse, which eliminates the possibility of unexpected sex.

Each manufacturer of vaginal tablets attaches instructions for use of a particular drug. Most often, the drug should be injected deep into the vagina (usually a special applicator is attached for comfortable insertion) fifteen minutes before sexual intercourse. One tablet is designed for one sexual intercourse, with a repeated act, you should use a new tablet.

Contraindications to the use of vaginal tablets.

  • Diseases of the genitourinary system.
  • Excessive sensitivity to the components of the drug.
  • The processes of inflammation in the vulva.
  • Cervical erosion.
If a burning sensation or other discomfort occurs during the use of the tablets, it is recommended to stop using the drug. Before use this tool chemical contraception it is recommended to consult a gynecologist.

Overview of common vaginal tablets.

Patentex Oval (PatentexOval).
The drug can be produced in the form of tablets and suppositories. The composition of the drug contains nonoxynol. The drug is easily tolerated, allergic reactions are extremely rare. It should be injected into the vulva 10 minutes before intimacy. The effect persists for three hours.

Pharmatex (Pharmatex).
The most popular non-hormonal vaginal contraceptive. The contraceptive is available in the form of vaginal creams, suppositories, tablets, tampons. The basis of the drug is benzalkonium chloride, administered before intimacy for 10 minutes. The contraceptive effect of the drug is 3 hours, effective against some STDs, herpes virus, fungi. Does not affect the vaginal microflora.

Benatex.
The drug is produced in the form of non-hormonal vaginal gels and tablets. Contraindicated in colpitis, as well as irritation of the vaginal mucosa. It is recommended to administer the drug before intimacy, ten minutes before the start. The contraceptive effect lasts for three hours.

Gynecoteks (Gynecotex).
Contraceptive pills of local action, as active substance is benzalkonium chloride. The drug has a strong antibacterial action, apply five minutes before intimacy. Action contraceptive drug kept for four hours. To increase the contraceptive effect, the drug should be combined with the use of an IUD or a vaginal diaphragm.

Traceptin (Traceptin).
Tablets are injected deep into the vulva ten minutes before sexual intercourse. Sometimes an allergic reaction can occur in the form of a burning sensation in the vagina.

To make intimate life enjoyable, vaginal remedies contraceptive action it is desirable to select individually with a gynecologist.


Used drugs:


All local contraceptives can be divided into two groups: barrier and chemical. Barrier contraceptives are, first of all, condoms known to all. Less popular diaphragms and cervical caps for women, most likely, the absence of their adherents is due to the inconvenience of their use. In addition, condoms not only protect against pregnancy, but also reliably protect against sexually transmitted diseases. But condoms also have their drawbacks - they tear and slip off, and, in addition, a decrease in sensitivity also does not add any advantages to this method. That's probably why everyone more men prefer not to use condoms. Then the question arises about female contraception.
Spermicidal intravaginal suppositories are designed to neutralize spermatozoa. Such local contraceptives first act on the membrane of the flagella, and then on the spermatozoon itself. Treated in this way, "give" can no longer fertilize the egg.

Candles of the first generations have a number of significant drawbacks: they foam and have a specific smell. The new spermicidal suppositories dissolve surprisingly quickly in the vagina, literally within five minutes. At the same time, they form a film inside, which serves as a kind of barrier against spermatozoa. A woman can safely breastfeed her baby without fear of getting the active substance from the suppositories into the milk through the blood, as it is not able to penetrate the walls of the vagina.

Modern spermicidal suppositories do not leak from the vagina and have no smell at all. It is also very convenient that such a candle is valid for 4 hours. This gives the couple the opportunity to "manoeuvre". For example, if a child woke up and needs to be fed, or you need to urgently answer phone call, you can always be distracted, and then continue to make love. During this period, candles still reliably fulfill their protective function without causing any discomfort. In addition, spermicidal suppositories create a very good lubricant inside the vagina, thereby enhancing the thrill of intimacy with a loved one.

Local contraceptives can be used not only by nursing mothers, but also by women who missed taking a hormonal contraceptive pill. Spermicidal suppositories are convenient to carry in handbag in case of completely unplanned sexual intimacy (which only happens in life!): they will protect against unwanted pregnancy with a 99 percent guarantee. In addition to the main effect, such candles kill pathogenic infections into the vagina without disturbing its beneficial microflora.  

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