Contraception after sex: is it too late?

Health Tips

After unprotected sex a huge number of images fly through your head related to the family, unnecessary marriage, difficult childbirth, etc. First of all, you should not panic.

Douching should be done (wash the vagina with warm water or a spermicidal solution). In this case, you need to be very careful, since inept douching can easily injure the delicate vaginal mucosa, as well as upset the balance of microflora.

Of course, these measures will not help to avoid pregnancy, but it is still possible to slightly reduce its likelihood (according to statistics, douching reduces the chance of getting pregnant by only 10-15%).

Of course, the main methods of so-called post-coital (after sexual intercourse) contraception are much more complex methods.

Modern medicine offers several options for contraception after unprotected intercourse to protect a woman from an unwanted pregnancy.

Gestagens and antigestagens – which is safer?

The body of a woman is such that her entire reproductive system is subject to hormones – substances of a special structure produced in different organs.

Modern doctors have “tamed” hormones by learning to control them. This is what emergency contraception is based on.

Fertilization occurs within a few days after intercourse, so it is so important to influence this mechanism already in the early stages. (the first 72 hours the effectiveness of the drug is high, then it decreases sharply).

It is best to take the drug within the first 12-24 hours after unprotected intercourse.

The probability of getting pregnant after unprotected intercourse when taking hormonal drugs is approximately 1-2%, and these drugs are relatively easily tolerated.

Reproductive function is restored already in the next cycle, the drug has practically no effect on the hormonal background as a whole with a single use.

Preparations do not protect partners from infections, since hormones have no effect on viruses and bacteria.

This way not used for permanent contraception, because in this case it can disrupt the hormonal system.

If you are concerned about symptoms such as vomiting, nausea, abdominal pain, severe bleeding from the genital tract, dizziness, then consult a doctor, he will help you cope with poor health.

The hormonal method is not recommended for women with a history of thrombosis (increased blood clotting), as well as women who smoke (more than a pack a day for 7-10 years).

To hormonal postcoital contraception include progestogens and antiprogestogens.

Post-coital protection with… IUD!

In postcoital contraception high doses of the hormone progesterone are used, which affects changes in the inner surface of the uterus (endometrium).

Progesterone also blocks ovulation (the release of a mature egg from the ovary), if it did not occur before intercourse, and, accordingly, there will be nothing for the spermatozoa to fertilize, the pregnancy will not take place.

Progesterone is also used in oral contraceptives, but in much smaller doses. This hormone is found in preparations:

“Postinor”
1 tablet after intercourse within 48 hours, but no later than 72 hours. 12 hours after the first dose, you need to take another 1 tablet.
“Postinor” can be used on any day of the menstrual cycle.

“Escapel”
1 tablet within 96 hours of intercourse. A new generation drug, safer than Postinor.

These drugs contain very high doses of the hormone progesterone, which, if used frequently, can impair ovarian function.

In a pharmacy, these funds are sold without a doctor’s prescription, but you need to monitor your well-being and, if necessary, immediately contact the clinic.

They do not use high doses of the hormone progesterone, but small doses of antiprogesterone, which is a more effective method of preventing unwanted pregnancy.

Such a modern postcoital drug is “Ginepriston” (“Agest”). It also inhibits ovulation and prevents the implantation of a fertilized egg.

The drug is used 1 tablet inside for 72 hours after unprotected intercourse. “Ginepriston” can be used in any phase of the menstrual cycle.

This method is applicable to women who have had childbirth and abortion in the past.

In practice, gynecologists use copper-containing T-shaped IUDs, which are inserted within 5 days after unprotected intercourse.

The IUD is usually placed for 5-7 years, so a woman should be prepared for the fact that during this period she will not become pregnant.

The spiral is placed by a gynecologist in a specialized clinic after an examination. The Navy is an alternative hormonal contraception and has its pros and cons.

If sexual intercourse occurred more than 72 hours ago, but less than 5 days ago, then the effectiveness of their use is sharply reduced in hormonal drugs. In this case, the IUD is the method of choice.

The spiral, like hormonal drugs, does not protect against sexually transmitted infections.

Especially setting a spiral is dangerous for women who already had a history of inflammatory diseases (inflammation of the appendages, vagina and uterus), as well as those with chlamydia, mycoplasmas or viruses.

Also Navy not recommended for adolescents and young women without children, since the spiral affects the endometrium for a long time, which in some cases can lead to infertility.

* **

If an unforeseen situation happened to you, do not panic. Calculate your menstrual cycle – you may not be able to get pregnant on this day.

With a regular cycle, “risky” days are 7-9 before ovulation and 1-2 after ovulation (ovulation occurs on day 14 with a 28-day cycle). We repeat that this method is effective only with a regular cycle.

If these are still fertile days, use the above methods. Unfortunately, all of them only prevent unwanted pregnancy, but do not protect against sexually transmitted infections.

Therefore, if the intimacy did not occur with a permanent partner, it is recommended that you definitely visit a gynecologist and check for infections – pass smears and tests. In addition, the gynecologist will evaluate the correctness of therapy, monitor your menstrual cycle and, if necessary, correct it.

Daria VOLKOVA,
gynecologist

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