From time to time people think about what to do if there was an unprotected act. This question is extremely important, especially for girls. Unwanted pregnancy does occur in the situation described. If fertilization of the egg occurs, you will have to either give birth or have an abortion. Termination of pregnancy is a serious blow to the body in all directions. Abortion can be avoided if you know how to behave during spontaneous and unprotected sex. How high are the chances of getting pregnant? What methods of emergency contraception should I use? All this and more will be discussed below. The information is equally useful for both men and women.
Could there be pregnancy?
What to do if there was an unprotected act? First of all, don't panic. The girl needs to calm down and analyze the situation. Just don’t hesitate either.
Secondly, remember when you had sex without protection. The thing is that pregnancy almost always has a chance of occurring during interrupted or unprotected intercourse. But on certain days the probability is negligible.
As a rule, sex a few days after and another week after your period is considered safe. The likelihood of getting pregnant during these periods is least.
When to be careful
What to do after an unprotected act? You can guess how high the probability of getting pregnant is, because emergency contraception can have a negative impact on your health. And therefore, for prevention purposes, it is not recommended to use them.
“Dangerous” days for unprotected sexual intercourse are ovulation, a few days after and 7 days before it. This is due to the fact that sperm can live in the female body for about a week. This means that they are quite capable of fertilizing an egg during ovulation.
What does unprotected sex lead to?
Has an unprotected act occurred? What to do? To begin with, everyone must understand what this entails.
The point is that under such circumstances a girl can become pregnant. We have already talked about this. Moreover, we considered possible “dangerous” and “safe” days for unprotected sexual intercourse.
A more unpleasant situation is infection with sexually transmitted infections. These include:
- syphilis;
- hepatitis B and C;
- papillomavirus;
- trichomoniasis;
- AIDS;
- ureaplasmosis;
- thrush;
- molluscum contagiosum.
In real life, you can get more than 20 STDs. At the same time, in men, diseases often occur latently, without revealing themselves in any way. But women quickly understand how unprotected sex turns out.
Anal sex
What to do if there was an unprotected act? The algorithm of actions depends on what kind of sex took place.
For example, it is impossible to get pregnant during anal intercourse. Especially if you immediately take a shower and rinse the anus thoroughly. Therefore, partners are advised to simply wash themselves thoroughly and get checked by a venereologist for STDs. You don't need to do anything else.
Oral sex
The next scenario is oral sex. As a rule, it always happens to be unprotected, but there are exceptions.
Oral sex is considered more dangerous for men. For example, if a lady has dental problems. The same applies to a woman if her partner caresses her orally.
Immediately after such an event, a man needs to get tested by a venereologist and carefully observe his genitals. If you have any complaints, you will have to immediately consult a doctor. During unprotected oral sex, an infection can be introduced into the genitals. As in the previous case, oral sex does not lead to pregnancy under any circumstances.
Showering as a way to protect yourself
An unprotected act occurred? What to do? There are different ways to avoid pregnancy in this case.
You should start by taking a shower. Immediately after sex, a girl needs to wash herself thoroughly. It is advisable to use gels and soaps for intimate hygiene. Showering will help flush out most of the semen from your vagina. And this will significantly reduce the chances of pregnancy.
Douching as contraception
Some girls prefer to douche after unprotected sex. This is the process of washing sperm out of the vagina. The method is somewhat reminiscent of a regular shower with thorough washing.
Douching is often carried out using ordinary boiled water or a spermicide solution. You cannot rely on this technique alone. The thing is that sperm reach the fallopian tubes and penetrate them in about 1.5 minutes. It will not be possible to do douching so quickly even if you want to. And wash sperm from the fallopian tubes too.
Intrauterine devices
An unprotected act occurred? What to do to avoid pregnancy? A woman can use intrauterine devices. They help prevent pregnancy.
Ideally, it is better to use the technique in advance. More precisely, install an intrauterine device (spiral) in advance, as a means of contraception.
Important: girls sometimes complain that due to such devices in their bodies they have ectopic pregnancies.
Within 5 days after unprotected sex, the most effective intrauterine devices are “devices” containing copper. They are installed only by doctors.
Hormonal agents
Did the couple have unprotected intercourse? What to do to avoid getting pregnant?
Today, girls have long been familiar with this method of emergency contraception, such as taking hormonal drugs. There are a lot of them. They all have their own characteristics.
The bulk of “emergency” contraceptives are taken in the first 72 hours after unprotected sex. Some must be consumed within 48 hours.
The most common emergency contraceptive drug in Russia is Postinor. You can use the tablets no more than once a month. Within 2 days after sex, a girl needs to take 1 tablet of Postinor, and 12 hours later - another one.
Regular contraceptives
What to do if there was an unprotected act? It's hard to believe, but some oral contraceptives help prevent pregnancy. Some drugs are used in real life as emergency contraceptive pills.
For example, you can drink Ovidon or Microgynon after sex without protection. The first drug is taken for 3 days in the amount of 2 tablets at a time, after 12 hours - 2 more tablets. "Microgynon" is drunk within 72 hours after the act in the amount of 4 capsules, after 12 hours - 4 more pieces.
Mini pills for pregnancy
What to do after an unprotected act? You can drink something like a mini-drink. This is not the best solution, but sometimes it works. Especially if the woman is breastfeeding.
Take 20 mini-pills containing 30 mcg of levonorgestrel in the first 48 hours and another 20 tablets after 12 hours.
Important: all of the listed oral contraceptives can lead to side effects. For example, minor vaginal bleeding, vomiting and nausea.
When to take the test
Some people wonder when to take a test after an unprotected act. This is a completely normal question, especially if the girl did not use emergency contraception.
You can donate blood for hCG if your period does not come on time. The level of this hormone is used to determine whether pregnancy has occurred or not.
Conclusion
We found out why an unprotected act is dangerous. What to do to avoid unwanted pregnancy and STDs too. If you hurry, you can get rid of most problems.
Of course, it is better to avoid unprotected sex altogether, especially with unstable partners and no plans for pregnancy. As regular contraception you can use:
- condoms;
- intrauterine devices;
- birth control pills;
- calendar method of protection (an extremely unreliable option).
What to do after an unprotected act? The answer to this question will no longer make you wonder!
Preventing STDs can save lives, as many diseases are incurable and kill millions of people every year. There are 2 types of measures: preliminary and emergency.
STDs are spreading quickly today, because due to new moral principles that encourage people to abandon hypocrisy and live for their own pleasure, the number of casual relationships is growing. In such conditions, bacteria, single-celled organisms and viruses live as if in paradise, because they constantly find a new home and multiply. Millions die every year from STDs, and just as many become infertile or chronically ill. Preventing STDs will help keep your sexual partners healthy, so it's important to remember.
What are STDs and their types
As they say, you need to know your enemy by sight, so you need to become more familiar with the concept of STDs. Sexually transmitted diseases are a group of pathologies caused by bacterial or viral agents, which are transmitted through biological fluids (blood, semen) through sexual contact, and less often by other means.
Bacterial STDs
Bacteria have existed longer than humans, so they have learned to live comfortably in the body. It is beneficial for bacteria to live in the genitals of women and men, because they may not be immediately noticed there; these places are humid and warm, so they reproduce and grow normally. Bacterial STDs include:
- syphilis;
- gonorrhea;
- granuloma venereum;
- chancroid;
- mycoplasmosis;
- ureaplasmosis;
- nonspecific urethritis.
Bacterial pathogens often leave dire consequences. In women with damage to the ovaries, fallopian tubes or uterus, infertility develops, the menstrual cycle is disrupted, and fibroids or cancer appear. In men, bacteria disrupt the reproductive function of the testicles, leading to impotence and infertility.
Single-celled STDs
Unicellular - living organisms that contain a nucleus, but have a body the size of only one cell. Some of them are quite harmless; they live in puddles, soil, on food and even in the bodies of animals and humans. But among single-celled organisms there are the most dangerous pathogens of STDs:
- chlamydia;
- Giardia;
- Trichomona.
The development of single-celled organisms in the genital tract of women and men leads to the appearance of inflammatory processes (acute and chronic), obstruction of the fallopian tubes and urethra, as well as infertility.
Viral STDs
- papilloma virus;
- hepatitis B and C;
- genital herpes.
The first two, although sexually transmitted, have virtually no effect on the reproductive system. For example, HIV after a certain period of time turns into AIDS, and viral agents infect human immune cells. You cannot die from AIDS, it is not beneficial for the virus, patients die from infections (even from a common cold), because their immunity is very weak.
The papilloma virus causes growths on the skin, which cause inflammation and itching, and in women, the growths can be localized in the uterus or fallopian tubes, causing fibroids or infertility.
Transmission of STDs
All these diseases are transmitted through casual sex, during which the man did not wear a condom. I would like to say a few words about the last sexual attribute.
Outbreaks of STDs were often observed in the 17th-19th centuries, when orgies were held at balls or social functions; many French officials and rulers died from venereal diseases after a stormy sex life.
Back then, they didn’t even know about a thin rubber film that could protect against pregnancy and illness. But today condoms are sold in every pharmacy, they are relatively inexpensive, and people are taught from school about safety measures during sexual intercourse.
Despite all this, the rate of STD infection is not decreasing, mainly due to the fact that people are careless about themselves and their partners. Many people are embarrassed to buy condoms at pharmacies, but the embarrassment disappears before the next sexual contact with a stranger. Only after reviewing priorities and understanding responsibility for one’s life and health will humanity be able to defeat STDs.
Prevention of STDs
Prevention of viral, bacterial and single-celled STDs is divided into two types: preliminary and emergency or medicinal. You need to know about each one in order to be able to save yourself from the disease.
Preliminary prevention
Preliminary prevention of STDs is simple and safe - protected sexual contact and avoidance of casual sex. Only by “blocking” access to the reproductive system for STD pathogens can infection be eliminated.
There is another important preventive measure - a venereologist. It must be visited once every six months. He will take tests and do an examination for STDs. Most infections have an incubation period of 4-5 months, so if the doctor notices the development of the disease at an early stage, treatment will be simple and quick.
Emergency prevention
If infection could not be avoided for any reason, emergency drug prevention of STDs will come to the rescue within 1-3 days. The main condition for it is to know the type of pathogen (bacterium, virus, fungus or single-celled organism) in order to choose the right drug. You cannot prescribe medications for yourself; you should ask your sexual partner about his illness and then go to a venereologist. 
Drug prevention involves taking certain drugs that will help kill at the initial stage of reproduction, when it has not yet had time to reproduce sufficiently. Antibiotics are used against bacteria and protozoa, antiviral drugs are used after infection with a virus, and antifungal drugs will help against fungi.
Antibiotics
Emergency medical prevention of STDs caused by bacteria or single-celled organisms involves the use of antibiotics. The main difficulty in their selection is that you need to know the specific type of pathogen. To do this, you can do a culture, but it will take a long time, so it is better to find out from your sexual partner. If it was not possible to find out the exact information, a “general” antibiotic is prescribed - Azithromycin or its derivatives.
Azithromycin is a broad-spectrum antibiotic with cumulative properties. Reaching a certain concentration at the site of inflammation, the active substance of the drug gives a bactericidal effect, that is, it kills bacteria. Azithromycin can be used after infection with syphilis, gonorrhea, chlamydia, trichomoniasis, mycoplasmosis, urethritis.
When taking Azithromycin, you must remember that it also affects the normal microflora of the body, so you must take prebiotics along with the antibiotic. This is especially important for women, because disruption of the vaginal flora can lead to candidiasis.
Azithromycin has contraindications that must be taken into account before treatment:
- it is dangerous for pregnant or breastfeeding women;
- it cannot be taken under 16 years of age;
- The drug is prohibited for renal failure and liver diseases.
It should be remembered that Azithromycin will only help cope with bacteria and single-celled organisms, but it is powerless against other STD pathogens.
Antiviral drugs
Drug antiviral prevention of STDs is complicated by the fact that some viruses, for example, HIV, cannot be treated even a few hours after sexual intercourse; this happens because this virus “hides” in human immune cells, from where it is simply impossible to get it.
After infection with hepatitis, vaccination will help save a person from developing the disease, but it must be done within 3 days. If we are talking about herpes, then Devirs ointment or similar drugs based on ribavirin can be used against it.
You can also use immunomodulators for viral STDs, which will stimulate the immune system to fight viral agents at the initial stage of the disease.
Prevention of sexually transmitted diseases still remains relevant, despite the availability of inexpensive means of protection and public awareness. You need to remember that safety depends on yourself, exclude unprotected casual sex and regularly visit a venereologist.
If you have unprotected sex, there is a risk of contracting a sexually transmitted disease.
There are different drug prevention regimens.
- Experienced venereologists with over 20 years of experience
- Urgent tests for HIV, Syphilis, Hepatitis B, Hepatitis C - 500 rubles for one infection, tests will be ready in 20 minutes
- Treatment is anonymous - your passport is not required
- Clinic in the center of Moscow, 5 minutes from Novokuznetskaya or Tretyakovskaya metro stations, parking available
When is drug prevention of sexually transmitted infections necessary?
- with any type of contact (genital, oral, anal) with a casual sexual partner without a condom, it should especially be emphasized that oral-genital sexual intercourse also Necessarily requires prevention;
- if you notice that the condom has broken, regardless of whether it happened at the beginning or end of sexual intercourse;
- in the absence of a condom before, after or during sexual intercourse and contact of unprotected mucous membranes of the genital organs;
- for any type of sexual contact, regardless of the use of a condom, if you become aware that your partner has a sexually transmitted disease or any sexually transmitted infection;
- for men during pregnancy of their spouse or regular sexual partner.
How long after exposure is drug prophylaxis carried out?
The duration of routine prophylaxis is usually 1-3 days.
However, in our clinic "Polyclinic + 1" individual medical prevention has been developed and put into practice. The difference between our method is that after carrying out express tests, we recommend to each person the injections and tablets he needs for a clearly defined period. This allows you to increase the possible period of prevention to 10 days or more.
What mistakes do people infected with sexually transmitted diseases most often make?
- after contact, use local solutions (chlorhexidine, miramistin), which only slightly reduce the risk of infection;
- take antibiotics on their own. However, self-medication, as a rule, leads to the development of severe complications. This is due to the fact that antibiotics make up only 1/3 of the drugs used and dosages must be strictly observed;
- They are waiting for the tests to come back positive. However, they:
- as a rule, they infect their regular partner;
- some infections can immediately become chronic and remain for life if you do not undergo prevention (for example, genital herpes);
- can “wait” for complications of infections;
- They check their casual sexual partner. This is the third common misconception, because such persons have partners, as a rule, and it is simply too early for such a person to get tested often. It can be a carrier if the test results are negative (the detection time for some infections can be up to 3-4 weeks).
What options for drug prevention methods exist?
- Prevention in the case when you are absolutely sure that there was a casual relationship with a person with a specific disease (for example, syphilis, gonorrhea). In this case, drugs and local treatment will be aimed only at preventing these diseases;
- Comprehensive medical prevention. This technique is used most often, because Even if a partner is known to have one infection, there is no guarantee that others will not be present.
Preventative measures carried out in our clinic usually include:
- Conducting express tests for individual drug recommendations;
- treatment of the external genitalia (depending on the type of contact);
- once - injections, droppers;
- tablet preparations for a period depending on test results.
How long can you not have sexual intercourse with a regular partner after prophylaxis?
Depending on the quality of the drugs and the results of the preliminary examination from 1 to 5 days.
After any casual sexual intercourse, the doctors of our clinic "Polyclinic + 1" will allow you not to think about the consequences.
Advantages of visiting our clinic "Polyclinic+1"
- Anonymity.
You do not need to have documents with you to be examined and treated with us; - Convenient location.
We are located a five-minute walk from the Novokuznetskaya and Tretyakovskaya metro stations, and we have parking for patients by car; - Reception by appointment.
You don't need to waste time in line waiting for a doctor.
Our clinic is a licensed medical institution.
Pills after unprotected intercourse are necessary in several cases: if the condom breaks or comes off, partners forget about contraception, or rape occurs. These medications are used to prevent pregnancy and sexually transmitted diseases. These may be emergency contraceptive drugs based on levonorgestrel or mifepristone, antiseptics, antiviral and antibacterial agents, and others.
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Emergency contraception
Emergency contraception refers to pills that protect against unwanted pregnancy after unprotected intercourse has already occurred. Sometimes synonyms such as “fire” or postcoital contraception are used. There are several methods to reduce the likelihood of conception in the absence of measures before or during intimacy:
- taking a birth control pill after intercourse or the next day pill;
- installation of a coil for 6 days after coitus;
- taking an increased dose of combined oral contraceptives with estrogen and gestagen.
The principle of action of the tablets
There are two types of emergency contraceptives. Both refer to drugs containing hormones:
- A group that includes drugs with the active ingredient levonorgestrel (progestogen): Postinor, Escapelle.
- Tablets made on the basis of mifepristone (antigestagens).
In addition, there is the Yuzpe method, which is based on taking increased doses of certain hormones. The effectiveness of protection against unwanted pregnancy in this case reaches 75-80%, depending on the duration of medication use.
Levonorgestrel
The mechanism of action of drugs with this active substance consists of several stages:
Action Description Delayed ovulation Levonorgestrel prevents the release of an egg from the dominant follicle if you take the drug on the eve of ovulation. In this case, the influence of hormones (follicle-stimulating and luteinizing) is suppressed Changes in the composition of cervical mucus The viscosity of the mucus of the cervical canal increases: it becomes thick, the process of sperm entering the uterus slows down Reducing the likelihood of implantation by a fertilized egg Two mechanisms contribute to this. Firstly, the structure of the endometrium changes - the drug causes a reverse development of proliferation processes, eliminating its possible transition to the secretory phase, which is necessary for normal ovulation. Thus, there is a mild abortifacient effect. In addition, the active substance affects the contractility of the fallopian tubes, reducing it, which slows down the delivery of the fertilized egg into the uterine cavity: if it gets there with a delay, implantation is no longer possible One Postinor tablet contains a large dose of hormones, which, when taken, causes a serious hormonal imbalance in a woman. The World Health Organization does not recommend the use of such contraceptives. The instructions for the drug indicate that even a healthy woman should not use the medication more than 4 times a year or once a cycle.
Some women take the drug uncontrollably, which is unacceptable and extremely dangerous. When taking Postinor, ovarian function is impaired. Even with a one-time use of the drug, a certain time is required for their recovery, in each case it is individual.
Mifepristone
Emergency contraceptives of this group are similar in action to the previous ones:
Indications
Indications for the use of emergency contraception must be quite serious - when a woman is sure that in the event of pregnancy she will have an abortion. The most common cases of use of these medications include:
- rape;
- condom damage;
- displacement of the spiral or vaginal diaphragm;
- skipping oral combined contraceptives.
Admission rules
To maximize the effectiveness of emergency contraception, you must follow certain rules of administration.
Instructions for drugs containing levonorgestrel
Postinor is used no later than 72 hours after sexual intercourse:
- The first tablet is taken immediately.
- The second - after 12 hours, no later than 16.
- If vomiting or severe diarrhea occurs, an additional tablet must be taken within 3 hours.
Escapelle or Eskinor-F are taken in the amount of 1 tablet once within 72 hours. The effectiveness of drugs depends on time:
- If the medication was taken after 2 hours, the effectiveness of protection against unwanted pregnancy is about 95%.
- When consumed on the second day, it decreases to 75%.
- When taking the drug within 49-72 hours after sexual intercourse, reliability drops to 58%.
It is necessary to avoid levonorgestrel-containing drugs in the following conditions:
- confirmed pregnancy (if the egg is implanted, it is almost impossible to expel it from the uterus);
- age less than 16 years (when the cycle, ovulation and menstruation are not established);
- lactose intolerance (the tablets include glucose, galactose and lactose, which can cause unpleasant side effects);
- Crohn's disease;
- hormone-dependent tumors;
- history of ectopic (tubal) pregnancy;
- stage of breastfeeding (or there is a ban on feeding for 24 hours after administration);
- irregular menstrual cycles, constant delays, bleeding outside of menstruation or excessive profuseness;
- pathologies of the liver and biliary tract, liver failure;
- increase in blood clotting rates.
Mifepristone-based drugs
Contraceptive pills after coitus, such as Zhenale, Ginepriston, Mifolian and others, are taken once. The tablet must be taken within 72 hours of exposure. 2 hours before use and 2 hours after you should avoid eating.
Mifepristone and drugs based on it are not recommended to be taken under the following conditions:
- lactation (feeding ban for two weeks);
- anemia;
- bleeding disorders or anticoagulant therapy;
- porphyria;
- taking glucocorticoids;
- renal and liver failure;
- severe chronic diseases;
- pregnancy;
- age over 35 years (with caution).
Tablets containing estrogen and progestogen
When choosing the Yuzpe method, COCs - combined oral contraceptives - are taken as emergency contraception. Few women are familiar with this method, but sometimes it is a worthy alternative to other pills. Within 72 hours, take from 2 to 4 tablets at a time, depending on the dose of hormones in the composition. Repeated administration is carried out after 12-16 hours.
The most commonly used drugs are Rigevidon, Non-ovlon, Ovidon, Silest.
Side effects
Before using birth control pills, you should familiarize yourself with the list of possible undesirable effects:
Pathology Description Ectopic pregnancy The risk of this condition increases several times, as the process of egg transport is disrupted Bleeding Frequent disruptions of the menstrual cycle can provoke massive bleeding, which can only be eliminated by curettage of the uterine cavity Risk of later infertility In girls who are in puberty, pills can disrupt the unsteady menstrual cycle and cause infertility Thrombosis Increased doses of drugs can provoke the formation of blood clots, which can lead to stroke, pulmonary embolism and even death, especially in women with impaired hemostasis, smokers and after 35 years Crohn's disease The risk of this pathology when taking oral contraceptives or “fire” contraception increases 3 times You should also be aware of the side effects that these drugs cause:
- mastalgia (swelling and tenderness of the mammary glands);
- severe headaches, migraines;
- emotional instability;
- allergic reaction;
- severe nausea and vomiting;
- nagging pain in the lower abdomen.
STD prevention
The main sexually transmitted infections are divided into bacterial and viral. Bacterial infection after unprotected sex can be prevented if treatment is started on time; viral infection cannot be stopped.
Bacterial STDs include:
Viral infections include:
- genital herpes;
- hepatitis B and C;
- human papilloma virus.
Through unprotected sexual intercourse, you can also become infected with non-venereal skin diseases (lice, scabies, molluscum contagiosum).
Necessary actions
The measures that need to be taken to avoid infection depend on the time that has passed:
- In the first 2 hours, emergency preventive measures are used. In the period from 2 to 4 hours their effectiveness will be lower. After 4 hours, such measures make no sense.
- In the next 72 hours, prophylaxis with medications is carried out.
- After 3 days, any manipulations will be not only ineffective, but also harmful. Medicines will “blur” the picture of the disease, cause resistance to antibiotics and transfer the infection to a latent form.
If there are no symptoms, after 14 days they are tested for major bacterial infections. After 1.5 months - for syphilis, after another month and a half - for HIV, hepatitis and herpes.
If symptoms appear and a certain infection is suspected, it is not recommended to select medications on your own. First, you need to get test results, take a bacterial culture to determine sensitivity to antibiotics (if there is a bacterial infection), or immediately consult a doctor.
Emergency prevention
It is carried out independently or by contacting an individual STD prevention center. Such points operate around the clock; you can find out their location at the city dermatovenereal dispensary. Most often they are organized near the train station, hotels, large car parks, recreation areas and markets.
The prevention center is an office with an examination chair and a separate toilet. First of all:
- It is necessary to wash your hands with soap, empty your bladder, and rinse your genitals with warm water.
- Next, the doctor wipes the intimate areas with sterile gauze wipes and treats them with a cotton ball with an antiseptic solution.
- Douching of the vagina and urethra is performed. The vagina is washed with 150-200 ml of an antiseptic solution (Chlorhexidine or Miramistin is used). 1 ml is poured into the urethra, 2 ml for a man. An alternative to drugs are potassium permanganate (for vaginal douching) and silver nitrate (for the urethra).
- After treating the genitals, you must refrain from urinating for two to three hours.
If it is not possible to visit a preventive clinic in the next 2 hours, the procedure is carried out at home. Algorithm of actions:
- Urinating immediately after coitus will help flush out harmful bacteria from the urethra.
- Rinse the external genitalia, treat with antiseptic solutions containing chlorhexidine, miramistin or povidone-iodine.
- Inject the medicine into the urethra (1-2 ml) and into the vagina (10 ml). Effectively use antiseptics in the form of vaginal suppositories and tablets.
Optimal An option is to treat the genitals and urethra with an antiseptic in the first minutes, and then contact a preventive center.
Drug prevention
It is impossible to use such prevention of sexually transmitted diseases too often: the drugs used are harmful to the body and can provoke insensitivity of other bacteria to antibiotics. It is allowed to use this technique if the risk of infection is high, provided that the time for preventive measures has been lost:
- If syphilis is suspected, a single injection of benzathine benzylpenicillin into the gluteal muscle is effective.
- For gonorrhea - a single dose of 400 mg of Cefixime.
- For chlamydia - 1000 mg Azithromycin.
- Against Trichomonas - 2 mg Tinidazole orally once.
If there are several infections and it is not known exactly what sexually transmitted diseases your partner is suffering from, you can take a combination of drugs. The most commonly used medication is Safocid. It is active against the most common sexually transmitted diseases (gonorrhea, trichomoniasis, chlamydia) and fungal diseases. The composition includes 4 tablets that are drunk at a time: Fluconazole, Secnidazole (2 pcs.) and Azithromycin.
Antibiotics should be used with caution, especially if you have allergies or bronchial asthma. An effective addition to antibacterial therapy is the use of antiviral and immunostimulating drugs, the list of which is presented in the table:
Name Description Photo Viferon Used in the form of suppositories for rectal administration. Increases local immunity, reduces the risk of infection with herpes and hepatitis B and C 
Genferon Available in the form of suppositories for vaginal and rectal administration. The drug contains taurine, which enhances the effect of interferon, and benzocaine (gives an analgesic effect) 
Vagiferon Sold in the form of vaginal suppositories. The composition contains: interferon, metronidazole (an antibacterial drug with a broad spectrum of action) and fluconazole - an antifungal agent 
Interferon inducers Available in tablet form, they stimulate the production of your own interferon 
Epigen-intim Release form - spray, has an immunostimulating, antiviral, antipruritic, regenerating and anti-inflammatory effect
In the work brought to your attention, we will look at pills against pregnancy after unprotected intercourse. Let's start with the fact that unwanted pregnancy is a fairly common phenomenon in our country. At the same time, the girl’s position in society does not matter at all.
Sociologists have noted that half of pregnancies in Russia are unplanned. And a quarter of all cases are perceived by future parents as extremely undesirable. Very often, women resort to artificial abortion (medical or surgical). In order not to resort to the help of a gynecologist, it is necessary to properly protect yourself. If this is not taken into account, then there are pills against pregnancy after unprotected intercourse, the names of which we will consider in the article.
What medications can be used?
Anything can happen in our lives, but unfortunately, only a few people remember about safe sex. Please note that it is simply necessary to protect yourself with unstable partners. This will protect you not only from unwanted pregnancy, but also from a host of infections that can be transmitted from a partner. In this case, we are talking about condoms, which are a barrier to infection from both women and men.
Taking birth control pills after unprotected intercourse will only prevent unplanned pregnancy. This method of contraception can only be used with a regular sexual partner in whom you are confident. A woman who does not use protection during sex and does not plan to give birth to a child in the near future is simply obliged to always have medications with her that can prevent pregnancy, since this event is not currently desired.
We will look at which birth control pills to take after unprotected intercourse a little later. Now it is worth noting that any medication, if used incorrectly or for a long time, can be harmful to health. Be sure to read the instructions before use (duration and regularity of use, dosage and side effects, composition of the drug - to avoid the occurrence of allergies).
Oral contraceptives should be used with great caution. To exclude side effects and health problems, you should contact a specialist so that he can select the drug that is the least dangerous and most suitable for you.
Anti-pregnancy pills after unprotected intercourse are an emergency measure to prevent an undesirable phenomenon. To avoid pregnancy, you must take a special drug as soon as possible. Please note that these medications cannot be taken continuously. Be sure to monitor your menstrual cycle: there are days that are unfavorable for conception, during these periods you can avoid taking the drug. We are talking about days: from 5th to 7th and from 16th to 28th. This example is given for a menstrual cycle of twenty-eight days, assuming it is constant. If your menstrual cycle is inconsistent, then this method of contraception will not suit you. With this problem, you should definitely contact a gynecologist to find out the cause of this phenomenon.
When choosing an emergency contraceptive drug, pay attention to the following points:
- contraindications;
- application diagram;
- duration of use;
- regularity;
- compound.
All this will help you avoid unpleasant consequences after use. Please also note that this method is effective only in the very early stages. That is, the sooner you take the pill, the less chance you have of getting pregnant. For example, if you take the drug within a few hours after intercourse, then the chance of pregnancy is 5%, but by the third day this figure increases to 45%.
If you take a pill during the day?
Pills after unprotected intercourse against pregnancy, the names of which will be presented in this section of the article, help if they are used within 24 hours after sex on days favorable for conception. Please note that there are drugs that need to be taken once, but there are also those that should be taken according to a regimen for several days. For this reason, be sure to pay attention to the method of application and dosage. If you take a birth control pill after unprotected intercourse, the chance of preventing an unfavorable pregnancy is more than ninety percent.
Now we will present to your attention a number of drugs recommended by gynecologists throughout Russia. These medicines include:
- "Ovidon".
- "Non-Ovlon."
- "Ministison."
- "Rigividon".
- Marvelon.
Be sure to pay attention to the number of tablets you should take. For the first two drugs presented above, the dosage is two tablets, for the next two - three tablets, and for Marvelon the dosage is four tablets. Taking more than the prescribed amount is highly not recommended to prevent unpleasant consequences.
There are also some anti-pregnancy pills after unprotected intercourse that should be taken within twenty-four hours. These include drugs based on levonorgestrel or mifepristone. For emergency use, you can use the following medications:
- "Eskinor F".
- "Postinor".
- "Escapelle".
- "Mifetin."
- "Mytholian".
- "Gynepristone."
- "Genale".
Tablets against pregnancy after unprotected intercourse “Postinor”, “Eskinor F” and “Escapelle” contain levonorgestrel as the main component. Now we will look at the effect of the drugs. It is based on the fact that the efficiency of the uterus, which produces less hormones than is needed for fertilization, decreases. As a result, the fertilized egg cannot reach the uterus and dies. If she nevertheless reaches it, then the drug affects the state of the endometrium, as a result of which the fixation of the egg in the uterine cavity becomes impossible.
The main component of the next three drugs on our list is mifepristone. This substance can cause uterine contractions and changes in the endometrium. These are new generation drugs; if you take one tablet, the egg will not be able to gain a foothold in the uterine cavity and will come out.
In any case, you should not use these medications frequently, so as not to cause harm to health and not harm the functions of the ovaries, which can subsequently lead to infertility.
Combined oral contraceptives (COCs)
What other pills exist against pregnancy after unprotected intercourse? In this section, you will learn about combined oral contraceptives, which are called COCs for short. These drugs contain a very large dosage of the hormone progestogen and estrogen. When taking these medications, you should strictly follow the dosage and regimen. Long-term and uncontrolled use of hormonal drugs brings with it a whole list of serious problems that will affect reproductive function.
They act as follows: the endometrium is rejected, so the fertilized egg cannot implant in the uterine cavity. Be sure to take COCs very responsibly, because their action can cause bleeding.
- "Ovidon".
- "Non-Ovlon."
- "Silest".
- "Rigevidon".
Tablets after unprotected intercourse against pregnancy, the names of which are presented above, belong to the COC group. Please note that there are several contraindications to taking these medications. If you are diagnosed with at least one of them, then you should stop taking COCs. Contraindications include:
- thrombosis or a high probability of occurrence of this disease;
- congenital thrombophilia;
- stroke;
- cardiac ischemia;
- arterial hypertension;
- atrial fibrillation;
- septic endocarditis;
- age over thirty years (there is a possibility of developing cardiovascular diseases);
- smoking;
- diabetes;
- hypertension;
- presence of viral hepatitis;
- cirrhosis of the liver;
- liver tumor;
- migraine;
- diabetes mellitus that lasts more than twenty years;
- breast cancer (this includes cases where the diagnosis is confirmed or only suspected);
- lactation period;
- pregnancy.
In all of the above cases, the use of COC drugs is strictly prohibited.
We have discussed how to prevent pregnancy after unprotected intercourse with a COC tablet, now let’s talk a little about returning the proper functioning of the ovaries and the return of reproductive ability.
In 90% of cases, women were able to become pregnant within a year after stopping taking contraceptives. Do not worry that taking medications may somehow affect your future reproductive life. If you follow the instructions, then the possibility of getting pregnant after stopping the medicine is very high and taking it will not affect the development of pregnancy in any way.
Incorrectly taking a COC during pregnancy should not cause concern; this is not a reason for prescribing an abortion. Nevertheless, it is simply necessary to stop taking COCs so that pregnancy and fetal development proceed correctly.
Action of COC
This section will discuss the mechanism of action of birth control pills after unprotected intercourse (COC). These drugs can suppress the ovulation process, thicken the cervical mucus so that the movement of sperm becomes much more difficult, and change the endometrium, which is an obstacle to the implantation of a fertilized egg in the uterine cavity.
This action is provided by a component included in the drug - progestogen. You can also find ethinyl estradiol in the composition, which ensures a normal menstrual cycle, that is, there should be no intermediate bleeding. The menstrual cycle should not be disrupted. In addition, it is worth knowing that when taking COCs, the ovaries do not produce estradiol, which is responsible for follicle growth. The substance ethinyl estradiol replaces it.
Emergency contraception regimen
The most popular are contraceptive pills after unprotected intercourse, the names of which are:
- "Postinor".
- "Gynepristone."
- "Ovidon".
Now we propose to get acquainted with the scheme of their use. Let's start with Postinor. This drug is available in one tablet per package. To reduce the likelihood of getting pregnant, you should purchase four packs. It should be taken according to this scheme:
- two tablets once within twelve hours after intercourse;
- one tablet twelve hours after the first dose;
- one tablet twelve hours after the second dose.
Within 72 hours after unprotected intercourse, anti-pregnancy pills “Ginepriston” will prevent unwanted conception. It is very important to know that this drug is taken once. No re-appointment is required.
The drug "Ovidon", which we mentioned earlier in this section, should be taken in the following course:
- first you need to take two tablets at a time (please note that this must be done in the first 24 hours);
- repeat the dose after 12 hours.
Indications
Pills against pregnancy after unprotected intercourse, the names of which were presented to your attention in the article, have a list of indications and contraindications. We suggest that you familiarize yourself with the indications for use in this section. These include:
- spontaneous sex;
- skipping oral contraceptives;
- frequent change of sexual partner;
- a broken condom during sex;
- sexual intercourse while intoxicated;
- untimely interruption of contact if a condom is not used;
- negative attitude towards contraception;
- sexual violence.
These drugs contain a large amount of hormones. Frequent use may cause serious health problems. Gynecologists recommend using emergency measures to protect against unwanted pregnancy no more than three times a year. Before use, you must carefully read the instructions, familiarize yourself with contraindications and dosages. One of these issues will be considered right now.
Contraindications
Before you familiarize yourself with the contraindications for use, it is worth clarifying one fact: the more time has passed after sex, the greater the likelihood of pregnancy. The likelihood that anti-pregnancy pills will help after unprotected intercourse a week later is very low. It is recommended to take emergency contraception measures during the first three days.
Contraindications to their use include:
- liver diseases;
- age over thirty-five years;
- thromboembolism;
- migraine;
- age less than sixteen years;
- lactation;
- uterine bleeding;
- instability of the menstrual cycle;
- pregnancy;
- kidney disease;
- anemia;
- smoking (especially long-term smoking).
This issue should be treated with maximum responsibility, because the drugs are hormonal. They can greatly harm your health. Be sure to read the instructions that come with the medicine very carefully before use.
Side effects
Any woman must read the instructions for use of these drugs. This should be approached with great responsibility, because hormonal drugs can lead to a whole list of serious diseases and consequences. Some of them are incurable. Side effects after using emergency contraception include:
- infertility;
- ectopic pregnancy;
- thrombosis;
- Crohn's disease;
- irregularities in the menstrual cycle;
- stomachache;
- nausea;
- hormonal imbalances;
- severe fatigue;
- allergic reaction;
- emotional stress and so on.
Many women are interested in what anti-pregnancy pills will help after unprotected intercourse in a month? There are no such miracle drugs, since the period is already very long. In this case, you have to resort to the help of gynecologists to terminate the pregnancy using special drugs. Tablets for this procedure are not sold in pharmacies; they can only be obtained from a doctor and taken under his supervision. We propose to talk about this problem in the next section.
How is the medical abortion procedure performed?
Let us note right away that even this type of abortion has its own specific terms of usefulness and safety. It can be carried out until the tenth obstetric week. A woman herself can easily calculate the last day of opportunity to terminate a pregnancy using medical abortion (sixty-three days from the first day of her last menstrual period). Going beyond these limits is highly discouraged; it is not only useless, but also very dangerous.
- familiarization (the woman signs papers stating that she is familiar with the rules of the procedure and possible complications);
- taking the drug (this drug completely blocks the production of progesterone);
- taking a prostaglandin drug (this step is not necessary, since in 99% of cases the fertilized egg comes out on its own and stimulation of this process is not required);
- ultrasonography.
It is also important to clarify what drugs are used for this method of abortion. As a rule, they are based on mifepristone. These include:
- "Mifegin."
- "Mifeprex."
- "Mifepristone."
- "Mifolian" and others.
Cost and reviews
In this section we will briefly look at the reviews and price of pills against pregnancy after unprotected intercourse. Feedback from women is numerous and varied. In 90% of cases, if taken correctly and on time, women did not experience any discomfort and could get rid of an unwanted pregnancy.
Prices in Russia are shown in the table.
When purchasing any drug, read the instructions, dosage, indications, contraindications and composition.
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