Contraceptive interview: overview of current funds

In modern gynecology widely used various means of contraception that not only prevent unwanted pregnancies, but also the therapy of hormone-dependent diseases of the female genitalia. Contraceptives are chosen doctor after a preliminary examination, taking into account the patient's medical history. On peculiarities of the use of contraceptive drugs gynecologist tells Lantsova Veronika Alekseevna.

Spiral

Why after installation of a spiral having spotting?

Gynecological device has the shape of a letter "T" and made of metal and plastic. The coil may comprise a gestagen hormone (Mirena).

When properly installed, the helix contraceptive effect is achieved in 99% of cases. Often, after the introduction of the spiral marked unusual discharge. Slight separation mixed with blood are often the norm one for this. They are considered to cause damage to the small blood vessels during handling.

Typically, women are observed brownish allocation within a few days after the installation of a spiral, which may be due to the end of menstruation. Sometimes there intermenstrual bloody mucus in the next few cycles.

Are there any advantages of a circular spiral?

spiral form is selected individually depending on the anatomy of the patient. When inability of the T-shaped spiral woman invention proposes the introduction of a rounded shape. Of considerable importance is the material from which is made a means of contraception (copper, silver). Some modern spirals contain a hormonal component is gradually released into the uterine cavity (Mirena).

Can I put a spiral nulliparous girls?

Cervix in parous and nulliparous women is different structure of the external os (slit-like shape and appearance point respectively). Most gynecologists believe that the spiral should not set the girls in the absence of parity for the following reasons:

• the risk of cervical incompetence in a subsequent pregnancy;
• the probability of a spiral and the perforation of the uterus;
• irregular sexual life and the frequent change of partners;
• the possibility of inflammation and adhesions in the tubes, which can lead to infertility;

Introduction device is possible only after a full examination.

When can I get pregnant after removal of the spiral?

Pregnancy may occur in the first cycle after product recovery. In normal conception occurs throughout the year.

Gynecologists recommend to plan pregnancy not earlier than 3 months after the removal of the helix. This is due to the need to restore the endometrium.

What better a spiral or birth control pills?

The issue of contraception are interested in, without exception, all the women who have sex. When choosing a means for protection, it should be noted that there is no perfect and universal method.

Recommend a specific method of contraception should be a doctor, guided by the survey data and medical history of the patient. The most popular means considered a spiral and the contraceptive pill (COC).

Spiral preferably set parous patients in the absence of contraindications as bleeding, chronic inflammatory processes. Nulliparous women do not enter the product due to the risk of complications and consequences.

helix advantage is the high efficiency and the absence of systemic effects on the body. However, the presence of sexually transmitted infections, from which the tool does not prevent, the product must be removed.

COC (monophasic, biphasic, three phase) are diverse drugs that differ in composition, dosage. There are also mini-pill, prescribed to women during lactation and intolerance COCs. The drugs can be taken for treatment, and contraception. Birth control pills can be assigned to nulliparous women. One of the disadvantages of the pill is considered effects on hormones and the body as a whole.

Can I use tampons if costs spiral?

Most gynecologists believe that the use of tampons in the presence of properly installed IUD possible. For example, during an active sex spiral and does not change its position. The only exception is a period of 3 months after the introduction of the device. This is due to the adaptation of the organism to contraception and increased bleeding.

Note that the prolonged presence of tampon in the vagina is a favorable breeding ground for pathogens. If there is the risk of a spiral of inflammation increases.

Can a spiral fall unnoticed?

Among the disadvantages of contraceptive methods is the possibility of loss of the helix, which is quite painful. Typically, the displacement or loss of adaptation occurs in the first few days after installation and due to the following factors:

• incorrect introduction and installation;
• deformation uterine cervix;
• inadequate selection spiral shape and size;
• intense exercise.

The woman may independently determine incorrect placement helix to change the length of the filaments and the appearance of pain during sexual intercourse. If there is fever, lower abdominal pain, abnormal discharge should immediately consult a specialist.

Condom

What should I do if the condom was left in the vagina?

A condom is a barrier contraceptive method that protects against pregnancy and contracting sexually transmitted diseases. Slipping a condom during sexual intimacy occurs quite often and is not associated with poor quality products. The cause is usually incorrect selection of the right size, reduced erection, insufficient or excessive moistening of the vagina.

To prevent slippage of the condom after sex, you should hold it gently with your fingers. If the means of protection remains in the vagina, with a view to its removal can not use tweezers and other items. Extract the product recommended by the fingers. Hands must first wash with soap and water. Partner is desirable to be located on the back and wide diluted bent knees.

If the condom could not remove their own, should visit a gynecologist. As prophylaxis of diseases genitals miramistinom be treated within two hours after sex. To prevent unwanted pregnancy, in the most "dangerous" days of the cycle can take emergency contraceptive drug for 72 hours (Ginepriston).

What is a liquid condom?

A new method of contraception looks like a balloon with a particular substance liquid consistency. Such condoms protect against both unwanted pregnancy and from sexually transmitted infections. As a protection method used male and female condoms liquid.

Liquid latex should be applied to the erect penis at a distance of 50-70 cm. The substance hardens within 30 seconds. Cassette to the cartridge removable. It can be made about 20 condoms of each cassette. The advantages include high efficiency, creating a desired size and a natural feel.

Liquid female condom into the vagina forms a membrane which can be inside to 10 hours possessing antiviral and antibacterial effect. silver particles help maintain hygiene. Additionally, the different additional lubricant. Liquid condom is not used by pregnant women.

COC contraception

Can I get pregnant, taking Jess?

Jess is a modern preparation containing drospirenone eliminates symptoms of PMS. Tablets are starting to take on day 1 of the cycle. Pregnancy against reception can occur when non-compliance with the rules, for example, in the case of missing tablets or alcohol use.

The contraceptive effect is retained when the drug was not pass over 12 hours. The probability of conception above, if the pill was missed 1-14. Additionally, you need to use a condom.

In order to get the rebound effect is usually prescribed Jess Plus. On the abolition of the drug increases the possibility of conception.

What are the analogues of the drug in Vidor?

This combined oral contraceptive comprising drospirenone and ethinylestradiol. Blister contains 28 tablets (21 active and 7 placebo pills). Contraceptive efficacy is reduced only when skipping active tablets after 12 hours. The drug is advisable to start from the first day of the cycle, otherwise require additional contraception.

Vidor has a weak antiandrogenic action. There is evidence of reducing the risk of ovarian tumors during treatment with COCs. Among the analogues release preparations: Leia, Dimia, Anabella, Dells.

What if I forgot to take the contraceptive pill?

The effectiveness of oral contraceptives requires strict compliance with rules taking the drugs, which are described in the instructions. COCs contain artificial hormones (progesterone and estrogen analogues). Tablets of 21 and 28 pieces for ease of application are numbered.

Additional means of contraception must be used when skipping 2-21 tablets, if more than 12 hours. In this case it is also necessary to take 2 tablets (1 for schedule). If a woman did not drink 2 tablets, you should take 4 pills under the scheme:

• first - when he remembered;
• second - on schedule;
• third - after 12 hours;
• fourth - on schedule.

If the pass was 3 or more pills, you must start a new blister. In this case, the cycle is expected to fail. When skipping pills from 22 to 28 day cycle (blister with 28 tablets) additional contraceptive protection is needed.

How quickly pregnancy occurs after regulon?

The preparation contains desogestrel and ethinylestradiol preventing occurrence of ovulation. For the purpose of contraception pills can take several years.

After the cancellation of COCs female body takes a few months to recover. Pregnancy usually occurs within 3-18 months after discontinuation of the regulon.

Can I zaberemet taking Jeanine?

The drug is a low-dose oral contraceptive containing dienogest and ethinyl estradiol (progesterone and estrogen analogues). The contraceptive effect is due to inhibition of the production of sex hormones of the pituitary, lack of ovulation, increasing cervical mucus viscosity, active uterine muscles.

COC has anti-androgenic properties:

• eliminate acne;
• reduces hair distribution (male type).

While taking Jeanine pregnancy occurs in exceptional cases, for example, in the first months of use or skip pills. After discontinuation of the drug becomes pregnant within a year. Sometimes there is the rebound effect and restore reproductive function due to the therapeutic effect of Jeanine.

Does ovulation when taking birth control pills?

In a normal birth control pills prevent ovulation by affecting the female hormones. The occurrence of ovulation and subsequent pregnancy is due to:

• misapplication tablets or skipping;
• COC and some other drugs;
• using the mini-pill;
• inadequate selection means of hormonal contraception;
• gastrointestinal pathologies affecting the absorption of active substances.

Typically, the mechanism of ovulation and fertility is restored within 3-16 months after discontinuation of COCs.

What are contraceptives with antiandrogenic effect?

Androgens are male steroid hormone. In small quantities, they are produced by the ovaries and adrenal glands. When there is an excess of androgens body hair of male type, as well as acne and oily seborrhea. Often against a background of increased production of male sex hormones develop infertility.

In the presence of pathology woman may be assigned COCs with antiandrogenic effect (ethinylestradiol and progestogen):

• Yasmin;
• Chloe;
• Logest;
• Janine;
• Diane-35;
• Belarus;
• Three-Mercy.

Among emit monophasic contraceptives Jess.

Any reviews about contraceptive pills Three-regolith?

A three phase contraceptive contains hormones, taken in different dosages (ethinyl estradiol, levonorgestrel). The package contains 3 types of tablets, the reception of which depends on the day of the cycle.

Three-regolith refers to estrogen-progestin drugs not prescribed for severe liver pathologies, hormone-dependent entities, hypertension, diabetes, pregnancy and lactation. Possible side effects are linked to the influence of the drug on female hormones and are not always an indication for the reception termination.

Three-regolith is obsolete drug, and gynecologists are appointed mainly modern low-dose agents. However, reviews of patients indicate a good tolerability and effectiveness of contraceptive three-Regola. COCs are not recommended for women after 40 years.

What is the effectiveness of birth control pills have Femoden?

This monophasic contraceptive for oral administration comprising gestodene and ethinylestradiol. The drug suppresses ovulation and changes the cervical mucus secretion, providing a contraceptive effect. Femoden normalizes the menstrual cycle is not recommended for women during lactation.

Like other COCs Femoden protects against pregnancy for 99% subject to the rules of taking the pills, prescribed in the instructions to the drug.

What control can be used for varicose veins?

COC contribute to blood clots. That is why drugs should be selected based on the presence of varicose veins. Usually, experts recommend low-dose contraceptives.

The safest means of protection against unwanted pregnancy are:

• condom;
• diaphragms;
• suppositories, tablets, gels and creams (Chemical contraception);
• the calendar method, BT measurement (Unreliable methods).

You can use products containing the lowest dose of hormones:

• Klayra;
• Novinet;
• Lindinet-20;
• Mersilon.

Hormonal contraceptives may take the form of tablets, administered surgically implants rings. COCs are taken with drugs that reduce the risk of thrombosis.

What are the reviews of the diaphragm used as a contraceptive?

Aperture - a dome-shaped cap with a flexible rim, made of rubber or latex. The product is introduced deeply into the vagina prior to intercourse. To increase the effectiveness of contraception it is advisable to use parallel spermididy.

barrier method of contraception is not popular because of the need for individual selection of funds and difficulties in the application. Contraceptive efficacy is about 80%.

To show the pill Laktinet?

The drug contains small doses of progestogen, and is called the mini-pill. Laktinet assigned after 6 weeks postpartum lactating women or inability to use KOC.

The advantage lies in particular agent Content desogestrel, which inhibits ovulation. Laktineta efficiency can be compared with combined oral contraceptives.

Why can not smoke while taking birth control pills?

Smoking has an adverse effect on the female organism:

• increases blood pressure and blood clotting;
• increased heart rate;
• It causes vasospasm;
• It hinders the movement of blood through the veins and vessels.

Estrogen-containing birth control pills also increase clotting and impede blood flow. The risk of developing pathologies above with concomitant obesity, hypertension, diabetes. That is why contraceptives with estrogen content is not recommended for smoking women, especially after 35 years.

What feedback about contraception candlelight Eroteks?

Eroteks Candles are a popular means of contraception at the expense of the main advantages:

• ease of use;
• affordability;
• damaging effects on sperm membrane;
• thickening of cervical secretions, preventing advancement of sperm;
• prevention of sexually transmitted infections.

Essential oils make up the drug, provide exciting and moisturizing effects. Spark injected into the vagina for 5 minutes before intercourse. 2 hours before and after intimacy can not use soap.

Reviews women using candles Eroteks, mostly positive. The drug has no hormonal effects and can be recommended advantageously couples with a permanent sexual partner.

Whether the drug is effective for contraception Leia?

The drug contains drospirenone and ethinylestradiol (24 tablets). The drug also contains 4 placebo pills. Like any other contraceptives combined character Leia suppresses ovulation and changes the properties of the cervical mucus, which becomes impenetrable to sperm. Due to these properties, the contraceptive effect is achieved. When used properly, tablets pregnancy is virtually eliminated.

With the goal of therapy Leia assigned to reduce androgen, which is manifested acne, greasy hair and hirsutism male pattern. In patients receiving the drug to normal cycle, the intensity of pain and bleeding during the critical days reduced.

What feedback about the drug Zoeli?

This combined contraceptive agent containing synthetic estrogen and progesterone analogues (estradiol and nomegestrol). Efficacy studies show approximately 95% by preventing ovulation and changes in cervical secretion characteristics.

The drug does not affect the folic acid concentration and bone mineral density in the body, which is important for subsequent planning pregnancy. Changes in glucose tolerance is also not observed.

Zoeli advised not to take for migraines, thrombosis, individual sensitivity to the drug. The medicine is not assigned to nursing women and in postmenopausal women.

How long the cycle is restored after Diane-35?

Tablets contain artificial estrogen and anti-androgen (cyproterone, ethinyl estradiol). COC Diane-35 may be assigned for contraception and treatment due antiandrogenic properties. While taking notes elimination of acne, greasy hair and body hair (hirsutism).

Diane-35 for quite a long time used in gynecological practice. Currently assigned many other COCs with similar effect having less severe side effects. After discontinuation of the drug is often observed violation of the cycle, accompanied by a lack of ovulation (MFYA). These changes may prevent pregnancy. Overall recovery cycle normally takes from 3 months to a year.

Can I use Charozetta pills while breastfeeding?

Hormonal drug containing desogestrel as active substance. Contraceptive reduces the viscosity of cervical secretion and inhibits ovulation. Charozetta differs little androgenic activity.

The medicine is indicated for intolerance COC and breastfeeding. The components of the drug passes into breast milk in small amounts and have no adverse effects on the child's body.

What is different from other COCs Marvelon?

Monophase hormonal contraceptive containing estrogen and progestogen (desogestrel and ethinyl estradiol). The composition of COC also includes vitamin E. Each pack contains 21 or 63 tablets.

Call the following testimony to the reception Marvelona:

• contraception;
• recovery cycle;
• endometriosis;
• hormonal menopausal changes.

The drug affects the production of sex hormones, preventing ovulation and endometrial proliferation. The viscosity of the cervical secretions increases, which prevents the penetration of sperm.

Among the advantages Marvelona release:

• prevention of anemia and mastitis;
• Warning inflammation in the pelvic area;
• reducing the risk of ectopic pregnancy, ovarian tumors;
• possibility of changing the date of menstruation.

A similar composition and effect has COCs regulon.

Why chest pain when taking contraceptives?

Engorgement and breast pain often occur when using a hormonal contraceptive tablets. This is due to the influence of synthetic hormones and changes in sex steroid production by the female body. Typically, such a reaction is observed during the first months of taking the drugs.

Does KOC Modell Libera therapeutic effect?

The preparation is used for contraception and includes levonorgestrel and ethinyl estradiol (estrogen and progestin). Means arranged to receive within 91 days (84 active tablets). Accordingly, menstruation occurs every 3 months, which can be used for the treatment of gynecological pathologies such as endoometrioza.

Modell Libera contributes to the viscosity of the cervical mucus, inhibition of oocyte maturation. Prevention of proliferation of the endometrium is also a prerequisite contraceptive effects.

What are the folk contraceptives for women?

On can use various contraceptive purpose of contraception, having proven effectiveness. However, some women prefer to use so-called people's means of protection from unwanted pregnancy. The effectiveness of the many ways is controversial. In addition, some methods may have a negative effect on the female body.

The most popular irrigation and irrigation of the vagina after intercourse the following solutions:

• citric acid (1 liter of water and 5 g of acid);
• vinegar (1 L water and 2 tablespoons means);
• of potassium permanganate (1 L of water and 10 substance crystals).

To increase the acidity in the vagina and neutralize sperm also inserted into the vagina aspirin or lemon slice immediately after intercourse.

Traditional methods do not prevent infection with sexually transmitted diseases and can be ineffective due to the individual characteristics of vaginal environment, concentration and sperm motility.

For what purpose are taking hormonal drug eskapel?

Eskapel contains levonorgestrel and used as a means for emergency contraception. The drug prevents ovulation or fertilization. Produced effect depends on the phase of the cycle, during which the drug has been adopted. Application eskapel after implantation inadvisable.

Suitability: Recommended for use within 72 hours after unprotected intercourse. Tablets also take the ineffectiveness of other protection techniques. Eskapel contraindicated during breastfeeding.

How to use contraceptive caps?

This is a barrier method of contraception, preventing infection of sexually transmitted diseases and unwanted pregnancies. The cap is easy to use by including the cervical anatomy. The product is made of silicone and does not cause allergic reactions.

The cap may be in the vagina to 48 hours. It is advisable to use it in conjunction with a spermicide. The product is recommended lactating women, it can be reused in any phase of the cycle.

However, contraceptive agent differs lack of efficiency due to possible misalignment. It can not be used in erosion and diseases of the urogenital area.

Can hair from falling out of birth control pills?

Specialists point out that any medication drugs can have a negative impact on the condition of the hair. Oral contraceptives, change, or cancel drugs also provoke loss.

Allocate contraceptive drugs that most often lead to hair loss. These include Lindinet and Miniziston. For prevention and treatment can be used to Diana 35, Jess, Novinet.

What feedback on the pill Jazz?

Contraceptive comprises drospirenone and ethinylestradiol. Reviews of preparation mostly positive, which accounts for its frequent administration gynecologists. COC used not only as protection due antiandrogenic effects on the body. Treatment is recommended for severe acne, PMS.

Are hormonal preparations candles Benateks?

This is a non-hormonal contraceptive with the antifungal and antiseptic effect. Candles can be used during lactation, and menopause. The suppository is administered 10 minutes or one hour prior to sexual intercourse. The duration of the therapeutic effect of 3-4 hours.

A distinctive feature of the product is no release after use, the possibility of cleaning the water. Benateks does not affect the normal vaginal microflora.

How often can I use postinor?

The drug used in emergency contraception within 72 hours of unprotected sex. Since drug efficacy decreases over time. Tablets contain high doses of hormones which often causes malfunction cycle. Minimize the use of Postinor. Use of the drug can be no more than once every 6 months.

Do antibiotics and birth control pills are compatible?

For a long time it was believed that antibacterials reduce the effectiveness of contraceptives. However, studies have shown that modern COCs are compatible with most antibiotics. Usually additional contraception during therapy is not required.

What is a drug for emergency contraception Zhenale?

It antigestagens means being a postcoital contraceptive. Tablets intended for oral administration. The preparation according to the menstrual cycle period during which it is assumed is provided blocking ovulation, ovum implantation warning.

The tool is designed for emergency contraception through unprotected sexual intercourse, or in case of failure of other methods of protection. Zhenale taking within 72 hours after intimacy. The drug does not protect against sexually transmitted infections.

What is the contraceptive sponge?

The so-called contraceptive sponges appeared in the 80's of last century. Product release is currently only three companies (Today, Protectaid, Pharmatex).

The contraceptive sponge - a barrier method, a porous structure made of a polyurethane or a natural sea sponge. A device impregnated with a spermicide.

Pre-soaked sponge is introduced before sexual intercourse in the vagina. The contraceptive may be present in up to 24 hours, during which it is possible to hold several sexual acts. The sponge is removed from the vagina no earlier than after 8 hours of intimacy.

Efficacy contraceptive sponge in nulliparous women is higher, and generally ranges from 76 to 86%. This is an ideal method of contraception during lactation. The tool is also suitable in the presence of an irregular sexual life.

Coitus interruptus, contraception after abortion

Why does coitus interruptus is considered to be an unreliable method of contraception?

Popular among young couples PAP is not a method of protection from unwanted pregnancy for the following reasons:

• presence at the head of the human penis is sperm ejaculation;
• premature ejaculation.

According to statistics, 20% of pregnancies are the result of an interrupted sexual intercourse, which favors the method failure.

What means of contraception is prescribed after an abortion?

In the absence of complications a woman can choose any method of contraception. Typically, physicians recommend COC and IUD, which may be administered immediately after abortion or miscarriage. Oral contraceptives should be taken from the date manipulation.

By modern methods include:

• contraceptive patch (EVRA);
• NuvaRing vaginal ring;
• Norplant implant.

Popular barrier means:

• condoms (Male and female);
• caps;
• the diaphragm;
• sponges.

Barrier methods prevent diseases which can be transmitted sexually. A significant advantage is the absence of systemic effects on a woman's body.