Escapelle or postinor which is better and safer. And now about some psychological aspects for the young and inexperienced. A case from my practice

Unprotected intercourse does not always lead to pregnancy. But in order not to push your luck, modern pharmaceuticals offer hormonal drugs for postcoital contraception. One of the oldest representatives of the group is Postinor. It continues to be sold in pharmacies, although currently Safer analogues have been developed. But when correct use, you can use this tool.

What is post-natal contraception

The effectiveness of trying to prevent pregnancy depends on the day menstrual cycle and time of initiation of treatment. In women with normal cycle for conception to occur there is a short period of time of 12 hours - the time when the egg leaves the follicle and moves into fallopian tubes. If during this time there is no meeting with a sperm, then an embryo will not form.

For this it is necessary to adhere to a clear time frame. The age of the embryo should not exceed 3-5 days. Only at this time does the endometrium have the properties necessary for implantation. Therefore in natural conditions the number of pregnancies that progress successfully after conception is only 30%.

High risk of pregnancy during sexual intercourse that occurred three days or less before ovulation. Sex one day after the release of the egg cannot lead to pregnancy.

Therefore, before you decide to take hormonal drugs, it is necessary to assess the risk of becoming pregnant. If a woman knows exactly the time of ovulation (), the duration of her cycle, then this is as simple as possible. A day or two after the follicle bursts, unprotected sex will not lead to pregnancy. Therefore, there is no need to take hormones that can disrupt the menstrual cycle.

TO emergency contraception resort within 1-3 days after sexual intercourse. The sooner this is done, the higher the effectiveness of Postinor and other drugs.

Composition and mechanism of action

The drug contains levonorgestrel. This is a synthetic progestogen that is part of. It also has an antiestrogenic effect.

How does Postinor work?

It inhibits the gonadotropic function of the pituitary gland. Under its influence, the concentration of gonadotropins - luteinizing and follicle-stimulating hormones - decreases. Therefore, if ovulation has not yet occurred, it will slow down.

Levonorgestrel affects the endometrium, changes its properties, which prevents the implantation of an already fertilized egg. It also increases viscosity cervical mucus, due to which sperm cannot penetrate the fallopian tubes.

The active substance is rapidly absorbed when taken orally, its bioavailability is almost 100%. Maximum serum concentration is reached after 1.6 hours. The half-life is 26 hours. Levonorgestrel is excreted in equal proportions by the kidneys and through the intestines.

Indications and contraindications

Women take birth control pills Postinor after sexual intercourse without using a means of birth control. It can also be used if there is no complete confidence in the effectiveness of the main product:

condom slipping into the genital tract;
violation of the integrity of the condom, the female diaphragm;
missing one or more oral contraceptive pills;
loss or spontaneous removal of the intrauterine device;
incorrect calculation of ovulation days when using the calendar method;
unsuccessful interrupted sexual intercourse.

The drug acts on the implantation mechanism, so taking Postinor to terminate pregnancy in the early stages does not make sense.

Contraindications include the following conditions:

Individual intolerance or increased sensitivity to the components of the drug. If once after taking the pills there were signs of an allergic reaction, repeated use will be accompanied by a similar reaction or even more pronounced.
Age up to 18 years. begins on average at 12-14 years of age and continues for 4-5 years. Any intervention can lead to serious cycle disruptions, which may take several years to recover.
Heavy liver failure accompanied by metabolic disorders. Most hormones, including levonorgestrel, pass through the liver. If there is insufficiency of organ function, it may occur excess accumulation and increased side effects.
Pregnancy is also a contraindication. Postinor will not cause miscarriage, but its effects on the developing fetus have not been well studied. There is always a risk of bookmark violation internal organs.
Lactose intolerance, lactase deficiency, glucose-galactose malabsorption may worsen when using Postinor, since it contains lactose monohydrate and corn and potato starch.

You should drink Postinor with caution if you have Crohn's disease, inflammatory diseases of the liver and biliary tract, or cholelithiasis.

In women over 35 years of age, the chance of developing thrombosis increases. The risk increases with bleeding disorders, smoking large number cigarettes a day. The presence of migraine indicates a tendency to thrombosis. Therefore, in this case, you should also take the drug with caution.

Combination with other drugs and alcohol

Due to their metabolic characteristics, it is not recommended to combine some medications with Postinor. These include:

inhibitors proton pump: Lansoprozole, Omeprazole;
reverse transcriptase inhibitor: Nevirapine;
antiretroviral: Ritonavir;
antiepileptic drugs: Oxcarbazepine, Carbamazepine, Primidone, Phenytoin;
immunosuppressants: Tacrolimus;
antibiotics: Rifampicin, Ampicillin, Tetracycline, Rifabutin, Griseofulvin;
retinoids: Tretinoin.

Levonorgestrel reduces the effectiveness of hypoglycemic drugs and worsens the use of anticoagulants of coumarin derivatives, Phenindione. Plasma concentrations of glucocorticosteroids may increase.

The simultaneous use of Levonorgestrel and Cyclosporine suppresses the mechanism of metabolism of the latter. It is an immunosuppressant prescribed for internal organ transplantation and bone marrow. Failure to neutralize the drug leads to its accumulation in the liver and the appearance or intensification of adverse reactions.

Treatment with drugs based on St. John's wort, including those prepared at home, is also a contraindication.

The compatibility of Postinor and alcohol is controversial. Ethanol is metabolized through the liver. There are several pathways for oxidation and excretion ethyl alcohol from the body. In some cases, they coincide with those for hormonal agents. Competition for transport proteins may lead to impaired metabolism of either alcohol or medication.

Undesirable effects

Side effects from Postinor vary from person to person. The most common adverse events are:

Defeat digestive tract: lower abdomen hurts, nausea, vomiting, digestive disorders, and in some cases diarrhea.
Pathology of the mammary glands: pain appears on palpation of the breast.
Reproductive system: menstrual irregularities, bleeding after administration that is not associated with the normal menstrual cycle. The delay after Postinor can be up to 7 days or more. The duration of the menstrual cycle disruption varies. Menstruation can start earlier or later than due.
Defeat nervous system manifests itself as increased fatigue, frequent headaches, dizziness. The appearance of this side effect is associated with the effect of Postinor on the coagulation system and an increase in blood viscosity.

Most side effects go away on their own within a few days. If they stay longer long term, you need to consult your doctor and rule out pregnancy.

Menstruation after Postinor must be calculated based on previous data on the duration of the cycle and the time of onset menstrual bleeding. If there is a delay of more than 5-7 days, you must consult a doctor. In this case, there is a high probability that the drug did not work and the pregnancy continued.

Appearance brown discharge may be an indicator of the beginning normal menstruation or the manifestation of a side effect in the form of cycle disruption.

If after taking the drug there are no periods, but the pregnancy test is negative, in this case it can be assumed that the luteal phase of the cycle is insufficient. Influenced large dose levonorgestrel could cause profound depression of pituitary function. Therefore, the lack of luteinizing and follicle-stimulating hormones affects ovulation: it is delayed indefinitely. To confirm the diagnosis, a hormonal profile examination is used: blood is donated for the main sex hormones. It is recommended for such women to be carried out to determine the onset or impossibility of ovulation.

A positive test after taking the medicine indicates pregnancy. This means that Postinor was taken incorrectly or untimely.

The consequences of contraception with Postinor may be long-term. Some women complain of missing periods or irregular cycle for several years.

Combination with pregnancy and lactation

Postinor is not designed to terminate pregnancy; it is not a medication for medical abortion. But it is impossible to call it completely safe for pregnant women: it is impossible to evaluate the effect on the developing fetus experimentally. There is also no data on such experiments on animals.

It is not known whether Postinor is harmful to the developing fetus. But in cases of pregnancy occurring while taking the drug, preservation of the fetus did not result in the detection of severe vascular pathology or the occurrence of deformities incompatible with life.

The active substance is found unchanged in the blood, it can penetrate into breast milk. A newborn does not need the action of hormones that affect the immature pituitary gland. Therefore, if there is a need for emergency contraception during breastfeeding, after taking the pills, you must refrain from feeding for at least 1 day.

How to take Postinor

The first condition for successful use of the pills is no more than 72 hours after sexual intercourse, which occurred without contraception. The package contains two tablets. The first is taken as early as possible, and the second 12 hours after it. The maximum gap between taking two tablets is 16 hours.

An adverse reaction in the form of vomiting that appears within 3 hours after taking 1 or 2 tablets becomes the basis for taking an additional tablet.

Use Postinor on any day of the menstrual cycle. If menstruation occurs regularly, then there is no possibility of a short-term pregnancy. If it is necessary to exclude the existence of pregnancy using a rapid test.

The drug cannot be taken again during one menstrual cycle. This leads to the appearance of spotting and acyclic uterine bleeding.

How often can Postinor be used?

Peculiarities

The effectiveness of contraception with levonorgestrel depends on the time when the first pill was taken. The sooner after intercourse this is done, the higher the likelihood good outcome. For example, if you use it during the first day after unprotected sex, in 95% of cases or more the promised effect occurs. When using the first tablet during the second day, the effectiveness decreases to 85%, and on the third day it is only 58%.

After using the drug, it is necessary to mark the date of unprotected sex and the day of administration in the women's calendar. From this time they take a countdown for the appearance possible signs pregnancy or its successful prevention.

How to understand that Postinor has worked?

Menstruation should begin on time according to the calendar. Its duration and volume of blood loss should not differ significantly from normal days.

You should consult a doctor in the following cases:

heavy periods;
scanty discharge;
delay more than 7 days;
combination of discharge with pain in the lower abdomen.

Painful sensations can be cramping, but more often aching in nature. Sometimes this condition is accompanied by weakness and dizziness. When acute pain in the abdomen requires urgent hospitalization. This is how it usually manifests itself. An interrupted pregnancy due to a ruptured tube is characterized by the appearance of acute abdominal pain, signs internal bleeding(decrease blood pressure, tachycardia).

The effectiveness of a drug can be affected not only by other drugs, but also pathological conditions. Crohn's disease, when it spreads, does not upper sections intestines, leading to malabsorption useful substances. Therefore, with this pathology, as well as others inflammatory diseases digestive tract, possible malabsorption and, as a result, insufficiently effective contraception.

It should also be remembered that hormonal agents do not protect against sexually transmitted diseases. To protect yourself from infection, you must use a condom correctly. If sexual intercourse carries with it the danger of not only the occurrence of unwanted pregnancy, but also the development of infection, should be used emergency funds protection. To do this, the woman must urinate and treat the urethral opening with an antiseptic solution: Chlorhexidine, Miramistin. In some cases, preventive antibiotics are effective.

Hello, dear readers of our magazine! Today we will figure out which of the “fire” contraceptives is better - postinor or gynepristone.

Surely you came to this page immediately after an unprotected PA, or you were let down traditional remedy contraception, and now you don't know. Let’s say right away that you shouldn’t give in to panic and prescribe for yourself medicine, be it postinor or gynepristone. In any case, you need to seek advice from a gynecologist, this way you can protect yourself from potential damage to your health from thoughtlessly taking medications.

Still, many girls try to educate themselves in advance about postcoital contraceptives, and this article was written for them.

Postinor or gynepristone - let's compare!

The most adequate way to compare the mentioned contraceptives is to collect and analyze the opinions of people who have already dealt with them. Fortunately, this is the digital age, so we have this opportunity. Moreover, the magazine “Lucretia” has already taken up this issue and is ready to provide structured information in the following two articles (you can read it yourself):

So what do we end up with? Ginepristone beats postinor in almost everything:

it is much more effective in preventing pregnancy (74% for gynepristone versus 45% for postinor);
we were able to find many reports of the absence of side effects when using gynepristone (40% versus 2%);
Postinor has a more extensive list of side effects;
gynepristone boasts a very small list disastrous consequences after use, which cannot be said about postinor;
among people’s opinions about gynepristone, no reports of infertility occurring after use were found (its competitor loses greatly in this regard);
gynepristone is effective at any stage of the menstrual cycle, and the effectiveness of postinor decreases after ovulation.

It turns out that the difference between the drugs is colossal. Postinor is an outdated drug; an opinion was found on the Internet that in Europe Postinor has not been used for a long time, but in our country they have not yet abandoned it. As a result, Lucretia, in the question “postinor or gynepristone?” prefers gynepristone.

Every woman takes care of her own women's health. IN modern world There are many methods of contraception that women actively use. But sexual intercourse cannot always be planned. Emergency contraception has been developed for such cases.

Postinor is the most popular drug for early pregnancy termination, used after unprotected intercourse. Postinor must be used in two stages: 1 - within 72 hours after sexual intercourse, and 2 - 12 hours after using the first tablet. Then the risk of getting pregnant will depend on the moment you take the first pill: from 6% to 43%.

Safe analogues of Postinor

However, Postinor has many side effects and contraindications. For example, the use of Postinor is strictly prohibited for women with liver disease. In this case, safe analogues of Postinor will help, of which there are already enough a large number of, and, by the way, these analogues of Postinor are cheaper. The most famous analogues of Postinor are:

Escapelle;
Gynepristone;
Microlute;
Eskinor-F;

All of the above drugs have the same properties as Postinor, but differ significantly in price and the presence of side effects, as well as the degree of safety. Since Postinor is quite old drug, its safety is not as high as that of modern contraceptives.

Which is better: Postinor or Escapelle

Analogue of Postinor Escapelle - more modern method emergency contraception, but this does not mean that it does not have the same contraindications as Postinor. It should be remembered that the safety of these drugs is not high enough. Each of them has its own contraindications and side effects that adversely affect a woman’s health.

The safety and effectiveness of using these contraceptives also depends on how accurately the woman followed the instructions. If any side effect occurs, you should immediately consult a doctor.

Thus, both Postinor and Escapelle have similar indications, and therefore you should decide which drug to take together with your doctor after a careful examination and the patient has passed all the necessary tests.

Analogues of Zhenale and Ginepriston

Many girls also wonder which is better: Zhenale or Postinor? The choice here is individual. Zhenale also has its contraindications and side effects. Therefore, it is also better to discuss its use with your doctor.

Regular use of the drug is strictly prohibited, as it can cause serious complications. It is also necessary to remember the fact that if, after using Zhenale, pregnancy does occur, the risk of having a child with pathologies is quite high.

As for Ginepriston, it also has a number of contraindications:

Pregnancy;
Breastfeeding is prohibited for two weeks after taking the pill;
Chronic diseases of the adrenal glands, kidneys or liver;
Heart diseases;

There are also many side effects, which may appear even if the instructions for use are fully followed:

Allergic reactions;
Painful sensations in the lower abdomen;
Discharge of blood from the vagina;
Delayed menstruation;
Headache/dizziness;
Nausea, vomiting;

Which is worse: Postinor or medical abortion

Postinor is an emergency contraceptive drug used to prevent pregnancy after unprotected sex. A medical abortion- non-surgical termination of pregnancy.

Postinor must be taken within 72 hours after sexual intercourse, but medical abortion is used already during an established pregnancy. By the way, there is a misconception that emergency contraception causes abortion if a woman takes the pill while she is already pregnant.

It should also be remembered that medical abortion can only be performed under medical supervision, but emergency contraception drugs are available to every woman without exception.

Thus, it is impossible to say which is worse: Postinor or medical abortion, since each of them is used in different situations and each has its own indications and side effects.

How much does Postinor cost in pharmacies?

Prices for Postinor in pharmacies depend on the region where the pharmacy is located, as well as on the pharmacy itself. It often happens that in one pharmacy a drug costs much more than in another.

Now specifically about the cost: Postinor is available without a doctor’s prescription, the cost of Postinor fluctuates around 400-500 rubles per package containing two tablets.

In conclusion, I would like to note that no emergency contraceptive drug can protect against sexually transmitted diseases. It should also be remembered that regular use emergency contraceptives may lead to severe complications, and therefore it is necessary to reduce or even limit their use.

Watch a video review from a doctor about emergency contraception:

Every woman’s medicine cabinet, regardless of whether she uses contraceptive pills regularly or takes them from time to time, should have emergency (post-icotal) contraception: the drugs “Postinor” or “Gynepristone”, “Escapelle”, “Zhenale”.

In fact, Postinor tablets and its analogues cannot be considered a real contraceptive, because the principle of their action is fundamentally different from the action of conventional contraceptive drugs.

First, postcoital medications prevent eggs from leaving the ovary. Secondly, if this does happen, they prevent the egg (already fertilized) from attaching to the wall of the uterus and continuing development. Thirdly, they prevent the fertilization of the egg. Finally, if pregnancy does occur, the drug Postinor can cause a medical abortion.

Classic contraceptive drugs simply prevent the release of an egg from the ovary. Accordingly, if there is no egg, there can be no fertilization.

Some experts behind the scenes call the Postinor tablets, analogues of this drug and other means of post-icoital contraception “drugs for widows”, implying occasional use of the drug.

These medications cannot be taken continuously for many reasons. At constant use the structure of the endometrium changes, heavy adverse reactions from many organs.
Addiction sets in and the effectiveness of the drug decreases.
Uterine bleeding may begin.

The question rightly arises: “If the medicine cannot be taken constantly, when is the best time to use it?” The answer is simple: "B in case of emergency" That is why drugs of this kind are popularly called “the morning after.” What are these emergencies?

The drug "Postinor", analogues of this drug can be taken after sexual intercourse for 72 hours. Naturally, the more time passes, the lower the effectiveness of the impact. However, even after 72 hours, there is a 58% chance that the drug will work and pregnancy will not occur.

What are these emergency cases?

rape;
unplanned unprotected sexual intercourse;
rare sexual intercourse (no more than 1 time between menstruation);
condom rupture or other unforeseen situations.

Women are often interested in what is better: postinor or escapelle. The principle of action of these contraceptives is the same, but the drug "Postinor" belongs to earlier, not so well-balanced formulations. After taking it, every second woman experiences nausea. It can negatively affect the development of pregnancy if it does occur.

The drug "Escapelle" was created later, it has less side effects, and you can drink it within 96 hours after the act. For Postinor products this period is only 72 hours.

When asked whether Postinor or Gynepristone is more effective, doctors often answer that all drugs of later generations are more effective and less harmful. However, in the case of the drug "Ginepristone" this truth does not work. Just like Postinor tablets, it can cause nausea or vomiting, bloody issues, cycle violation. Both of these contraceptives can cause urticaria, dizziness, hyperthermia, and weakness.

In addition, it is important to always remember that everything similar drugs have many contraindications. They are not recommended:

with renal and adrenal insufficiency;
with liver failure;
for lung diseases;
for extragenital pathology;
when breastfeeding.

If you absolutely need to take a post-icoital contraceptive, it is better to do this on the advice of a doctor.

Are there analogues of postinor that are not so harmful??

Anyuta

Emergency contraception
Gynepriston or Agest (Gynepriston)
A modern hormonal postcoital drug. Compared to Postinor, it is almost harmless, because it is an anti-progesterone, it is no less effective in preventing pregnancy, but this is not a huge dose of hormones, but a small dose of an antihormone. There is no damage to the ovaries.
Escapelle
Exclusive new means for emergency contraception. Recommended for use within 96 hours after unprotected sex. The earlier the pill is taken, the more effective it is.
Mifegin (Mifepristone)
A modern drug that can be used to carry out medical (non-surgical) termination of pregnancy from the first day of missed menstruation to 8 weeks. To carry out this procedure, you must contact a gynecologist licensed to use this drug.
Postinor
A hormonal drug from the “last century” for emergency contraception. The earlier the first tablet was taken, the more effective the effect.
ATTENTION!! !
This outdated drug contains a very high dose of the hormone levonorgestrel, many times higher than the content of this hormone in oral contraceptives. This dose is a powerful blow to the ovaries. In addition to the fact that the existing pregnancy will be interrupted, the menstrual cycle may be disrupted.

Therefore, this drug should not be used more than 2 times a year and should not be considered as one of the possible contraceptives! This especially applies to young women under 18 years of age, whose hormonal balance has not yet been established.

Are there any analogues of Postinor? but not so strong

There is an alternative!
The drug is called ESCAPEL.
IT'S ACTUALLY DESIGNED FOR 96 HOURS!! !
This drug is intended for emergency use and in no case replaces regular contraception. The use of Escapel® is recognized as the most effective and well-tolerated method of emergency contraception. The drug is extremely convenient to use: 1.5 mg of levonorgestrel in one tablet, which provides the necessary dosage of levonorgestrel, sufficient to prevent pregnancy from occurring, and moderately low in order to prevent the onset of an unwanted pregnancy for a woman in the most gentle way. 1.5 mg of levonorgestrel is safe for female body dose of the drug, which has been confirmed by numerous clinical studies worldwide. Levonorgestrel does not prevent fertilization in all cases. In cases where the exact time of sexual intercourse is not known, or when more than 96 hours have passed since sexual intercourse without contraception, the likelihood of fertilization is high. In such cases, taking the Escapelle tablet after the second sexual intercourse will not bring the desired result.
Escapella tablet can be taken on any day of the menstrual cycle, provided that the previous menstruation was normal. After use this tool barrier should be used contraception, for example a condom, until the next menstruation.

Natalia Aquilina

all postcoital contraceptives are essentially the same - in them horse dose hormones, and they are all equally harmful to health... that being said, last resort, it’s better not to take it at all, the consequences are very unpleasant (I know from my own experience)

Is there any analogue of postinor that is less harmful to the body?

Natalia

Any emergency contraceptive drug contains a “loading” dose of hormones - this is the principle of its action. All are approximately equally unsafe in terms of hormonal imbalance. Choose other measures and methods of protection.

Sardine Lida

escapelle, but this is also almost a mini-abortion; there are no less harmless ones with the same result. I read here about washing with lemon juice, drinking decoctions from the motherboard, etc., but it seems to me that this is tantamount to applying iodine to the pussy and waiting for the result... choose a contraceptive method other than the calendar method - my friend got pregnant while having sex during her period...

If a young couple does not plan to have children in the near future, then they use contraception, fortunately, the range of them today is quite wide. In the arsenal of lovers there are condoms, spirals, patches and oral contraceptives - pills. But what if unprotected sexual intercourse did take place? IN emergency situation created specifically for this purpose will help.

When you need to act urgently

This kind of medication is used between 24 and 72 hours after sexual intercourse. Indications for the use of emergency pregnancy prevention methods are:

unprotected sexual intercourse;
condom rupture;
problems with the intrauterine device;
skipping 3 or more tablets oral contraceptives;
rape;
the very beginning of sexual activity.

One of the methods of force majeure contraception is the drug “Zhenale”. Instructions, reviews from doctors and buyers, as well as comparisons with similar medications are presented in our article.

Release form and description of the medication

Available this drug enough in round tablets large size, 1 piece in a package, tablet weight 10 mg, its color is light yellow, with a slight greenish tint. The above remedy should be taken orally two hours before meals or two hours after meals. How formerly a woman If you take the drug after unprotected sexual intercourse, the faster and more effective it will work. If vomiting occurs within 3 hours after taking the medicine, you should consult a doctor - this means that this particular medicine is not suitable for you, and you need to find a remedy with a similar effect as quickly as possible.

Contraindications and unwanted effects

Side effects are possible after taking Zhenale. They depend on personal intolerance to the components of the drug. This may include nausea, vomiting, or headache. There is no need to worry about this, since such symptoms are possible after using any medicine. Discharge after “Zhenale” is also possible, it can be bloody or colorless, this is a variant of the norm. Like any medicine, postcoital contraceptives have contraindications. These include renal failure, low hemoglobin, pregnancy and lactation.

Please note that emergency contraception "Zhenale" does not protect against sexually transmitted diseases and AIDS; its effect is only aimed at preventing unplanned pregnancy. The above-mentioned drug cannot be used instead of regular contraception or after each individual sexual intercourse. It is not suitable for daily use as it is designed for emergencies. For permanent contraception, it is necessary to select regular oral contraceptives, which are taken orally every day at the same time.

The use of the Zhenale contraceptive is required only in the absence of pregnancy, since it does not cause abortion and will not get rid of an existing pregnancy, but it may well cause harm to the fetus. If, after taking the above-mentioned drug, fertilization does occur, medical or surgical termination of pregnancy is recommended. If a woman decides to keep the child, the risk of pathologies in the development of the unborn baby cannot be excluded.

The influence of "Zhenale" on women's health

This drug is non-hormonal agent, therefore on hormonal background It does not affect women and does not disrupt the menstrual cycle. Menstruation after “Zhenale” comes on time if the cycle is already established, discomfort the above remedy does not deliver. During your appointment medicines Drinking alcoholic beverages in large doses is unacceptable. Of course, we cannot say that Genale and alcohol are categorically incompatible. Alcohol does not affect the effectiveness of this postcoital contraceptive, but you should still not combine the drug with it. The medicine discussed in the article has gained a good reputation among consumers - read about this below.

"Zhenale" - review and opinions about the drug

Women who have tried this means of express contraception note it high efficiency, no harm to the body, since it does not contain a lethal dose of hormones, but only one antihormone, which blocks the activity of sperm and prevents pregnancy. After taking Zhenale, many women were pleasantly surprised by the absence of unpleasant, and even painful, sensations after taking the pill. Many emergency contraceptives are difficult to tolerate by the body and cause a lot of inconvenience and side effects. After taking this drug there were no such troubles.

Consumers speak well of Zhenal also because it is not in short supply and can be easily purchased at almost any pharmacy. A doctor's prescription is not required for this, although it is advisable to consult a gynecologist before using it. This product costs about 300 rubles. An undoubted advantage is that periods after “Zhenale” come on time, at most they can be delayed for a couple of days, but this happens quite rarely. This means that the cycle does not break down, which cannot but please customers. Particularly thrifty consumers keep this product in home medicine cabinet"just in case".

Girls who have experienced the effects of the drug “Zhenale” usually leave positive reviews. Many people are surprised how gently it acts and does not affect weight. But before taking the pill, it is advisable to do a pregnancy test, since those who have regular sexual intercourse could “accidentally” become pregnant earlier, and in this case the drug will harm the fetus great harm. This information is for those who still decide to keep the child.

Pregnancy and "Genale"

For those who are planning a pregnancy in the near future, after “Genale” you need to wait 2-3 weeks, and then start active actions. During the specified time, the drug is completely eliminated from the body and the health of the mother and the unborn baby is no longer threatened. This remedy has passed everything clinical trials. And although the instructions indicate possible side effects and discomfort, in fact, a very small percentage of women feel unwell after taking the pill. Doctors also recommend “Zhenale” in emergency cases: the reviews of gynecologists about it inspire confidence. Doctors note that this product was created taking into account the characteristics of the female body, it does not disrupt the hormonal levels of patients.

A very important fact is that menstruation after “Zhenale” begins on time, according to the usual schedule. Naturally, the above-mentioned drug cannot be abused; it is recommended only in emergency cases, in particular, after unprotected sexual intercourse. The main component of "Zhenale" is mifepristone (of course, not only it, but in combination with other ingredients). It is usually used when necessary, and in doses much greater than one tablet. But to protect against unwanted pregnancy, 10 mg of the drug is quite enough.

It has already been mentioned that the delay after “Zhenale” is an extremely rare phenomenon, a maximum of a couple of days, and after this time the cycle is established. Gynecologists unanimously declare that the above-mentioned emergency contraception is the most effective. It was invented recently, so it includes everything latest developments pharmacology and medicine. The effectiveness of Zhenale has been clinically proven, and women who have used this remedy claim that it is the best among similar medications.

Drugs with similar effects

Since “Zhenale” was created quite recently, it is worth mentioning the post-coital means that girls used before the above-mentioned contraceptive appeared on the market. Previously, medications such as Escapelle, Postinor or Gynepristone were used to protect against unwanted pregnancy. Let's look at them in more detail and compare the effectiveness of these funds with Zhenale.

"Escapel" until recently was latest development scientists in the field of express contraception, and was used when usual ways protection against unwanted pregnancy was inadequate or failed. Main component medications - levonorgestrel - are also used in Postinor. Plus of this medicine and its main difference from its analogues is that it can be used even during breastfeeding, which means that it also acts gently and gently, like “Zhenale”. If pregnancy has already occurred, then “Escapelle” will not harm the fetus, that is, the baby will be born healthy. The effectiveness of this drug is as high as the previous one: all women who used this remedy avoided pregnancy.

From side effects“Escapela” most often mentions disruptions and irregularities of the menstrual cycle, heavy discharge, pain in the lower abdomen, and with them nausea and migraines. Few people have experienced any discomfort when taking this drug. Women also mentioned an allergic reaction to this medicine - redness and rashes on the skin, nausea, general weakness body, upset stomach, lethargy and drowsiness. But almost all customers were satisfied with the effect of the product, since it perfectly protected against the consequences of unprotected sexual intercourse. Russian scientists and gynecologists confirm the effectiveness of the drug, it is 97%. But do not forget that the product does not protect against sexually transmitted infections.

How the drug "Escapelle" works, dosage, indications and contraindications for use

The principle of operation of Escapelle is that it slows down the ovulation process and prevents the egg from leaving the ovary for fertilization. And if this has already happened, then this remedy prevents the fertilized egg from entering the uterus. The main condition is to take the pill no later than three days after sexual intercourse. If pregnancy occurs earlier, everything is meaningless. It is not recommended to take this drug constantly, since a large amount of hormones will harm the body, increase the number of side effects and reduce the activity of its action. Age restrictions There is no “Escapel” for use; you can take it from the beginning of sexual activity, but before that it is recommended to consult a gynecologist. In addition, to purchase the drug you need a doctor's prescription. This medicine is also available in 1 tablet per package. Contraindications to the use of "Escapel" may be:

intolerance to the components of the drug;
liver or kidney failure;
pregnancy.

Very often, taking the pill is accompanied by discharge and bleeding from the genital tract, you should not be afraid of this, this is the norm. It is also advisable to take a pregnancy test before taking the medicine. This contraceptive is taken orally and should be taken with a sufficient amount of water. If vomiting begins within two to three hours after taking it, it is recommended to take another tablet to enhance the effect. And before the onset of the next menstruation, it is imperative to use topical contraceptive methods, for example, a condom, since frequent use of the above-mentioned medicine increases the amount of discharge.

Comparison of the drugs discussed in the article

Since both “Zhenale” and “Escapelle” are similar express contraceptives, each woman herself or after consulting with a doctor must decide which method she will take. Another representative of the line contraceptive drugs is "Postinor". It has been known for a long time and has been sold for several decades, until recently being practically the only remedy that protected against unwanted pregnancy after unprotected sexual intercourse. The effectiveness of Postinor is only 85%, previously this was enough, but in comparison with previous means of emergency contraception, it is clear that it is inferior to its analogues. Modern similar drugs are more effective. "Postinor" is produced in a package of 2 tablets. Like the above medications, it must be taken orally, one tablet in the first 72 hours after intimacy, and the second after 12 hours after consuming the first.

The sooner a woman takes the drug after unprotected sex, the greater its effectiveness. The Postinora tablet contains a large concentration of hormones, so taking such a contraceptive is a kind of stress for the female body. Just like similar medications, you should not take Postinor too often, and after use you must use barrier contraception.

A large number of hormones (with frequent use medications) can weaken the body and disrupt the menstrual cycle. The above-mentioned contraceptive is possible allergic reaction in the form of a rash, as well as swelling, nausea and vomiting, pain in the lower abdomen, fatigue and lethargy. Many women noted sharp deterioration well-being and general condition after taking the pills. The action of this medication is accompanied by heavy bleeding from the genitals. After taking Postinor, it is recommended to consult a gynecologist and carefully follow his recommendations.

Since Postinor is an analogue of Zhenale, the actions of both drugs are approximately similar, they pursue the same goal, but achieve it different ways. Women who, due to circumstances, were forced to use emergency contraceptives, when choosing drugs (“Zhenale” or “Postinor”), preferred the first one. Almost all customers note that “Zhenale” acts more gently, does not cause painful or unpleasant sensations, and most importantly, does not disrupt the menstrual cycle. And after “Postinor” your periods come ahead of schedule, then later, and are accompanied by pain in the lower abdomen and copious discharge. Most customers complain of a sharp deterioration in their health after taking Postinor.

It is worth noting that the prices for these contraceptives are approximately the same. When choosing, it is worth considering that unplanned pregnancy after “Zhenale” it can occur with a very low probability, and it is much easier to tolerate.

Other emergency contraceptives

When talking about postcoital methods of preventing pregnancy, one cannot fail to mention the drug Ginepristone. Recommendations for the use of this medication, as well as the three previous ones, are the need for emergency contraception if there has been sexual intercourse without protection or a condom has failed. The essence of its action is that, due to the high concentration of hormones, the drug blocks ovulation and prevents sperm from fertilizing the egg. It also has contraindications, they are:

renal failure;
bronchial asthma;
lung diseases;
heart failure;
pregnancy;
lactation.

This drug, just like Escapelle and Postinor, has unpleasant side effects, including discomfort in the lower abdomen, nausea, vomiting, upset stomach, dizziness, allergies and skin rashes, weakness and drowsiness, as well as menstrual irregularities, abundant scarlet discharge from the genital tract.

Almost all emergency contraceptives have the same method of use, be it Zhenale or Gynepristone. The latter must be consumed orally no later than 72 hours after unprotected sexual intercourse. It is recommended to take the tablet with water and then not eat for two hours. This medicine is produced in 1 tablet per package, the drug costs 200-250 rubles. Dispensed with a doctor's prescription. Just like about the drug “Zhenale”, consumer reviews about “Ginepristone” are positive, but still there are side effects and discomfort from last resort contraception encourages women to choose Zhenale.

How to make the final choice

From our article you learned everything about the drug “Zhenale”: reviews from doctors and consumers about it, indications for use - and also received clear data comparing this means of post-coital contraception with other similar medications. Based detailed description four similar drugs we can conclude that of all the above contraceptives, “Zhenale” is the undoubted leader.

It has more advantages: no pain or discomfort after taking the pill, no heavy discharge, which also bring a lot of inconvenience. Although, in principle, all four contraceptives cope well with the task: the effectiveness of Postinor is 85%, Escapel is 97%, Ginepristone is also 97%, and the effectiveness of Zhenale is as much as 99%. And if science knows cases where, after taking the Postinor pill, a woman still became pregnant, then after using Zhenale, the likelihood of such surprises is practically reduced to zero.

Which of the above-mentioned drugs to choose is determined by each woman herself. This depends on personal tolerance to the components of the drug, on the health and age of the patient, and on the advice of the gynecologist. The main thing is before you take emergency contraceptives, you should consult your doctor, since each of these remedies is a powerful drug, and taking one pill is still stressful for the body. Before and after using this medicine, a woman is advised to listen to own feelings and monitor how you feel, paying attention to possible changes.

We hope our article will help you make a choice between the drugs “Escapelle” or “Zhenale”, as well as other similar ones. And finally: it is better to avoid unprotected sexual intercourse, use condoms or other barriers, and do not miss taking oral contraceptives on time, then you simply will not need post-coital contraception.