Combined oral contraceptives – are the pills, which includes two hormones – estrogen and progestin. Various oral contraceptives have different doses of these hormones. Oral contraceptives prevent ovulation, prevent sperm to move freely on the cervix due to accumulation of mucus and suppress motor function of male sperm in the fallopian tubes.

There are three categories of combined oral contraceptives. The first is monophasic pills, which represent 21 tablets with the same content of estrogen and progestin. It is followed biphasic oral contraceptives, which contain estrogen and progestin in different quantities. And finally, three-phase oral contraceptives: each tablet has its own combination of estrogen and progestin, and to facilitate their admission, they are painted in different colors. All oral contraceptives contain 21 tablets (sometimes 28) in one package.

The women of 27 years old should receive the three-phase oral contraceptives.

Oral contraceptives are the most effective method of preventing unwanted pregnancies. In addition, oral contraceptives are beneficial to women’s health. First, oral contraceptives weaken premenstrual pain in lower abdomen. At the same the menstrual cycle becomes regular; the allocation becomes less abundant and less lengthy. Oral contraceptives also protect women from ovarian cancer, endometrial cancer, osteoporosis and certain inflammatory diseases of the reproductive system. Also, oral contraceptives eliminate some causes of infertility.

Let’s also talk about the use of contraceptives in cases of emergency.

If during intercourse your condom is broken or you had an unprotected sex, it is recommended to avoid pregnancy the postcoital contraceptive.

When you receive these contraceptives, a lot of gestagens, antigonadotropines enter the body. This is a big shock to our body. Therefore, you should use such contraceptives as little as possible.

It is known 4 postcoital contraceptives in the pharmaceutical market. This is Postinor, Dunawley, Silest and Mifepristone. If you cannot use any of these contraceptives, you can use monophasic oral contraceptives for a certain pattern: the first 72 hours after intercourse 2-3 pills of contraceptive are taken and after 12 hours from the first dose you should take more 2-3 tablets.

Of the above list of postcoital contraceptive Postinor is the least preferred, which most often can be found in the pharmacy. When you receive Postinor, the risk to get pregnant is 30%, while it has a number of unpleasant side effects.

The most effective contraceptives are Dunawley and Silest. The effectiveness of Dunawley is 96-99%. You should take it 1 tablet immediately after coitus, 12 hours after the first dose and after 24 hours. Silest is adopted as follows: 3 tablets in the first 72 hours after coitus, then another 3 tablets in 12 hours after the first.

Postcoital contraceptive can be used once a month. Another method of postcoital contraception is IUD insertion for 5 days after intercourse.

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