Who did Postinor help during dangerous days? Postinor for early termination of pregnancy: consequences and reviews. Indications and contraindications

On our planet it ends with an interruption. In one case, this happens regardless of the woman’s wishes. Moreover, the average period at which a miscarriage occurs (natural or artificial) is up to eight weeks. Also, an interruption can occur at the request of a representative of the fairer sex. One way to have an abortion is to use the drug Postinor. For on early stages it is quite effective. However, some women use it after the expected menstruation has been delayed. This article will tell you whether it is possible to terminate a pregnancy in the early stages with Postinor. You will learn how to use this medication and doctors' opinions on this matter.

Despite the fact that Postinor tablets (for abortion) have good reviews, the drug is not recommended for frequent use. Doctors say that the medication deals a strong blow to the established hormonal levels of the fairer sex. This often leads to further problems.

Gynecologists say that the drug “Postinor” for abortion is truly effective only in the first three days after unprotected sexual intercourse. Later, the medicine has virtually no effect on the pregnancy that has taken place. Gynecologists strongly do not recommend using the medication on your own. Before use, the patient should consult a doctor and receive individual recommendations.

What does the medicine consist of?

The drug "Postinor" (sometimes used by women for abortion in early stages) has the following composition: levonorgestrel in the amount of 0.75 mg, colloidal silicon dioxide (0.5 mg), lactose monohydrate (71 mg), potato starch (0.5 mg), corn starch (23 mg), talc (3 mg), magnesium stearate (1 mg).

One package of the drug contains two tablets. The average cost of this medication is 400 rubles per pack.

The action of the drug and its effectiveness

How does the drug "Postinor" work for early termination of pregnancy? The instructions for use provide consumers with the following information.

Immediately after ingestion, the drug is delivered to the stomach and then to the intestines. Absorption of the drug begins immediately. Maximum concentration active substance it is detected in the blood of a representative of the fairer sex within an hour and a half. The drug "Postinor" for abortion in the early stages has good reviews. Consumers and experts say that if you take the pill on the first day after unprotected contact, the probability of a positive outcome will be 95 percent. When the medication is used after two days, the effectiveness is estimated at 80 percent. After three days, the medication is considered useless. However, some people manage to interrupt even then.

The drug acts on a woman's ovaries. It blocks the functioning of the reproductive organs. This leads to reverse development of the follicle and cancellation of ovulation. If the release of the egg has already occurred, the medication acts on the corpus luteum, suppressing its work. In addition, the product makes cervical mucus more viscous. This fact prevents the penetration of sperm into the uterus. If this inevitably happens, then “Postinor” begins to act on the uterine mucosa. Thus, the endometrium undergoes reverse development and is unable to accept an already fertilized cell. All these facts together prevent further development of pregnancy.

Indications for use of the drug

In what cases is this medication used? The instructions for use indicate only one indication - the need to terminate the pregnancy. Thus, the remedy can be used in cases where conventional methods of contraception are ineffective. For example, you missed taking another birth control pill, and so on.

It is worth noting that before use you must read the instructions. Like any medicine, the drug "Postinor" has limitations and contraindications.

In what cases should you stop using the medication?

  • Liver and kidney diseases in the acute stage.
  • The age of the fairer sex is up to 16 years.
  • Congenital diseases of a genetic nature.
  • Hypersensitivity or the possibility of an allergy to any component of the drug.
  • Pregnancy, including those developing outside the uterine cavity.

The drug can be taken only after permission from a doctor during lactation, hepatitis of various types.

How to terminate an early pregnancy with Postinor?

The drug must be used strictly by induction. In this case, the effect of such a correction will be maximum. One package of medicine contains two tablets. The first of them must be taken as soon as possible after sexual intercourse. The sooner you do this, the greater the likelihood of a positive outcome.

The second capsule of the drug is taken 12 hours after the first. In this case, the break between them should not exceed 16 hours. That is why it is so important to correctly calculate the correction scheme with such a substance.

Doctors say that the drug "Postinor" is not used to terminate a pregnancy after a missed period. However, some ladies claim that they managed to terminate their pregnancy this way. Gynecologists testify that this is just a coincidence. A normally developing pregnancy after four weeks cannot be interrupted by the use of this substance.

special instructions

If you take Postinor tablets to terminate a pregnancy in the early stages, then be prepared for side effects. The correct operation of the drug is indicated by the onset of bleeding. In most cases, it resembles normal menstruation. Moreover, the next period may begin within a few days after the end of this discharge.

The medication often causes nausea. That is why doctors do not recommend eating before using the drug. You should also avoid eating for several hours after taking your last pill. If vomiting occurs, the woman needs to take an additional tablet, since the effect of the correction may be incomplete.

After two weeks after the correction, you should visit a gynecologist and undergo ultrasonography. This will make sure that the pregnancy is really not developing.

Postinor is an emergency contraceptive that helps prevent unwanted pregnancy if sexual intercourse has already taken place.

ATTENTION: The drug has contraindications. Do not start using this drug without first consulting your doctor.

Composition of tablets and packaging

One Postinor tablet contains the hormone levonorgestrel in a dose of 0.75 mg. The package contains two tablets.

Analogues of Postinor

The emergency contraceptive drug Escapelle contains the same hormone as Postinor. The main difference between these drugs is that in Postinor the hormone dose is divided into two doses, while in Escapelle the entire dose is included in one dose. Both drugs are equally effective.

How does Postinor work?

If sexual intercourse occurred in the first half menstrual cycle, then Postinor prevents ovulation (the release of an egg from the ovary), which makes conception impossible. If unprotected sex occurs after ovulation has occurred, then Postinor changes the structure of the uterine mucosa so that the fertilized egg cannot implant in the uterus.

It is important to understand that Postinor tablets are not a means of abortion. This medicine may prevent pregnancy, but it is not effective if you are already pregnant.

How effective is Postinor?

The effectiveness of Postinor depends on how soon it was taken after sexual intercourse. In the first 24 hours after unprotected sex, Postinor will work in 95% of cases, if 24 to 48 hours have passed after sexual intercourse, then its effectiveness will be 85%, and if a woman drinks Postinor 48-72 hours after sex, then it will avoid pregnancy in 58% of cases.

Postinor is not effective if more than 72 hours (more than 3 days) have passed after sexual intercourse. Also, Postinor is not effective if pregnancy has already occurred.

Should I drink Postinor?

Before taking Postinor, you should know in what cases its use is really justified. You can take Postinor if in the previous 72 hours:

    you have had unprotected sexual intercourse (with or without ejaculation into the vagina);

    torn or slipped during sexual intercourse;

    you skipped it birth control pill and you had unprotected sex.

Do not take Postinor if:

    sexual intercourse took place more than 3 days ago;

    Unbearable pain in the lower abdomen;

    Repeated vomiting.

Vomiting after taking Postinor

Taking Postinor may cause vomiting. If you vomited in the first 3 hours after taking the Postinor tablet, the effect of the drug may be reduced. Check with your doctor to determine if you need to take the drug again.

Delay after taking Postinor

After taking Postinor, your period may be delayed by 5-7 days. This happens especially often if the drug was taken in the first half of the menstrual cycle.

Menstruation after Postinor

After taking Postinor, the nature of menstruation may change. The periods following the use of Postinor may be heavier than usual. See your doctor if your periods are excessively heavy or if they last more than 7 days in a row. You may need treatment to stop the bleeding.

If after taking Postinor your periods become more scanty, or if your periods appear instead brown discharge, it is recommended to do, or pass.

How often can you take Postinor?

The use of Postinor several times in one cycle is acceptable, but only after consultation with a gynecologist.

Frequent use of Postinor increases the risk of menstrual irregularities and uterine bleeding.

What to do if pregnancy occurs despite taking Postinor?

If pregnancy does occur, you should immediately consult a doctor. Postinor may increase your risk, which may require careful evaluation.

Postinor does not have a negative effect on the embryo, so a normal pregnancy can be preserved.

Will I be able to get pregnant after taking Postinor?

A single dose of Postinor, as a rule, does not cause any long-term consequences and does not affect a woman’s ability to become pregnant and give birth to a child in the future.

However, the ability to conceive may be reduced in the first few months after taking Postinor, which is associated with temporary hormonal disturbances.

Situations in life are different, some can be prepared for in advance by calculating their consequences, while others require acceptance emergency measures. Unprotected sexual intercourse will most likely result in pregnancy. It often happens that the birth of a child is not yet included in the plans, then many women remember the drug "Postinor" to terminate pregnancy in the early stages.

Unwanted pregnancy

People debate whether it is possible to have abortions if the pregnancy is unplanned and the child is not wanted. For absolute majority steam correct solution problems - timely contraception. There are many types of protection against unwanted pregnancy; everyone chooses the most suitable option for themselves. But there are situations when the sexual intercourse that occurred was unprotected, and fertilization of the egg is most likely to occur. Pharmacology has been offering effective solution problems are single-use tablets that prevent pregnancy.

Hormones on the road to childbearing

Origin of life - a complex system hormonal, chemical and physical processes. First, the formation and development of the egg occurs, followed by its release from the ovaries, fertilization, movement through the fallopian tubes and consolidation in the uterus. All these processes are the first stages of a baby’s life. And it is certain hormones that regulate and direct the course of these events. The use of female hormones, which contribute to the disruption of the natural rhythm of the birth of a new life, has given a person the opportunity to exclude pregnancy if it is not needed. The most common remedy that has a similar effect is the Postinor abortion pill.

What works in the drug?

In order for a woman to become pregnant, a very complex system operates in her body, which is regulated by female sex hormones. Their common name is progestogens. Pharmacology has learned to produce such substances synthetically; levonorgestrel, the basis of the drug Postinor, belongs to them. Analogs (safe to the same extent as this product) may contain both this synthetic hormone and some other progestogens, also obtained artificially.

Two tablets

The instructions contain all the information a woman needs (about the drug "Postinor"). The price of this product in Russia does not exceed 400 rubles, which makes it as affordable as possible. Since this drug cannot be taken frequently and used as regular contraception, one package includes only two tablets. Each of them contains the active component levonorgestrel in an amount of 750 mg. Additional formative components are:

  • anhydrous colloidal silicon dioxide;
  • potato starch;
  • corn starch;
  • lactose monohydrate;
  • magnesium stearate;
  • talc.

The tablets have small size- about 6 mm in diameter. They white, round in shape, one of the sides is lined with a line in the middle, on the other there is a pressed inscription INOR. The Hungarian company Gedeon Richter produces the drug "Postinor" for early termination of pregnancy.

How does the product work?

Levonorgestrel, which is the active component of Postinor, performs the same function as the hormone progesterone, produced by the corpus luteum in the ovaries. It serves as the starting point for the onset of menstruation and is produced by the body throughout the entire period of menstruation. One more functional feature This medication is to suppress the functionality of estrogens, which are responsible for a woman’s body’s ability to conceive, bear and give birth to a child. More detailed description the effect on the body of a drug such as "Postinor" in the instructions. The price, which is affordable for most women, makes the drug a popular means of emergency use in case of unprotected sexual intercourse.

The path of the drug in a woman’s body

As mentioned above, the active component of the drug "Postinor" for termination of pregnancy in the early stages is levonorgestrel. The form of the drug implies its oral administration, the substance is absorbed into the body from gastrointestinal tract. This synthetic hormone acts on a woman’s body as follows:

  • slows down ovulation;
  • causes changes in the structure of the endometrium, which makes it impossible for a fertilized egg to implant into the walls of the uterus;
  • thickens cervical mucus, which interferes with the activity of sperm and inhibits their progress to the mature egg.

"Postinor" has 100% bioavailability. Once in the gastrointestinal tract, it completely penetrates the systemic circulation. Maximum level The concentration of this drug in the body is achieved after 1.5-2 hours. In the liver, levonorgestrel breaks down into inactive metabolites and is excreted from the body in the urine within 24 hours.

Time is important

For women who find themselves in an ambiguous situation with unprotected sexual intercourse and are not planning a pregnancy, the question becomes urgent - how to use Postinor to terminate a pregnancy? Here main role The timing of taking the drug tablet plays a role - the sooner it is taken, the more effective the consequences of taking it will be.

According to studies, taking Postinor in the first 24 hours after unprotected intercourse can prevent pregnancy in 95% of cases. If this period is increased to 48 hours, the product provides protection for only 85% of women; another 24 hours of waiting (3 days after NPA) reduces to 58% the probability of preventing an unwanted pregnancy with Postinor.

Purpose of the drug

Although oral contraceptives are sold in pharmacies without a doctor's prescription, they still require consultation with a specialist before using them. Like all medicines, "Postinor" side effects is quite extensive. For many women, the consequences of unprotected sexual intercourse seem unlikely, but the hope of “maybe it will pass” forces them to often resort to abortion. There is a widespread opinion among girls about the indefinite effectiveness of the drug "Postinor". Termination of pregnancy at 5 weeks and later, however, is impossible with its help. Only in the first three days after sexual intercourse, taking the drug can help avoid pregnancy. Therefore, this drug is a means of emergency contraception.

Contraindications

The availability of the drug "Postinor" makes it a popular means of emergency contraception, but you should definitely take into account its contraindications before taking the pill. There are few of them, but they are very important:

  • pregnancy;
  • individual intolerance to the active component - levonorgestrel;
  • lactation;
  • the period after hepatitis (jaundice);
  • suspicion of pregnancy;
  • severe liver disease;
  • severe diseases of the biliary tract.

Side effects

Women think about unwanted pregnancy after unprotected sexual intercourse. Often emergency contraception is the only way to avoid unnecessary consequences of intimacy. It is then that many people remember the “old” drug “Postinor”, ​​proven over the years. Side effects, which have become the source of all sorts of “horror stories,” are actually present, but, naturally, their real manifestation is not as terrible as women who are forced to use it pass on from generation to generation. Still, it is better to know about the disadvantages of the drug "Postinor" in advance. They are listed below:

  • pain in the lower abdomen;
  • headache;
  • dizziness;
  • skin itching;
  • hives;
  • menstrual bleeding;
  • swelling and tenderness in the mammary glands;
  • diarrhea;
  • vomit;
  • disruptions in the menstrual cycle;
  • nausea;
  • fatigue.

It is especially important to remember about possible disruptions in the menstrual cycle, as well as the intensification or scantiness of subsequent periods. Appropriate therapy may be required to normalize the menstrual cycle.

Truth or lie?

There are a lot of rumors about the drug "Postinor", the side effects of which were discussed above. Most often, women report that after taking it, obesity and blood thickening occur. But the results of studies conducted by the drug manufacturer did not confirm this assumption. If it is used in the indicated dosage, then no disturbances in lipid and carbohydrate metabolism are observed, as well as failures in the coagulation system.

Bleeding

Reviews will help you decide whether to use the drug Postinor. In the worst case, women mainly describe the consequence that occurs after its use as the onset of uterine bleeding, which can only be stopped in a medical facility. Although the manufacturer says there are no disturbances in the blood clotting system during correct use means, but for many women this is exactly the outcome that resulted from its use.

Hormonal disbalance

There are many actual cases of hormonal disorders associated with unprotected sexual intercourse and subsequent use of emergency contraceptive medications. Proof of this is the opinion of users about the product "Postinor". Consequences (feedback from women indicate that they do occur) that arise after its use, of course, can cause a delay in the onset of the next period, sometimes reaching several months. But such cases are extremely rare, as well as increased masculinity, the appearance of acne, infertility or miscarriage of subsequent pregnancies. To prevent such consequences, experts recommend using emergency contraception with Postinor no more than 4 times in one year.

Does the drug work?

The use of the drug "Postinor" to terminate pregnancy in the early stages raises a lot of controversy. In fact, it prevents pregnancy by removing an existing one new life in his mother's womb he cannot. Moreover, taking Postinor during pregnancy is strictly contraindicated! Women do not argue about whether this medicine helps prevent unwanted pregnancy - for some it helped in an emergency, for others they used it too late and this is the reason for the subsequent abortion or birth of a baby. Let us repeat that you need to take Postinor no less than 72 hours after sexual intercourse with the possibility of fertilization. Moreover, you need to take two tablets with an interval of 12 hours. If you take Postinor later or use only 1 tablet, the likelihood of getting pregnant seriously increases. Remember this.

Similar drugs

One of the popular means of emergency contraception is the pharmaceutical drug "Postinor". Safe analogues of this medication, also available from pharmacies without a doctor's prescription, may contain both levonorgestrel and other synthetic hormones. The drugs “Escapelle” and “Eskinor-F” are identical in composition and action. For a woman’s health, it is preferable to use a course of contraceptive drugs prescribed by the attending physician, taking into account the characteristics of the patient’s body. Emergency contraception is a last resort and the drug "Postinor" for termination of pregnancy in the early stages should be used only as a last resort.

For the vast majority of women, motherhood is a desired moment in life. But a child must be born when he is expected to appear, and the parents are ready for this. Unprotected sexual intercourse can lead to an unwanted pregnancy, and, as a result, either to an abortion, or to the birth of an unwanted baby. In emergency cases, the drug Postinor helps prevent conception, but its use should be very, very rare. A woman needs to be responsible not only for future pregnancy, but also to your health. Therefore, a course of contraception or the use of condoms - the best way protect against pregnancy and preserve reproductive function.

A synthetic drug with a contraceptive effect, pronounced gestagenic and antiestrogenic properties. With the recommended dosing regimen, levonorgestrel suppresses ovulation and fertilization if sexual intercourse occurs in the preovulatory phase, when the possibility of fertilization is greatest. It may also cause changes in the endometrium that prevent implantation. The drug is not effective if implantation has already occurred.

Efficacy: with the help of Postinor tablets, pregnancy can be prevented in approximately 85% of cases. The more time passes between sexual intercourse and taking the drug, the lower its effectiveness (95% during the first 24 hours, 85% from 24 to 48 hours and 58% from 48 to 72 hours). Thus, it is recommended to start taking Postinor tablets as soon as possible (but no later than 72 hours) after sexual intercourse, if no protective measures have been taken. At the recommended dose, levonorgestrel does not have a significant effect on blood clotting factors, fat and carbohydrate metabolism.

Pharmacokinetics

When Postinor is taken orally, the drug is quickly and almost completely absorbed. Absolute bioavailability is almost 100% of the dose taken. After taking 0.75 mg of levonorgestrel, Cmax in serum equal to 14.1 ng/ml is achieved after 1.6 hours. After reaching Cmax, the content of levonorgestrel decreases. T 1/2 is about 26 hours.

Levonorgestrel is excreted approximately equally by the kidneys and through the intestines exclusively in the form of metabolites. The biotransformation of levonorgestrel corresponds to the metabolism of steroids. Levonorgestrel is hydroxylated in the liver, metabolites are excreted in the form of conjugated glucuronides. Pharmacologically active metabolites of levonorgestrel are unknown. Levonorgestrel binds to serum albumin and sex hormone binding globulin (SHBG). Only 1.5% of the total dose is in free form, and 65% is associated with SHBG.

Release form

Tablets are white or almost white, disc-shaped, chamfered, with a circular engraving "INOR." on one side.

Excipients: colloidal silicon dioxide, potato starch, magnesium stearate, talc, corn starch, lactose monohydrate.

2 pcs. - blisters (1) - cardboard packs.

Dosage

The drug is taken orally. You must take 2 tablets in the first 72 hours after unprotected intercourse. The second tablet should be taken 12 hours (but not later than 16 hours) after taking the first tablet.

To achieve a more reliable effect, both tablets should be taken as soon as possible after unprotected intercourse (no later than 72 hours).

If vomiting occurs within 3 hours after the 1st or 2nd dose of Postinor tablet, then you should take another Postinor tablet.

Postinor can be used at any time of the menstrual cycle. In case of irregular menstrual cycle, pregnancy must first be excluded.

After taking emergency contraception, use a local barrier method (eg, condom, cervical cap) until your next period. The use of the drug during repeated unprotected sexual intercourse during one menstrual cycle is not recommended due to an increase in the frequency of acyclic spotting/bleeding.

Overdose

Increased severity of side effects. There is no specific antidote. Symptomatic therapy is carried out.

Interaction

When taking drugs that induce liver enzymes simultaneously, the metabolism of levonorgestrel is accelerated.

The following drugs may reduce the effectiveness of levonorgestrel: amprecavil, lansoprazole, nevirapine, oxcarbazepine, tacrolimus, topiramate, tretinoin, barbiturates including primidone, phenytoin and carbamazepine, drugs containing St. John's wort (Hypericum perforatum), and rifampicin, ritonavir, ampicillin, tetracycline, rifabutin, griseofulvin. Levonorgestrel reduces the effectiveness of hypoglycemic and anticoagulant drugs (coumarin derivatives, phenindione) medicines. Increases plasma concentrations of GCS. Women taking these drugs should consult a doctor.

Drugs containing levonorgestrel may increase the risk of cyclosporine toxicity due to inhibition of its metabolism.

Side effects

Allergic reactions: possible - urticaria, rash, itching, swelling of the face.

Transient side effects, occurring with varying frequency and not requiring drug therapy: sometimes (1-10%) - vomiting, diarrhea, dizziness, headache, tenderness of the mammary glands, delayed menstruation (no more than 5-7 days; if menstruation is delayed for a longer period, pregnancy must be excluded); often (more than 10%) - nausea, fatigue, pain in the lower abdomen, acyclic bloody issues(bleeding).

Indications

Emergency (postcoital) contraception (after unprotected sexual intercourse or unreliability of the contraceptive method used).

Contraindications

  • adolescence up to 16 years;
  • severe liver failure;
  • pregnancy;
  • rare hereditary diseases such as lactose intolerance, lactase deficiency or glucose-galactose malabsorption;
  • hypersensitivity to the components of the drug.

With caution: diseases of the liver and biliary tract, jaundice (including a history), Crohn's disease, lactation.

Features of application

Use during pregnancy and breastfeeding

Postinor is contraindicated for use during pregnancy. If pregnancy occurs while using an emergency method of contraception, then based on the available data, no adverse effect of the drug on the fetus has been identified.

Levonorgestrel is released with breast milk. After taking the drug, breastfeeding should be stopped for 24 hours.

Use for liver dysfunction

The drug is prescribed with caution to patients with diseases of the liver and biliary tract; it is contraindicated in severe liver failure.

Use for renal impairment

Data on the use of the drug in patients with impaired renal function are not provided.

Use in children

The drug is contraindicated in adolescence up to 16 years old.

special instructions

Postinor should be used exclusively for emergency contraception. Repeated use of the drug Postinor during one menstrual cycle is not recommended.

The effectiveness of Postinor tablets after unprotected sexual intercourse, during which contraception was not used, decreases over time:

The drug does not replace the use of permanent methods of contraception. In most cases, Postinor does not affect the nature of the menstrual cycle. However, acyclic bleeding and a delay of menstruation for several days are possible. If menstruation is delayed by more than 5-7 days and its character changes (scanty or copious discharge) pregnancy must be excluded. The appearance of pain in the lower abdomen and fainting may indicate an ectopic (ectopic) pregnancy.

Adolescents under 16 years of age, in exceptional cases (including rape), need to consult a gynecologist to confirm pregnancy.

After emergency contraception, a consultation with a gynecologist is recommended to select the most appropriate method of permanent contraception.

Emergency contraception does not protect against sexually transmitted diseases.

In case of gastrointestinal dysfunction (for example, Crohn's disease), the effectiveness of the drug may be reduced.

Impact on the ability to drive vehicles and operate machinery

The effect of Postinor on the ability to drive vehicles and operate machinery has not been studied.

Hello! Please tell me! I have the same problem, I had critical days at the end of April at the beginning of May. They lasted about a week. On May 13, I had unprotected sexual intercourse. The next day I took one Postinor tablet. And on May 15, another one, as described in the instructions, after 12 o’clock. My question is whether there will be any discharge after the pills. And how to understand whether there was a conception at all or not. Did the pills help or not?

Anastasia, Novosibirsk

ANSWERED: 05/15/2017

Hello, thank you for your question, if you act according to the instructions, you do not need to fear an unwanted pregnancy, wait for your menstruation. I’ll say right away that there may be cycle irregularities, delayed menstruation... write

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