Pills before sexual intercourse. Non-hormonal contraceptive pills

Vaginal contraceptive pills belong to the group of spermicides, being a type of chemical method of contraception. This is an easy and affordable way to prevent unwanted pregnancy. The principle of action of vaginal tablets is the introduction of spermicides into the vagina, which have a local effect. Contraceptive pills for vaginal use are indicated for women who are not suitable for other, more effective means of contraception (hormonal drugs and IUDs).

To increase the contraceptive effect, experts recommend supplementing the use of vaginal contraceptive pills with the use of a condom.

Indications for the use of vaginal contraceptive pills.
Local vaginal contraceptive pills should be used before each act of sexual intercourse. The tablets do not reduce lactation or affect its quality, so they can be used by women after the birth of a child and during breastfeeding. The substances present in their composition do not disrupt the hormonal balance of a woman and the vaginal microflora. This contraception is ideal for women after an abortion, as well as for those whose intimate life is not regular. Vaginal tablets are indicated for use during menopause, in the second phase of menopause.

Pros of topical birth control pills.

Low number of adverse reactions.
Reduces the risk of contracting STDs.
No need to use daily and monitor the time of use.
Allowed to be used for female diseases, after childbirth and during breastfeeding.

Disadvantages of topical birth control pills.

Low contraceptive effectiveness compared to hormonal contraceptives (75%), so it is advisable to combine their use with condoms.
With daily use, vaginal dysbiosis develops, so it is suitable for women with irregular intimate life.
In some cases, an allergic reaction with skin irritation may occur.
The drug should be injected into the vulva fifteen minutes before intimacy.
For some time before and after sexual intercourse, you should limit the use of water procedures and the use of intimate cosmetics.
The need to plan sexual intercourse, which eliminates the possibility of unexpected sex.

Each manufacturer of vaginal tablets includes instructions for use of a specific drug. Most often, the drug should be injected deep into the vagina (usually a special applicator is included for comfortable insertion) fifteen minutes before sexual intercourse. One tablet is designed for one sexual intercourse; if you have repeated intercourse, you should use a new tablet.

Contraindications to the use of vaginal tablets.

Diseases of the genitourinary system.
Excessive sensitivity to the components of the drug.
Inflammatory processes in the vulva.
Cervical erosion.

If a burning sensation or other discomfort occurs while using the tablets, it is recommended to stop using the drug. Before using this chemical contraceptive, it is recommended to consult a gynecologist.

Review of common vaginal pills.

Patentex Oval.
The drug can be produced in the form of tablets and suppositories. The drug contains nonoxynol. The drug is easily tolerated, allergic reactions are extremely rare. It should be injected into the vulva 10 minutes before intimacy. The effect lasts for three hours.

Pharmatex.
The most popular non-hormonal vaginal contraceptive. The contraceptive is available in the form of vaginal creams, suppositories, tablets, and tampons. The basis of the drug is benzalkonium chloride, which is administered 10 minutes before intimacy. The contraceptive effect of the drug is 3 hours and is effective against some STDs, herpes virus, and fungi. Does not affect vaginal microflora.

Benatex.
The drug is produced in the form of non-hormonal vaginal gels and tablets. Contraindicated for colpitis, as well as irritation of the vaginal mucosa. It is recommended to administer the drug before intimacy, ten minutes before the start. The contraceptive effect lasts for three hours.

Gynecotex.
Local contraceptive tablets, the active substance is benzalkonium chloride. The drug has a strong antibacterial effect, use it five minutes before intimacy. The effect of the contraceptive drug lasts for four hours. To increase the contraceptive effect, the drug should be combined with the use of an IUD or vaginal diaphragm.

Traceptin.
Inject the tablets deep into the vulva ten minutes before sexual intercourse. Sometimes an allergic reaction may occur in the form of a burning sensation in the vagina.

To make intimate life enjoyable, it is advisable to select vaginal contraceptives on an individual basis with a gynecologist.

The best solution to the problem of unwanted pregnancy is contraception. There are many contraceptive medications available for successful birth control. The most popular are hormonal and non-hormonal birth control pills. Hormonal drugs are the most effective, but have many contraindications.

How do non-hormonal drugs work?

For those who are contraindicated from taking hormones, a number of non-hormonal contraceptive medications are available. They cannot be called tablets in the sense to which average buyers are accustomed. They are not intended for oral use, but are inserted into the vagina. They are presented on the contraceptive market as follows:

convenient ointments without a strong odor;
cream;
optimal candle size;
vaginal balls.

Non-hormonal preparations contain spermicides, which within a matter of seconds destroy the sperm membrane, making it sluggish and non-viable. This is a very important property, because sperm are able to penetrate the cervical canal in a few seconds, and after a minute and a half reach the fallopian tubes.

Such active substances that destroy sperm are nonoxynol and benzalkonium. In addition to reducing the activity and death of sperm, these substances form thick mucus, which prevents the penetration of male cells into the uterine cavity. They also destroy fungi and germs.

Non-hormonal drugs are administered 10 minutes before sexual intercourse. Over this period of time, the product turns into foam or cream. The active substance lasts 3–4 hours. Before each act, a new tablet or suppository should be used.

Indications for use

Non-hormonal contraceptives are safe and have no restrictions on their use. They can be used in the following cases:

if hormonal drugs are contraindicated;
when breastfeeding;
for some gynecological diseases (fibroids);
when other means cannot be used (spiral);
for endocrine diseases (diabetes, thyroid diseases);
for cycle disorders;
if you are allergic to hormones or latex.

These drugs are convenient for young women who have not yet established regular sex life and do not have a regular partner. Unlike new generation hormonal contraceptives, these drugs do not need to be used regularly and do not depend on the menstrual cycle.

Advantages and disadvantages of non-hormonal drugs

The main advantage is simplicity and accessibility. The effect of non-hormonal drugs is only local. They do not penetrate the blood. They have a moisturizing effect, so they can be used as lubricants.

In addition, they have the following properties:

do not affect the level of body hormones;
have no contraindications for use;
do not have a negative effect on the body;
do not destroy microflora, do not cause irritation of the mucous membrane;
serve for cancer prevention;
protect against ectopic pregnancy;
fight inflammatory diseases;
reduce the possibility of contracting infections.

The negative points include the fact that after sex you cannot wash yourself or take a shower for the time indicated in the description. Otherwise, you can wash off the protective shell that the product creates.

You should not take these pills too often. In some cases, allergic reactions and individual intolerance occur.

Non-hormonal birth control pills (spermicides) must be inserted into the vagina before sexual intercourse. This also creates certain inconveniences, since this must be done within a strictly defined period of time.

Which drug should I choose?

The newest contraceptive drugs that are currently being produced have a wide spectrum of action and are available in a wide range.

The most effective and popular modern birth control pills:

Contratex - vaginal suppositories. There are 10 pieces in the package. They have an antimicrobial and antifungal effect;
Patentex Oval – Candles (10 pieces). The active substance is nonoxynol. It is recommended to use 12-15 minutes before coitus. Has antifungal, antiviral, antimicrobial effects. Does not cause allergies. No side effects;
Conceptrol - vaginal suppositories. The active substance is nonoxynol. Apply 10 minutes before sexual intercourse. Can be used to prevent sexually transmitted diseases. After the act, you cannot go to the toilet or wash for 6 hours;
Traceptin - tablets (pack of 50 pieces). The main ingredient is benzalkonium chloride. Spermicidal, antimicrobial agent. Use 10 minutes before sex. Contraindications – colpitis, cervical erosion. Sometimes it can cause irritation and itching;
Pharmatex - has a wide range of applications. Release forms: tablets, creams, suppositories, tampons, vaginal balls. Apply 10 minutes before sexual intercourse, moisten with water before insertion. Serves for the prevention of sexually transmitted diseases. Has an antiseptic effect. Valid for 3 hours. But if during this time ejaculation occurs and another act is performed, then a new pill must be administered. Contraindications: individual intolerance, diseases of the external genitalia;

Erotex - candles (5 pieces). Antimicrobial action. The drug is active for 3 hours. Use 10 minutes before the act;
Gynekotex - vaginal tablets (12 pieces per package), have the shape of a ring. It should be moistened before insertion. Protects against infections. The action lasts 4 hours. For greater effectiveness, use with a vaginal diaphragm or coil. The drug is contraindicated for colpitis, individual intolerance, inflammatory diseases;
Benatex - tablets and gel. The product is contraindicated for colpitis, irritation of the vaginal mucosa and cervix. Requires deep insertion. Stays active for 3 hours. Antimicrobial and antibacterial action;
Gramicidin paste – has a contraceptive and antimicrobial effect. Treats colpitis, inflammation of diseases. Cures some diseases;
Contraceptin T - suppositories that contain tannin, quinosol, boric acid. It is a viscous thick substance that prevents the penetration of sperm. Introduced 15 minutes before the act. Duration of action – no more than one and a half hours;
Spermicidal films are available in sterile packaging. Their use requires skill, it needs to be learned. The action begins in 15 minutes and lasts 1 hour.

Pills for use after sexual intercourse

Sometimes unforeseen circumstances occur and it is not possible to use protective equipment during sexual intercourse. To avoid getting pregnant, you can use non-hormonal birth control pills for just such cases.

Mifepristone is a newer non-hormonal contraceptive. You can take it in two ways:

once 600 mg immediately after the act or within 3 days after it;
1 tablet per day during menstruation. Take on days 3–6 and 27 of the cycle.

These tablets are used in emergency cases, only after consulting a gynecologist.

Side effects

There are several side effects that may require discontinuation of non-hormonal contraceptives:

sudden headache;
hearing or vision impairment;
pain in the arms or legs;
sharp cough;

manifestations of allergies, body itching;
sudden surges in pressure;
sudden nausea, vomiting.

One or more of these symptoms simultaneously indicate incompatibility of the drug with the woman’s body.

Limitations for the use of non-hormonal drugs are acute inflammatory diseases and anatomical features that interfere with the administration of tablets.

How to evaluate the effectiveness of the drug?

To evaluate the effectiveness, the Pearl index is used, which reflects the incidence of pregnancy in 100 women taking one or another non-hormonal drug. The lower the index, the more effective the product. The index for an unprotected act is taken as the initial number: it is equal to 85.

Non-hormonal drugs in the form of tablets are characterized by an index value from 3 to 21. Consequently, they are not effective enough. The Pearl index of hormonal contraceptives is equal to or close to 0.

Therefore, non-hormonal means must be combined with mechanical means:

diaphragms;
condoms;
rings.

This double protection helps not only to avoid unwanted pregnancy, but also to prevent infection with various diseases. The effectiveness of comprehensive protection is 98%.

It is necessary to use contraception because pregnancy must be desired and planned. Abortion is a real operation with all the negative consequences. The task of any woman is to take care of her health and prevent abortions. Non-hormonal contraceptives contribute to this.

Before choosing one of these drugs, you should consult a gynecologist. There are many new drugs. What is appropriate in a particular case can only be determined by a specialist.

It is difficult to say how barbaric modern methods of contraception will be considered by our descendants, because the most progressive and safe contraceptives of two hundred years ago look today like an instrument of torture. It is known, for example, that in the Middle Ages women put iron caps on the cervix, lubricated it with a solution of mercury and lead, and inserted pessaries made of steel wire into it, which caused infection and bedsores of the reproductive organs. At different times and in different countries, contraceptives were continually prohibited either by the authorities or by the church, so devices such as a vaginal syringe or a vaginal douche periodically appeared on sale, which were used to cleanse the internal female organs.

Current contraceptives promote the principle of safety and guaranteed protection against unwanted pregnancy. Three types of contraceptives are justified and approved by official medicine: physiological, barrier and medicinal.

Barrier. Prevents sperm from entering the uterus. The most famous barrier contraceptive is the condom (both male and female). Other barrier contraceptives are intrauterine devices, contraceptive sponges, cervical caps, and spermicides.
Physiological. They suggest having sexual intercourse on certain days of the female cycle, when the risk of getting pregnant is minimal. Another method of physiological control is the PPA (coitus interruptus) method.
Medication. They are presented in tablets, as well as vaginal rings and coils that release hormones that block the onset of ovulation.

When prescribing a woman a certain method of contraception, gynecologists often give her the opportunity to independently choose the appropriate method from a number of similar ones. But how can this be done if the same drug has dozens of analogues, identical in composition and mode of action? The rating of the best contraceptives takes into account the opinions of other women, the cost of the drugs, the correspondence between the expected effect and the real one, as well as the presence of additional benefits and side effects.

We remind you that the information provided below is not a purchase guide. Consultation required with a specialist!

There are contraindications. Consult your doctor.

The best birth control pills

It has long been proven that prolonged absence of pregnancy can disrupt a woman’s health, causing hormonal imbalance, as well as mental and organ diseases associated with it. The Frenchman Verne Boullot, a historian by profession, spoke about this back in the 19th century: “If a woman is not regularly pregnant, she will suffer from hysteria and from a whole category of somatic symptoms stimulating almost any kind of physical illness or mental condition.” At the same time, unwanted pregnancy and abortion can cause no less harm to a woman than a prolonged absence of pregnancy.

Millions of women around the world choose hormonal contraceptives as their preferred method of contraception. They do not affect sensations during sexual intercourse and are guaranteed to protect against unwanted pregnancy and the consequences of its absence. The action of hormonal contraceptives is based on the prevention of ovulation. Scientists have calculated that at the time of birth, a girl’s ovaries contain about 1 million follicles capable of becoming eggs, and by the age of 37 only 25,000 remain. Hormonal drugs do not allow the body to ovulate, so a woman’s ovarian reserve remains full. Meanwhile, hormonal pills have not only advantages, but also an impressive list of side effects, often life-threatening.

3 Lactinet

Allowed for breastfeeding women
Country: Hungary
Average price: 675 rub.
Rating (2019): 4.8

Lactinet contains the only active ingredient - desogestrel. Belongs to the category of mini-pills (drugs containing a minimal amount of hormones). Lactinet mini-pills are often prescribed to nursing women with an active menstrual cycle, as well as to those women for whom combined OCs are contraindicated. Lactinet is one of the few oral contraceptives prescribed to women who smoke, as well as women over 45 years of age.

Another feature of the Hungarian OC is that its protective effect against unwanted pregnancy is somewhat lower than that of modern COCs. For this reason, the drug is not recommended for use by women of active reproductive age (up to 30 years). Otherwise, it is a fairly effective contraceptive, with a smaller list of contraindications and side effects than modern pills.

Advantages:

allowed during lactation;
does not affect weight gain;
Suitable for those who are intolerant to synthetic estrogens.

Flaws:

provokes the occurrence of mastopathy;
disrupts the menstrual cycle during use;
causes depression;
causes nausea at the beginning of the course.

2 Marvelon

Normalizes the menstrual cycle
Country: Netherlands
Average price: 1,425 rub.
Rating (2019): 4.9

Combined contraceptive drug from the Dutch company Organon. Approved for use by women over 35 years of age, as it contains a reduced amount of active ingredients. In addition to the contraceptive effect, it normalizes the volume of discharge and eliminates pain during menstruation. Can be used as emergency contraception, but not more than once every 6 months. The effectiveness of Marvelon as a post-coital remedy does not exceed 80%.

According to women who have taken Marvelon, the drug has a negative effect on the ability to get pregnant if used for many years, so it is recommended to take these pills in courses. Given the increased risk of thrombosis, before taking the drug it is recommended to undergo examination by a hematologist, hepatologist and vascular surgeon.

Advantages:

is inexpensive;
normalizes the cycle;
increases libido.

Flaws:

causes acne;
thickens the blood;
increases appetite.

1 Jess

Best quality
Country: Germany
Average price: 922 rub.
Rating (2019): 5.0

Jess is a combined oral contraceptive from the German pharmaceutical company Bayer. The active ingredients are drospirenone and ethinyl estradiol. Used to protect against unwanted pregnancy, for severe forms of PMS, and also for the treatment of acne. The contraceptive effect of the pill is based on blocking ovulation and changing the quality of cervical mucus, which becomes too thick for sperm to move through.

Unlike other COCs with the same active ingredient, the Jess formula has been improved: it uses drospironene of the latest (4th) generation, and each tablet contains 1.5 times less ethinyl estradiol than other COCs. For this reason, Jess is less likely than other drugs to cause swelling, mastopathy and weight gain.

Advantages:

eliminates menstrual pain;
reliably protects against pregnancy;
improves skin condition.

Flaws:

the cycle takes a long time to recover after completing the Jess course;
addictive;
reduces libido;
causes migraines.

The best contraceptive suppositories

Contraceptive suppositories belong to the category of spermicidal contraceptives. The principle of action of chemical spermicides is to destroy the sperm membrane: interacting with sperm, the components of the drug destroy their membrane, separate the head from the tail, depriving them of the ability to move. Particularly strong sperm, however, are still able to reach the egg and fertilize it. This may result in the birth of a child with certain physical deformities. This relationship has not been proven, but many women testify to it. It is not recommended to use such contraceptives regularly, because the acids contained in the suppositories can have a negative effect on the condition of the vaginal mucosa, as well as on the cervix. Suppositories do not have the highest contraceptive ability. According to statistics, 15 out of 100 women who use contraceptive suppositories become pregnant within a year.

Thus, contraceptive suppositories are a convenient birth control option for women who rarely have sex. Suppositories are ideal as an additional contraceptive - when the pill regimen has been disrupted or during the completion of lactation. The undoubted advantages of this method of contraception are the absence of systemic effects on the body and the preservation of intimate sensations.

3 Gynekotex

Does not cause a burning sensation
Country Russia
Average price: 140 rub.
Rating (2019): 4.8

Ginekotex suppositories use the same active ingredient as Pharmatex suppositories - benzalkonium chloride, so these products are similar. The fundamental difference between Ginekotex and Pharmatex is the cost: Russian suppositories are about 3 times cheaper than German ones. Some women note that these suppositories dissolve slightly less well in the vagina and produce more foam.

Advantages:

are inexpensive;
do not cause burning;
protect against infections.

Flaws:

take a long time to dissolve.

2 Patentex Oval

The most popular remedy
Country: Germany
Average price: 370 rub.
Rating (2019): 4.9

The main active ingredient in Pantex Oval is nonoxynol. Included in many contraceptives as a lubricant: thanks to its spermicidal properties, it enhances the contraceptive effect of cervical caps, condoms, sponges and vaginal films. When interacting with a sperm, it damages its membrane, thereby depriving it of the ability to dissolve the egg membrane. The time required for sperm destruction is 40 seconds (10 times longer than Pharmatex). The drug does not have bactericidal or antiviral properties, so it cannot be used as protection against STIs. There are studies showing that nonoxynol contributes to the incidence of certain types of human papillomavirus in humans.

Advantages:

effective;
dissolve quickly;
have an exciting effect.

Flaws:

have an unpleasant odor;
cause itching;
foams excessively.

1 Pharmatex

Best action. Has antiviral properties
Country: France
Average price: 349 rub.
Rating (2019): 5.0

The main component of the drug is benzalkonium chloride. This drug has been used in medicine since 1935. It has not only a contraceptive effect, but also an antiviral (protects against infection by herpes simplex viruses), antifungal and antiprotozoal. The substance has an immediate effect on the sperm: its shell is completely destroyed within 10 seconds after contact with benzalkonium chloride. The rest of the drugs in this group require at least 30 seconds. Due to irritation of the mucous membrane of the vagina and cervix, the drug is able to increase the volume of mucus released, which has an additional contraceptive effect.

Advantages:

have a pleasant smell;
dissolve in 5 minutes;
protect against infections.

Flaws:

cause irritation;
do not open well;
I provoke too much mucus.

The best intrauterine contraceptive devices

The intrauterine device is a contraceptive device that has been well known since the times of Ancient China. In the past, spirals were made of aluminum wire and wood, and today they are made of hypoallergenic plastic impregnated with anti-inflammatory compounds. In terms of its action, the spiral is classified as a barrier, abortifacient and spermicide at the same time.

Decreased fertility. The presence of an inflammatory process in the uterus promotes the production of proteins that inhibit the maturation of the egg. As a result, ovulation is inhibited and fertilization does not occur.
Abortive effect. Located inside the uterus, the IUD negatively affects the endometrium, inhibiting its growth and ability to accept a fertilized egg. In fact, the IUD provokes miscarriage in the early stages of pregnancy.
Spermicidal effect. In response to the located spiral, superficial inflammation occurs inside the uterus. As a result of inflammation, the alkaline environment in the uterus is replaced by an acidic one, which is harmful to sperm and contributes to their destruction. To increase the acidity of the intrauterine space, copper is additionally used in the coils, which stimulates the secretion of acidic secretions.
Barrier contraceptive effect. The inflammatory process causes irritation of the cervical canal, which, in turn, produces an increased amount of thick cervical mucus, which prevents sperm from penetrating into the uterus.

Intrauterine devices (IUDs) are a reliable and effective way to prevent unwanted pregnancy, which, however, is associated with the creation of a focus of chronic infection in the body.

3 Simurgh Bio-T Ag

Best price
Country: Belarus
Average price: 600 rub.
Rating (2019): 4.8

The intrauterine ring-shaped device Juno Bio-T Ag is one of the best non-hormonal contraceptives, which reduces the risk of unwanted pregnancy due to the fact that the intrauterine device takes the place of the fertilized egg, preventing its location. It has a classic T-shape, the base is an anchor made of high-density polyethylene. Recommended for women who have already given birth, but also suitable for nulliparous women. Made in diameter 18 mm for women who have not given birth and 24 mm for women who have given birth.

According to reviews, it is the best means of contraception for family planning and for married couples who already have children. Installed for 5-7 years.

Advantages :

affordable price ;
long validity period ;
reliability .

Flaws :

access of external infections to the uterus;
the need for tests before installation;
taking medications to prevent infections.

2 Juno Juno T Au

Long service life
Country: Belarus
Average price: 3,500 rub.
Rating (2019): 4.9

The Juno T Au intrauterine device is a means of intrauterine contraception that can reduce the likelihood of unwanted conception. The spiral is made of pure copper and gold, which makes it durable. It is T-shaped and is based on a plastic anchor. Recommended for women who need long-term protection against unwanted pregnancies. Contraindicated in pregnancy and malignant diseases of the genital organs. Valid for a period of at least seven years.

According to many women, the main advantages of this type of contraception are its affordable price and long period of use.

Advantages:

long service life;
pure composition;
does not cause discomfort during sexual intercourse.

Flaws:

risk of infection entering the uterine cavity;
increase in the menstrual cycle;
bleeding.

1 Mirena

High quality. Efficiency
Country: Finland
Average price: 13,220 rub.
Rating (2019): 5.0

Mirena belongs to the category of hormone-containing spirals, therefore the principle of its action is similar to that of hormonal tablets. The fundamental difference is only in the method of delivering hormones to the body. True, according to some women, the hormonal IUD, unlike OK, does not cause increased appetite, does not provoke swelling and does not cause irritation of the digestive organs. Like Multiload, Mirena is installed for 5 years.

Advantages:

normalizes hormonal levels;
reliably protects against pregnancy.

Flaws:

requires large one-time expenses;
causes back pain;
contraindicated in the presence of benign tumors.

The best barrier contraceptives

Barrier contraception is the oldest, cheapest, most universal and widespread method of contraception. A typical representative of this category is a condom. Less known are contraceptive sponges and rings, cervical caps, vaginal films and diaphragms, as well as chemical barrier agents (suppositories, aerosols, gels). There are practically no contraindications to the use of these drugs, so they are ideal for those who are intolerant to OCs or IUDs. Some barrier contraceptives can prevent premature ejaculation in men and protect against STIs and allergic reactions to ejaculate in women. The main disadvantage of barrier products is that they only act at the moment of their use. Our rating includes the best barrier contraceptives.

3 Durex Classic

The most popular remedy
Country: UK
Average price: 437 rub.
Rating (2019): 4.8

The condom is the most common method of barrier contraception. Barrier contraceptives prevent the egg and sperm from meeting. The condom is made in the form of a small thin-walled elastic tube with one closed end and an inlet at the other. Condoms are suitable for almost all women, unless they are allergic to latex. They do not affect hormonal levels at all and, at the moment, are the only method of contraception that protects against STDs.

Many women still prefer this non-hormonal method of birth control because of its almost 100% reliability and ease of use.

Advantages:

protect against STDs;
do not change hormonal levels;
Suitable for daily protection.

Flaws:

high price;
loss of sensations;
there is a risk of damage to the latex shell.

2 Pharmatex contraceptive sponges

Ease of use. Long lasting
Country: France
Average price: 65 rub.
Rating (2019): 4.9

Contraceptive sponges have been used by women as a barrier method for many centuries: in ancient times they were sea sponges soaked in oils, and today they are polyurethane foam soaked in chemical spermicidal compounds. Pharmatex sponges use benzalkonium chloride as a spermicide. Unlike contraceptive suppositories, the sponge has not only a spermicidal effect, but also a mechanical one - it physically prevents the penetration of sperm into the cervix. Having installed the sponge, partners can immediately begin PA, and in the event of repeated sexual intercourse, they will not need to insert a new sponge into the vagina, since it retains its effect throughout the day.

Advantages:

does not leak;
convenient to insert;
long lasting;
has a pleasant smell.

Flaws:

inconvenient to remove;
difficult to find in pharmacies.

1 Nuvaring contraceptive ring

The best hormonal background
Country: Netherlands
Average price: 1,050 rub.
Rating (2019): 5.0

Nuvaring is one of the methods of hormonal contraception, which, however, uses a fundamentally different method of administering hormones - vaginal. Thanks to this, the hormone does not pass through the liver and gastrointestinal tract, and therefore does not have a negative effect on them. The ring releases the minimum required amount of hormone throughout the day, which eliminates hormonal surges during the day (as is the case with oral contraceptives) and creates an even hormonal background. Another advantage of the product is the confidentiality of its use: the ring is easy to install yourself, it is not felt during sexual intercourse and does not require removal after. Duration of action - 3 weeks. After 21 days, the ring is removed, and after 7 days it is installed again.

Advantages:

installed once a month;
does not cause nausea;
has less pronounced side effects compared to OK.

Flaws:

sometimes falls out when straining;
causes headaches;
provokes the development of vaginitis;
allergic;
increases appetite.

The best emergency contraceptives

Emergency contraception is used if it is necessary to terminate an unwanted pregnancy resulting from unprotected sexual intercourse. Pills or intrauterine devices are used. The drugs do not allow pregnancy to occur due to the fact that they delay ovulation. However, this applies to a pregnancy that has not yet occurred for up to 72 hours after sexual intercourse when using tablets and 120 hours after sexual intercourse if an intrauterine device is used. If you do not take emergency contraception before 72 hours, then they will no longer be able to harm a possible pregnancy. Also, one should not think that with age the risk of unwanted pregnancy from unprotected sexual intercourse decreases. According to statistics, women in the age category of 30-40 years are quite fertile and are also included in this risk group. The main and serious disadvantage of emergency contraceptives is that they cause serious stress to the body and harm to women's health.

3 Escapelle

Safe for the body
Country: Hungary
Average price: 360 rub.
Rating (2019): 4.8

Escapelle is a contraceptive used for emergency contraception, similar in action to Postinor. The main active ingredient is levonorgestrel. Escapelle is a better and less harmful contraceptive. Made in the form of flat large white tablets. Contraindicated for pregnant women, teenagers under 16, smoking women over 30-40 years old and people with kidney failure. The advantage of Escapel is the high probability of preventing unwanted pregnancy, and with less loss to the body.

According to reviews from most women, Escapel is preferred due to its softer and more gentle action, despite the high price.

Advantages:

high efficiency;
taken once;
causes less damage to the body.

Flaws:

high price;
side effects;
disruption of the menstrual cycle.

2 Postinor

High guarantee of results
Country: Hungary
Average price: 328 rub.
Rating (2019): 4.9

Postinor is one of the methods of emergency contraception. The contraceptive is administered in the form of tablets containing the active ingredient levonorgestrel. It prevents pregnancy by delaying the maturation of the egg or preventing ovulation. Contraindicated in adolescents under 16 years of age and with liver problems. The main advantage of Postinor is that it provides a high guarantee of preventing unwanted pregnancy, but it cannot be taken more than 2 times a year.

According to women's reviews, Postinor is an effective, but dangerous contraceptive that must be taken after weighing the pros and cons.

Advantages:

there are no consequences in the form of hormonal imbalances;
guarantee up to 95%;
72 hours to prevent unwanted pregnancy.

Flaws:

cannot be used with other contraceptives or alcohol;
cannot be used more than once every six months;
may cause cycle failure and bleeding.

1 Gynepristone

Better efficiency
Country Russia
Average price: 547 rub.
Rating (2019): 5.0

Gynepristone is an emergency contraceptive. It is not a hormonal contraceptive, and therefore less harmful to the body. Gynepristone blocks the connection between hormones and receptors, thereby preventing pregnancy, but it does not suppress the action of progesterone, as other contraceptives do. This is its main advantage against the background of harmful hormonal emergency contraceptives. Contraindicated for women over 30-40 years old, with kidney problems and uterine fibroids.

Most women speak very positively about it and consider it the best choice for those who care about their health.

Advantages:

the most gentle in comparison with other contraceptives;
effective;
is not hormonal.

Flaws:

high price;
side effects;
does not allow you to continue the pregnancy in case of failure.

A variety of contraceptive methods have been developed to protect against unwanted pregnancy. Hormonal contraception is considered the most effective, and barrier contraception is the most popular.

Barrier contraception refers to non-hormonal methods. These also include intrauterine contraception (IUC) and natural methods. In the first article about non-hormonal contraceptives, we will look at some of them.

Intrauterine device (IUD)

Navy– one of the most common and reliable methods of contraception. The Pearl index when using spirals is 0.8 - 1.9.

Myths about contraception

Some people mistakenly believe that condoms are unreliable because they constantly break. However, only one to eight percent of condoms break, most often when used incorrectly. These and other misconceptions are in the material “Myths about contraception”: part one and part two.

These products are mainly produced in a T-shape with a length of 36 mm. The spiral is inserted into the uterine cavity, where it prevents the fertilized egg from attaching to the mucosa.

The spiral has so-called shoulders and a leg, which are placed in the uterus, and antennae, which, when inserted, remain in the vagina and allow the spiral to be removed.

Important! The spiral is introduced only by a specialist on the fourth to eighth days of menstruation and can remain in the uterus for up to several years.

Currently used IUDs are divided into two groups: non-medicated and medicated, containing copper or gestagens.

Absolute contraindications to the use of VM WITH:
- acute and subacute inflammatory diseases of the pelvic organs,
- malignant neoplasms of the uterus or cervix,
- bleeding from the genital tract of unknown etiology,
- suspicion of pregnancy,
- often recurrent chronic inflammatory process of the genital organs.

The most common and possible side effects This type of contraception includes pain, bleeding, expulsion, and inflammatory diseases of the pelvic organs.

In addition to hormonal and intrauterine contraception, there are contraceptives that do not require constant use, but are used during or shortly before sexual intercourse. These are the so-called barrier methods of contraception (BMC).

BMCs prevent sperm from entering the cervical canal and/or help reduce sperm activity in the vagina.

Condoms

Condoms are the most popular method of contraception. Used by men: put on the penis immediately before sexual intercourse.

A modern condom is an oblong cover made of thin latex with a small container at the end for collecting sperm. The most common condoms are coated with a special lubricant, about 16 cm long and about three and a half cm in diameter, varying in shape, color, lubricant, and thickness.

This method of contraception is quite reliable if the condom is used correctly. The average Pearl index is 15, however, with regular and correct use reaches two.

A condom can protect not only from unwanted pregnancy, but also from sexually transmitted infections. Correct use of this product reduces the risk of HIV infection by 85%, and human papillomavirus – by 70%.

It is also effective against other infections, such as gonorrhea, herpes virus and others.

Female condoms

The female condom is longer and wider than the male condom. It is made of elastic polyurethane plastic and is a cylinder 15 cm long and about 7 cm in diameter. One of the ends of such a condom is closed and contains a fixing ring.

The female condom is inserted into the vagina before sexual intercourse. The Pearl index on average ranges from 9 to 12. Using this type of contraception, a woman is less dependent on her partner. At the same time, the likelihood of infecting partners with sexually transmitted infections is significantly reduced.

Important! Female and male condoms should not be used at the same time as they may slip off or even damage each other.

Cervical cap and diaphragm

These contraceptives work approximately the same. They create a mechanical barrier that prevents sperm from penetrating into the uterine cavity.

Cervical cap made from soft rubber. It is put on the cervix and, as it were, “sucks” to it due to its anatomical shape. The cap is inserted immediately before sexual intercourse, often in combination with a spermicidal cream or gel.

The Pearl index of the mean is six. Nowadays, women rarely use such caps.

Adult conversation

Vaginal diaphragm– a dome-shaped hemisphere with a diameter of 50 to 105 mm, made of latex, with a springy rim. The diaphragm is inserted into the vagina by the woman herself before sexual intercourse so that the rim is in the vaginal vaults and the dome covers the cervix.

Aperture recommended use in combination with spermicides, which significantly increases the efficiency of the method. The contraceptive effectiveness of the diaphragm in combination with spermicidal agents is average: The Pearl index is from six to 15. Without combination with spermicides – slightly lower.

You can use these methods of contraception if you are unwilling or unable to use other methods of contraception. Most often, they are used when there is a low risk of pregnancy (older age, perimenopause, postpartum period - no earlier than the sixth week after birth) and as an additional means when using natural methods of contraception.

Important

When choosing a method of non-hormonal contraception, be sure to consult your doctor, since the use of chemicals such as spermicides may cause allergic reactions.

In addition, the gynecologist should explain how to use the cervical cap or diaphragm. It is quite difficult to “master” the method of using these means of barrier contraception on your own.

Today, a huge number of hormonal drugs have been developed to prevent the development of unplanned pregnancy. But which remedy to choose from this variety so that it is both effective and does not have side effects confuses each of us. Non-hormonal contraceptive pills act as an effective alternative to hormonal contraceptives.

Today, non-hormonal birth control pills are popular among women. This is explained by the fact that such contraceptives can be used by women with serious diseases (uterine fibroids), which are a contraindication for the use of hormonal contraceptive pills. In addition, these contraceptives can be used by women after an abortion, childbirth and during breastfeeding, as well as if it is impossible to use an intrauterine device. Thus, this kind of non-hormonal drugs are convenient, effective, and most importantly, safe contraceptives for many women, since they have virtually no side effects.

These contraceptives do not need to be taken daily, as with hormonal oral contraception, especially if a woman has an irregular sex life. They are used as local protection against the onset of unplanned pregnancy just before sexual intercourse. It is thanks to this property that these non-hormonal agents are classified as spermicides.

Mechanism of action.
Non-hormonal birth control pills contain active substances that contribute to the destruction and damage of the sperm membrane, which provokes their death. Active substances of this kind are called spermicides; in these contraceptives, their role is played by nonoxynol or benzalkonium. These substances not only have a detrimental effect on sperm, but also form a very thin film on the walls of the vaginal mucosa, which performs a protective function, and also contribute to the thickening of mucus in the cervical canal, which significantly reduces the activity of sperm. Thus, a special barrier arises that prevents sperm from penetrating into the uterus. That is why non-hormonal contraceptive pills are often classified as barrier contraceptives. In addition, such non-hormonal contraceptives have anti-inflammatory and antimicrobial effects, protecting against sexually transmitted diseases (STDs).

Types of birth control pills.

Pharmatex.
These contraceptives are considered the most common and popular means of preventing unwanted pregnancy. This drug contains benzalkonium chloride as an active substance. This drug is produced not only in the form of vaginal tablets, but also in suppositories, vaginal balls, cream, tampons. The non-hormonal drug Pharmatex is effective for three hours. They have anti-inflammatory, antiseptic and antimicrobial properties, thanks to which this contraceptive not only prevents pregnancy, but also protects against sexually transmitted diseases. It has a pronounced effect against chlamydia, candida, trichomonas, gonococci, herpes virus and various fungi. These non-hormonal contraceptives do not enter the blood and milk of nursing mothers, do not affect the microflora of the vagina, and do not disrupt hormonal levels and the menstrual cycle. Before use, the tablet should be moistened with water and inserted deep into the vagina ten minutes before sexual intercourse.

Gynekotex.
This drug is similar in action to Pharmatex. It has spermicidal, antiseptic and antifungal effects, which means it protects a woman from the risk of contracting sexually transmitted infections. One Ginakotex tablet is intended for only one sexual contact. It is inserted deep into the vagina five minutes before sexual intercourse. This type of remedy works effectively within four hours. This drug also does not affect a woman’s hormonal background and the microflora of her vagina, however, it has some contraindications. In particular, these include hypersensitivity to the components of the drug, inflammation of the vagina or colpitis, as well as irritation of the mucous membrane of the vagina and uterus. To enhance effectiveness, the drug should be combined with the use of a vaginal diaphragm or IUD. It is not recommended to use soap douching after sexual intercourse, since soap can destroy the active substance contained in the drug, thereby reducing its contraceptive effect. External toilet of the genital organs can be performed.

Patentex Oval.
This drug contains nonoxynol as an active substance. In addition to the fact that this remedy has a detrimental effect on sperm, it has antimicrobial, antifungal and antiviral effects. Patentex Oval is inserted into the vagina ten minutes before sexual intercourse. The use of this drug does not cause allergic reactions. These contraceptive pills are used one at a time per sexual intercourse.

Conceptol.
In the composition of this product, the function of the active substance is performed by nonoxynol. This drug also has a detrimental effect on sperm and protects against infections and diseases transmitted by contact. Conceptol is produced in packs of ten pieces. It should also be inserted deep into the vagina immediately before sexual intercourse, ten minutes. In the first six hours after the administration of this drug, you should not perform vaginal toileting.

Traceptin.
Another effective contraceptive drug that prevents unplanned pregnancy, available in the form of vaginal tablets, is Traceptin. It contains the active substance benzalkonium chloride, which determines the spermicidal and disinfecting effect of this drug. Ten minutes before the start of sexual intercourse, one Traceptin tablet should be inserted into the vagina. This non-hormonal contraceptive may have side effects, manifested in the form of itching and burning sensations in the vagina. This drug should not be used if you have colpitis and