List of hormonal preparations for women of the new generation. How to choose birth control pills - a list

Today, every couple can plan for the birth of children and control their sex life thanks to the merits of the pharmaceutical industry. A huge selection of contraceptives allows you to choose the appropriate method of protection against pregnancy and / or sexually transmitted infections.

Overview of some contraceptives

The list of means and methods of protection is estimated at a dozen positions or more. This is the calendar method, the use of spermicides (the so-called non-hormonal pills and suppositories), and common condoms, and hormonal patches, rings, and the intrauterine device, and injections, and patches, and oral contraceptives. More about each method, and especially birth control pills, - below.

Coitus interruptus

The most unreliable options for contraception are coitus interruptus and the calendar method. PPA is generally difficult to call a method of contraception. The essence of the method is to remove the penis before ejaculation.

In 60% of couples who are protected by PPA, pregnancy occurs in the first year of using the method. Yes, and according to statistics, 80% of women who became pregnant "accidentally" were protected precisely by interrupted intercourse. The problem is that not all men feel the onset of ejaculation. One "wrong" move, and the likelihood of getting pregnant increases significantly.

calendar method

The method is slightly more efficient than the previous one - 65%. There are 10-15 pregnancies per 100 women who take the risk of contraception in this way. This method becomes more relevant after 30 than for young girls. Only girls and women with a regular menstrual cycle can afford to be protected in this way.

The essence of the method is to calculate the so-called dangerous days on the calendar and not have sex during this period. In general, from the 16th day until the expected start of the next menstruation, the probability of conception is greatest. The most dangerous days fall in the middle of the cycle - from the 12th to the 18th day of the cycle (with a 28-day cycle).

Cons: errors, an irregular cycle, in which it is almost impossible to accurately calculate the day of ovulation, hormonal disruptions. There are other nuances - if sexual intercourse occurred a few days before the expected ovulation, spermatozoa can live in the genital tract for several days and fertilize the egg even after such a seemingly long time. To increase the reliability of this method of contraception, you need to learn how to correctly calculate dangerous days. In addition to the calendar method, you can use ovulation test strips or follow the charts of basal temperature.

Spermicides and non-hormonal pills

Another not so much effective method(70% reliability) - spermicides. These are special substances that are introduced into the vagina and have a negative effect on spermatozoa, after which they can no longer fertilize the female egg. Drugs with a similar mechanism of action are sold in pharmacies in the form of suppositories, creams, capsules or tablets, which are injected directly inside before sex.

Such non-hormonal (which ones are better to choose, reviews of different types- further) are used by many women who, for one reason or another, are afraid to take conventional OK (oral contraceptives). Such non-hormonal tablets are recommended for use in premenopausal women, patients with impaired functioning endocrine system, individual sensitivity and adverse reaction to conventional OK. Importantly, these can be used for HB ( breastfeeding).

How to choose non-hormonal contraceptives? The rating of the best is presented by such tablets:

Pharmatex. Available in the form of tablets, cream and suppositories. The average price of a pack of 12 tablets is 250 rubles.
"Gynekoteks". The same form of release, the price is 100 rubles for the same 12 tablets.
Benatex. The cost of 10 tablets is 250-300 rubles.
"Erotex". Price 5 pcs. - 110 rubles.
"Contratex".

How to choose tablets? It is advisable to consult a doctor, otherwise it is worth focusing on personal feelings when using. Some pills, for example, cause itching in some women, which disappears when switching to another brand of drugs.

Barrier contraception

Barrier methods protect not only from conception and unwanted pregnancy, but also from sexually transmitted infections. But the reliability of such means is not 100% (moreover, not a single contraceptive is 100% reliable, except for complete abstinence from any kind of sexual contact), but is only about 85%. Barrier methods include the use of condoms, but they can also break, and then all efforts will go in vain, and lubricate the sensations of sexual intercourse.

Hormonal patches and ring

Other non-invasive methods include patches and a hormone ring. The effectiveness of such funds reaches 92%. The patch adheres to the skin, but is noticeable, requires regular replacement, and is not suitable for use by women over 90 kg. The ring is inserted into the vagina, but also has disadvantages: in some cases, it can cause a change in the nature of menstrual bleeding and disrupt the regularity of menstruation. These methods do not have contraceptive side effects such as treating acne, relieving PMS symptoms, or preventing seborrhea.

Implants and injections

Hormonal implants and injections are essentially the same oral contraceptives, i.e. birth control pills, but with a different mechanism of action. If substances from tablets are absorbed through the digestive tract, then injectable contraceptives are administered intramuscularly. The frequency of injections is once a month or every three months. Implants are inserted into the shoulder and require replacement only once every five years. The effectiveness of the methods is 90-99%.

Such contraception, however, can cause migraines, changes in the menstrual cycle, hormonal disruptions, decreased sex drive or weight gain. Injections and implants are generally not used by young women who have not yet given birth, this method of contraception is more suitable for women in their thirties and forties who do not plan to have a child in the near future.

Intrauterine device

The second most effective method of contraception after birth control pills is the intrauterine device. The method also refers to the barrier, only the spiral is installed in the uterine cavity, preventing the embryo from fixing. But the installation of a spiral can cause a change in the nature of menstruation, sometimes causes pain, increases the risk of developing various inflammations and the onset of an ectopic pregnancy.

Oral contraceptives

Oral contraceptives protect against unwanted pregnancy, but not against sexually transmitted diseases. The latest birth control pills have an additional effect: many drugs contain the active form of folic acid, so they alleviate the symptoms of PMS, have an antidepressant effect, help fight acne, improve skin and hair. The reliability of OK is 99.7%, but this method of contraception requires prior consultation with a gynecologist, the care and organization of a woman when taking it. It is about this method of planned contraception that will be discussed further.

Classification of OK according to the content of hormones

Everything is divided by 2 large groups: combined oral contraceptives (COCs) and mini-pills. COCs contain an estrogen analogue and a progestogen. The mechanism of action of such pills is that they block the onset of ovulation (the maturation of the egg and its readiness for conception), make the implantation of the egg into the uterine cavity impossible due to "glandular regression" and thicken the mucus, which disrupts the progression of spermatozoa to the female reproductive cell.

COCs are divided into groups according to the variation of hormones and their content. So, there are monophasic, two- and three-phase tablets (more on them later), as well as microdosed, low-dosed and high-dosed COCs. Microdosed OK are suitable for young girls, as the content active substances in tablets is minimal. The rating of contraceptive pills of this type is presented as follows:

"Jess".
Marvelon.
"Klayra" (the only three-phase tablets in the list of microdosed).
"Dimia".
"Zoeli".
"Logest".
Mercilon.
"Lindinette".
"News".

Low-dose OCs are suitable for both young and older women, and can be used by those patients who experience intermenstrual bleeding when using microdose tablets. Such birth control pills are suitable for women who have given birth. In addition, low-dose OCs prevent hair growth in unwanted places, eliminate increased oily skin and acne, and reduce the manifestations of seborrhea.

"Yarina.
Tablets "Janine".
"Silhouette".
"Diana".
Tablets "Femoden".
"Three-merci".
"Lindinette".
Tablets "Silest".
"Minisiston" and others.

High-dose OK can be taken only on the recommendation of a gynecologist. Such drugs are used, as a rule, for therapeutic purposes (for the treatment of endometriosis, hormonal disorders and other diseases). In the ranking of contraceptive pills with a high concentration of hormones, such OK:

"Non-Ovlon".
"Trikivlar".
"Ovidon".
"Trieseston".
"Three-Regol".

Another type of contraceptive - mini-pill - contains only progestogen. Mini-pills affect the reproductive system only at the local level:

increase the viscosity and amount of cervical mucus, which interferes with the free movement of spermatozoa;
change the biochemical and morphological structure of the uterine endometrium, which makes it impossible to fix the embryo even in the case of fertilization.

Mini-pills completely block ovulation in only half of women, but this does not affect the reliability of pills as a method of protection.

"Charozetta" (800 rubles per pack).
"Laktinet" (530 rubles).
"Orgametril" (1100 rubles).
"Exluton" (1250 rubles).

There is also emergency contraception, which is used if unprotected sex has occurred, which can lead to pregnancy. These birth control pills are taken within 72 hours after sex. A common example of this type of OK is Postinor. You need to take birth control pills within 72 hours after having sex, otherwise there will be no effect from emergency contraception. You can not use such drugs constantly.

Monophasic, two- and three-phase preparations

COCs also differ in the variation in the content of hormones, dividing into monophasic, two- and three-phase. In monophasic tablets, the percentage of substances does not change in each tablet, in two-phase tablets, the ratio of active components changes in the first and second halves of the cycle, in three-phase tablets, the percentage of substances changes three times per package.

Monophasic birth control pills:

"Regulon";
"Rigevidon";
"Janine";
"Silhouette";
"Lindinet";
"Logest";
"Femoden";
"Microgynon" and others.

Biphasic OK:

"Femoston";
"Binovum";
"Bifazil";
"Adepal";
"Anteovin" and others.

Three-phase drugs are represented by Tri-Merci, Triziston, Tri-Regol and others.

How to choose the right birth control pills

You cannot choose birth control pills on your own or even with the help of a pharmacist in a pharmacy. To find the right contraceptive, you need to go to the doctor. The gynecologist will interview the patient, find out if there are any diseases (whether they were in the past) and which ones, and will conduct an examination. During the examination, the gynecologist will measure the patient's weight, blood pressure, assess the condition of the skin, palpate the breasts and prescribe tests. You may also need to visit an ophthalmologist, as long-term use of OCs increases the risk of various diseases eye.

The pills that are best for the patient, the doctor chooses depending on the phenotype. The phenotype takes into account the growth and appearance of a woman, the mammary glands, the degree of hair growth, the condition of the skin, hair, existing chronic diseases, the nature and frequency of menstruation, the presence and severity of PMS, and so on.

There are three main phenotypes:

Women of short or medium stature, whose skin and hair are prone to dryness. Menstruation is profuse and long, the cycle is more than 28 days. Such patients are suitable for medium and high-dose COCs, for example, "Milvane", "Trisiston", "Femoden" and others.
Women of average height, with normal oily hair and skin, with medium-sized breasts. There are no symptoms of PMS in this type of women or they do not cause negative, painful sensations. The menstrual cycle is standard - 5 days, every 28 days. Suitable tablets are Marvelon, Regulon, Tri-Merci, Silest, Logest, Tri-Regol and others (most COCs on the market).
Women who are different tall, underdeveloped mammary glands, oily hair and skin. Menstruation is frequent and painful, but scanty, PMS symptoms are often severe. The tablets "Yarina", "Jess", "Zoeli", "Dimia" are suitable.

Rating of oral contraceptives

Oral contraceptives are too diverse to form an overall rating. But still, the recommendations of gynecologists and patient reviews allow us to highlight some of the best COCs of the new generation. The rating of contraceptive pills is represented by such drugs:

"Jess". They not only perform a direct function, i.e., protect against unwanted pregnancy, but also treat a number of gynecological diseases, hormone dependence, improve the condition of the skin and hair, reduce the manifestations of PMS and relieve painful periods. How to drink birth control pills "Jess"? According to the instructions, you need to start taking the first day of menstruation, pink pills should be taken every day, and on the 28th day - take white (placebo). After the end of the cycle, start the next pack.
Jess Plus. The same "Jess", only the composition also includes an active form of folic acid, which normalizes the psycho-emotional state and avoids unpleasant consequences if pregnancy still happened: the body will be ready to bear a child, despite taking the pills. If the patient decides to stop taking OCs in order to become pregnant, planning can begin as early as the next cycle after stopping. In addition, Jess Plus is a birth control pill that does not make you fat. The latter is confirmed by the responses of patients.
Tablets "Janine". According to the girls and women who took Janine, this drug somewhat reduces sexual desire, but is reliable. In addition, "Janine" is a contraceptive pill that does not make you fat, which has been proven by many reviews.
Marvelon. OK are recommended for use by women after 25-35 years of age who are of childbearing age, but have already given birth. The content of hormones is minimal, but the tablets are suitable for patients who are sexually active. Like other OK, "Marvelon" improves the appearance, condition of the skin and hair, normalizes hormonal balance and reduces hair growth in unwanted places.
"Regulon", instructions for use, price, reviews of which are of interest to many women, costs about 1150 rubles (63 tab.). Tablets should be taken daily, from the first to the twenty-first day of the cycle. This is followed by a seven-day break. After a break, you need to start taking it again, even if your period has not stopped yet, the drug "Regulon". Instructions for use, price, reviews should be studied before buying. The opinions of the patients are contradictory: some women became irritable and gained weight, noted a significant deterioration in well-being and a menstrual cycle failure, others were completely satisfied with the drug, while others did not suit them.
Depo Provera. Tablets are recommended for women after forty years of age, can be used in the treatment of various kinds of gynecological diseases. There are injections - doctors say that Depo-Provera is much more effective than in the form of tablets.
Pharmatex. This is a non-hormonal contraceptive that is inserted directly into the vagina in the form of suppositories. It is recommended to apply "Pharmateks" to women from 45 years old, leading an active sex life.
"Yarina". The drug is low-dose and has an anti-adrogenic effect. Some patients claim that they managed to get pregnant while taking Yarina strictly according to the instructions. How to take contraceptive pills "Yarina"? You need to drink OK every day, starting from the 1st day of the cycle, in the order indicated on the blister.
"Lactinet" is not a combined remedy, but a mini-pills, which have a number of contraindications, so a doctor's consultation is a must before you start taking it. The tablets are suitable for women over 45 years of age, patients with diabetes, varicose veins, smokers, breastfeeding.
Contraceptive pills "Silhouette". Many patients report visible improvement appearance skin and hair, stabilization of the menstrual cycle, reduction of pain during menstruation and symptoms of PMS. But birth control pills "Silhouette" can cause weight gain - about half of women complain of such a side effect.

Side effects of taking a contraceptive

Reliable, safe (if you consult a gynecologist before taking) and a convenient method of contraception - birth control pills. Side effects, however, also exist. Among them:

nausea;
lack of menstruation;
lack of appetite;
weight gain;
uncharacteristic discharge between periods;
dizziness, headaches;
decreased libido;
swelling of the legs;
pain in the chest.

In case of occurrence side effects contraceptive pills are cancelled.

Contraindications for admission

Contraindications to taking OK can include:

hypertension;
kidney pathology;
pregnancy;
serious diseases of the cardiovascular system;
migraines of unknown origin;
preparation for surgery;
overweight (more than 30%);
smoking after 35 years (for some tablets, this fact is not a contraindication - a mandatory consultation with a doctor is needed);
diabetes mellitus (you can use some OK) and so on.

Whether to take birth control pills is a personal choice for every woman. This is a reliable method of contraception, which is convenient to use for those who have an active sex life. At the same time, there are a number of side effects that occur if you choose the wrong remedy. So, the main thing to be guided by when choosing and taking birth control pills is the recommendations of a gynecologist.

When choosing means of preventing unwanted pregnancy, women are increasingly inclined to take hormonal contraceptives. And this is not surprising, because. the principle of action of this kind of drugs laid the foundations of female physiology. Taking oral contraceptives, a woman reconfigures her hormonal system in such a way that it does not occur. Let's take a closer look at the new generation of contraceptives that are most commonly used to prevent pregnancy.

How are oral contraceptives classified?

Oral contraceptives of the new generation are usually divided into several groups, each of which is suitable for a certain category of women of reproductive age. That is why the selection of this kind of medication should be carried out exclusively by the doctor who examined and assessed the state of the female body.

To date, the most popular are the so-called contraceptives containing hormones in a microdose. The fact is that the use of such pills passes almost without a trace for the hormonal female system. They are also ideal for young women who are using this method of contraception for the first time. The most popular among women are the following drugs:

Logest;
Mercilon;
Novinet;
Lindinet-20;
Qlaira;
Yarina;
Jess.

The next group of hormonal contraceptives of the new generation include the so-called low-dose drugs. These tablet medicines are the best option for those women who have not yet given birth and have regular sex. Among these drugs it is necessary to name:

Belara;
Silest;
Marvelon;
minisiston;
Femodene;
Microgynon.

Drugs with a medium-dose inclusion of a hormonal base include drugs such as:

Diana-35;
Chloe;
Desmoulins;
Triziston;
Milvan.

They can be used in women who have given birth.

High-dose hormonal contraceptives, in addition to their main purpose, can also be used for therapeutic purposes in the treatment of gynecological disorders. Such preparations are recommended for women of mature age who lead a constant sexual life. Among these drugs, Ovidon, Non-Ovlon are usually used.

What should be considered when choosing a drug and its use?

The list of oral hormonal contraceptives of the new generation is very large, only some of the drugs that are used most often are listed above. However, such a wide variety of this group of medicines does not mean that a woman can independently choose from those offered in the pharmacy network those that her friend advised her or that she liked.

Such medications should be selected strictly individually. It has been proven that self-use of oral contraceptives can adversely affect health female and become an obstacle to conception when a woman decides to give birth to a baby.

It should also be noted that prolonged use of the same drug can affect the hormonal system of a woman. That is why doctors recommend at least 3-4 months to come for an examination and consultation.

Considering all the above features of the use of new generation contraceptives, it is impossible to single out the best of them for the simple reason that each organism is individual, and this type of contraception is not suitable in principle for some categories of women.

Unplanned pregnancies often end in abortion. This method has a negative effect on health, so it is necessary to use effective methods contraception. One of better ways Prevention of pregnancy today recognized the use of oral contraceptives, which contain synthetic analogues of female sex hormones.

The effectiveness of modern contraceptive pills reaches 100%. In many cases, thanks to them, healing effect. Oral hormonal contraceptives (OCs) have been used for over 40 years. During this time they have been constantly studied and improved. Combined OCs were created, in which the content of hormones is significantly reduced, and contraceptive effectiveness is preserved.

How does hormonal contraception work?

Birth control pills "turn off" ovulation, while maintaining cyclical bleeding, reminiscent of menstruation. The follicle does not grow, the egg does not mature in it, it does not leave the ovaries, so pregnancy is impossible. In addition, the mucus in the cervix thickens, and the endometrium also changes, which prevents the attachment of a fertilized egg in case of pregnancy.

The beneficial effect of oral contraceptives on a woman's body is as follows:

stabilization of the menstrual cycle, while reducing the amount of blood released. This helps to correct iron deficiency anemia that occurs in many women;
reduction of abdominal pain during ovulation with and manifestations;
increasing the protective properties of the mucus of the cervical canal, which reduces the frequency of infections of the uterus and appendages by half;
reduction in the frequency and associated curettage;
reducing the risk of developing mastopathy when taking monophasic oral contraceptives, especially those containing progestogens with low androgenic activity;
suppression of androgen production in the ovaries, helping to treat acne, seborrhea, hirsutism and other manifestations of the viril syndrome. This is especially true of contraceptive pills containing progestogens with an antiandrogenic effect or with low androgenic activity;
increase bone density, improve calcium absorption, which prevents the development of osteoporosis.

Composition of oral contraceptives, classification and their names

Combined oral contraceptives contain an estrogen and a progestogen component. Progestogens prevent pregnancy, and estrogen causes endometrial proliferation, mimicking its normal development, while irregular uterine bleeding is excluded. In addition, it replaces the body's own estrogens, which cease to be produced in the ovaries when using oral contraception.

The active estrogen found in most birth control pills is ethinyl estradiol. The progestogenic component is represented by 19-nortestosterone derivatives: Norethisterone, Levonorgestrel, Norgestrel. Modern progestogens have been created: Dienogest, Drospirenone, Dezostrel, Norgestimate, Gestodene. They have a minimal androgenic effect, do not cause weight gain, do not affect the metabolism of fats in the body.

After childbirth during breastfeeding, it is recommended to take medications only with a progestogen component (Mini-pill), since estrogens suppress milk production. Pure progestogen preparations are also indicated for women who need to limit the intake of estrogen (patients with hypertension, diabetes, obesity). These include Microlut, Exkluton, Charosetta (contains desogestrel).

If oral contraceptives contain less than 35 micrograms of estrogen, they are called "low-dose." In microdosed birth control pills, the concentration of estrogens is reduced to 20-30 mcg. High-dose preparations containing 50 μg of ethinyl estradiol are used primarily for medicinal purposes.

What is the difference between monophasic, biphasic, and triphasic medications?

Oral contraceptives are divided into monophasic, biphasic and triphasic.

In monophasic, the content of both components is the same in all tablets.
Biphasic contains a constant dose of estrogens and a varying concentration of progestogens, which increases in the second phase of the cycle. At the same time, the total dose of estrogens is slightly higher than in monophasic preparations, and progestogens are less.
Three-phase contraceptives have a changing ratio of components that mimics the normal menstrual cycle.

List of the most common monophasic contraceptives:

low-dose: Femodene containing desogestrel - Marvelon and Regulon;
microdosed: Logest containing desogestrel - Mercilon and Novinet.

List of new generation hormonal contraceptives with a three-phase structure:

Tri-merci (contains desogestrel);
trialen;
Trisilest.

Contraceptive pills with an antiandrogenic effect include a progestogenic component with an antiandrogenic effect (Diana-35, Janine) or with a strong progesterone-like effect (Tri-merci, Regulon, Novinet). Preparations containing desogestrel are often used to treat hyperandrogenism in adolescents.

Drospirenone is a fourth-generation progestogenic component with significant antiestrogenic, antiandrogenic, and antigonadotropic effects. It does not cause any serious side effects. Drospirenone, in particular, is part of such a microdosed monophasic drug as Dimia. It is especially indicated for patients with unstable blood pressure. This drug is very effective in relieving signs of premenstrual syndrome.

Classification of oral contraceptives depending on the composition and phase of action:

Fixed combinations of estrogens and progestogens:

Norgestrel + estrogen (cyclo-progynova)
Levonorgestrel + estrogen (microgynon, minisiston 20 fem, oralcon, rigevidon)
Desogestrel + estrogen (Marvelon, Mercilon, Novinet, Regulon)
Gestodene + estrogen (gestarella, lindinet, logest, femoden)
Norgestimate + estrogen (silest)
Drospirenone + estrogen (Vidora, Dailla, Jess, Dimia, Midiana, Modell Pro, Modell Trend, Yarina)
Nomegestrol + estrogen (zoel)
Dienogest + ethinylestradiol (diecyclene, janine, silhouette)

Progestogens and estrogens in combinations for sequential administration:

Levonorgestrel + estrogen (tri-regol, trigestrel, triquilar)
Desogestrel + estrogen (tri-merci)

Progestogens:

Linestrenol (exluton)
Levonorgestrel (postinor, escapel, eskinor-f)
Desogestrel (lactinet, modell mam, charozetta)

Emergency contraceptive drugs - levonorgestrel.

Which of the listed means is better to choose for permanent use? It is impossible to answer this question unambiguously. AT different situations different drugs will be more effective.

Selection of hormonal oral contraceptives

The appointment of hormonal contraceptives is carried out by a gynecologist after examination and taking into account many factors: the age of the patient, the type of contraceptive, the dosage and type of the progestogen component, the dose of estrogens.

The best new generation birth control pills contain progestogens such as gestodene, desogestrel, norgestimate, drospirenone.

How to choose birth control pills according to age:

For women under the age of 35, low-dose or microdose monophasic contraceptives, as well as triphasic contraceptives, including those containing desogestrel or drospirenone, are preferable.
Women after 35-40 years of age are more suitable for monophasic drugs with desogestrel or drospirenone, pure progestins or microdose agents.

The names of birth control pills should be checked with a doctor, because the prescription will most likely only list the active ingredients. specific name The doctor now has no right to write the drug in the prescription.

How to take birth control pills

For many years, doctors have used the 21 + 7 scheme for constant intake. Now the “24 + 4” mode is becoming more widespread, that is, 24 days of admission, a break in admission of 4 days.

During the break, bleeding usually occurs, resembling menstruation. It can begin 2-3 days after stopping the intake and continue during the first days of taking a new package.

There are regimens that allow you to shift the onset of this bleeding or reduce the number of such cycles during the year. These modes can be used for short periods of time, such as when traveling to a sporting event or vacation, before surgery, and so on. Modes for long-term use can be prescribed during treatment, anemia, as well as with the peculiarities of a woman's life, including sports and professional activities. In this case, the woman does not have menstruation for many weeks.

Long-term use of oral contraceptives without interruption is used for diseases of the genital organs, for example,. In addition, it increases the reliability of contraception and does not harm health.

Schemes of taking hormonal contraceptives

Tablets are taken orally, once a day, at the same time, with a small amount of water. For convenience, many modern contraceptives are available in special packages that make it easier to count days. If you skip taking the drug, you must follow the clear rules specified in the instructions. Most often, it is recommended to take the next pill as soon as possible and use barrier methods of contraception during this cycle.

Pregnancy after stopping the intake can occur at different times - from a month to a year. It depends on the state of health of the woman, her hormonal levels, ovarian function. Taking oral contraceptives in cycles preceding pregnancy is safe for the unborn child. If pregnancy is suspected, oral contraceptives should be stopped immediately. However, using them in the early stages will also not harm the fetus.

In some cases, short-term use of contraceptives for 3 months is used to stimulate ovulation after they are stopped, which increases the chance of becoming pregnant. This property of hormonal contraceptives is used to treat infertility.

How long can birth control pills be taken?

With regular monitoring by a gynecologist, good tolerance and effectiveness, such drugs have been used for several years. If necessary, the medicine can be changed, but the method of hormonal contraception itself has proven itself very well for the treatment and prevention of female diseases.

emergency contraception

Cases of its use are not uncommon, especially if a woman uses primitive methods of protection (coitus interruptus). It happens that a condom breaks or violence occurs. Every woman should know the names of emergency contraceptive pills. Most often, such means as Postinor, Escapel, Eskinor-F are used.

They must be taken within the first 72 hours after intercourse. It is not recommended to reuse the same drugs in the current menstrual cycle. Barrier methods of contraception should be used to prevent pregnancy. In case of repeated unprotected intercourse during the cycle, only emergency non-hormonal contraception using Danazol is used. Its effectiveness is much lower than levonorgestrel.

Side effects and contraindications

One of the biggest myths about birth control pills is that they can cause cancer. Modern oral contraceptives do not cause cancer. On the contrary, in women using this method of contraception for 3 years, the frequency of endometrial cancer is reduced by half, the frequency of ovarian or intestinal cancer by a third.

Side effects are most often mild. At the beginning of the reception, they occur in a third of patients, then these phenomena are observed in every tenth woman.

Side effects of oral contraceptives:

1. Clinical:

A) general;
B) causing violations of the cycle.

2. Dependent on the action of hormones.

Common side effects include headache and dizziness, depression, breast tightness, weight gain, irritability, stomach pain, thrombophlebitis, decreased glucose tolerance, skin rash, and other symptoms. An allergy to the components of the drug is not excluded. Hair loss when taking such drugs is rare, it is associated with insufficient antiandrogenic activity of the drug and requires changing the drug to a more effective one.

Menstrual disorders include intermenstrual spotting when taking hormonal contraceptives, as well as the absence of menstruation. If the side effects do not go away within 3 months, you need to replace the drug with another one.

Amenorrhea after taking hormonal contraceptives occurs due to atrophy of the endometrium, goes away on its own or is treated with estrogens.

Severe consequences after taking contraceptives are rare. These include thrombosis and thromboembolism, including deep vein or pulmonary artery. The risk of these complications is lower than during pregnancy. However, oral contraceptives are relatively contraindicated if there is at least one risk factor for thrombosis: smoking, obesity, arterial hypertension.

Application is contraindicated in the following cases:

arterial and venous thromboses;
transferred transient ischemic attack;
cardiac ischemia;
diabetes mellitus with vascular complications;
migraine with focal neurological symptoms;
a combination of risk factors for thrombosis;
severe diseases of the liver and pancreas;
tumors of the liver, genital organs, mammary glands;
uterine bleeding of unknown cause;
pregnancy;
for combined drugs - lactation.

If you avoid using birth control pills with such contraindications, then the likely harm from hormonal contraceptives is much less than their real benefits.

If a woman does not want or cannot take hormonal OCs, she can use new generation non-hormonal contraceptive pills to prevent pregnancy. It must be clearly understood that they mean spermicidal agents for topical use, that is, vaginal tablets. They must be inserted into the vagina before intercourse. These drugs not only kill sperm, but also have an anti-inflammatory effect. Unfortunately, the contraceptive effectiveness of such drugs is less, the chance of getting pregnant when using them is 20-25%. Of this group, the most commonly used vaginal tablets are Pharmatex, Benatex, Gynecotex.

In modern gynecology, hormonal contraception is considered the "gold standard" for preventing unwanted pregnancies. Modern means are effective, well tolerated, have not only a contraceptive, but also a therapeutic effect. Self-selection of birth control pills is difficult. To discuss issues of contraception, you should consult a doctor.

Thanks to modern medicine and pharmacology, there are many ways to help protect yourself without suppressing the sensations, and at the same time, providing complete protection for the female body. Oral contraceptives have become increasingly popular in recent years. What are the safest birth control pills out there, and how do you choose them?

Types of contraception

The issue of contraception today is very relevant, since the number of unwanted pregnancies is increasing every day. Nowadays, there are many different methods of protection, and they all differ significantly from each other. Main types:

hormonal pills;
suppositories;
spirals;
barrier means;
natural ways.

It is the hormonal group of drugs that has recently been gaining more and more popularity, due to the ease of use and the result itself. If even 10 years ago hormonal pills were not so safe, and their range left much to be desired, today pharmacology has taken a significant step forward.

AT modern world contraceptive drugs exist not only in the form of tablets, but also in the form of:

plasters;
vaginal rings;
injections;
candles.

Oral contraceptives are the most effective, the level of protection against such drugs is about 99%. Moreover, in addition to the function of protection, such drugs are often prescribed for therapeutic purposes. Recently, cases have become more frequent when they are prescribed to restore or normalize the menstrual cycle, to eliminate polycystic ovaries and for the rebound effect.

Interesting fact:

Scientists have proven that such drugs are absolutely safe and harmless to the female body.

How the new generation birth control pills differ from their predecessors:

lower dosage of hormones while maintaining reliability and efficiency;
the use of new analogues of female sex hormones - ethanyl estradiol and levonorgestrel;
the use of new third-generation progestogens - norgestimate, gestodene, desogestrel;
appeared newest look called mini-pills, which do not contain progestogen, and the amount of hormones is at a minimum.

It is worth noting that almost all modern contraceptive pills are combined. This means that they have two main components:

Synthetic estrogen.
Progestogen component, which is usually available in the form of various progestogens.

However, this is not all. Based on the dosage of the main components in the preparation, they can be divided into the following groups:

monophasic;
two-phase;
three-phase.

The new mini-pill contraceptive pills belong to the monophasic group, and are excellent not only for contraception before the first pregnancy, but also during lactation.

How hormonal contraceptives work

All combined oral contraceptives (COCs) contain sex hormones (estrogens and gestagens). The main principle of their action is the suppression of the ovulation process, as a result, protection from unwanted pregnancy. What causes ovulation suppression?

First, it thickens the natural fluid that is secreted in the cervix and affects the penetration of spermatozoa. Due to the compaction and change of flora, it is quite difficult for spermatozoa to penetrate the cervical canal, and sometimes they can even die when they enter the vagina. In this case, their penetration into the uterus is excluded. Secondly, due to the entry of new hormones into the female body, the production of natural hormones is dulled, as a result of which the maturation of the egg does not occur.

In the process of protecting OK, the endometrium becomes much thinner. Because of this, even if the egg is somehow fertilized, it will not be able to attach. As a result, pregnancy does not occur.

To date, this method of protection is one of the most effective and safe.

Modern contraceptives do not have side effects, which is another definite plus. Scientists have noticed that taking COCs improves skin condition, disappears, hair becomes thicker, and the number of hair loss is significantly reduced, nails become stronger. Therefore, recently you can often hear that dermatologists prescribe such drugs to combat various dermatological problems.

Video "How to choose the right oral contraceptives?"

Informative video with advice from an obstetrician-gynecologist on the selection of oral contraceptives.

Mini-pill - what is it and the main advantages of the drug

Today, one of the best birth control pills are mini-pills. Their main advantage over hormonal drugs various types is that the composition of the mini-pill contains only progestane. Nevertheless, the effect of taking this kind of funds is no less positive.

The principle of operation is also similar to COC. To prevent unwanted pregnancy, mini-pills make cervical mucus thicker and the endometrium thinner, which prevents conception.

Despite the small amount of hormones contained in the preparation, it is categorically not recommended to prescribe them to yourself on your own. As in the case of COCs, mini-pills can provoke hormonal disorders, unplanned bleeding, as well as various gynecological pathologies. Therefore, it is impossible to start taking this kind of drugs without the recommendation of a doctor.

How to choose birth control pills?

In fact, the process of choosing oral contraceptives is quite simple and ideally this should be done by the attending physician. However, in the modern world, women quite often do not find time for additional examinations and visits to a gynecologist, and prescribe contraceptives for themselves.

In such cases, it is necessary to adhere to some important nuances when choosing a remedy:

Most often, choosing a remedy on their own, preference is given to combined contraceptives, as they do an excellent job of protecting against unwanted conception, as well as treating gynecological diseases and disorders. It is COCs that are most often prescribed by dermatologists. This is the safest and most effective option on the pharmacological market.

With existing contraindications, it is better to completely refuse to take OK. Contraindications include:

diabetes;
phlebeurysm;
diseases of the cardiovascular system;
disturbed metabolism in the body;
malignant formations;
pregnancy and lactation;
age over 40 years.

These are not all contraindications, a detailed list is in the instructions for each individual drug, before you start taking which you must definitely read this list.

Non-hormonal contraceptives

Since medicine does not stand still, today you can even find non-hormonal contraceptives. Unlike hormonal OCs, non-hormonal OCs can be used immediately after childbirth, during breastfeeding, and also for those women who have contraindications to taking COCs.

The main principle of their action is the destruction of spermatozoa penetrating the vagina, as well as the thickening of the mucus secreted by the cervix, and the formation of a protective membrane.

Interesting fact:

Not based on hormonal drugs for contraception are spermicides, which also help slow down the speed of spermatozoa.

It is also important that non-hormonal contraceptives are also a kind of protection for a woman from sexually transmitted infections. This is due to the available antibacterial, antiseptic and antimicrobial actions.

This method of protection belongs to the barrier chemical type, is a fairly convenient and safe option. These are reliable birth control pills that do not contribute to hormonal disorders and are an excellent prevention against various sexually transmitted diseases. Even those more or less safe pharmaceutical products should only be prescribed by a physician.

Contraceptive creams and suppositories

Also, in addition to the form of tablets, there are non-hormonal suppositories and creams to prevent unwanted pregnancy. Unlike hormonal drugs, local remedies are less effective, but recently this form is gaining particular popularity.

Many pharmacological manufacturers offer the form of suppositories, ointments and creams, the composition of which contains nonoxynol or benzalkonium chloride. Benefits of local non-hormonal contraceptives:

ease of use;
the effect of additional lubrication from candles and ointments, creams;
only a few side effects;
protecting women from infections;
a wide range of products and the ability to use while breastfeeding, immediately after childbirth.

However, this form of funds also has its drawbacks:

vaginal creams and suppositories can provoke a change in the microflora of the vagina;
itching and burning, allergic reactions and rashes may occur;
lower percentage of protection.

As a rule, topical remedies are used immediately before sexual contact, about 10 minutes before. The action of candles and creams lasts no more than 4 hours.

Rules for taking hormonal OK

Any oral contraceptives must be taken, adhering to certain schemes and rules. Usually they are indicated in the instructions for the drug. If the rules are not followed, unplanned bleeding is possible, as well as the occurrence of an unwanted pregnancy, hormonal failure.

Usually, one package of the drug contains 21 tablets, this amount is calculated for one cycle. Basic rules for accepting OK:

It is necessary to start taking on the first day of the menstrual cycle.
It is necessary to take the tablets at about the same time, preferably in the evening. In order not to forget, you can set a reminder on your phone.
It is necessary to take the tablets daily, without interruption, until the end of the tablets in the blister. After that, you need to take a break for 7 days, just at this time menstrual bleeding should begin.
After a 7-day break, you need to start a new package, regardless of whether your period has ended or not.
If suddenly you forgot to take a pill, then you need to restore the reception as soon as possible.
The first two weeks it is also necessary to use a barrier method of protection (condoms).
When there are small spotting in the middle of the cycle, do not stop taking the drug. In case of heavy bleeding, you should consult a doctor.

Also, you should not stop taking OK in the middle of the cycle, since this is fraught with consequences such as breaking the cycle and so on.

Are harmful OK?

With the right selection of OK drugs are absolutely safe for women. However, with the wrong selection, various side effects can occur, such as excess weight, hair loss and more. It is also worth paying attention to contraindications, in which case you can be completely sure of the safety of the remedy. At diabetes, diseases of the cardiovascular system, as well as problems with the liver and kidneys, you should stop taking COCs.

You should not give preference to this method of protection and with the existing bad habit- Smoking, as OK put a significant strain on the heart.

Interesting fact:

With regular use of OK, sexual activity may decrease. This is due to a decrease in testosterone production.

Contraceptive pills - which are better?

There is a certain rating of the most popular oral contraceptives, which are most often prescribed by gynecologists both for therapeutic purposes and for protection. Each drug contains different hormones, the dosage of which is also different.

Jess is a great option for reproductive age

Jess are the best oral contraceptives of the new generation, perfect for women of reproductive years. It is often prescribed by gynecologists to normalize the menstrual cycle, fight polycystic ovaries and hormonal disruptions. As a nice addition, it can be used to combat acne and other skin problems.

Jess contains estrogens and progestogens that block the ovulation process. This affects the pain during menstruation and PMS. Reduces anemia and discomfort, reduces the duration of menstruation, is prescribed for severe symptoms of PMS.

The main advantage over other drugs is the low concentration of active ingredients.

Jess plus - improved version

Jess plus is a more advanced version of Jess, which, in addition to the hormones responsible for the inhibition of ovulation, contains calcium leaomefolate. This is one of the varieties of folic acid, which is essential for women's health.

Despite the low concentration of hormones, Jess plus gives up to 99% guarantee against unwanted conception. If pregnancy does occur, then due to the folic acid present in the composition, the risks of violations are reduced. nervous system baby. Can be taken from the age of 18 until menopause.

Yarina and Yarina plus - the most popular OK

The rating of birth control pills in the first positions includes a drug called Yarina. They contribute to the stabilization of the cycle, while they have a minimum number of side effects and perfectly perform their direct function of protection.

Unlike many other COCs, Yarina does not cause weight gain, it fights acne, other rashes and dermatological problems very well. However, it has a small drawback - with prolonged use, you can notice the occurrence of frequent headaches.

Just like Jess, it has a more advanced version - Yarina plus with folic acid in its composition. It is this drug that specialists often give their preference to, since it is Yarina plus that is easily tolerated by most patients, does not cause unplanned bleeding and contributes to the rebound effect.

Novinet - a drug with a minimum number of side effects

The main action of Novinet is the blocking of ovulation and the production of luteinizing hormone, which allows you to slow down the movement of spermatozoa. Tablets do not cause pain and discomfort during menstruation, they have a minimum number of side effects.

Nausea, sometimes vomiting, was most often observed during admission. Hair loss and migraines are partly possible. A feature and indisputable advantage can be considered the ability to take Novinet already 3 weeks after birth. However, do not forget that this is still hormonal remedy and it can cause an increase in milk production during breastfeeding.

Jeanine is a monophasic low-dose agent

Thanks to the main three actions, a contraceptive effect is provided: suppression of ovulation, an increase in the viscosity of secretions from the cervical canal, and a decrease in the thickness of the endometrium. The drug can be attributed to a monophasic low-dose oral contraceptive. Most reviews of Janine are positive.

Regulon - COC, analogue of Jeanine

Quite often, Regulon is prescribed by gynecologists to normalize the cycle, as well as to eliminate unscheduled uterine bleeding. It is an analogue of Zhanin, the composition is similar, as are the actions. Many women who use Regulon note its quality and focus on reliability.

Often, gynecologists prescribe Regulon to young girls, even adolescence. Does not cause side effects even with prolonged use. There are many positive reviews on the Internet about the therapeutic properties of Regulon.

Logest - the minimum content of hormones

These are the best contraceptives of the new generation with a minimum content of hormones. In addition to the main contraceptive function, it has a therapeutic and preventive effect on female cancers. After its cancellation, reproductive functions are immediately restored. This allows as soon as possible.

Qlaira - natural OK

Qlaira is the first OK of the fifth generation. Thanks to the main active ingredient - estradiolavalerate, it perfectly fights the symptoms of menopause.

The main difference is the change in the order of administration, thanks to the unique dynamic dosing regimen. This is a four-phase hormonal drug, in the package of which there is:

2 placebo tablets without active ingredient;
26 tablets with an active ingredient and action, where the dosage of the substance is different.

During the reception, the dosage of estrogen gradually decreases, but the dosage of the progestogen, on the contrary, increases. Due to this, the effect of the reception is significantly increased. To date, Qlaira is a revolutionary drug with a high degree of protection and the ability to treat women's diseases.

The best birth control pills

It has long been proven that a prolonged absence of pregnancy can disrupt a woman's health, provoking hormonal failure, as well as mental and organ diseases associated with it. The Frenchman Verne Bullo, a historian by profession, said 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 that stimulate 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.

Hormonal contraceptives are chosen by millions of women around the world as the preferred method of contraception. They do not affect the sensations during 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, the girl's ovaries contain about 1 million follicles that can become eggs, and by the age of 37 there are only 25,000 of them. Hormonal drugs do not allow the body to ovulate, so the 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 rubles.
Rating (2019): 4.8

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

Another feature of the Hungarian OK 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 in the active reproductive age(up to 30 years). Otherwise, this is a fairly effective contraceptive that has 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;
violates the menstrual cycle during the reception;
causes depression;
causes nausea at the beginning of the course.

2 Marvelon

Normalizes the menstrual cycle
Country: Netherlands
Average price: 1,425 rubles.
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 secretions and eliminates pain during menstruation. It can be used as a means of emergency contraception, but not more than 1 time in 6 months. The effectiveness of Marvelon as a postcoital agent does not exceed 80%.

According to women taking Marvelon, the drug has Negative influence on the ability to get pregnant in the case of its long-term use, therefore, it is recommended to drink these pills in courses. Given the increased risk of thrombosis, it is recommended to be examined by a hematologist, hepatologist and vascular surgeon before taking the drug.

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 rubles.
Rating (2019): 5.0

Jess is a combined oral contraceptive from the German pharmaceutical company Bayer. The active ingredients are drospirenone and ethinylestradiol. It is used to protect against unwanted pregnancy, with severe forms of PMS, as well as for the treatment of acne. The contraceptive effect of the pills is based on blocking ovulation and changing the quality of cervical mucus, which becomes too thick for sperm to move.

Unlike other COCs with the same active ingredient, the Jess formula has been improved: it uses the latest (4th) generation drospironene, and each tablet contains 1.5 times less ethinylestradiol 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 is restored for a long time after the completion of the Jess course;
addictive;
reduces libido;
causes migraines.

The best birth control candles

Contraceptive suppositories belong to the category of spermicidal contraceptives. The principle of action of chemical spermicides is to destroy the membrane of spermatozoa: interacting with spermatozoa, the components of the drug destroy their membrane, separate the head from the tail, depriving them of the ability to move. Especially strong spermatozoa, however, are still able to get to the egg and fertilize it. This can be fraught with the birth of a child with certain physical deformities. Such a relationship has not been proven, but many women testify to this. It is not recommended to use such contraceptives regularly, because the acids contained in the candles can have a negative effect on the condition of the mucous membrane in the vagina, as well as on the cervix. Candles are not distinguished by the highest contraceptive ability. According to statistics, 15 out of 100 women who use birth control candles become pregnant within a year.

Thus, contraceptive suppositories are a convenient contraceptive option for women who have infrequent sex. Candles are ideal as an additional contraceptive - when the pill regimen has been violated or during the completion of lactation. The undoubted advantages of this method of contraception are the absence of a systemic effect on the body and the safety of intimate sensations.

3 Gynecotex

Doesn't sting
Country Russia
Average price: 140 rubles.
Rating (2019): 4.8

Gynecotex suppositories use the same active ingredient as Pharmatex suppositories - benzalkonium chloride, so these products are similar. The fundamental difference between Gynekotex and Pharmatex is in cost: Russian candles are about 3 times cheaper than German ones. Some women note that these suppositories dissolve somewhat worse in the vagina and give more foam.

Advantages:

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

Flaws:

dissolve for a long time.

2 Patentex Oval

Most popular remedy
Country: Germany
Average price: 370 rubles.
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 cell, it damages its membrane, thereby depriving it of the ability to dissolve the egg cell membrane. The time required for the destruction of the spermatozoon is 40 seconds (10 times more than that of Pharmatex). The drug does not have bactericidal and antiviral properties, therefore it cannot be used as protection against STIs. There are studies proving that nonoxynol contributes to human morbidity with certain types of human papillomavirus.

Advantages:

effective;
quickly dissolve;
have a stimulating effect.

Flaws:

have an unpleasant odor;
cause itching;
foam excessively.

1 Pharmatex

Best Action. Has antiviral properties
Country: France
Average price: 349 rubles.
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 with viruses herpes simplex), antifungal and antiprotozoal. The substance has an instant 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 amount of secreted mucus, which has an additional contraceptive effect.

Advantages:

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

Flaws:

cause irritation;
poorly open;
provoking too much mucus.

The best intrauterine contraceptive coils

The intrauterine device is a contraceptive well known since ancient China. In the past, coils were made from aluminum wire and wood, but today they are made from hypoallergenic plastic impregnated with anti-inflammatory compounds. According to its action, the spiral refers to barrier, abortive and spermicidal agents at the same time.

Decreased fertility. The presence of an inflammatory process in the uterus contributes to 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 spiral negatively affects the endometrium, inhibiting its growth and ability to accept a fertilized egg. In fact, the spiral provokes a miscarriage on early dates 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 environment that is detrimental to spermatozoa and contributes to their destruction. To increase the acidity of the intrauterine space, copper is additionally used in the spirals, which stimulates the release of an acid secret.
Barrier contraceptive effect. The inflammatory process causes irritation of the cervical canal, which, in turn, produces an increased amount of thick cervical mucus that prevents sperm from entering 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 Simurg Bio-T Ag

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

Juno Bio-T Ag IUD is one of the best non-hormonal contraceptives that reduces the risk of unwanted pregnancy due to the fact that the intrauterine device takes the place of a fertilized egg, preventing its location. It has a classic T-shape, the basis is an anchor made of high-density polyethylene. Recommended for women who have already had childbirth, but also suitable for nulliparous women. Made in a diameter of 18 mm for nulliparous women and 24 mm for those who gave birth.

According to reviews is the best remedy contraception for family planning and for couples who already have children. Installed for 5-7 years.

Advantages :

affordable price ;
long duration ;
reliability .

Flaws :

access of external infections to the uterus;
the need for analysis before installation;
taking medication to prevent infections.

2 Juno Juno T Au

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

The Juno T Au intrauterine device is a means of intrauterine contraception that reduces the likelihood of an unwanted conception. The coil is made of pure copper and gold, making it durable. It has a T-shape, its basis is 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 at least seven years.

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

Advantages:

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

Flaws:

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

1 Mirena

High quality. Efficiency
Country: Finland
Average price: 13,220 rubles.
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 pills. The fundamental difference is only in the way hormones are delivered to the body. True, according to some women, the hormonal spiral, unlike OK, does not cause increased appetite, does not provoke swelling and does not cause irritation of the digestive system. Like Multiload, Mirena is installed for 5 years.

Advantages:

normalizes the hormonal background;
reliably protects against pregnancy.

Flaws:

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

The best barrier contraceptives

Barrier contraception is the oldest, cheapest, most versatile and common method of contraception. A typical representative of this category is the condom. Less known are contraceptive sponges and rings, cervical caps, vaginal films and diaphragms, as well as chemical barrier agents (candles, aerosols, gels). There are practically no contraindications to the use of these drugs, so they are ideal for those who have intolerance to OK or IUDs. Some of the barrier contraceptives are able to prevent premature ejaculation in men, protect against STIs and allergic reactions to ejaculate in women. The main disadvantage of barrier agents is that they only work when they are used. Our rating includes the best barrier contraceptives.

3 Durex Classic

Most popular remedy
Country: UK
Average price: 437 rubles.
Rating (2019): 4.8

The condom is the most common method of barrier contraception. Barrier contraceptives prevent the meeting of the egg and sperm. The condom is made in the form of a small thin-walled elastic tube with one closed end and an inlet on the other. Condoms are suitable for almost all women, except for latex allergies. They do not affect the hormonal background 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 contraception because of its almost 100% reliability and ease of use.

Advantages:

protect against STDs;
do not change the hormonal background;
suitable for daily protection.

Flaws:

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

2 Contraceptive sponges Pharmatex

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

Contraceptive sponges as a barrier method have been used by women 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 spermatozoa into the cervix. After installing the sponge, the partners can immediately begin the PA, and in the case of repeated sexual intercourse, they do not need to insert a new sponge into the vagina, as it retains its effect during the day.

Advantages:

does not flow;
convenient to enter;
long-term;
has a pleasant smell.

Flaws:

inconveniently removed;
hard to find in pharmacies.

1 Contraceptive ring Novaring

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

Novaring is one of the methods of hormonal contraception, which, however, uses a fundamentally different method of administering hormones - vaginal. Due to this, the hormone does not pass through the liver and organs of the gastrointestinal tract, therefore it does not have a negative effect on them. The ring releases the minimum required amount of the 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 tool is the confidentiality of its use: the ring is easy to install on your own, it is not felt during 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:

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

Flaws:

sometimes falls out when straining;
causes headache;
provokes the development of vaginitis;
allergic;
enhances appetite.

Best emergency contraceptives

Emergency contraception is used when it is necessary to terminate an unwanted pregnancy resulting from unprotected intercourse. Tablets or intrauterine devices are used. Means do not allow pregnancy to occur due to the fact that they delay ovulation. However, this applies to pre-pregnancy up to 72 hours after intercourse if the pill is used and 120 hours after intercourse if an intrauterine device is used. If you do not take emergency contraception before the expiration of 72 hours, then they will no longer be able to harm a possible pregnancy. It also cannot be assumed that the risk of unwanted pregnancy from unprotected intercourse decreases with age. According to statistics, women of 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 rubles.
Rating (2019): 4.8

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

According to most women, Escapelle is preferred because of the 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;
failure of the menstrual cycle.

2 Postinor

High result guarantee
Country: Hungary
Average price: 328 rubles.
Rating (2019): 4.9

Postinor is one of the methods of emergency contraception. The contraceptive is taken 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 gives a high guarantee of preventing unwanted pregnancy, but it should not be taken more than 2 times a year.

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

Advantages:

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

Flaws:

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

1 Ginepriston

Better Efficiency
Country Russia
Average price: 547 rubles.
Rating (2019): 5.0

Ginepristone is a means of emergency contraception. It is not a hormonal contraceptive, and therefore less harmful to the body. Ginepristone blocks the connection between hormones and receptors, thus preventing pregnancy, but it does not suppress the action of progesterone, as other contraceptives do. This is its main advantage over harmful hormonal emergency contraceptives. Contraindicated in women over 30-40 years old, with problems with the kidneys and uterine myoma.

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

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