There are many modern methods of contraception, and making a choice can be quite difficult. For each age group It is recommended to use certain protective measures against unwanted pregnancy and sexually transmitted diseases.

The selection of contraceptives for young nulliparous girls deserves attention, because at a young age they reproductive system has not yet been formed and continues to actively develop.

Contraception for nulliparous girls

When selecting a product for nulliparous girls, the gynecologist faces 3 tasks:

• Preventing unwanted pregnancy.
• Prevention of sexually transmitted diseases.
• Safety of the product for a girl’s health and future motherhood.

Means that have a contraceptive effect are divided into barrier and hormonal.

The following contraceptives are available:

What contraceptives are best for girls?

The choice of the optimal means of contraception for a young girl should ensure the prevention of abortion and infection venereal diseases. Doctors consider it advisable to combine the use of hormonal oral medications and simultaneous use of a condom or other barrier method protection.

Birth control pills are not able to prevent infection during sexual intercourse and have strict restrictions upon appointment. Oral contraceptives can be prescribed only if the following conditions are strictly met:

• the girl's height must be at least 160 cm;
• absence excess weight and problems with cardiovascular system;
• At least two years must have passed since the onset of menstruation;
• regular sex life with a regular partner.

Condoms are highly effective, but to increase the contraceptive effect, you can additionally use spermicides in the form of gels, creams, pastes or suppositories. The latter should not be used as independent method due to their low protective effect.

There is no ideal universal contraceptive; each of them has its own advantages and disadvantages, so to prescribe a reliable method, you should not turn to the advice of your friends, but to a gynecologist.

What contraceptive methods should girls not use?

The female reproductive system does not complete its formation after the start of menstruation, and sexual activity in modern girls often begins even before they finally grow up. The selection of protective equipment is made by a doctor, but most girls, due to inexperience, ignore such recommendations. IN best case scenario A condom is used during sexual intercourse, but some people completely ignore any contraception. In the future, such negligent attitude towards health leads to problems with conception and miscarriage.

Among the barrier agents, there are also those that are not recommended for nulliparous girls. These include caps and diaphragms; their effectiveness is not high enough (up to 90%) and due to the physiological characteristics of a young body, they are contraindicated as a contraceptive. Also, the installation of an intrauterine device is strictly not recommended due to multiple side effects.

Oral contraceptives during the period of active formation reproductive system girls can have an irreversible effect on her harmful influence. On your own without a doctor's prescription hormonal drugs It is strictly prohibited to accept. An experienced specialist, when selecting such a product, relies on the girl’s age and her physiological characteristics. In addition, it is not recommended to rely on biological methods for preventing unwanted pregnancy; their effectiveness is quite low and they require self-control and care.

Beginning sex life, adolescents and girls should understand that correctly and timely selection of contraceptive methods will help them maintain reproductive health and experience the joy of motherhood in the future.

Newest birth control pills: freedom of choice. Hormonal and non-hormonal, used after intercourse. Which ones are better to use?

Thank you

Key priorities modern medicine- care for the preservation of women’s reproductive health, protection and provision of safe motherhood. It is no secret that Russia is one of the first places in terms of the number of abortions. Abortion is a real operation that often leads to infertility, menstrual irregularities, miscarriages, and even maternal mortality. We can draw the following conclusion: measures to prevent abortions can help maintain a woman’s health and give birth to a healthy child.

No wonder they say that children are the flowers of life. But each flower opens only at a time determined by nature. A woman has the right to give birth to a child whenever she wants, at any time in her life, so that the child is desired and happy. This fact is confirmed by law.

For the prevention of unwanted pregnancy and abortion at a certain stage of a woman’s life, plays an important role contraception.

Contraception has been used by women since ancient times. So, back in Ancient Africa, intravaginal devices were used herbal remedies in the form of a cocoon, and in America they used douching with herbal decoctions, lemon juice, and red tree bark decoction at the end of sexual intercourse.

The number of contraceptives increased over time, but effective methods and reliable drugs appeared only in the 20th century.

New contraceptives appear almost every day. Science does not stand still. They are easy to use, reliable, safe for health, and moreover, they have a therapeutic effect for certain diseases.

Currently, medicine offers various contraception, and a woman can always choose which methods and drugs to use. Our country provides freedom of choice of contraceptives, but a woman cannot always decide for herself what is best for her. Consultation with your doctor will help you decide on the choice of contraceptive - only qualified specialist can assess a woman’s health status, determine indications for prescribing a particular method of contraception, and suggest the most best drug for the patient.

Hormonal oral contraceptives

Every year everything larger number women use hormonal contraception. In Russia, over the past ten years, the use of hormonal contraceptives has increased more than 5 times. Reliability, ease of use, minimum side effects, the beneficial effects on the organs and systems of the body allow hormonal drugs to find more and more grateful fans. Women today prefer hormonal oral contraceptives as the most effective. Combined birth control pills are the gold standard of contraception, their effectiveness is 99%. Newest hormonal contraceptives made a splash real revolution among other means of contraception.

Efficiency contraceptive drugs is assessed by experts by calculating the number of unplanned pregnancies per 100 women during the year. This indicator is called the Pearl index.

Types and composition of birth control pills

First oral agents contraception appeared in the fifties and sixties of the 20th century. The predecessor of all drugs for practical use is the contraceptive Enovid, which contained 0.15 mg of mestranol and 15 mg of norethinodrel. Then development hormonal drugs developed and underwent the following changes:

• New birth control pills began to contain small dosages of hormones, while at the same time their effectiveness and reliability were maintained.
• New analogues of female sex hormones have been obtained: ethanyl estradiol and levonorgestrel.
• Progestogens appeared III generation- norgestimate, desogestrel, gestodene.
• The newest contraceptives have been developed - mini-pills that do not contain gestagen.

Taking drugs with low concentrations of hormones helps reduce side effects and complications.

Combined contraceptives contain two components:
1. Synthetic estrogen ethinyl estradiol, which is the estrogenic component of drugs.
2. Progestational component in the form of various progestogens.

All contraceptive pills, depending on the dosage of hormones, are divided into the following types:

• monophasic;
• two-phase;
• three-phase.

In monophasic hormonal contraceptives daily dose active components is a constant value, but the composition can change. It is clear that monophasic drugs consist of tablets with the same dose of hormones. These tablets are the same color and are used during one course. Popular monophasic contraceptives include: Regulon, Marvelon, Silest, Novinet, Mercilon, Rigevidon.

Biphasic drugs involve changing hormone doses twice per course, three-phase drugs - three times. Typically, such tablets for one course have different colors. Two-phase contraceptives include Anteovin, three-phase contraceptives include Tri-mercy, Triquilar, Tri-regol, Triziston.

“Mini-pill” contraceptives are monophasic and are intended for the period of breastfeeding and lactation. These include: Lactinet, Exluton, Charozetta.

Action of combined oral contraceptives(COC) is based on blocking ovulation. In this way they protect against unplanned pregnancy. Only progestogen has the ability to block the ovulation process, the dose of which is the same in all combined contraceptive pills. The difference between microdose and low-dose drugs is only in the dosage of estrogen. Estrogens affect a woman's menstrual cycle.

Depending on the dosage of the active ingredients, birth control pills are divided into four types:

Microdosed birth control pills
As a rule, these products contain minimal doses of the hormone ethinyl estradiol. Side effects when using them are minimal. In some cases, they have the ability to eliminate hormonal imbalances: acne (especially in adolescence), painful menstruation. These pills are best suited for young girls under 25 years of age who have not given birth and have regular sex life. They can also be used by mature women over 35 years of age, and women who have never used products hormonal contraception. The most popular are: Tri-Mercy, Jess, Mercilon, Lindinet -20, Klaira, Novinet.

Low-dose birth control pills
The drugs contain the same ethinyl estradiol, but in combination with various hormones: desogestrel, gestodene, norgestimate, dienogest or levonorgestrel. These birth control pills are recommended for young women who have given birth. Besides contraceptive action, these products have a pronounced antiandrogenic effect: they help eliminate unwanted hair growth on the face, prevent the appearance of acne and hair loss due to hormonal imbalance. Popular tablets: Regulon, Belara, Marvelon, Yarina, Janine, Midiana, Femoden.

Medium-dose contraceptive pills
Typically contain two hormones: ethinyl estradiol and levonorgestrel. Less commonly, they may contain other combinations of hormones. Medium-dose contraceptive pills are intended for women who have given birth, especially those over 30 years of age. They also have an antiandrogenic effect, which is important for women who have not recovered from pregnancy and childbirth. However, when choosing a drug, one condition must be observed - these products are not suitable for nursing mothers. Popular tablets: Diana 35, Demoulin, Tri-Regol, Chloe.

High dose birth control pills
They contain ethinyl estradiol and levonorgestrel, but only in high doses. Such drugs are primarily used to treat and prevent hormonal diseases. Contraceptives of this type can be taken by women over 35 years of age, if drugs with low dosages of hormones are ineffective. These include: Triquilar, Tri-regol, Ovidon, Milvane, Non-Ovlon.

Newest birth control pills: how to choose?

A woman wants full life, and fear and reluctance of an unplanned pregnancy should not be a reason for refusing sexual relations. There are many ways to protect yourself. The most reliable are birth control pills.

Choosing a contraceptive is difficult and should be taken seriously.

Ideally, a specialist should select contraceptive drugs, but sometimes the woman decides for herself which pills to take. In these cases, it is necessary to carefully collect information about the product. Where to start?
1. Acquainted with various types contraceptive drugs.
2. Compare all the pros and cons.
3. Define your goal - decide what you want to get from using oral contraceptives.

What you need to know for the right choice? Let's figure it out.

A woman should find information about drugs and their effect on the body. It should be borne in mind that birth control pills differ in parameters, degree of reliability and side effects.

Combined contraceptives usually contain two analogs of female sex hormones, so they come first in terms of reliability. Combined oral medications are used both to protect against pregnancy and to treat diseases and hormonal disorders. Women who choose hormonal birth control pills are still advised to consult with their doctor and undergo a hormonal test.

New contraceptives are the so-called “mini-pills”. They contain only one hormone - therefore the reliability of the drugs is 90%. Their advantage is the possibility of use during lactation, as well as by women who are intolerant to estrogen (part of COCs).

The following type of birth control pills is represented by means for emergency contraception. These tablets are not intended for long-term use, but are used immediately after sexual intercourse. The hormone content in them is very high, so these products can only be used once a month.

Currently, contraceptive drugs of the second to fifth generations have appeared on the market. These the latest drugs contain small dose hormones, have mild side effects. It should be understood that there are no good or bad contraceptives. There are products that are suitable or not suitable for a woman. Therefore, when selecting contraceptives, one should take into account individual characteristics the body of a particular woman.

When making your own selection, you must first determine the phenotype—the woman’s body type.

The following types of female phenotype are distinguished:
1. With a predominance of estrogens - estrogenic type.
2. With a balance of estrogens and gestagens - a balanced type.
3. With a predominance of gestagens and androgens - gestagenic type.

The phenotype is determined by the following characteristics: general appearance, volume and condition of the mammary glands, skin type, the nature of menstruation, the duration of the menstrual cycle, the presence of toxicosis during a previous pregnancy, the woman’s body weight and tendency to be overweight.

A balanced phenotype is characterized by average indicators of these traits. In this case, it is recommended to take Marvelon, Triquilar, Microgynon, Triziston, Mercilon, Tri-Mercy, Regulon.

When the estrogen phenotype predominates, it is characterized by a very feminine appearance, very long menstrual cycle, very heavy menstrual and vaginal discharge, moderate fullness. It is advisable to take drugs such as Anteovin, Minulet, Norinil, Rigevidon, Miniziston.

When the gestagenic phenotype predominates, all the signs are less pronounced: unfeminine appearance, small volume of mammary glands, scanty periods, short duration of the menstrual cycle, oily skin. The following remedies are effective: Bisekurin, Chloe, Non-ovlon, Yarina, Ovidon, Jess, Janine, Klaira, Diane, Midiana, Belara.

No matter how carefully the choice is made, it still happens that the drug is not suitable. The ideal selection method has not yet been invented. Often you have to act by trial and error, but sometimes this is inevitable, because every woman’s body is unique.

It has been proven that the criterion for a successful choice of contraceptive is the absence of menstruation for three months - i.e. adaptation period. Then this drug can be taken long time.

Non-hormonal birth control pills

Along with hormonal contraceptives, non-hormonal birth control pills appeared at one time. Today there is a rise in the popularity of these funds, which is explained by some of the features of their action.

The fact is that the use of non-hormonal birth control pills is not contraindicated for women immediately after childbirth, nursing mothers, and women who cannot take hormones. And another important detail: non-hormonal drugs for preventing pregnancy not only have the ability to destroy sperm, but also contribute to the formation of a protective film on the vaginal mucosa and thickening of mucus in the cervical canal. Moreover, active substances - spermicides - reduce the speed of sperm movement, and the resulting mucus is a barrier to their penetration into the uterus. This is good protection against unwanted pregnancy. Non-hormonal contraceptive pills, which is important in our time, protect women from sexually transmitted infections, as they have both antiseptic and antimicrobial effects.

It follows that non-hormonal contraceptives can be used by many women at different periods of life. The use of tablets refers to barrier chemical method contraception. They are easy to use, do not disrupt hormonal levels, can be used at any reproductive age of a woman, and are a prevention of sexually transmitted diseases.

Birth control pills Pharmatex

Most popular non-hormonal agent For contraception, the drug currently used is Farmatex. Pharmatex has spermicidal, antiseptic and antimicrobial effects.

In addition to the contraceptive effect, Pharmatex birth control pills prevent the transmission of sexually transmitted infections and reduce the risk of their consequences: infertility, miscarriage, cervical diseases, tumors caused by HIV infection.

A huge advantage of using Pharmatex is that it in no way affects either hormonal levels or the vaginal microflora.

Pharmatex, like others non-hormonal tablets, affects such types of microorganisms as Trichomonas, gonococci, chlamydia, Candida fungi, herpes virus. Pharmatex acts locally, which does not cause side effects on organs and systems of the whole body.

Application vaginal tablets is more suitable for women postpartum period, during lactation and breastfeeding, after an abortion, with irregular sexual activity, when there is no permanent partner.

Mode of application
The manufacturer of the product usually includes instructions for use. Basically, non-hormonal vaginal tablets are inserted into the vagina to a sufficient depth 10 minutes before sexual intercourse. For more convenient administration of tablets and other dosage forms, included in the package medicine includes a special applicator.

You need to know that before each subsequent sexual intercourse, and in the case of sexual intercourse that occurs later than two hours after the administration of the tablet, you must enter new pill. Of course, this is inconvenient to a certain extent, since a woman cannot afford to re-inject the pill after accidental or unexpected sex. She needs to plan the timing of intercourse, which is unnatural.

The effect of the drug is believed to last from 40 minutes to several hours. But you need to remember that the use of vaginal tablets is not combined with water procedures before and after sexual intercourse using intimate hygiene products.

In some women, the drug may cause a burning sensation in the vagina. In this case, you should consult your doctor about continuing or discontinuing Pharmatex. The reliability of Pharmatex is 80-82%.

Contraceptive suppositories and creams

Although the reliability of contraceptives vaginal medications less high compared to hormonal contraceptives, yet they continue to gain popularity ratings. Only improper use of these products can lead to unwanted pregnancy.

In addition to tablets, manufacturers offer the use of other dosage forms: suppositories, creams, ointments. The active substance in the suppositories is either nonoxynol or benzalkonium chloride.

Pharmatex is also available in various forms: as vaginal suppositories, tampons, creams, capsules.

Advantages of using contraceptive suppositories
Contraceptive suppositories are easy to use, easily inserted into the vagina, and have minor side effects. Another advantage of using non-hormonal vaginal suppositories is the effect of additional lubrication. They are especially suitable for partners who have problems with natural lubrication and dryness in the genitals.

Vaginal suppositories protect a woman from sexually transmitted infections and are indispensable for casual sexual intercourse, infrequent sexual intercourse, or in the absence of a permanent partner.
Disadvantages of using contraceptive suppositories
Vaginal contraceptive suppositories can affect the microflora of the vagina, since in addition to the active substance they contain acids. Burning and itching, allergic rashes that occur when using suppositories are indications for their discontinuation.

Dosing
Vaginal suppositories. The suppository is inserted into the vagina 10 minutes before sexual intercourse. The drug is effective for 4 hours.

Vaginal tampon. The tampon is taken out of the package and inserted into the vagina using a finger, right up to the cervix. The protection effect occurs immediately and lasts 24 hours. The tampon does not need to be changed during this period, which is very convenient. The tampon does not change even if there are several sexual intercourses that follow each other during the day. The tampon is removed no earlier than 2 hours after the last sexual intercourse, but no later than 24 hours after its first insertion into the vagina.

Vaginal cream. It is inserted into the vagina using a special syringe. The device should be filled to the mark without the formation of air bubbles. Then slowly insert into the vagina before sexual intercourse. The introduction is made lying down. The effect of the product begins immediately and lasts about 10 hours. Before repeated sexual intercourse, it is necessary to re-administer a portion of the cream.

Popular drugs: Pharmatex, Nonoxynol, Patentex Oval, Contraceptin T.

Birth control pills after intercourse

One method that prevents unplanned pregnancy is called emergency contraception. This the only defense at emergency situations: rape, forced sexual intercourse and mental conditions associated with them. Emergency contraception is also used during unprotected sexual intercourse, as post-coital protection against possible pregnancy.

Sometimes this method is simply called: emergency, fire, emergency contraception, contraception the morning after. But it is still correct to call it emergency, since this method is used in emergency situations.

Emergency contraception aims to prevent pregnancy at the following stages: ovulation, fertilization and consolidation of the fertilized egg in the endometrium (inner layer of the uterine mucosa).

• in emergency situations involving violent acts on the part of a partner, as well as when the integrity of the condom is broken or a woman misses taking a contraceptive pill;
• with rare sexual contacts;
• during unprotected sex, when no contraceptive methods were used.

Contraindications for this method the same as for taking other birth control pills, namely:

• thrombosis and thromboembolism (even in history);
• liver diseases with a high degree of failure;
• kidney diseases;
• oncological diseases.

For this method, hormonal drugs containing estrogens, combined hormonal contraceptives, as well as drugs containing gestagens and intrauterine devices can be used.

Estrogens for emergency contraception have recently been used less often, since they contain high doses hormones, which leads to side effects - nausea and vomiting.

Combined contraceptive pills are used within 72 hours after sexual intercourse, twice, with a break of 12 hours. You can use any drug from this group.

Most known drug for emergency contraception in Russia is Postinor. It is recommended to take it twice, one tablet at a time. The first tablet is taken no later than 72 hours after sexual intercourse, the second - 12 hours after the first.

The second emergency contraceptive drug, Escapelle, is taken once within 96 hours after sexual intercourse.

Combined oral contraceptives are taken daily for 21 days. Then a break of 7 days is taken, and the next package of the drug begins. The course begins with an active tablet.

"Mini-pills" are taken without interruption. Immediately after finishing the package, the next one begins.

Break in reception

It is recommended to take birth control pills for a long time, but you should see a gynecologist once a year. If the doctor does not determine any contraindications to taking your usual medications, then you can safely continue taking them.

Menstruation upon admission

When taking COCs, your periods may stop if you take them for a long time. When using other oral contraceptives, periods may become scanty and last a shorter time.

If you have been taking contraceptives regularly, without omissions or breaks, but your periods have stopped, then you need to continue taking them.

But if the intake was irregular, you should suspect the onset of pregnancy, immediately stop using the contraceptive and contact a gynecologist to identify it.

Menstruation after cancellation

Menstruation returns completely within one to two months after stopping birth control pills. According to experts, approximately 80% of women have a planned pregnancy. If your periods have not returned within six months, you should consult a doctor.

Bleeding when taken

After starting to take the pills, a woman may experience spotting. You should not interrupt the course for this reason. The spotting disappears as you continue taking it.

If heavy bleeding occurs, consult a doctor.

Is it possible to get pregnant while taking birth control pills?

Pregnancy can occur only if the contraceptive regimen is violated. If the delay in taking the pill is more than 12 hours, the effectiveness of the contraceptive effect is weakened.

Another situation is when a woman vomits when taking it. Then you need to take the next pill, since the first one is not absorbed. If vomiting occurs repeatedly, it is better to switch to another type of medication. The same steps should be taken for loose stools.

The reliability of contraceptives may decrease when taking other medications - for example, antibiotics, St. John's wort infusions, etc. In this case, the use of additional method contraception.

How long can you take the pills?

Unfortunately, fear of hormonal drugs among Russian women passed on from generation to generation. Women ask a lot of questions and try to find answers to them.

According to scientists, fifth-generation contraceptives have already appeared in Russia, which have minor side effects. But the number of questions is not decreasing.

Is it possible to take birth control pills continuously for more than a year?

With absence side effects depending on the medications a woman takes, as well as medical contraindications for taking them, it is allowed to take contraceptives for quite a long time, even several years. Changing pills to others, or taking breaks in taking them, is not useful, but on the contrary, harmful. The body adjusts to one type of pill; switching to other contraceptives forces it to work in a different rhythm. Research by scientists has proven that breaks do not affect the incidence of complications or the development of subsequent pregnancies.

Pregnancy after stopping birth control pills

Calculations confirm that pregnancy can occur immediately after stopping birth control pills, or after a short period of time. Interestingly, after discontinuation, the likelihood of pregnancy increases several times. Doctors use this circumstance in the treatment of infertility.

Is it possible to stop taking birth control pills?

A woman has the right to stop taking contraceptives whenever she wishes.

Which is better: birth control pills or the IUD?

Women often ask: “Isn’t it better to insert an intrauterine device than to take pills?” Again, the same fear of hormones makes us think about canceling combined oral medications. It must be taken into account that the spiral is foreign body in the uterine cavity, which can cause inflammation. Tablets are more reliable and safe.

The best birth control pills

We have already said that it is impossible to determine best pills for a specific woman. Every woman should choose the pills that are suitable only for her. Currently, fifth-generation drugs have appeared, and such side effects, like obesity and infertility, are a thing of the past. Modern contraceptives contain minimal doses of hormones and have virtually no side effects. Let's try to give short descriptions some drugs.

Jess

Jess contraceptive pills are a new, practical solution for preventing unwanted pregnancy for young women. This medicine contains small doses estrogen - 20 mcg, and progestogen drospirenone - 3 mg, which reduces the risk of complications vascular nature. The tablets are well tolerated and do not have a negative effect on the gastrointestinal tract.

This drug belongs to the fourth generation of contraceptive drugs.

It is recommended to use the drug for a long time. The package contains 28 tablets. Take the tablets daily, preferably at the same time. Start taking Jess on the first day of menstrual bleeding, then drink continuously.

Jess is a novelty in medicine. The popularity of the drug is growing. Jess provides reliable protection, controls the menstrual cycle, is used to treat symptoms of premenstrual syndrome, acne, has a beneficial effect on hair and nails. At the same time, the weight of women using Jess remains stable. The period of adaptation to the contraceptive is 1-2 months.

No wonder the drug Jess is called the contraceptive of the twenty-first century.

Novinet

The action of the new contraceptive Novinet is based on blocking ovulation and the production of luteinizing hormone. This makes it possible to delay the movement of sperm into the uterus by increasing the viscosity of the mucus in the cervical canal.

The drug has minimal side effects, does not cause pain during menstruation, and does not affect a woman’s weight gain.

When taking Novinet, nausea, rarely vomiting, partial hair loss, and headaches may occur.

Novinet is taken 1 tablet daily for 21 days. The break is 7 days, on the eighth day a new package is started.

Breastfeeding women can start taking the drug three weeks after giving birth. It should be remembered that Novinet dramatically increases the amount of breast milk.

Reviews about Novinet are mostly positive.

Janine

Janine refers to monophasic low-dose contraceptives. Contraceptive effect The drug is caused by a combination of three actions: inhibition of ovulation, increased viscosity of cervical secretions and changes in the endometrium in terms of preventing the introduction of sperm.

The active ingredients are dienogest and ethinyl estradiol.

Janine take 1 tablet per day for three weeks. Then they take a break for a week, after which the course is repeated.

Reviews about Janine prove a truly pronounced contraceptive effect.

Regulon

Regulon is a combined oral contraceptive. Active substances - 0.03 mg ethinyl estradiol and 0.15 mg desogestrel. Regulon acts similarly to the previous drug.

Regulon helps with menstrual disorders and uterine bleeding.

Reviews about Regulon
Women who took this drug, note the quality of the drug and its reliability. Regulon acts much more gently than other drugs. It was often recommended by doctors for use by teenagers and young girls. At long-term use does not cause side effects, reliably protects against unwanted pregnancy and does not contribute to weight gain.

Women who have used it for medicinal purposes. The drug helps with heavy uterine bleeding vaginal discharge, improves the quality and appearance of hair, nails and skin.

Yarina

The drug Yarina is also popular in Russia. This is an effective new generation oral contraceptive. The active substances are drospirenone and ethinyl estradiol.

The drug is well tolerated and has minor side effects. During administration, the woman’s weight remains unchanged, there is no nausea or vomiting, and therapeutic effect- decrease premenstrual symptoms, symptoms of seborrhea, acne.

Women taking Yarina noted the high reliability of the drug, as well as improved mood, restoration of libido, and normalization of the menstrual cycle.

The minimum cost of a monthly dose of the drug in Russia ranges from 600 rubles.

Logest

Logest is modern contraceptive new generation. It contains a minimal amount of hormones. In addition to a persistent contraceptive effect, it has a therapeutic and prophylactic effect on the course of female oncological diseases, which is an advantage of the drug.

The effect of the drug is based on inhibition of ovulation, increasing the viscosity of the secretion, which impedes the movement of sperm and prevents implantation of the egg in the uterus.

Taking the pills starts on the first day of the menstrual cycle. Take 1 tablet daily for 21 days. Then they take a week break, after which the course is repeated.

When the drug is discontinued, the body's ability to conceive is completely restored.

The price of the drug ranges from 330 to 450 rubles per package.

Claira

Quite recently, new birth control pills, Qlaira, appeared in our country. Qlaira is the first fifth generation contraceptive, the latest and highest quality contraceptive.

Qlaira is a natural oral contraceptive. For the first time, the composition of a combined hormonal contraceptive preparation did not include ethinyl estradiol as an active substance. It was successfully replaced by the softer and safer hormone estradiolavalerate, which is a hormone with a natural formula. This hormone has been well studied and is used mainly to treat symptoms of menopause.

To enhance contraceptive functions, scientists added the active substance dienogest to estradiol valeriat, which also solved the problem of intermenstrual bleeding.

The procedure for taking the drug has also been changed. It has a unique dynamic dosing mode. Qlaira is a four-phase hormonal drug. The package contains two placebo tablets, that is, they do not contain active ingredient, and 26 active tablets With different doses active substance. Doses of estrogen when taken are gradually reduced, and doses of gestagen are increased. This dosage regimen increases the effectiveness of the drug several times.

On modern stage development of contraception, the drug Qlaira is revolutionary, providing high degree protection and treatment of female diseases.

Despite the very big choice contraceptive pills, the percentage of abortions remains high in our country. Women do not have sufficient information about drugs and experience panic fear before using hormonal drugs, not allowing the idea that safe and reliable contraceptives have appeared at the present stage. New generation birth control pills containing reduced doses active substances, can help women plan a pregnancy without the risk of complications and abortions.

Before use, you should consult a specialist.

Content

According to statistical data, the majority of representatives of early reproductive age lives a sexual life. It is especially important for young nulliparous girls to properly protect themselves from unwanted pregnancy. This is due to the fact that interruption before the first birth causes numerous complications of a somatic and psycho-emotional nature. Birth control pills for young nulliparous girls are the most effective means protection.

Can nulliparous girls take birth control pills?

The issue of contraception is relevant for women of both early and late reproductive age. Gynecologists say that birth control pills are also indicated for young and nulliparous girls. Despite popular belief, COCs and mini-pills are safe. However, the necessary preliminary examination and adequate selection of drugs are essential.

At what age can you take contraceptives?

You can use birth control pills with adolescence, if the girl has a regular sex life. When selecting COCs, the timing of menarche is important. Two years or more must have passed since the first menstruation.

Pros of birth control pills

Contraceptives for nulliparous girls are used not only to prevent unwanted pregnancy. Properly selected medications have a positive effect on the young female body:

• regulate the cycle;
• help eliminate PMS;
• reduce blood loss and pain during menstrual periods;
• reduce the risk of cyst formation and the development of organ pathologies in the pelvis.

The drugs are known to improve general state nails, hair and skin. In young and nulliparous girls, COCs help eliminate primary dysmenorrhea and acne. Hormonal background changes with the onset of sexual activity. Contraceptives help normalize hormone production.

Important! Only modern medications prescribed by a gynecologist can provide a positive effect on the body of young nulliparous girls.

Are birth control pills harmful for nulliparous women?

Contraceptive hormonal drugs that are prescribed to young nulliparous girls include two groups of drugs:

• Progestin (mini-pills). The tablets contain only progesterone, which is a synthetic analogue female hormone. When using a mini-pill, the inner layer of the uterus becomes loose, and the secretion cervical canal becomes thick. These changes make conception almost impossible.
• COOK. The tablets contain progesterone and estrogen. The use of contraceptives affects the synthesis of hormones, causing ovulation. The mechanism of egg maturation is disrupted.

Indications and contraindications

COCs are prescribed to protect against unwanted pregnancy. Taking hormonal medications may be recommended for cycle disorders and hormonal abnormalities.

The following pathological conditions and diseases are considered relative contraindications for use:

• bronchial asthma;
• rheumatoid arthritis;
• thyrotoxicosis;
• Gilbert's syndrome.

TO absolute contraindications include:

• pathologies of the cardiovascular system;
• impaired functioning of the kidneys or liver;
• bleeding of unknown etiology;
• migraine;
• obesity;
• malignant tumors;
• long-term immobilization;
• diabetes;
• risk of thrombosis.

Important! COCs should not be taken if pregnancy is suspected. Taking hormonal contraception is prohibited one month before surgery.

What are the best birth control pills for nulliparous women?

Combined pills are considered the optimal drug for contraception. COCs are also indicated for young nulliparous girls who are sexually active.

Attention! Mini-pills are suitable for girls who have given birth, including during lactation.

Combination contraceptive pills are:

• microdosed;
• low-dose;
• highly dosed.

During regular sexual intercourse, gynecologists recommend that young nulliparous girls take microdosed birth control pills. COCs containing trace levels of the hormone estrogen are prescribed to women who are starting to take birth control pills for the first time. Preparations of this drug group rarely cause adverse reactions. There is no additional load on the body of a nulliparous young girl.

Important! Bloody discharge while taking micro-dose contraceptives indicates the need to use low-dose birth control pills containing increased concentrations of estrogen.

High-dose hormonal drugs are prescribed for therapeutic purposes. Young nulliparous women should not take such contraceptive pills on their own.

Names of birth control pills for nulliparous young girls

Gynecologists emphasize that the best contraceptive pills for young girls are COCs. These drugs are considered effective in early reproductive age, including adolescence.

Good birth control pills for nulliparous girls include:

• contraceptives, including small doses of artificial hormones;
• medicines that contain progestogens.

Important! Progestogen drugs are third generation drugs.

The list of birth control pills for young nulliparous girls is presented by the following names:

• Tri-regol, Triziston, Triquilar (three-phase);
• Mercilon, Marvelon, Femoden, Silest (single-phase).

COCs can be used for more than just contraception. Single-phase drugs are distinguished by their ability to regulate the menstrual cycle.

Rules for taking birth control pills for young girls

Prescribing contraception for nulliparous women requires a preliminary examination, which includes:

• smear for oncocytology;
• general blood analysis;
• ultrasound examination of organs localized in the pelvis;
• consultation with a mammologist.

Preliminary diagnosis is necessary to identify possible contraindications to taking birth control pills. The test results allow the gynecologist to select the optimal drug for a nulliparous young girl.

Possible side effects

Undesirable side reactions occur quite often. The risk of their occurrence is associated with independent selection of the drug. The following side effects are observed with the use of COCs:

• headaches and migraines;
• nausea, vomiting;
• fluid retention, which manifests itself as edema;
• swelling of the mammary glands;
• flatulence;
• unusual vaginal discharge;
• increased fatigue and tiredness;
• lability of mood.

The harm of birth control pills for nulliparous women is also represented by the appearance of various allergic reactions. Signs of an allergy indicate the need to discontinue the medication.

Next pathological symptoms require immediate medical attention:

• intractable headache;
• sudden loss of vision, hearing or smell;
• pain in the limbs;
• feeling of tightness in the chest area;
• cough of unknown etiology;
• itchy patches on the skin;
• pressure changes.

Important! The advisability of continued use of COCs after the occurrence of adverse reactions determined by the doctor.

Doctors' opinion

Some nulliparous young girls do not use birth control pills because possible consequences related to the development of various pathological conditions. Conducted studies have proven the effectiveness and safety of COCs:

• hormonal medications reduce the risk of malignant tumors organs of the reproductive system;
• the possibility of cardiovascular diseases is associated with smoking and increased negative effects of nicotine;
• Birth control pills can be taken for a long time if they are correct selection for young and nulliparous girls;
• the cycle after stopping the drug is restored quickly in the absence of hormonal disorders before using COCs;
• Weight gain is not a side effect, but this phenomenon indicates the need to use another medicine.

Hormonal contraception can be used starting in adolescence. A prerequisite is the formation of the menstrual cycle.

Proper use of the medicine provides reliable protection against unwanted pregnancy. A young nulliparous girl should take into account important rules use of birth control pills:

• the start of taking pills coincides with the first day of menstruation, otherwise there is a need for additional contraception;
• if you miss a pill for 12 hours or more, you should use a condom or other means of contraception for a week;
• if adverse reactions occur, it is recommended to consult a specialist;
• some medications may reduce the effectiveness of COCs;
• before a planned operation, you must stop taking the medication 4 weeks before surgery.

Important! The maximum contraceptive effect is observed one month after starting to take COCs.

Conclusion

Birth control pills for young nulliparous girls are the optimal means of contraception. To receive medications was safe, you should undergo a preliminary examination before selecting a COC by a specialist.

As you know, the use of properly selected contraceptives is designed to protect the girl from various and also prevent unwanted pregnancies. For young representatives of the fair sex, as a rule, the most important thing is to prevent conception, because not everyone is ready to play the role of a mother at a young age. Ways to protect yourself from modern world very diverse. Today we will try to figure them out together.

Chemical contraceptives for girls

These means of birth control, despite their name, are practically safe for the body. Their action is to suppress sperm activity, which prevents the possibility of conception. These contraceptives include contraceptives vaginal ointments, candles, aerosols and creams. Chemical contraceptives for girls also have a significant advantage, which is the need to use them immediately before sexual intercourse, which is very convenient. However, there is also a negative side to this group of contraceptives: rather low efficiency, which is about 70%. That is, out of 100 girls who protect themselves in this way, 30 will become pregnant.

Contraceptives for girls: patch

This method of protection consists of sticking a special one on the body with the help of which hormones enter the body. The validity period of such a contraceptive lasts about a week, but all this time you need to monitor its presence on your body. In addition, the effectiveness of this drug is approximately at the level of chemical options for contraception; accordingly, the risk of conception remains quite high.

Contraceptives for girls: spiral

Vaginal IUDs have long been considered one of the most reliable means of preventing unwanted pregnancy. Their effectiveness exceeds 95%, and they do not affect reproductive function, therefore, immediately after removing the IUD, a woman can become pregnant. In addition, the advantages of such a contraceptive include a long period of use (3-5 years), no need for regular care, and no inconvenience both during sexual rest and during sex. However, it must be remembered that only girls who have already given birth can use spirals.

Contraceptives for girls: condoms

Perhaps everyone has heard about them being the most popular way of preventing unwanted pregnancy and sexually transmitted diseases. But there are also ones that are inserted into the vagina and can remain in it for up to 10 hours. Overall this is the most reliable way contraception, which is about 98% effective.

Contraceptives for girls: pills

(or are also a very popular and effective way to protect against unwanted pregnancy. Their effectiveness is almost 100%. But it must be remembered that they must be taken every day (except for a week's break). Despite the safety of modern oral contraceptives, it is still necessary that Your gynecologist selected the pills individually for you.

It is important to protect yourself from unwanted pregnancy at any age. However, issues of contraception are especially relevant for young girls. Abortion causes many problems in the future, especially if the first pregnancy was terminated. Taking birth control pills for nulliparous young girls is an effective way to protect against unwanted surprises. Modern oral contraceptives, contrary to existing myths, are safe. The main thing is to choose the right contraceptives. This is precisely the main difficulty associated with this, which is why young girls prefer less reliable methods of contraception, or even rely on fate.

ABOUT appropriate ways You can find out about contraception at your doctor's consultation.

Birth control pills are different. They differ in composition and principle of action. There are two large groups of protective drugs:

• gestagenic (the second name is mini-pills);
• combined (COC).

The mini-pill contains one synthetic hormone– progesterone. When taking medications, the uterine mucosa changes: the endometrium becomes loose. The tablets affect the viscosity of the cervical fluid: the secretion thickens. All this leads to the impossibility of conception: it is difficult for sperm to move towards the egg, the possibility of implantation is reduced to a minimum.

Combination pills contain estrogen and progesterone. These substances can influence the production of those hormones that stimulate ovulation. With the help of COCs, you can suppress or slow down ovulatory processes.

Which pills are suitable for young girls

The optimal method of protection against unwanted pregnancy for young girls is combination tablets. COCs can be used by teenage girls who are sexually active. Monopreparations, on the contrary, are created to protect women who have given birth (they can be used even during lactation); due to their principle of action, they are not suitable for a young body.

COCs come in micro-, low- and high-dose. Birth control pills with micro-estrogen content are an ideal contraceptive option for young girls who have regular sexual intercourse. They are perfect for those who are using hormonal contraceptives for the first time. Such drugs do not impose additional stress on the body. Side effects are rarely observed when taking microdosed COCs.

If microdosing preparations are not suitable (this is easy to understand by bloody discharge after the adaptation period), then nulliparous girls can protect themselves with the help of low-dose COCs. They contain a higher estrogen content, but this concentration will not affect a young body.

High-dose contraceptives should not be taken without a doctor's prescription. They are used for the treatment of hormonal diseases, for contraception during the period of normalizing hormonal levels.

Benefits of birth control

Modern contraceptive pills not only effectively protect against unwanted pregnancy (with correct intake up to 99% guarantee), but also have a positive effect on the body of a young girl. The drugs additionally help:

For teenagers combination drugs will help in the fight against primary dysmenorrhea. With their help you can get rid of acne, acne. They help normalize hormonal balance, which changes after the onset of sexual activity.

Reliable protection plus positive influence the body can only be provided by new generation birth control pills. Pharmacists regularly work to improve them. Pharmacies offer many options for oral contraceptives, but to select truly safe ones, you will need to consult a gynecologist.

Side effects

If anti-conception pills had no side effects, they could be called the ideal contraceptive method. However side symptoms occur frequently, especially if the medications were not selected together with a doctor. When taking COCs, you may experience:

• migraine-type headaches;
• nausea and vomiting;
• swelling caused by fluid retention in the body;
• bloating;
• excessive breast sensitivity;
• vaginal discharge;
• feeling irritated and tired.

Some drugs (even with trace amounts of hormones) can provoke allergic reactions. If there are signs of an allergy, you should stop taking the pills.

Sometimes birth control pills cause symptoms that require immediate appeal for medical help. When should you not postpone a visit to the doctor? The following manifestations should alert you:

Only a doctor can reliably determine whether there is a relationship between alarms, which the body supplies, and taking contraceptives. The gynecologist will tell you whether it is possible for a nulliparous girl to continue taking the drugs or whether it is better to switch to another protective method.

Debunking myths

Often young girls, thinking about how to minimize the possibility of an unwanted pregnancy, do not consider contraceptives as a suitable option for themselves. This is because there are many myths around such drugs. But that’s why they are myths, to debunk them.

If you have any doubts or questions, you should contact your gynecologist. He will tell you where the myth is and where the truth is.

How to make the right choice

The pharmacological market offers many combination drugs that nulliparous girls can take to protect against unwanted pregnancy. However, choosing the right pills on your own is difficult. A gynecologist will help the young girl understand this issue. Selection contraceptive drug preceded by:

• oncocytology;
• breast examination by a mammologist;
• blood analysis;
• Ultrasound of the pelvic organs.

The examination allows you to identify contraindications for taking oral contraceptives. Based on the test results, the gynecologist selects the optimal contraceptive option for the young girl. Taking birth control is possible provided there are no heart or liver problems. The contraceptive method is relevant for girls who have regular sex life. When prescribing tablets to adolescents, take into account important factor: when was the first menstruation. At least two years must pass from your first period.

Features of taking COCs

Birth control pills are famous for their high efficiency, but you can count on reliable protection only if you follow the rules for taking medications. The doctor will tell you about them in detail. Here are a few points to remember:

Protection against unwanted pregnancy occurs immediately as soon as hormones from the outside begin to enter the young girl’s body. The maximum guarantee for combination drugs is provided after a month of use. However, the effectiveness is significantly reduced if the rules of administration are violated.

Other protection options for young girls

Some young girls are afraid to take birth control for fear of side effects. A doctor can dispel any doubts, but not everyone is ready to consult a specialist on contraception. The pills have a high level of protection against unwanted conception, but there are other methods of birth control that nulliparous girls can use. You shouldn’t let everything take its course, because an abortion can lead to a huge number of problems, including infertility.

Condom: pros and cons

The most appropriate method of contraception should be discussed in advance.

If a young girl does not have a permanent partner, sexual relations occur chaotically and with unfamiliar men, then you need to choose a contraceptive method carefully. It is important to solve two problems:

• guaranteed to prevent unplanned pregnancy;
• provide reliable protection against various sexually transmitted infections.

The condom is designed to solve two issues at the same time. True, there are also nuances. The contraceptive method does not exclude the possibility of conception one hundred percent. Efficiency decreases due to improper use, the product may break. But the use of a barrier method does not give a chance to infections. This is important when there is no confidence in your partner. You can use the so-called “Dutch method of birth control,” the essence of which is a double level of protection: pills plus a condom.

Use of spermicides

To prevent abortion, you can use spermicides - vaginal tablets, suppositories, creams. They contribute to the thickening of the cervical fluid, forming a film through which sperm cannot break through. Spermicides are especially relevant for young girls who have irregular sexual intercourse, which makes taking COCs unjustified. This method is optimally used in tandem with barrier contraception: this way you can halve the risks of unwanted conception and ensure protection from infections.

Spermicides also have disadvantages. They are inferior to birth control pills in effectiveness: the likelihood of getting pregnant remains. The risks of unplanned conception increase from the improper use of spermicides. When using this method of contraception, allergies may occur.

"Ambulance"

If unprotected sexual intercourse occurs, then help will come emergency contraceptive method - postcoital pills. The action of the drugs is aimed at preventing pregnancy after sexual intercourse. However, tablets of this type are intended exclusively for force majeure situations: for example, if unprotected sex happened on a day considered favorable for conception.

Postcoital medications should not be considered as regular contraception. Continuous use of emergency contraception is unacceptable due to high concentration they contain hormones. Young girls who have not given birth can turn to emergency pills no more than twice a year.

Postcoital medications have a number of side effects. After taking this pill, you may experience uterine bleeding. Usually it does not appear immediately, but after a couple of days. Emergency contraception can lead to disruption of the menstrual cycle, delay menstruation, and cause vomiting and dizziness.

Inappropriate Methods

Along with COC effective method protection is considered intrauterine device. However, using this option is not recommended for girls who have not yet experienced the happiness of motherhood. The ban is due possible complications after installing the spiral. During the procedure, damage to the uterine cavity or cervix may occur, which can lead to infertility. When installing an IUD in nulliparous women, there is a high risk of expulsion: the body rejects the device, resulting in heavy bleeding.

Many partners use interrupted coitus as protection. However, this method can hardly be called a protection option, because the chances of conception remain high. Fertilization can occur from sperm that are in the lubricant.

Unreliable methods of protection include calculation dangerous days. The likelihood of conception still remains. The method is irrelevant if sex life is chaotic. Young girls need to choose only reliable and safe ways protection.