What pills are prescribed to terminate pregnancy?

IMPORTANT! OUR CLINIC DOES NOT SELL TAKEAWAY TABLETS LIKE IN A PHARMACY! AND WE DO NOT SEND THEM TO OTHER CITIES! IF YOU NEED TO HAVE A MEDICAL ABORTION, YOU CAN MAKE AN APPOINTMENT WITH A GYNECOLOGIST AND RECEIVE THE MEDICATION ONLY IN THE CLINIC AT A DOCTOR'S APPOINTMENT at the address: St. Petersburg, Shuvalovsky 37 bldg. 1.

Medical abortion is a gentle, gentle way to terminate an unplanned pregnancy during early gestation. This method is the most relatively safe for a woman’s body, does not require surgical operations, since medical abortion does not provoke heavy bleeding and eliminates the risk of infertility in the future, and is especially recommended for women who do not yet have children, so that the subsequent pregnancy is full-term. The drug blocks the normal production of progesterone, which is responsible for preserving the fetus, and causes uterine contractions, embryo rejection and termination of pregnancy.

You can get a medical abortion in early pregnancy in St. Petersburg at the Women's Health Center at Shuvalovsky 37, building 1.

What are the benefits of abortion pills?

• The tablets do not cause serious negative complications due to the use of other methods of termination of pregnancy - curettage or aspiration (obstruction of the fallopian tubes, endometritis, etc.);
• Taking the drug eliminates the risk of infertility, reproductive function is preserved, the restoration of which occurs within 2 weeks after a medical abortion;
• There is no need to go to the hospital to have a medical abortion. The procedure for expulsion of the fetus - taking medication - occurs on an outpatient basis. Bleeding, similar to moderate or heavy menstruation, which allows you to keep the abortion secret and lead a normal lifestyle;
• Medical abortion without pain. Termination of pregnancy does not cause acute pain, the patient feels familiar cramps, as during normal menstruation;
• Taking the pill leads to rapid rejection of the embryo and in most cases, even without minimal side effects, termination of pregnancy can occur.
• Using special contraceptives is the best easy method for early abortion.

Preparation for the procedure

When you first visit a gynecologist, you need to conduct a general examination, a bimanual examination on a chair and in mirrors, and vaginal smears are taken. Blood pressure, pulse, and respiratory rate are also measured. Next, the woman is sent for an ultrasound to determine the exact day of gestation, the condition of the uterus, and the fertilized egg.

Referrals are given for blood, urine, glucose, and ECG tests. A coagulogram is prescribed if there is a history of problems with the blood coagulation system. Additional examination methods may be needed, the need for which is determined by the doctor.

When visiting the obstetrician-gynecologist again, the patient signs consent to perform an induced abortion using pharmacological drugs.

The signs of an abortion are identical to a spontaneous miscarriage. A woman feels a cramping stomach ache and menstrual-like discharge appears.

How long does the bleeding last?

For most women, it lasts 7-9 days. Blood discharge after the procedure is rarely observed until the next menstruation. If the manipulation is carried out for a period of 3-4 weeks, then bleeding is not much different from menstruation. As the period increases, the release of blood increases; sometimes the use of hemostatic therapy may be required.

After 14 days you need to appear for a follow-up examination. This is necessary to confirm that the interruption has occurred. If an unsuccessful medical abortion occurs, aspiration from the uterus is prescribed.

Classification

Early pregnancy termination pills used in the Russian Federation are classified depending on the period of use:

Escapelle

Refers to emergency contraception. One unit contains 1.5 mg levonorgestrel.

Experience has shown the effectiveness of the product after:

• Unprotected sexual contact;
• Ineffective adoption of barrier methods of contraception;
• Spontaneous sexual intercourse;
• Rape.

Action of the product

The drug Escapelle completely blocks the activity of estrogen and prevents the possible fertilization of a woman’s egg. If the terms of use are observed, the product provides a proven effectiveness of 97%.

Terms of use

The tablet should be taken within 72 hours after sexual intercourse, regardless of food intake or day of the menstrual cycle.

Contraindications to the use of the drug

• Individual intolerance to components;
• Liver or kidney failure;
• Lactose intolerance;
• Impaired intestinal absorption;
• Age up to 16 years.

Possible health effects after using the product

• Will cause headache;
• Discomfort in the lower abdomen;
• Digestive disorders develop;
• Allergic reactions;
• Bloody vaginal discharge not associated with the onset of menstrual bleeding;
• Failure of the menstrual cycle for 5-7 days.

Pregnant girls under 16 years of age are allowed to take Escapelle in case of rape. Escapelle tablets are not recommended for use twice in the same menstrual cycle. You can purchase the drug only with a doctor's prescription. The price of the medicine is about 500 rubles.

Prevention of pregnancy at an early age

Talking with teenagers about methods of contraception, telling them about sexually transmitted infections, and the possible consequences of unprotected sex is important and necessary. However, due to their age, young people are careless about this topic; they live in the present, do not think about the future, and therefore often do not attach importance to such issues.

Much more can be achieved if parents or other adults in the family can build a trusting relationship with the child. A teenager should feel support from others; it is important for him to know that in any situation he has someone to turn to and someone to consult with. It is understanding and unobtrusive participation in a girl’s life that becomes the main factor that can protect her from an unplanned pregnancy.

Genale

These are synthetic pills for emergency contraception, which contain an active ingredient such as mifepristone (available at 10 mg per unit).

The instructions indicate the pharmacological action of the drug

• Blocks the action of progesterone at the receptor level;
• Prevents ovulation;
• Prevents the attachment of the fertilized egg to the wall of the uterus.

How to use the drug

The tablet must be taken once 2 hours after a meal and no later than 72 hours after unprotected sexual intercourse.

Contraindications to the use of Zhenale

• Diseases of the adrenal glands;
• Chronic kidney disease or liver failure;
• Long-term therapy with corticosteroids;
• Impaired hemostasis, anemia;
• The presence of severe extragenital pathologies.

Side effects from the drug

• Cramps in the lower abdomen;
• Diarrhea and other stool disorders;
• Conditions of nausea, vomiting;
• Headache.

The price of a package of the medicine is about 450 rubles and it can only be purchased with a doctor’s prescription.

Mifegin

Mifegin contains about 20 mg of micronized mifepristone, and is used to terminate early pregnancy.

Action of Mifegin

• This French drug stops the process of progesterone production in humans by blocking receptors;
• Mefigin provokes active contraction of the myometrium;
• Promotes embryo rejection in a woman’s early pregnancy.

Contraindications to the use of Mefigin are:

• Liver or kidney dysfunction;
• Patients with adrenal gland problems;
• Inflammatory processes of the genital organs;
• Porferia;
• Poor blood clotting;
• Low hemoglobin level
• Asthma.

Possible side effects after using Mefigin

• Drowsiness;
• Nausea;
• Diarrhea;
• Vomit;
• Headache.

The use of the drug is permissible only in specialized gynecological institutions. The procedure is carried out as prescribed and under the supervision of a doctor. Use is possible only if there is no threat of developing an ectopic pregnancy.

Contraindications to medical abortion

• Suspicion of an ectopic pregnancy - to exclude it, an ultrasound is performed, showing that the embryo is in the uterine cavity.
• Exceeding the permissible interruption periods.
• Severe hormonal imbalance caused by dysfunction of the adrenal glands. Medical abortion is not performed during long-term therapy with drugs containing hormones.
• Severe dysfunction of the liver, kidneys, heart.
• High degree of hypertension
• Blood clotting disorders - in this case, tablet abortion is not performed due to the risk of bleeding.
• Porphyrias are diseases accompanied by impaired hemoglobin formation. With this disease, taking abortion drugs can significantly worsen the patient's condition.

Agesta

This is a drug used to terminate early pregnancy. The tablets contain synthetic antigestagens, mifepristone at a dosage of 10 mg/1 unit.

Action of the medicine

• Destruction of the fetal egg shell and its rejection;
• Stimulation of uterine contractions;
• Opening the cervix to cleanse it.

This drug has a number of medical contraindications

• Kidney or liver diseases;
• Heart pathologies;
• Poor blood clotting;
• Iron deficiency;
• Porphyria;
• Individual intolerance to components.

Rare side effects from the procedure

• Vomiting;
• Diarrhea;
• Headache;
• Painful sensations in the lower abdomen.

Agesta price from 870 rub.

Until what time is a pill abortion performed?

The timing of an abortion is determined by the properties of the drugs used for its implementation. According to the instructions for the medications, this period is 42 days of amenorrhea, i.e. 6 weeks.

At a later stage, terminating a pregnancy using medications is risky, since the medications may not work and the woman will have an incomplete miscarriage. The fertilized egg will die, but will remain inside the uterus.

Therefore, in order to have time to make an interruption, you need to consult a doctor immediately after a delay occurs. Numerous scientific studies have found that the earlier an abortion is performed, the simpler and easier it is.

Therefore, to the question of how many weeks to perform a pill abortion, there is only one answer - the sooner it is performed, the better for the woman. With a slight delay, abortion resembles a normal delay in menstruation and does not cause significant discomfort.

Pencrofton

The main function of the composition is to suppress progesterone due to the content of about 200 mg of mifepristone in 1 unit.

Pencrofton action

• Prevents the production of progesterone at the receptor level;
• Activates fetal rejection by the myometrium;
• Causes uterine contractions.

Under the influence of a dose of Pencrofton, an abortion occurs - miscarriage and removal of the fetal egg.

The drug has individual contraindications

• Individual intolerance;
• Chronic renal or liver failure;
• Anemia;
• Porphyria;
• Uterine fibroids;
• Infectious disease of the genital organs;
• Ectopic pregnancy.

Side effects in some patients

• Nausea;
• Dizziness;
• Chills;
• Diarrhea.

Pencrofton tablets can only be purchased at a healthcare facility directly from a healthcare professional or doctor.

The drug Ginestril

Contains 50 mg mifepristone per unit.

Method of action

• Blocks the production of progesterone;
• Promotes spontaneous miscarriage, under its influence abortion occurs.

The drug has medical contraindications

• Endometrial hyperplasia;
• Uterine fibroids;
• Neoplasms on the genitals;
• Anemia;
• Individual intolerance;
• Problems with the liver or kidneys.

Side effects after using the product

• Migraine;
• Pain in the lower abdomen;
• Nausea and vomiting;
• Stool disorders;
• General weakness.

Dispensed in pharmacies strictly according to a doctor's prescription.

Mytholian

Mifolian tablets are a progesterone antagonist; they contain mifepristone in an amount of 200 mg.

Action of the product

• Increases uterine contractility;
• It provokes abortion - rejection and release of the fertilized egg from the uterine cavity.

A day after treatment with this medication, the patient is additionally prescribed to take proglandins.

Admission has contraindications

• Age less than 18 years;
• Kidney or liver dysfunction in a woman;
• Blood clotting disorder;
• Iron deficiency in the blood;
• The presence of inflammatory diseases in the reproductive organs;
• Individual intolerance to components.

Side effects

• General weakness;
• Dizziness;
• Nausea;
• Headache;
• Cramps in the lower abdomen.

The drug can be purchased with a doctor's prescription, its price ranges from 1,500 to 2,500 rubles.

Cytotech

It is an abortifacient drug containing about 0.2 mg of misoprostol.

Action

• Stimulates myometrial contraction;
• Promotes the opening of the cervix and the removal of the fertilized egg.

Contraindications

• Impaired kidney or liver function in a woman;
• Individual intolerance to the components of the drug.
• Presence of cardiovascular pathologies;
• Hypersensitivity to components;
• Endocrine system disorders;
• Anemia;
• The presence of hormone-dependent tumors;
• Age up to 18 years;
• Ectopic pregnancy;
• Intrauterine device.

Side effects

• Headache;
• Diarrhea;
• Drowsiness;
• Mild clouding of consciousness;
• Vomit.

Tablets should only be used in combination with Mifepristone, exclusively in inpatient medical conditions under the supervision of a physician. The drug can only be purchased with a doctor's prescription, its price starts from 1,300 rubles.

Rules for using emergency contraceptive pills

Do I have to wait 72 hours to take emergency contraception?

In no case! The sooner you take the pill, the higher the chance of confirming the effect and preventing pregnancy. Emergency contraceptive medications can be used immediately or up to 72 hours after unprotected sex. Modern contraceptives allow you to save yourself from the subsequent need to have an abortion with just one pill.

How effective are medications to prevent pregnancy?

The effectiveness of emergency contraception depends on the number of hours and days that have passed since unprotected sex:

• Within 24 hours - 95%;
• Between 25-48 hours - 85%;
• Between 49-72 hours - 58%.

How often can you use emergency contraception?

Emergency contraception cannot be used as a permanent method of contraception and should be used as rarely as possible (no more than once per menstrual cycle).

Features of pregnancy in minors

Having determined the presence of pregnancy and accurately determining its duration, the doctor should consult the patient and her parents about the features of pregnancy management and methods of delivery. Taking into account various factors and based on the wishes of the expectant mother, the following options are possible:

• Gestation and natural childbirth. Management of pregnancy in adolescents involves the implementation of the same protocols and recommendations that apply to adult patients. Almost 90% of girls have every chance of giving birth naturally. Only in 10% of cases in adolescents there is a serious narrowing of the pelvis and a discrepancy between its size and the baby’s head, which can cause premature birth.
• Gestation and subsequent caesarean section. The young age of the patient should not be taken as an indication for cesarean section; the decision on such an intervention should be based on objective facts and made individually in each case. As with adult women, adolescents undergo a cesarean section only if they have labor disturbances that cannot be corrected conservatively, there are signs of fetal hypoxia, or the woman's pelvis is too narrow.

In the process of monitoring a pregnant patient, the task of the obstetrician-gynecologist is not only to assess the health status of the expectant mother and her baby, but also to influence the overall lifestyle. It is important to tell the teenager about the importance of proper, balanced nutrition, choose a suitable diet for the girl and motivate her to adhere to the diet. The issue of the inappropriateness of alcohol, drugs, and smoking in this state is discussed separately. It is also necessary to touch upon the hygiene of intimate life, talk about the need to prevent sexually transmitted infections, and psychologically prepare the young patient for the upcoming birth.

To reduce the risk of complications, it is recommended that pregnant adolescents be hospitalized in obstetric departments at 37-39 weeks of pregnancy. The prognosis for childbirth for most young girls is favorable. Taking into account the age and physiological characteristics of the body, the average duration of pregnancy in girls is 37.9 weeks, which is slightly shorter than in adult women.

Rules for using pills to terminate early pregnancy

The most effective regimen for using abortifacient drugs is as follows:

1. Use of products containing Mifepristone;
2. Prostaglandin use.

The first stage of the regimen consists of taking tablets containing 600 mg of the active substance - Mifepristone. The second stage begins after 48 hours, and the patient must take 2 prostaglandin tablets, each containing 0.4 mg of the active substance - Misoprostol.

Most women, after using this regimen of pills, experience a medical abortion - termination of an early pregnancy, accompanied by symptoms of heavy menstruation. In most cases, a woman begins bleeding the very next day after taking the pills during the first stage of an abortion.

Almost all medical institutions allow the patient to drink prostaglandin at home.

A medical abortion can be performed only after an ultrasound examination confirming the presence of pregnancy and the permissible period.

How can you be sure that a miscarriage has occurred?

Sometimes bleeding is not a guarantee that a medical abortion has occurred and the pregnancy has been terminated. You need to take a pregnancy test in the first 2-3 weeks after taking the drugs.

Usually, after an abortion, blood clots remain in the uterine cavity. They are not considered dangerous to the body if there are no accompanying symptoms in the form of fever, etc., and come out along with menstruation that occurs after termination of pregnancy.

How is the time for an abortion determined?

The timing for medical abortion is determined by the protocol of the Ministry of Health of the Russian Federation dated October 14, 21015. They record that it is possible to carry out a gestational disorder up to 63 days, or the 9th week. But in world practice there are differences in how long this manipulation can be done. In developed countries, the period is defined as 49 days, or 7 weeks of pregnancy.

Why is such a period determined for pharmacological interruption?

At the 5th week of pregnancy, the embryo begins to acquire human features, the rudiments of many organs and the umbilical cord appear. At week 6, the placenta begins to form, and internal organs continue to develop. At week 8, the embryo already has a completely human appearance and enters the fetal stage. After this period, the formation of blood vessels in the placenta occurs, so a medical abortion can cause heavy bleeding.

The following drugs for medical abortion are registered and used in Russia:

1. Mifepristone 200 mg.

2. Misoprostol 200 mcg.

Pharmacological abortion during a frozen pregnancy can be used if the gestational age corresponds to that permitted by the protocol. The main condition for the successful completion of the procedure is the day of pregnancy and the presence of an embryo inside the uterus according to ultrasound results. After a caesarean section, the medical method is preferable to other methods.