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How to stop breakthrough uterine withdrawal of bleeding when taking birth control pills (drugs) and why blood

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Breakthrough bleeding when taking OK is called bleeding that occurs at the beginning or middle of the menstrual cycle during the use of birth control pills. Unlike scanty spotting of blood, when addicted to such drugs, breakthrough bleeding is very abundant.

Oral contraceptives

Oral contraceptives today are the best option to prevent unwanted pregnancy. As a rule, when using such funds, a temporary break is assumed, during which the menstruation should occur. After this period, the woman resumes using the contraceptive. However, it often happens that she has a breakthrough bleeding when taking OK, that is, heavy bleeding that appeared outside the prescribed period.

Addiction period

Bleeding when using a particular contraceptive can be considered as a very common phenomenon and a negative side effect of this type of medication. Weak, insignificant bleeding is quite likely during the period of habituation of the organism to such tablets.

How long does breakthrough bleeding last while taking OK? According to statistics, about 40% of women have bloody smear disappearing in the first months of using oral contraception. At 10% - the adaptation period can last about six months. And in approximately 5% of women, such bleeding occurs at the end of the addiction process. Moreover, repeated replacement of these drugs also does not eliminate the negative side effect.

Causes of discharge

However, why breakthrough bleeding occurs when you receive OK? The menstrual cycle is a chain of consecutive changes caused by significant changes in the level of sex hormones in the blood. In the first stages of the cycle, estrogen is produced in large volumes. The highest concentration of this hormone is observed during ovulation, and then, if not conceived, it begins to gradually decrease. Simultaneously with a decrease in estrogen, an increase in the level of progesterone occurs, which is responsible for the rejection of the uterine endometrial layer. A similar process manifests itself in the form of menstruation.

In other words, nature has taken care that in different phases of the cycle, certain concentrations of hormones are produced by the woman’s body. It should be noted that all modern oral contraceptives include in their composition insignificant dosages of active elements, and such a concentration of them may at first simply be lacking in order to cover the normal level of these compounds. Therefore, the adaptation period is necessary so that the female body becomes accustomed to insignificant doses of hormones and does not reject the endometrial layer ahead of time (that is, until the end of taking the pills from the package).

What is characterized by bleeding when taking oral contraceptives? If during the use of a new drug, menstruation occurs in an insignificant amount, and for hygiene, a woman needs only daily panty liners, there is no point in taking any measures, since the body often cope with this side effect of the oral medication. Such bleeding does not pose any threat to the woman and their presence in the first three months of contraception does not need replacing or canceling OK. It is also necessary to emphasize that such bleeding does not reduce the contraceptive effect of the drug.

The only thing you should not forget is taking pills at a certain time. It is very important to understand that there are no "bad" or "good" means of contraception, and there are suitable means for a certain woman and not suitable.

Insufficient dosage of hormones

When the process of habituation is completed, and small blood loss is noted in the middle or in the initial phase of the cycle, this indicates an insufficient dosage of the estrogen element in the medical product, so it is likely that such a problem will solve the selection of drugs with a higher content of this hormone. If the adaptation period is over, and the mid-cycle bleeding continues to be observed, this may indicate a deficiency of the gestagen component. This means that you need to start using the medication with a higher dosage of progestogen. However, if, in this case, the discharge does not stop or, on the contrary, increases, and they are accompanied by painful sensations in the lower abdomen, it is necessary to consult a gynecologist. So why breakthrough bleeding occurs when taking OK?

Causes of breakthrough bleeding

When a woman has a copious blood resembling menstruation while taking a hormonal contraceptive, a similar clinical picture usually indicates a breakthrough uterine bleeding. It develops because in the process of uterus getting used to the new hormonal status, endometrial atrophy is enhanced as a result of progestogen exposure, and the dose of the estrogen component in the contraceptive is very small and does not allow performing hemostatic (hemostatic) functions.

As already noted, during a normal cycle, by the end of menstruation, the level of estrogen in the blood increases, causing the detachment of the endometrial layer to stop, and the discharge of blood stops. However, during the use of synthetic hormonal drugs, these processes do not always occur correctly. In addition, breakthrough uterine bleeding when taking OK can occur due to the following reasons:

  • various gynecological pathologies (ovarian dysfunction, endometriosis, polyps, myoma, narrowing of the uterine throat),
  • smoking, which has a pronounced anti-estrogenic effect, which means that there is a risk of breakthrough bleeding,
  • violation of the contraceptive intake scheme (skip pill, abrupt drug withdrawal),
  • use of antibiotics and drugs that affect the nervous system,
  • due to diarrhea and vomiting (impaired absorption of the components of the product),
  • taking natural medicines based on Hypericum,
  • under the influence of infections transmitted through sexual contact,
  • intolerance to hormonal contraceptive.

Algorithm of action in case of breakthrough bleeding

If we talk about the natural causes of breakthrough uterine bleeding (withdrawal bleeding, adaptation period), then in this case it is most reasonable to hurry to the gynecologist. The first step is to check the patient for pregnancy. The fact is that pregnancy is not ruled out even while using OK, especially if the woman was given antibiotics along with them, or she forgot about using the drug one day, or she had diarrhea or vomiting. It must be recalled that the uterus may react with bleeding to the processes of implantation of the egg, so the specialist must conduct a laboratory study of the patient's urine and blood for the presence of the hormone hCG. What else to do in case of breakthrough bleeding?

Double dosage increase

In cases where the onset of pregnancy is not confirmed, the specialist usually advises to double the dosage of the drug being taken (1 tablet in the morning and evening). In this mode of taking a contraceptive, it should be taken before the cessation of bleeding, and then return to the usual regimen of the drug: 1 tablet per day. Since the course of such medicines should not exceed 24 days, it is likely that you will need to purchase another package of medication.

It is very important to know that in monophasic hormonal contraceptives the composition of the tablets is absolutely identical, and in the combined oral agents the pills are numbered in the active cell corresponding to the day of using the drug. However, it should be remembered that when a breakthrough bleeding occurs when taking contraceptives, it is not recommended to stop using the remedy, as this will only strengthen it.

When canceling ok

With a sharp cessation of hormonal contraceptive use, breakthrough bleeding always occurs. This is the same menstruation, which, in fact, does not occur in its natural form, that is, bleeding after the end of the packaging of the contraceptive is always a breakthrough. Another thing is if a woman stops taking the pills in the middle of a package, for example after a few days of use. In this case, the breakthrough bleeding will begin again, even if it has only recently ended. Thus, the woman's body reacts to the cessation of certain hormones in it.

Next, learn how to stop the breakthrough bleeding when taking OK?

Which is better to choose birth control pills?

Oral contraceptives - the most popular today remedy for unwanted pregnancy. They are of two types:

  • combined, which include progesterone and estrogen,
  • progestin, based on only one synthetic analogue - progesterone.

The composition of any OK includes the same amount of progesterone, which blocks ovulation. The division of drugs into categories depends on the amount of estrogen in them:

  • microdose,
  • low doses,
  • high dosage.

But one should not think that the higher the dose of estrogen, the more effective the remedy. Contraceptives are selected individually, taking into account the age of the woman, the state of her hormonal background, lifestyle, the presence of childbirth. But which birth control pills are better to choose, the doctor will tell.

Micro dosing, low dosing, high dosing

Microdosing agents are prescribed to girls who have not given birth and teenagers with cycle violations. The constant dosage of ethinyl estradiol in these preparations is about 20 μg, and the progestin is from 70 to 150 μg. These contraceptives are: "Logest", "Novinet", "Jes Plus", "Lindinet-20", "Mersilon".

Pills with low doses of estrogen, namely: “Diane-35”, “Yarin”, “Zhanin”, “Marvelon”, “Silhouette , Regulon, Three-Merci, etc. The drugs in this category contain ethinyl estradiol (30 μg) and progestins - from 150 to 300 μg.

High-dose contraceptives are usually prescribed as a treatment for pathologies such as endometriosis, or during treatment of hormonal imbalances. These include: "Ovidon", "Three-regol", "Non-ovlon", etc. Similar drugs are also used as a means of contraception.

Progestin

Progestin contraceptives include mini-pills, which contain only microdoses of progesterone analogue. This type of contraception is recommended for women during lactation, or those who are not suitable for estrogen contraception. Often, progestin preparations are prescribed for patients with hormonal disorders of the genital area, such as endometriosis, uterine myoma, adenomyosis.

The following products are referred to mini-saws: Charozetta, Norkolut, Mikrolut, etc. The effectiveness of these drugs is slightly lower than that of the combined ones, therefore, when using them, you must follow the instructions and follow a specific scheme. Only half of the patients using this type of contraception, ovulation is blocked completely, the rest have the likelihood of pregnancy.

When choosing a contraceptive, it is imperative to investigate hormones and, depending on the prevalence of any hormones, the gynecologist prescribes the patient two-phase, monophasic or three-phase means that differ in hormone content and frequency of use, as well as are selected taking into account the age of the woman and her health characteristics.

We considered the causes of breakthrough bleeding when taking OK.

Causes of the phenomenon

Bleeding when taking birth control pills is a common phenomenon and occurs due to a sharp change in hormonal levels in a woman’s body. You need to know what bleeding is - the result of the process of adaptation of the body to dramatic hormonal changes that occur in the first weeks due to the intake of appropriate medicines.

The concentration of the hormone estrogen in the blood increases during ovulation, when the egg leaves the ovarian follicle. In the event that the conception of an egg does not occur in an agreed period of time, the level of estrogen decreases, and the concentration of another hormone, progesterone, increases. Due to its effect, the process of rejection of the endometrial layer in the uterus is performed. This causes bleeding, and is called menstruation.

Modern oral contraceptives contain a small part of the dosage of active substances, and they need to be taken on time. If you stop taking the drugs before the time prescribed by the doctor, then the natural level of hormones in the woman’s blood will not change, and the result will be ineffective. In addition, it can lead to complications.

Uterine bleeding does not reduce the contraceptive effect of the drug. Minor bleeding can not serve as an obstacle to intimacy, if personal hygiene is maintained with both partners.

In case of problems with the gastrointestinal tract, especially with diarrhea, the concentration of the hormone decreases due to insufficient absorption into the blood by the intestinal walls. This factor is a common cause of bleeding.

The simultaneous use of antibiotics and agents that affect the human nervous system, together with hormonal agents is undesirable. Do not use decoctions or other tinctures with St. John's wort, as the chemical composition of the plant affects the blood clotting processes.

When taking prolonged contraceptives, the main oral contraceptive is taken for 63 consecutive days, after which there is a break of 7 days.

In cases where difficulties arise in the selection of oral contraceptives, then carry out a comprehensive therapy. This measure is aimed at reducing the pathogenic effect of contraceptives by prescribing special medications. The selection of drugs is carried out by a doctor, independent admission without the appointment of a specialist is prohibited.

At the beginning of the reception

Breakthrough bleeding occurs during the initial stage of hormone therapy due to hormonal imbalance. More often it is a normal phenomenon, characterized as the body’s response to changes in the hormonal background of the woman’s body.

If there is a need to avoid discharge, you can not take a break 7 days before taking the pill, but start drinking them before the appointed time.

If the bleeding lasts from the first days of taking the drugs and for 6 months, then you should visit your doctor. Complications with such duration are pathologies, and diagnostics is needed to determine the causes of bleeding. It is more often recommended to reduce the dosage of the drug or cancel it altogether.

In case of violation of the regimen of medication, when the tablet was not drunk at the scheduled time, take a double daily dose.

Most of the contraceptive drugs are designed for a course of administration in 21 days. After a break of 7 days is appointed. During this period, bleeding should begin.

If in this period breakthrough uterine bleeding did not begin, there is no need to wait. It is necessary to continue the repeated intake of prescribed drugs after a set period of time.

Discharge of menstruation, which always began on time, in most women after the abolition of drugs are restored after 2-3 months.

If after the end of the adaptation period there are bloody or bloody discharge, the choice of the drug was incorrect. It is necessary to consult a gynecologist and find more suitable contraceptives. Dose adjustment or replacement of contraceptive medication is carried out when such symptoms are detected while taking the prescribed drug.

If too much bleeding

Breakthrough bleeding, similar to menstruation, may occur due to rejection of the endometrium of the uterus. This is the result of the effect of progesterone. It occurs when there are not enough estrogens in the contraceptives taken to stop blood loss. If heavy bleeding continues for 5-7 days, you need to visit the gynecologist, as this is a critical sign of a failure of the body's hormonal background, which can lead to complications.

Патологичными маточные кровотечения считаются в случаях, когда выделение крови превышает показания в 60-80 мл. Если необходимость смены тампонов или прокладок происходит каждые 1,5-2 часа, то это признак обильных выделений, и нужно обратиться к врачу. Bleeding that lasts more than 6 days is a deviation from the norm.

Uterine bleeding that occurs after intimacy, frequent blood loss several times during the month, thick and viscous discharge - signs of the disease. Pathology may be accompanied by side effects: weakness, loss of appetite, worsening of general well-being. Dizziness, shortness of breath, fever, pallor of the skin, reduced hemoglobin level in the blood are possible.

Abundant uterine bleeding can also occur due to gynecological diseases. These include endometriosis, fibroids, cyst ruptures, adenomyosis, fibroids, uterine injuries and even tumors. Also, a number of diseases not gynecological course can cause blood discharge: disruption of the thyroid gland, hypertension, diseases that affect blood clotting. Therefore, in the appointment of hormonal drugs requires blood tests.

How to stop bleeding

When the opportunity to see a doctor is absent, and the symptoms of bleeding at the reception (OK) are strongly pronounced, they take a double dose of the hormonal medication prescribed by the doctor. The best option is to take 1 tablet in the morning and 1 in the evening, this will stop the withdrawal bleeding.

In case of severe uterine bleeding with deterioration of the general condition, an ambulance should be called. Before her arrival, the patient must provide bed rest, put a pillow or a roller under her feet. Apply something cold to the lower abdomen, such as ice from the freezer, wrapped in several layers of fabric. This will lead to vasoconstriction and slightly reduce blood loss. Provide plenty of drink: give tea with sugar to make up your blood glucose.

It is forbidden to put any warming objects on the stomach - this accelerates the inflammatory processes. Vaginal douching can not be done because of a possible increase in blood loss. The ban - to take any baths, especially with hot water, which will lead to a deterioration of the patient.

To stop uterine bleeding in some cases use medications. The frequency of administration, duration and number of drugs prescribed by the doctor after the diagnosis of the body:

  • Etamzilat or Ditsinon. Drugs with the same principle of operation, which contribute to the enhanced production of thromboplastin and affect the permeability of blood vessels. As a result, blood clotting increases, and bleeding is eliminated. Enter intramuscularly.
  • Aminocaproic acid. Reduces the time of spontaneous dissolution of blood clots, which affects the decrease in the intensity of blood loss. Enter intravenously, oral administration is possible in the form of tablets.
  • Oxytocin. Administered intravenously along with glucose. Affects the intensity of contractions of the muscles of the uterus, is a hormonal agent and is used during labor. Increased muscle tone of the uterus reduces blood loss. The drug has a lot of side effects, so use it after a detailed history of the patient.
  • Vikasol, vitamin K. Replenishes vitamin K deficiency, affecting blood clotting. Appointed to persons with heavy bleeding, not only in the field of obstetrics and gynecology. The effect occurs after 10 hours, in case of emergency the medicine is not prescribed.
  • Calcium gluconate. Calcium reduces the permeability of blood vessels, which leads to an improvement in blood clotting. Used to strengthen the state of the blood vessels, not used as an emergency measure.

It is forbidden to take medicines on their own - because of such actions, complications may arise, and the patient's general condition will worsen. Only a specialist with the appropriate specialized education has the right to prescribe medication after data collection and diagnosis of the general condition of the body.

COC action

Based on the research, it was noted that with the introduction of hormonal drugs, there is a blockade of cyclic changes in the hypothalamus-pituitary-ovaries system. In response, their own hormone production is inhibited. As a result - the lack of growth, maturation, ovulation of the follicle.

Due to changes in the production of its own hormones, the composition of mucus in the cervical canal changes, its viscosity increases, and cervical mucus becomes an obstacle to the movement of spermatozoa.

At the same time, peristalsis of the fallopian tubes slows down, regressive changes in the endometrium occur. Such transformations at all sites make the process of fertilization and implantation almost impossible at 100%, provide high reliability of contraception.

The composition of the tablets can include one, two, three components - in connection with which they are called respectively monophasic, two-phase, three-phase. This dosage makes preparations for the female body the most identical with the natural menstrual cycle.

Complications

Side effects of COC are associated with the presence of hormonal components. Estrogens cause nausea, dizziness, swelling, heavy menstrual-like bleeding, irritability, migraine. Progestins - lowering sexual desire, depression, fatigue, engorgement of the mammary glands.

If the listed complaints last for three months - this is considered a period of adaptation, it is not recommended to stop taking contraceptives, do not prescribe additional medications. The presence of complaints over a specified period is a reason to visit a gynecologist. There are conditions that require immediate medical attention and cancellation of hormonal contraceptives for any period of their use:

  • Significant hypertension.
  • Sudden intense headache.
  • Long, acute pain in the abdomen, chest, accompanied by shortness of breath, hemoptysis.
  • Sudden incoordination, speech, loss of sensation.
  • Jaundice, itching, skin rash.
  • Sudden pain in the legs.

These symptoms can be signs of terrible complications - activation of the blood coagulation system with the development of thrombosis, toxic liver damage. With developed amenorrhea after the abolition of contraceptives, women are recommended to be examined to exclude a pituitary tumor.

One of the most common side effects when taking OK is uterine bleeding and hemasoma. They are caused by the lack of hormones in the pill for this particular patient.

If irregularities appear in the first phase of the menstrual cycle, we are talking about a lack of a dose of ethinyl estradiol, and if in the second, a dose of gestagens. In this case, the gynecologist selects a contraceptive with a higher content of the drug - microdose changes to low-dose. Hemases can stop on their own after getting used to a low dose of hormones.

The cause of the haemorrhages can be a violation of the absorption of COCs in the body due to diarrhea, vomiting, with improper admission of tablets, their passage. Interaction with antibiotics, beta blockers, anticonvulsants weakens the effect of contraceptives. In most cases, abundant discharges pass independently during the first three months of taking COCs, do not require discontinuation of the pills and medical intervention.

It is important to follow the rules of taking drugs. Instructions are attached to each package of contraceptives, it is usually recommended to start the reception from the first day of the menstrual cycle one tablet at the same time for twenty-one days in strict sequence. After that, they make a break for seven days, during which menstruation-like discharges take place.

The doctor may recommend another OK regimen. If a woman missed a pill it is recommended to take two contraceptive pills the next day. In the following days, they follow the usual regimen and additional measures to prevent pregnancy during the week.

If COCs have not been taken for two days in a row, the next two days they take two tablets, switching to the usual dose on the third day. When skipping the pill in the last week of the cycle, it is recommended to take the next pack without taking a seven-day break for the menstrual period. These measures are the prevention of haemorrhage and bleeding while taking birth control pills. These include the most optimal mode of taking monophasic drugs for twenty-one days with a seven-day break.

On the background of taking birth control pills, breakthrough bleeding may appear - in this case, it is recommended to consult a doctor without discontinuing COC, but doubling the daily daily dose until the discharge stops, dividing it into morning and evening intake.

With the ineffectiveness of a double dose, specialists can recommend a larger number of tablets per day until the cessation of bleeding with a gradual reduction in the dose to one tablet after it stops. Usually, these measures are sufficient, and then proceed to the usual regimen of tablets.

Emergency contraception (Postinor, Ginepriston, Eskapel) causes breakthrough bleeding very often. They occur several days after taking the drug, can lead to violations of the menstrual cycle, pass independently. In the presence of long, heavy bleeding, it is recommended to seek help from a gynecologist.

There are hormonal contraceptives that do not contain an estrogen component, they are called mini-pili. Desmoulins, Charozetta, Mikrolut, Ekslyuton prescribed to women who have contraindications to the appointment of estrogen, breastfeeding, nicotine abusers, as well as in late reproductive age.

Due to the lack of ethinyl estradiol, which prevents rejection of the uterine mucosa, when taking these contraceptive pills, hemophysis is very common. They are used in strict compliance with the reception regimen specified in the instructions.

Prolonged contraceptives, implants (Implanon), which also have side effects in the form of hemorrhages, have a long-lasting contraceptive effect. The selection of contraceptives is carried out by gynecologists on the basis of anamnesis, availability of indications and contraindications to contraception, defined by WHO, hormonal status of a woman.

Adaptive bleeding

The maturation of the eggs, ovulation and rejection of the endometrium during menstruation are regulated by the hormones of the female reproductive system. In the first phase of the cycle, the effect of estrogens predominates, which stimulate follicle maturation. A ripe egg leaves the follicle in the middle of the cycle, i.e. ovulation occurs. In the second phase, estrogen and progesterone levels are elevated, which prepares the walls of the uterus for possible implantation of the embryo.

The concentration of sex hormones in birth control pills is always less than the content of these active substances in a woman's body. Therefore, it takes some time to adapt to the action of the medication used.

Normally, for 2–3 months, there may be spotting while taking contraceptives. They stop on their own after getting used to low doses of hormones. If the spotting is insignificant, and using several daily pads is sufficient to maintain hygiene, then no further action is required. Brown discharge is of such color due to the fact that a small amount of blood is mixed with vaginal mucus.

Canceling the drug or replacing it with another during this period is not required. The contraceptive effect is not reduced if you take the tool on time.

When the bleeding does not stop, become abundant and are accompanied by pain in the lower abdomen, an urgent need to consult a doctor.

Every fourth woman adaptive bleeding persists for 3-6 months. If after this period of time they do not disappear, and attempts to select another OC do not end in success, then this method of contraception should be abandoned.

Menstrual discharge

It should be understood that with this method of preventing pregnancy do not occur true menstruation, and withdrawal bleeding when receiving OK. They are also called menstrual. It is such a selection are normal when taking birth control pills.

Most contraceptives are taken for 21 days, and then seven day break. For example, this regulon reception mode. The appearance of menstruation a woman should wait 2-3 days after the last tablet from the pack was drunk.

Sometimes during breaks between packings, the girl is worried that her periods have not gone. If a woman regularly took OK in the previous month and did not delay taking the pill compared to the prescribed time for more than 12 hours, then on the 8th day you should start drinking the next pack of contraceptives. The beginning of menstrual discharge does not need to wait.

When a girl drinks contraceptive irregularly and has a sex life, and her period has not begun, it is necessary to exclude the presence of pregnancy. Until then, renewing the application is not worth it.

Some people drink OK for 28 days, after which they immediately begin to drink tablets from a new package, without taking breaks. Isolation of blood occurs when taking those pills that do not contain hormones, that is, they represent a placebo.

If menstruation before taking OK were regular, then they remain stable after the abolition of contraceptives. Sometimes the monthly restored within 2-3 cycles. In cases where this does not occur, it is necessary to consult a doctor.

What do the discharge of blood at the beginning and end of reception

If the adaptation period has passed, but the brown discharge in the form of a daub is preserved, this may mean that the chosen contraceptive is not suitable for the woman. In such a situation, it is necessary to replace the drug used with another.

When a girl takes pills from the beginning or middle of the package, and the spotting brown discharge occurs, this indicates an insufficient concentration of estrogen in the preparation. In this situation, it is necessary to select OK with a higher content of this hormone. For example, if such secretions are found when taking a microdose contraceptive, Jess, a drug from the group of low-dose COCs (Yarin) is prescribed.

If bleeding occurs in the middle of the cycle or when taking the last pills out of the package, this may mean that the woman lacks the content of the gestagen component. In such a case, the drug is prescribed with any other progestogen.

Heavy bleeding

If, against the background of taking birth control pills, there are abundant blood secretions that look like menstrual-like, then it indicates the occurrence of breakthrough bleeding. This is typical for the case when, after the influence of progesterone, the endometrium begins to reject, and the estrogen content in the received OC is not enough to stop the resulting uterine bleeding.

In this case, you need to contact a specialist. But there may be situations where it is not possible to immediately go to an appointment with a gynecologist. Then the doctors recommend taking a double daily dose of contraceptive (1 tablet in the morning and evening). Drinking the drug in this mode is necessary daily until the cessation of bleeding.

Later it is important to visit a gynecologist so that he finds out why this situation has arisen. After that he will recommend another drug. For example, if bleeding occurs while taking the microdose contraceptive Jess, the doctor will prescribe a low-dose OK (Yarin tablets or any other drug from this group).

Also, breakthrough bleeding can begin in cases where:

  • the use of the oral contraceptive was violated, that is, the woman forgot to take another pill,
  • there was diarrhea or vomiting, which worsened the absorption of the contraceptive,
  • a woman takes antibiotics or drugs that affect the functioning of the central nervous system,
  • apply means containing in the composition of St. John's wort,
  • The contraceptive regimen is prolonged (in this case, OK is taken for 63 days, followed by a break for 7 days, and then pills are resumed).

Bleeding after emergency contraception

Such contraception is aimed at preventing pregnancy after unprotected sexual contact or with the ineffective use of other drugs. For drugs in this group include:

  • progestin drugs (Postinor, Escapel),
  • antigestagens (Ginepriston).

These funds must be used within 2 or 3 days after unprotected sexual contact. Drugs cause significant hormonal disorders, which prevents the possible occurrence of pregnancy.

The most common side effect of emergency contraception is bleeding, which may begin several days after taking the drug. For some girls, the use of such measures leads to violations of the cycle.

Allocations at reception OK bloody character arise both in norm, and at various violations. Therefore, if the adaptation period has passed, and the discharge persists, it is necessary to consult a doctor. Также срочная помощь нужна в тех случаях, когда кровотечение обильное, вне зависимости от длительности применения препарата.During the examination, the doctor will find out what caused the bleeding, stop it, and then decide which contraceptive means a woman can take next.

The effect of contraceptives on the body

The body of the weaker half of humanity includes the presence of hormones such as progesterone and estrogen. What is progesterone and estrogen? These hormones affect the duration and nature of the flow of the menstrual cycle, contribute to ovulation and the process of conceiving a child.

All hormonal nature drugs are divided into several types:

  • on mechanical stress
  • chemical component.

As for the second group, in this case, hormone pills can consist only of progesterone, while their functional feature will be to increase the resistance of the channel to the advancement of male seminal fluid, mainly spermatozoa. In addition, this kind of drugs prevent the attachment of the egg. The so-called combined-type contraceptives, which include both progesterone and estrogen, are in particular demand.

In addition to the above functions, an additional function arises, which excludes the possibility of the egg to fertilize, since estrogen begins to actively stop the process of maturation of the egg. The use of this type of contraceptive method can cause withdrawal bleeding. In more detail, the reasons for such an organism reaction will be considered further.

Causes of bleeding

It should be noted that the female hormones in the body are present in a sufficiently large number, which is directly related to the phase of reproductive age. In the first part of the menstrual cycle, estrogen is most active, and its maximum effect occurs during the period of ovulation.

In the absence of fertilization, the effect begins on the side of estrogen.

After the start of taking contraceptive drugs, the woman's body needs to go through a period of adaptation to their effect on hormones. This is primarily due to the fact that the quantitative content of sex hormones in the body in any case exceeds the dosage of the active components of this kind of contraceptives.

Bleeding when taking birth control pills can be of different volume and consistency. Bleeding when taking OK is considered optimal if they are smearing, while their duration is about several months of taking contraceptive agents. The correctness of the dose can be determined with the help of secretions, as in the case of proper selection, they should not be enhanced. If the spotting takes place in the middle of the intake, then this indicates that it is recommended to adjust the dosage in this case.

Special attention is given to the varieties of blood discharge. In some cases, the occurrence of breakthrough bleeding. Breakthrough bleeding is possible only if the endometrium is rejected in the uterus, and the amount of estrogen is not enough to stop this bleeding.

Such changes may occur in the case of the use of synthetic hormones.

Also, such bleeding can occur in the event of the complete abolition of contraceptives, or at least one pill is missed. This may entail a change in hormonal levels, and consequently a violation of the menstrual cycle. A similar reaction of the organism is not excluded due to the simultaneous use of hormonal drugs in conjunction with certain groups of drugs, for example, antibiotics or tranquilizers.

Ways to avoid withdrawal bleeding

There are certain methods to prevent the onset of withdrawal bleeding. In this situation, each representative of the fair sex should carefully monitor the state of her health, so the selection of hormonal preparations and the scheme of their use should be selected only from specialists on the basis of the patient's individual characteristics.

If it is necessary to cancel the use of hormonal drugs, you should use a certain scheme that will allow you to avoid bleeding, especially abundant. It involves the following sequence:

  • it is better to cancel immediately after taking the last pill from the pack, as a result of which the woman will begin to have discharge similar to her period,
  • consult with a specialist about drug withdrawal, as there may be situations in which the cancellation of the use of contraceptives is prohibited,
  • make a test in advance for the amount of sex hormones present in the body, especially since this set of tests can be taken at any antenatal clinic.

Despite the order presented above, it is not excluded cases when it is necessary to stop reception abruptly.

Such situations include pregnancy, the occurrence of thrombosis, the diagnosis of the presence in the woman's body of malignant tumors, pathological processes in the liver, elevated blood sugar levels and hypertension.

In this situation, the patient should be regularly examined and consulted with the gynecologist regarding the intake of birth control pills and in the event of such an organism reaction as uterine bleeding.

After the abolition of birth control pills can significantly activate the ovaries. Such activity can cause a number of side effects, but at the same time it can be used for its intended purpose. For example, the active functionality after the cancellation of the app can accelerate the process of conception.

Thus, the use of hormonal drugs requires special attention from the woman regarding her health, as in case of appearance of blood discharge or any violations of the overall functionality of the body, it requires urgent consultation of a specialist and, if necessary, complete discontinuation of taking contraceptive drugs.

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