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Emergency Contraceptive Pills
Period, Womencare

Emergency Contraceptive Pills: Uses, Effects, How to Take, and Side Effects

/ January 5, 2025

Dealing With an Unplanned Emergency with Emergency Contraceptive Pills Have you ever had to deal with a last-minute emergency to try and avoid an unwanted pregnancy? Many of my patients have, and I can tell you it is not an easy experience. That’s why emergency contraceptive pills are important, providing a safety net when other methods fail or aren’t used. As someone who has gone through it, I can understand how confusing and anxiety-provoking the subject can be. Questions such as “How do they work?”, “Where can I get them?” and “What about side effects?” often occupy the mind when someone decides to access emergency contraception.  That is a lot to process, particularly when time is confusing. This is why I’m here to unlock emergency contraceptive pills for you based on what I learned as well as my experiences as a medical doctor. I, Dr. Seema Gupta, bring you a comprehensive blog post on emergency contraceptive pills. We’ll cover emergency contraceptive pill composition, emergency contraceptive pill dosage, emergency contraceptive pill uses, emergency contraceptive pill names, where to get them, and what to expect after. I’ll also discuss potential side effects, effects of emergency contraceptive pills on periods, and side effects of emergency contraceptive pills in the future. So, let’s get started. What Are Emergency Contraceptive Pills? Definition and Purpose Emergency contraceptive pills (ECPs) are an important option for preventing unwanted pregnancy (UP) after unprotected physical relations or contraceptive failure. These pills work by being taken as soon as possible after the incident, usually within 72 to 120 hours, depending on the pill type. ECPs work primarily by delaying or preventing ovulation, reducing the chances of fertilization. Types of Emergency Contraception There are two main categories of emergency contraceptive pills: Emergency Contraceptive Pill types –   Type Active Ingredient Effectiveness Timeframe Progestin-only Levonorgestrel Up to 89% 72 hours Combined Levonorgestrel + Ethinyl estradiol Up to 75% Within 120 hours There is also a non-hormonal option, the copper IUD, which can be placed as emergency contraception for up to five days after unprotected intercourse. Read more, Discover How Soon Will a Pregnancy Test Read Positive How They Work in the Body – Emergency Contraceptive Pill Mechanism of Action Emergency contraceptive pills work mainly by preventing or delaying ovulation. Here’s how ECPs function: It’s important to know that ECPs do not end an existing pregnancy. They prevent fertilization or implantation from occurring. Effectiveness Rates The effectiveness of emergency contraceptive pills depends on a few factors: In general, the sooner you take the pill after having an unprotected physical relationship, the better it works.  Emergency Contraceptive Pill Effectiveness Remember that these are effectiveness averages; individual results may vary. Based on my experience, the sooner you take the pill after an unprotected physical relationship, the better chance it has of preventing pregnancy. Composition of Emergency Contraceptive Pills Emergency Contraceptives contains – Active Ingredients Their effectiveness depends on the active ingredients. There are two main types of ECPs: Levonorgestrel is a synthetic progestogen that has been incorporated into many birth control methods for decades. It is the most frequently used active ingredient in ECPs and is available without a prescription in many countries.  Ulipristal acetate is a recent compound that is a selective progesterone receptor modulator. Here’s how those active ingredients stack up: emergency contraceptive pill composition Ingredient Effectiveness Prescription Mechanism Interaction with Hormonal Contraceptives Levonorgestrel Up to 72 hours OTC Delays ovulation None known Ulipristal Acetate Up to 120 hours Prescription-only Delays ovulation, may prevent implantation May interfere with hormonal contraceptives Dosage Information – Emergency contraceptive pill levonorgestrel dose Be sure to follow the dosage instructions exactly. Here’s what I usually recommend: Levonorgestrel-based ECPs: Ulipristal acetate-based ECPs: The pill(s) should be taken as soon as possible after an unprotected physical relationship. The sooner you do it, the more effective it will be. Keep in mind that these are not regular birth control methods and should not be used as such. Comparison to standard birth control pills Although they may look like regular birth control pills, emergency contraceptive pills (ECPs) are very different: Here’s a quick comparison: Aspect Emergency Contraceptive Pills Regular Birth Control Pills Usage Emergency use only Daily use Hormone dosage Higher Lower Effectiveness by cycle 75-89% 91-99% Purpose Stop pregnancy after unprotected sex Prevent pregnancy consistently Side effects More severe but brief Milder but possibly lasting We have defined key components of emergency contraceptive pills to help us understand how to use them! Now, let us examine some details on when to use the medication to make it most effective and safe. Proper Usage Guidelines When to take emergency contraceptives Timing matters. Emergency contraceptive pills (ECPs) are recommended to be taken as soon as possible after an unprotected physical relationship or contraceptive failure. However, some ECPs can work if taken up to 120 hours (5 days) after physical activity. The sooner you take the pill, the more effective it is. Here’s a snapshot of effectiveness by timing: Time after a physical relationship Effectiveness Within 24 hours 95% 24-48 hours 85% 48-72 hours 75% 72-120 hours 58% How to use it, step by step – How to take emergency contraceptive pills What to do if you vomit after taking the pill If you vomit within 2 hours of taking the pill: Emergency Contraceptive Pills Where to Buy Over-the-counter availability Emergency contraceptive pills are available over the counter in many countries. Here’s a quick guide to common brands: Brand Active Ingredient Availability Plan B One-Step Levonorgestrel Yes Take Action Levonorgestrel Yes My Way Levonorgestrel Yes Ella Ulipristal acetate Prescription-only Unwanted-72 (India) Levonorgestrel Yes Online ordering options Benefits of ordering online: Ensure you’re ordering from a trusted source. Consult a healthcare provider if in doubt. Read more, 10 Reasons for Faint Line on Pregnancy Test Emergency Contraceptive Pills Price in India  OTC options generally cost Rs 70 to Rs 120. Possible Side Effects and Risks Examples of short-term side effects Rare but serious complications Interactions with other medicines Medication Interaction Antibiotics May reduce effectiveness Anti-seizure medications May work less effectively St. John’s Wort May decrease effectiveness HIV medications May be less effective Antacids Can interfere with the absorption Always inform your doctor about any medications or supplements you’re taking. When to seek medical advice Contact a healthcare provider if: Effects on Bleeding and Menstrual Cycle Patterns Temporary shifts in menstrual flow Spotting or breakthrough bleeding Delayed or early periods Long-Term Considerations Impact on Future Fertility Alternatives for ongoing protection Conclusion In conclusion, emergency contraceptive pills are a vital tool for preventing unwanted pregnancies but are not a substitute for regular contraception. Keep yourself updated and always consult a healthcare provider for personalized advice and long-term contraceptive solutions. I

Unwanted Kit
Period, Womencare

The Unwanted Kit: Uses, Side Effects, and Price – What You Need to Know Before Using!

/ January 2, 2025

The Unwanted Kit: Uses, Side Effects, and Price – What You Need to Know Before Using! Unwanted Kit: Discover Its Uses, Side Effects, and Price Have you ever been in a position where you needed a way to end an unwanted pregnancy?  It’s important to empower yourself with knowledge before reaching for the Unwanted Kit, even though it may appear like a ray of hope. This drug is a potent weapon with a unique set of hazards and considerations, making it more than just another over-the-counter pill. The Unwanted Kit  The Unwanted Kit has much to explain, from its applications and negative effects to its cost and availability.  Knowing the whole story is crucial, whether you’re thinking about it for yourself or for someone you’re supporting. After all, making an informed choice regarding your health is not only crucial but also quite significant. We’ll go over everything you need to know about the Unwanted Kit in detail in this article. We’ll cover unwanted kit uses, unwanted kit side effects, price of unwanted kit, how to take unwanted kit, and important things to think about before using it. To make sure you are prepared to make the best choice for your health and well-being, let’s start this educational journey.  Understanding The Unwanted Kit I have a lot of patients asking me: Hi friends, I am Doctor Seema Gupta. In this article, I’ll answer all the questions about the Unwanted Kit. First Step So, once you are diagnosed with pregnancy and you decide that it’s an unwanted pregnancy, you have to visit the gynecologist as soon as possible. Once you go to the gynecologist, they will ask you to do a beta hCG test, a blood test to confirm pregnancy. Once the pregnancy is confirmed, then you have to go for a transvaginal scan. A transvaginal scan is mandatory for people who want to use the Unwanted Kit because you need to be very sure that the uterine sac is inside the uterine cavity and not an ectopic pregnancy, as in not in the tube, ovary, or abdominal cavity. We also have to do basic tests like hemoglobin and blood grouping. If the patient is Rh-negative, then we need to take some precautions after the abortion. That is the reason blood grouping and typing are significant. Once we have confirmed that the sac is in the uterine cavity, we explain the whole procedure of the medical termination of pregnancy and take written consent from the patient. Read more: Experiencing No Bleeding After MTP Kit? Discover the Common Reasons and Next Steps! What is The Unwanted Kit? Unwanted Kit Uses The Unwanted Kit is a medical abortion kit made to safely and successfully end unplanned pregnancies. It includes two types of medicines that combine to terminate a pregnancy between seven to nine weeks of gestation. This kit should only be used under a doctor’s supervision; self-administration without appropriate medical supervision is not advised. Components of the Kit The Unwanted Kit typically consists of two primary medications: These medicines are packed together in specific dosages to ensure proper use and effectiveness. Some kits may also include additional items such as: Components and Dosages of Unwanted Kit Tablet: Component Typical Dosage Purpose Mifepristone 200 mg Blocks progesterone, preparing the uterus for pregnancy termination Misoprostol 800 mcg Induces uterine contractions to expel the pregnancy products out How it Works The Unwanted Kit works through a two-step process: This combination of medicines is highly effective, with a success rate of over 95% when used as directed under medical supervision. Availability and Legal Status Depending on national and local laws, the Unwanted Kit’s availability and legal status can differ greatly. Here are some important things to think about: Before trying to use or obtain the Unwanted Kit, it is crucial to know the legal situation in your particular location. It is always good to speak with a doctor to guarantee safe and authorized access to this drug. Gestational Age Effectiveness Rate Up to 7 weeks 98% 7-9 weeks 96% 9-11 weeks 93% It’s important to note that these rates are based on proper usage and adherence to medical guidelines. Read more, Discover How Soon Will a Pregnancy Test Read Positive! Proper usage instructions Is it Safe to Use an Unwanted Kit? Yes, it is definitely safe to use the MTP kit, but it has to always be used under the medical guidance of a gynecologist. How Often Can You Use an Unwanted Kit? Not more than once or twice in your lifetime. It is not safe to use the MTP kit often. What is the Ideal Time to Use the Unwanted Kit? As soon as the pregnancy is diagnosed and you decide that it’s an unwanted pregnancy, you should go to the gynecologist as soon as possible. However, it is safe to use the MTP kit up to 7 to 9 weeks of pregnancy. How to Take Unwanted Kit?  The MTP kit has two kinds of tablets. The first one is mifepristone, and the remaining four tablets are misoprostol tablets. What Happens When You Take an MTP Kit?  Generally, patients start bleeding after 3 to 6 hours of taking the last dose of the kit. Patients may experience slightly more cramping than their normal period cramps and may have slightly more bleeding than what they would have during their period. It is never safe to use an MTP kit when you are living alone. You always need an attendant with you while you take these tablets because if you have any of these side effects, you need to visit the hospital immediately. If you don’t have any severe side effects such as severe bleeding, persistent fever, or vomiting, then you should come to the hospital between 10 to 14 days after the last dose of misoprostol. On this day, we will perform an internal scan to confirm if the abortion process has been completed. This is very important because if there are any parts of the product of conception left inside the uterus, it may cause infection and secondary infertility by blocking the tube, forming adhesions, or causing infection inside the uterine cavity. Unwanted Kit Bleeding Time – Timeframe for Results The timeframe for results can vary, but generally follows this pattern: It’s important to understand that while the abortion process begins quickly, complete termination can take several days. A follow-up appointment is important to confirm that the abortion is complete and to address any potential complications. Unwanted Kit Side Effects When using The Unwanted Kit, it’s essential to be aware of the potential side effects that may occur. While not everyone experiences these effects, they are relatively common and typically resolve on their own within a few days to weeks. Common Side Effects The Unwanted Kit tablets may cause: It’s important to note that vaginal bleeding is an expected part of the process and can last for up to two weeks. However, if bleeding becomes excessive or prolonged, consult a doctor immediately. Rare but Serious Side Effects While uncommon, some users may experience more severe side effects that require immediate medical attention: Severity and Symptoms of Side Effects Severity Symptoms Action Required Mild Cramping, nausea, diarrhea Rest and monitor Moderate Prolonged bleeding, persistent fever Contact doctor Severe Heavy bleeding, severe pain, signs of infection Seek immediate medical attention Long-Term Effects

How Much Bleeding Is Normal in Early Pregnancy?
Pregnacy Care, Womencare

How Much Bleeding Is Normal in Early Pregnancy?

/ December 31, 2024

How Much Bleeding Is Normal in Early Pregnancy? Let us know in detail. Hi Mommies! You Are Pregnant – Congratulations! Can you bleed like a period in early pregnancy? Bleeding or spotting can actually shatter your dreams. I know it could be such a devastating symptom, but it is something very common, especially during the first trimester, and normally this is not a cause for alarm. It just happens. How much bleeding is OK in early pregnancy? There could be very little spotting or maybe a little more. Sometimes this can even be mistaken as your period. Some females do get confused, they consider this as their period, and they don’t even realize they are pregnant. And remember one thing: the baby remains healthy. Bleeding in the first trimester is common—about 20 percent of women have some bleeding during the first 12 weeks of pregnancy. There could be several causes. How much blood loss is normal in early pregnancy? Spotting during early pregnancy is normal. However, if the blood is heavy enough to cover a pad, that is considered ‘bleeding’. This type of flow is usually heavy enough to soak your inner clothes. Talk to your doctor as soon as possible about heavier bleeding. Bleeding In the First Trimester Bleeding Before 10 Weeks – How Much Bleeding Is Normal in Early Pregnancy 8 weeks? There are little chances of miscarriages, but it generally doesn’t occur after that. However, if bleeding has occurred, it is something to be concerned about. Implantation Bleeding – How Much Bleeding Is Normal in Early Pregnancy? You might experience some normal spotting within the first 6 to 12 days after you conceive. What is happening is that your fertilized egg is implanted in the uterus’s lining. Some women don’t even realize that they are pregnant, and this little bleeding is mistaken as a light, scanty flow during their periods. You might even miss out that you are pregnant for the next few days until you do a pregnancy test and some more symptoms appear. Read More, Discover How Soon Will a Pregnancy Test Read Positive! Can implantation bleeding fill a pad? For a day or two, mild bleeding or spotting is the primary sign of implantation bleeding. You might need to use a thin pad to collect the blood, but you shouldn’t be passing clots or soaking through multiple pads. If you have cramping, it should be faint or extremely light and not as severe as period cramps. Miscarriage – How Much Bleeding Is Normal in Early Pregnancy 11 weeks? In case of miscarriage, you might experience some normal spotting. The second common cause of bleeding could be a miscarriage, which is most common during the first 12 weeks of pregnancy. It tends to be one of the biggest concerns with first-trimester bleeding. However, first-trimester bleeding does not necessarily mean that you have lost the baby or are going to have a miscarriage. But it is something that you should be aware of. How do I know if it’s a miscarriage or just bleeding? The commonest sign of miscarriage is vaginal bleeding. It can be from light spotting or brownish discharge to heavy bleeding and bright red or with clots. The bleeding may remain or go over several days. How to confirm a miscarriage? When we do an ultrasound, about 90 percent of these women experience that the heartbeat is beating, the pregnancy is fine, and there are no chances of miscarriage. Other symptoms of miscarriage are strong cramps in your lower abdomen and tissue passing through the vagina. That is also a sign of miscarriage. Ectopic Pregnancy – How Much Bleeding Is Normal in Early Pregnancy? You might experience some normal spotting in ectopic pregnancy. The third, which is not very common but does exist, is ectopic pregnancy. Ectopic pregnancy could be life-threatening if it is an acute ectopic pregnancy. In this, the baby is actually growing in your fallopian tube, and this can burst and cause an emergency in which you can suddenly collapse. Many times, I have seen chronic ectopic pregnancies which are not that life-threatening. In this, what happens is a little bit of spotting or dirty brown discharge keeps happening. When you do a pregnancy test, the pregnancy test could be weakly positive. There’s another test that we do, called beta HCG, which confirms the pregnancy. When we do an ultrasound, generally a transvaginal ultrasound will diagnose the ectopic pregnancy, and you will be treated accordingly. Ectopic pregnancy generally ends up in surgery. Other symptoms of ectopic pregnancy are cramps in the lower abdomen and sometimes even light-headedness in case the ectopic pregnancy has ruptured. Molar Pregnancy – How Much Bleeding Is Normal in Early Pregnancy? You might experience some normal spotting. Another very rare condition is molar pregnancy, also called gestational trophoblastic disease. This occurs very rarely. In this condition, the baby is not formed properly inside. The tissues become like grapes. When we examine our patients clinically, we find that the uterus size is bigger, and it is very easily diagnosed by beta HCG and an ultrasound. In this condition, spotting does occur. Other symptoms of molar pregnancy are severe nausea and vomiting. This is a condition in which you might have hyperemesis gravidarum, meaning even water or any amount of food that you eat will not be digested. As mentioned earlier, your uterus size would be bigger than the gestational size. Cervical Changes – How Much Bleeding Is Normal in Early Pregnancy? You might experience some normal spotting. Sometimes we even see cervical changes during pregnancy. There is a lot of blood flow going through the cervix. During intercourse or a Pap test (a cancer screening test), contact with the cervix can trigger some bleeding. This type of bleeding is something we are not really worried about. Infection – How Much Bleeding Is Normal in Early Pregnancy? Pregnancy is an immunocompromised condition because the body has to adjust to the growing fetus. Your immunity is reduced, and because of this, you can have several infections in the body, more so in the cervix and vagina. These infections can cause some amount of bleeding in the first trimester. Is bleeding at 2 months pregnant normal? Bleeding in early pregnancy is common, and it usually doesn’t mean anything is wrong. However, you should still let your doctor know, especially if it’s not spotting but bleeding. Bleeding in the Second Trimester Possible Causes of Second-Trimester Bleeding The second trimester is considered to be very safe, but we do see bleeding in this trimester as well. What could be the possible causes? Infection is there. In case your placenta is low and the baby is on top, this is diagnosed via ultrasound. You have to be careful in this trimester if you have bleeding. You must call your doctor as soon as possible because this bleeding is not considered very normal. Placenta previa If it is happening because of infection or you’ve had intercourse, that kind of episode usually causes very little bleeding. Giving

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