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Pure gestagenic implants

 

The transdermal contraceptive system EURA is a combined estrogen-progestative contraceptive. EURA is a thin beige patch, the contact area of which with the skin is 20 cm 2. Each patch contains 600 μg of EE and 6 mg of noreglestromine (a biologically active metabolite of norgestimate). According to the dosages of hormones entering the blood, the EURA system corresponds to the microdosed oral contraceptives. The systemic blood flow per day receives 150 mcg of noreglustromine and 20 mcg of EE.

The patch is glued on 1 of 4 possible zones (buttocks, chest, except for mammary glands, inner surface of the shoulder, lower abdomen). During 1 menstrual cycle, 3 patches are used, each of which is applied for 7 days. Replace the band-aid on the same day of the week. Then a 7-day break should be done, during which a menstrual reaction occurs.

The mechanism of action of the EURA system is due to suppression of ovulation and an increase in the viscosity of the cervical mucus. It was found that EURA suppresses ovulation as effectively as COC.

Advantages and Disadvantages of Implant Contraceptives

Benefits

  • Ease of use, because you do not need to take the drug every day. At the same time, it is necessary to re-paste the plaster weekly.
  • Isolation of minimal doses of hormones.
  • Absence of the effect of primary passage through the liver and gastrointestinal tract.
  • Fast recovery of fertility after cancellation.
  • The ability to use in women of different ages.
  • The possibility of independent use (without the participation of medical personnel).
  • A small number of side effects.

Contraceptive

  • Do not contain estrogen
  • High efficiency, IP <0.05 during the first year of use
  • Fast effect (<24 hours)
  • Lack of communication with sexual intercourse
  • Do not affect breastfeeding
  • Long term (up to 5 years)
  • Immediate recovery of fertility after removal of capsules
  • Do not need daily control of the reception

Non-contraceptive

  • May reduce menstrual bleeding
  • Can reduce menstrual pain
  • May reduce the severity of anemia
  • Prophylaxis of endometrial cancer
  • Reduce the risk of developing benign breast tumors
  • Provide some protection against pelvic inflammatory disease

Disadvantages

  • Causes changes in the nature of menstrual allocation in almost all women (irregular smearing spotting during the first year of use of the method)
  • Surgical intervention is required to insert and remove implants
  • A trained health worker is required to administer and remove capsules
  • The possibility of some gain or loss of weight
  • Impossibility to interrupt the action of the drug after the injection in case of complications
  • Do not protect against STDs, including hepatitis and HIV-infekin.
  • The relatively expensive method of contraception

Terms of use. Introduction and removal of implants is carried out in the first 5 days of the menstrual cycle or any other day, with confidence in the absence of pregnancy in a woman.

The procedure is a short-term surgical intervention, which is performed under local anesthesia by a specially trained medical specialist.

Symptoms of Possible Complications with the Use of Implant Contraceptives

  • Delayed menstruation after several months of regular cycles (may be a sign of pregnancy)
  • Pain in the lower abdomen (may be a sign of an ectopic pregnancy)
  • Abundant or prolonged (> 8 days) bleeding from the genital tract
  • Severe headaches or blurred vision
  • Infection or bleeding at the site of administration of capsules
  • Capsule rejection

If any of the above symptoms occur, an urgent medical consultation is required!

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Medical expert editor

Portnov Alexey Alexandrovich

Education: Kiev National Medical University. A.A. Bogomolets, Specialty - "General Medicine"

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