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Non-prescription medicines delivery across Europe.

Frequently ordered: potency boosters (sildenafil OTC), quit smoking aids.

Natalia (Anonymous, 88.156.134.) Warszawa 4 years ago

If I'm taking a sitnda, I had sexual intercourse yesterday, and I should start an antibiotic starting today, will I be protected or should I wait to take the antibiotic to make sure I don't get pregnant?

If I'm taking a sitnda, I had sexual intercourse yesterday, and I should start an antibiotic starting today, will I be protected or should I wait to take the antibiotic to make sure I don't get pregnant? How long back does hormonal contraception work?

35 answers, 1 subscriber

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Anna Lewandowska

Anna Lewandowska Pharmacist, Editor

2 years ago

To @Gosia:

As I wrote earlier, contraceptive protection is present from the moment the first patch is applied. The Feb. 16 operation will have no impact on the contraceptive protection on March 17.

Gosia (Anonymous, 109.243.0.) 2 years ago

Could I get a clear answer? I've been asking you for a while now and I don't get an answer to my question. If I took off the patch on March 1 and was taking medication until that day, did the protection return from the day I put on the new patch from March 8? Did it take a few days, e.g. since the second one, the security came back? I'm guessing that when I put on the second patch on the 15th, the intercourse with the 17th was protected because 7 days of wearing the patch had passed.

Gosia (Anonymous, 109.243.0.) 2 years ago

Until March 1, I was taking medication, and on that day I was also taking off the plaster. 8 I stuck the second one security came back right away? Is from 2 patches

Gosia (Anonymous, 109.243.0.) 2 years ago

I wrote you below about my situation, you wrote that until March 1 additional protection is required, on March 1 I removed the plaster, then when I applied a new one on March 8, the protection came back immediately?

Gosia (Anonymous, 109.243.0.) 2 years ago

Like I say, I've been on the patches for a long time. After what I wrote to you below, when I put on the patch, am I protected from the 1st patch? Does the protection come back with the second patch when I have had surgeries before, etc

Anna Lewandowska

Anna Lewandowska Pharmacist, Editor

2 years ago

To @Gosia:

Day 1 of the menstrual cycle is the first day of menstruation. From this day on, you should start using the contraceptive patch.

If you are in the process of use, you will start using the next patch (1 patch) after a 7-day break.

Gosia (Anonymous, 188.146.127.) 2 years ago

And what does "1 day of the menstrual cycle" mean, as you wrote below. Do you mean the 1st day of menstruation? Or the day when the patch falls after the withdrawal bleeding and then the contraceptive protection returns?

Anna Lewandowska

Anna Lewandowska Pharmacist, Editor

2 years ago

To @Gosia:

No, Broncho-Vaxom does not affect the effectiveness of contraception. In this case, protection has been maintained.

Gosia (Anonymous, 109.243.0.) 2 years ago

So if I was after an antibiotic, etc., I started a new cycle and as you said, the protection came back with 1 day of the monthly cycle, then when I took Broncho from the beginning of it and there were intercourse, it does not weaken my protection from the patch?

Gosia (Anonymous, 109.243.0.) 2 years ago

So the protection was not disturbed in the unprotected relationship? Broncho does not reduce the effectiveness ?

Anna Lewandowska

Anna Lewandowska Pharmacist, Editor

2 years ago

To @Gosia:

No, there is no need to do so, because Broncho-Vaxom does not affect the effectiveness of contraception.

Gosia (Anonymous, 109.243.0.) 2 years ago

Exactly from 11.03, and I applied my first patch on 8.03, I took the vaccine for 10 days. I'll also be taking it in April for 10 days. Should I then protect myself additionally?

Gosia (Anonymous, 109.243.0.) 2 years ago

I have one last question for you. Earlier, you told me that the protection came back to me with the start of the monthly cycle. I actually applied the patch according to my day, 1 patch on Friday and I always stick to my dates. I asked about intercourse on the second patch, you said that you don't worry because the protection comes back with the 1st day of the monthly cycle. However, I have been taking Bronchovaxom 7 mg for 10 days since the beginning of the cycle, did the protection still return and I was protected during intercourse on the second patch? If I was taking Broncho at the time, wasn't the protection 100%? As far as I know, Broncho doesn't affect the effectiveness, but I'd rather make sure, because I've had surgeries before, etc. and

Anna Lewandowska

Anna Lewandowska Pharmacist, Editor

2 years ago

To @Gosia:

There is no need to worry. If you applied the new patch as directed and forgot to peel off the old one for 5-10 minutes, it should not cause any damage or problems. In this situation, once the new patch is firmly attached, you can simply remove the old one and continue according to the ongoing cycle.

We also encourage you to familiarize yourself with materials on similar topics:
https://www.gdziepolek.pl/artykuly/jak-prawidlowo-stosowac-antykoncepcje

Gosia (Anonymous, 188.146.122.) 2 years ago

I don't know if I should be afraid, I changed the slice as I should, I always change them on Fridays, but as I say, I forgot to take off the old one and I had two slices on for a few minutes. Is protection maintained? I know it's definitely better to make such a mistake than if I completely forgot about the new patch, but I'd rather ask

Gosia (Anonymous, 188.146.122.) 2 years ago

And what about the protection if I applied the new patch as I should on the day of the change, and I forgot to peel off the old one? A matter of 5-10 minutes. I stuck the new one, waited to check if the glue was sticking firmly and forgot to peel off the old one at that time. I stick the slices in such a way that I stick a new one and when I see that it sticks, I take off the old one. Could something have happened? Should I peel off the patch according to the ongoing cycle?

Anna Lewandowska

Anna Lewandowska Pharmacist, Editor

2 years ago

If you use Evra, if you apply 1 patch on day 1 of your menstrual cycle, it starts to protect you from getting pregnant right away.

There are no contraindications to the concomitant use of Ibuprom during the use of Evra patches.

I also encourage you to read the article:

https://www.gdziepolek.pl/artykuly/jakie-leki-oslabiaja-skutecznosc-antykoncepcji

Gosia (Anonymous, 109.243.0.) 2 years ago

I'll also add that I'm currently taking Bronchovaxom, but as far as I know, it doesn't seem to have any effect on contraception, so I'm just repeating the question since when did my protection return in this cycle, if I took off the patch on March 1 and applied the first one on March 8

Gosia (Anonymous, 109.243.0.) 2 years ago

So after the onset of withdrawal bleeding, when did the protection come back? Along with 1 patch? Is it only now that the second

Gosia (Anonymous, 109.243.0.) 2 years ago

In general, I was given an antibiotic only the day after the surgery, but I was given a strong intravenous anesthesia, exceeding the dose of paracetamol, after the surgery I was also taking painkillers and in fact I just knew that the patch didn't work, so until March 1 because then I also took off the patch if there was intercourse, it was additionally protected with a condom. I was just wondering if my protection had already returned after my withdrawal bleeding, because the first week I was wearing the patch I was protecting myself with a condom. Now, on March 17, I had unprotected intercourse, but on March 15 I was already putting on the second patch, so theoretically it's been a week.
Does taking ibuprofen every day go out on the patch? I had to take it because of the pain after the surgery

Anna Lewandowska

Anna Lewandowska Pharmacist, Editor

2 years ago

To @Gosia:

I understand that you have concerns about the effectiveness of contraception after surgery and the use of antibiotics. This is understandable, as there may be a risk that contraceptive effectiveness may be reduced in these situations.

In such cases, it is usually recommended to use additional contraceptives (e.g. condoms) for at least 7 days after the end of antibiotic therapy to ensure continued protection.

In this situation, if you have been taking the antibiotic Augmentin for 7 days after the surgery (16-23 February), you should use additional protection until 1 March.

If you had unprotected sex on 17 March, when you had already had a second Evra patch applied, there is no cause for concern. In this situation, contraceptive protection was maintained.

Gosia (Anonymous, 188.146.126.) 2 years ago

Hello, I have a question. I'm on Evra patches, I had surgery on February 16th and then I was putting on my second patch. The operation was under general anesthesia, I was given a lot of Paracetamol and the antibiotic Augmentin after the operation. I would like to know when my contraceptive protection will come back? I know that because of all this the patch could weaken, so after the surgery I had sex with a condom, then came the withdrawal bleeding and I applied a new patch on March 8th. Does the new cycle mean that protection is back? Does the protection come back after a while? Yesterday 17.03 there was an unprotected intercourse I have a second patch on my hand.

Anna Lewandowska

Anna Lewandowska Pharmacist, Editor

2 years ago

To @Gosia:

If you use contraceptive patches and additionally protect yourself with a condom, the risk of pregnancy is also significantly reduced during antibiotic therapy.

In the following scenario, only unprotected intercourse with a condom in the 7 days before starting the antibiotic is at risk. In the acidic environment of the vagina, sperm are able to survive from 2-3 days, and according to some sources, in rare cases this time is extended to 5 days. And the antibiotic can weaken the contraceptive effect of the patches and the onset of ovulation.

Gosia (Anonymous, 109.243.128.) 2 years ago

And what time are we talking about when it comes to pre-antibiotic intercourse? Is e.g. a week difference already safe?

Gosia (Anonymous, 109.243.128.) 2 years ago

You're talking about the fact that an antibiotic can cause the relationship to be unprotected, but this applies to relationships where the patch was used on its own? Without additional protection in the form of a condom? If you had intercourse before the antibiotic, but it was in addition to the patch in the condom, is there a risk when taking the antibiotic?

Anna Lewandowska

Anna Lewandowska Pharmacist, Editor

2 years ago

To @Gosia:

1) How is it possible that backwards relations are not protected when you forget the pill from the first week?

A regularly taken series of contraceptive pills is able to develop such a level of hormones that the patient is protected against pregnancy for 7 days ahead, as well as 7 days back. At the time of the break, you are protected by the tablets from the 3rd blister. Withdrawal bleeding is caused by a break in taking hormonal pills, not by the effect of birth control pills.

Birth control pills work by supplying the body with certain amounts of hormones that inhibit ovulation and make conception more difficult. If you do not take the pills as prescribed by your doctor, this may make your contraception less effective. The most dangerous, however, is the extension of the seven-day interval between packages.

2) I'm on Evra patches when I don't apply 1 patch the protection reverts to the previous cycle?

If you have not applied Evra in week 1 within the first two days, you should do so immediately. The "Patch Change Day" and "Day 1" are then changed. And you are not fully protected against pregnancy during this period. The protection of the patch regresses to the level of non-contraceptive use.

3) And in the case of weakening contraception by surgery, anesthesia, antibiotics, does it also show that previous intercourse was not protected?

While most agents used under general anesthesia do not affect the effectiveness of hormonal contraception, perioperative antibiotic prophylaxis may affect the effectiveness of hormonal contraception, which may increase the risk of unplanned pregnancy. In this situation, there is a risk that the previous relationship was not fully protected.

To rule out pregnancy, a pregnancy test should be performed, such as:
https://www.gdziepolek.pl/produkty/97388/pink-test-ciazowy-strumieniowy-super-czuly-domowe-laboratrium-test/apteki

However, if you have doubts or concerns, it is always a good idea to consult your doctor or gynecologist. If you do not have the opportunity to consult your doctor, you can use the teleconsultation here:

https://www.gdziepolek.pl/telekonsultacja/z-ginekologiem

You can check the availability of Evra via the gdziepolek.pl service and book it at the pharmacy of your choice:

https://www.gdziepolek.pl/produkty/28646/evra-system-transdermalny/apteki

We also encourage you to familiarize yourself with materials on similar topics: https://www.gdziepolek.pl/artykuly/jak-prawidlowo-stosowac-antykoncepcje

https://www.gdziepolek.pl/artykuly/jakie-leki-oslabiaja-skutecznosc-antykoncepcji

https://www.gdziepolek.pl/artykuly/czy-jedzenie-i-picie-obnizaja-skutecznosc-antykoncepcji

Gosia (Anonymous, 109.243.128.) 2 years ago

And in the case of weakening contraception by surgery, anesthesia, antibiotics, does it also show that previous intercourse was not protected? Is it only if you forget to apply the plaster?

Gosia (Anonymous, 109.243.128.) 2 years ago

Hello, I have a question about the following post. You say that retroactive relations are not protected if you forget the pill from the first week. How is this possible? Then the protection would have to go back to the intercourse from the previous cycle on the 3rd blister, if the woman got withdrawal bleeding it means that the conception did not take place, so how does it show this effect retroactively? After all, withdrawal bleeding can't be reversed. Is it about intercourse during a break while taking placebo pills? I'm on evra patches when I don't stick 1 patch the protection goes back to the previous cycle?

Katarzyna Domagała

Katarzyna Domagała Pharmacist

4 years ago

Jeśli chodzi o lek Slinda, to największe ryzyko ciąży jest na początku blistra. Wtedy pominięcie tabletki z pierwszego tygodnia powoduje, że stosunki 7 dni wstecz nie są chronione, a więc po przerwie na placebo nie ma jeszcze wypracowanego schematu ochrony wstecz.

Jeśli natomiast pacjentka dalej przyjmuje regularnie tabletki, to stosunki wstecz w kolejnych tygodniach są zabezpieczone, a także te odbyte podczas tabletek placebo, mimo że są one puste. Tak więc lek wytwarza ochronę aż na 4 dni wolne od tabletek.

W przypadku tabletek dwuskładnikowych aż na 7 dni bez tabletek.

Natalia (Anonymous, 88.156.134.) 4 years ago

A w jakich konkretnie okresach cyklu?

Katarzyna Domagała

Katarzyna Domagała Pharmacist

4 years ago

Pojedyncza tabletka chroni przed ciążą przez 24 godziny, natomiast regularnie przyjmowana seria tabletek antykoncepcyjnych jest w stanie - mówiąc prosto - wypracować taki poziom hormonów, aby pacjentka była chroniona przed ciążą przez 7 dni do przodu, a także 7 dni wstecz. Jest to możliwe tylko w pewnych okresach cyklu.

Można to zauważyć najlepiej w momencie, gdy pacjentka pominie tabletkę z pierwszego tygodnia - wówczas stosunki odbyte 7 dni wcześniej mogą nie być zabezpieczone. Natomiast w przypadku, np. tabletek dwuskładnikowych po przyjęciu 21 pigułek wykonuje się 7-dniowa przerwę, podczas której pacjentka jest nadal chroniona przed ciążą, mimo iż w tym okresie nie stosuje tabletek.

Nie, nie mamy o tym osobnego postu.

Natalia (Anonymous, 46.134.64.) 4 years ago

Jak to możliwe, że tabletka działa antykoncepcyjnie 7 dni wstecz? Czy jest o tym jakiś post?

Katarzyna Domagała

Katarzyna Domagała Pharmacist

4 years ago

Tak, pod warunkiem, że poprzednie tabletki były zażywane regularnie.

Natalia (Anonymous, 46.134.64.) 4 years ago

Czyli wczorajszy stosunek jest zabezpieczony nawet jeśli działanie wziętej dzisiaj tabletki antykoncepcyjnej zostanie osłabione przez antybiotyk?

Katarzyna Domagała

Katarzyna Domagała Pharmacist

4 years ago

Nigdy nie wolno zwlekać z przyjęciem antybiotyku, gdyż zakażenie może rozwinąć się na tyle, że może stanowić zagrożenie nie tylko dla zdrowia, ale i życia.

Jeśli wszystkie tabletki leku Slinda przyjmowała Pani prawidłowo, to nie zajdzie Pani w ciążę. Prawidłowo i regularnie przyjmowana antykoncepcja zabezpiecza stosunki odbyte 7 dni wstecz.

Proszę zabezpieczać się przez cały okres antybiotykoterapii oraz 7 dni po jego zakończeniu.

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