A faster start, similar to oral contraceptives, is also for transdermal contraceptive (patch) and vaginal possible. When one of the methods of contraception is not started in the first 5 days of menses, security should yet another contraceptive method for 7 days to be applied. A transdermal contraceptive 20 cm2 skin patch releases 150 micrograms of progestogen norelgestromin (the active metabolite of norgestimate) and 20 ug ethinyl estradiol / day for 7 days in the systemic blood circulation free. After 1 week, the patch is removed and a new applied to a different area of ??skin to skin patches 3 is applied no pavement in the fourth week in order to take place a withdrawal bleed. The blood levels of the hormones estrogen and progestin are with a plaster constant significantly than with oral contraceptives. Overall, the efficiency with regard to contraception, incidence of bleeding and adverse effects similar to that of oral contraceptives; However, compliance with a plaster is perhaps because it is used wöchtlich and not a day more. The patch may be less effective in overweight women (> 90 kg). Women should still use another contraceptive method for 7 days for safety when the new patch has been applied too late> 2 days. Vaginal ring in the United States is currently only one Vaginalringart available. This vaginal ring is flexible, soft and transparent; it is only available in a size having a diameter of 58 mm and 4 mm thick. Each ring is a daily 15 micrograms ethinyl estradiol (estrogen) and 120 micrograms etonogestrel from (progestin). The hormones are absorbed through the vaginal epithelium. In the application of a vaginal hormone levels are relatively constant in the blood. It is introduced by the wearer himself and removed, an adjustment by a physician is not required. The ring is usually left in situ 3 weeks, then 1 week away to allow withdrawal bleeding. However, any vaginal ring contains as much hormone that ovulation would be effectively inhibited for 5 weeks. Therefore, the ring can be applied continuously and every 5 weeks replaced by a new one. With continuous use, a breakthrough bleeding is more common; Women should be advised of the possibility of this undesirable effect in continuous use. The contraceptive efficacy and the occurrence of adverse side effects of vaginal rings are similar to those of oral contraceptives, compliance with rings may, however, better because they are applied monthly and not daily. Women may wish to remove the vaginal ring is not a week of withdrawal bleeding, but at a different time. If the ring is removed for All thing h> 3, should yet another method of contraception be used for 7 days on the safe side.


Leave a Reply

Sign In


Reset Password

Please enter your username or email address, you will receive a link to create a new password via email.