Zhenale discharge after taking. Options for how your period goes after getting married. How pregnancy is prevented

Are you here: Questions and answers

One tablet contains: active ingredient mifepristone – 10 mg + additional ingredients ( potato starch, sodium carboxymethyl starch, lactose monohydrate, povidone, magnesium stearate ).

Release form

The medicine is produced in the form of round, convex tablets. Color – yellow with green. In packages or jars of one tablet, in a pack of 1 or 2 tablets.

pharmachologic effect

Contraceptive , antigestagenic .

Pharmacodynamics and pharmacokinetics

The active ingredient of the drug is mifepristone – a synthetic steroid that significantly reduces sensitivity progestin receptors . The substance has no progestational activity , is glucocorticosteroid antagonist according to a competitive mechanism.

The effect of the drug depends on the phase of the menstrual cycle during which it entered the body. The product increases contractility myometrium and stimulates exit interleukin-8 V choriodecidual cells, while the degree of sensitivity of the myometrium to is significantly reduced.

As a result ovum derived from decidua , ovulation does not happen, it becomes thin and weak. And if there is already fertilized egg its implantation becomes impossible.

When taken orally, after 1.5 hours the drug reaches its maximum concentration in the blood, its bioavailability is approximately 70%. Almost 99% of the active substance binds to proteins in plasma.

The drug is eliminated in two phases, first slowly, then after 12-72 hours much faster. The half-life is 17 hours.

Indications for use

The product is used as a remedy after sexual intercourse has already been completed (unsuccessful interruption, broken condom, error in the calendar method, slipped condom, etc.). The maximum effective period of time when the drug will definitely work is 72 hours.

Contraindications

There are Zhenale tablets containing 50 or 200 mg of active ingredient (for medical abortion ), they can only be used under medical supervision. employee and on the strict recommendation of a doctor.

The medicine does not affect reaction speed and concentration.

Before taking the drug, you should make sure that you are not pregnant. If pregnancy occurs after using the drug, it is better to terminate it using any method recommended by the doctor. If a woman decides to keep the child, it cannot be guaranteed that it will be born and grow up healthy.

The effectiveness of the drug directly depends on body weight; if you are overweight, the effectiveness decreases.

Analogs

Level 4 ATX code matches:

Genale or Escapelle - which is better?

Escapelle refers to drugs containing progestogens (). The product, unlike the original, is effective only for the first 24-48 hours, after NLA . Also, when taking an analogue, the likelihood increases. The cost of the drugs is approximately the same.

Postinor or Zhenale - what to choose?

Postinor also contains progestogens . The effectiveness of the product greatly depends on the patient’s body weight (this figure is lower for the original). After taking an analogue, there is a greater likelihood of unwanted side effects such as bleeding, general poor health, and a delay in the next menstruation. Both products are in the same price category.

Reviews about Zhenale

Reviews from doctors

Experts believe that the medicine is more effective compared to its predecessors containing progestogens . Reviews from gynecologists about Zhenal are positive; it is not a hormonal drug. Experts note high efficiency, regardless of the time elapsed after NLA (no later than 72 hours). However mifepristone often causes a delay in menstruation.

Among women

Reviews from women, those who took the pills are good. Many people write that they did not experience nausea, pain or bleeding, as when taking other drugs. However, some experienced minor irregularities in their menstrual cycle. One of the women still became pregnant after taking the medicine, but was unable to carry the child to term. If the use of this emergency contraceptive fails, doctors recommend terminating the unwanted pregnancy.

Genale price, where to buy

The price of Zhenale in a pharmacy is approximately 300 rubles per package.

Author-compiler:- pharmacist, medical journalist Speciality: Pharmacist

Education: Graduated from Rivne State Basic Medical College with a degree in Pharmacy. Graduated from Vinnitsa State Medical University named after. M.I. Pirogov and internship at his base.

Experience: From 2003 to 2013, she worked as a pharmacist and manager of a pharmacy kiosk. She was awarded diplomas and decorations for many years of conscientious work. Articles on medical topics were published in local publications (newspapers) and on various Internet portals.

NOTE! Information about medications on the site is for reference and general information, collected from publicly available sources and cannot serve as a basis for making a decision on the use of medications in the course of treatment. Before using the medicine Zhenale, be sure to consult with your doctor.

Alina | 12:34 | 26.05.2017

I took this drug 2 times, both times everything was fine, no nausea, no dizziness, my periods came on time, no side effects. suited me

Today there are a lot of contraceptives and protection against sexually transmitted infections, so every woman can choose the right option for herself, without harm to the body.

And recently, birth control pills “Zhenale” have begun to gain particular popularity, which are distinguished by their effectiveness and gentle effect on the girl’s body even at an early age.

Although, before starting a course of taking pills, it is better to consult a doctor and take the necessary tests.

pharmachologic effect

Most patients are interested in the question of how the drug “Zhenale” works, since some similar tablets can harm the reproductive system, hormones and the menstrual cycle.

Tablets are classified as steroidal antigestagenic drugs of synthetic origin, which block the interaction of progesterone and receptors.

The main task of the tablets is to increase the contractility of the myometrium, as a result of which the fertilized egg is released, the ovulation process is inhibited, and the implantation of the fertilized cell into the uterus is complicated.

Also in Zhenale tablets There are additional substances such as:

potato starch;
lactose monohydrate;
povidone;
magnesium stearate.

The drug belongs to the group of estargens, gestagens, and can only be prescribed by a doctor.

Composition and release form

The main active ingredient of the drug "Zhenale" is mefipristone, which is a synthetic steroid that increases the sensitivity of the myometrium to Pg.

To enhance the effect, gestagens, homologues and antagonists are added.

The drug also includes:

starch;
povidone;
stearate;
estrogen;
monohydrate

The drug is produced in the form of tablets, round-shaped dragees, yellow-green in color with a shell.

Each package contains 10 mg and can be offered in a blister or jar.

Indications for use

There may be several indications for the use of Zhenale tablets, but all of them are established after the doctor’s recommendations, tests and diagnosis.

to terminate intrauterine pregnancy in the early stages, 200 mg tablets;
to prepare for childbirth during normal pregnancy;
upon diagnosis - uterine leiomyoma up to 10 weeks in size;
for emergency contraception in the next 72 hours if contraceptive means and methods were previously used incorrectly.

Sometimes the drug can be prescribed to very young girls for the treatment of acne, seborrhea, hormonal disorders and for the prevention of oncology.

Although the course of taking the pills will then vary, it is usually shorter and combined with other medications.

Contraindications

There are also a number of contraindications when using Zhenale tablets, which need to be taken into account and tests done to determine personal tolerance to some components.

Usually we are talking about:

increased sensitivity;
renal failure, intestinal diseases;
liver failure;
porphyria;
inflammations and infections on the female genital organs;
problems with hemostasis;
smokers and women over 40 years of age;
for termination of pregnancy, in case of ectopic pregnancy, in case of delay of menstruation for more than 40 weeks;
uterine fibroids;
in case of post-term or premature pregnancy;
ovarian tumors;
the period of breastfeeding;

If at least one of the contraindications is present, then it is better not to use the drug “Zhenale”, but to find an alternative.

The same applies to cases where the disease was found after starting a course of taking pills.

Side effects and consequences

Almost every woman, after starting a course of Zhenale tablets, may experience side effects that appear within a few hours and can last up to a week.

So, most patients are faced not only with a delay in menstruation, bleeding after the drug, but also other troubles:

pain in the abdomen or during sexual intercourse;
weakness;
nausea, vomiting;
diarrhea, intestinal upset;
bleeding, vaginal discharge;
infections and inflammations of the genitourinary system;
anemia, decreased hemoglobin.

Usually the consequences go away a few days after starting to take Zhenale tablets, but if the situation worsens, you need to consult a doctor for tests, treatment and replacement of tablets.

Drug interactions

You should not take Zhenale tablets with medications for menopause, antibiotics, or drugs for the treatment of epilepsy and tuberculosis.

It is also best to avoid concomitant use with NSAIDs for the next 10 days after miphenpristone administration.

Regarding alcohol, the effectiveness of the active component of the drug “Zhenale” is not reduced, although a woman may suffer from dizziness, nausea and cramps.

Genale and alcohol

If you have diseases of the kidneys, liver or intestinal tract, digestion may worsen, a sharp jump in weight, diarrhea, indigestion, vomiting and nausea may occur.

Dosage and overdose

To terminate a pregnancy, you need to take 600 mg of the drug “Zhenale” in the hospital, only after a light breakfast, and with plenty of water.

The procedure is carried out once, two hours after eating. When a woman is preparing for childbirth, she needs to administer 200 mg tablets once, and repeat the dose a day later.

As a means of contraception, Zhenale tablets are used only after the doctor's permission, 10 mg after or before meals, preferably within two hours.

If we are talking about unprotected sexual intercourse, then it is recommended to take the pills within 72 hours after fertilization.

If uterine leiomyoma is detected, the course of Zhenale tablets will last at least two to three months with 50 mg of the drug taken.

In other cases, for hormonal disorders or for the treatment of acne, the dosage may vary significantly, as well as the time of administration.

If we talk about overdose, then patients are faced with symptoms of renal failure, namely high fever, abdominal pain, dizziness, swelling, and pain when urinating. Treatment is symptomatic and depends on tests and doctor’s recommendations.

Instructions for use

The dosage of the drug "Zhenale" is prescribed differently, depending on the diagnosis, the purpose of treatment and the age of the patient, often the intake of tablets is controlled by a doctor.

Most often, the tablets are taken after a light breakfast or lunch or two hours before; there is no need to chew them, but it’s better to drink 100 ml of water.

In most cases, patients undergo an ultrasound procedure through 30-40 hours after the first dose Zhenale tablets, and then a week later.

This is done in cases of treatment of uterine leiomyoma, to terminate a pregnancy, or in preparation for childbirth.

If we talk about contraception, then it is enough to drink 10 mg of the drug “Zhenale” every day before or after meals.

Only a doctor can tell you how often to take Zhenale, so before starting the course, it is important to undergo a full examination.

Storage of the drug

The drug "Zhenale" should be stored in a dry, dark place, with a temperature of no more than 25 degrees Celsius.

Avoid exposure to direct sunlight, interaction with liquid tinctures and water.

The main components retain their activity and effectiveness for no more than three years, after which Zhenale tablets must be disposed of or thrown away.

Otherwise, the patient will encounter side effects and deterioration in well-being.

special instructions

It must be remembered that the course of Zhenale tablets does not depend on the woman’s menstrual period and does not protect against sexually transmitted infections and AIDS.

Despite its effectiveness, doctors recommend using the drug only in special cases, for emergency contraception or to prepare for childbirth. Monthly use – not recommended.

Latin name: zhenale
ATX code: G03XB01
Active substance: mifepristone
Manufacturer: Izvarino Pharma LLC, Russia
Conditions for dispensing from a pharmacy: On prescription

Zhenale is a birth control pill that causes bleeding soon after taking it. This is an emergency contraception, the use of which is intended to quickly prevent possible pregnancy.

Indications for use

Contraception is taken to prevent conception after unprotected sex or when another contraceptive method has proven unreliable. Zhenale tablets are not suitable for abortion. Birth control pills must be taken within 72 hours (three days) of the last unsafe sexual intercourse.

Composition of the drug

The tablets contain the active ingredient mifepristone in an amount of 10 mg per tablet. Additionally, the medication contains the following excipients: povidone, lactose monohydrate, magnesium stearate and potato starch.

Medicinal properties

How does the medicine work?

The active substance based on mifepristone has a contraceptive and antigestagenic effect. Mifepristone is a synthetic steroid hormone whose mechanism of action is antiglucocorticoid activity via a competitive mechanism. The effectiveness of the drug depends on the specific phase of the cycle when the woman took the pill. Thanks to the medication, the contractility of the myometrium is effectively increased, interleukin-8 is released in the choriodecidual cells.

Sensitivity to prostaglandins also decreases. Because of this, the fertilized egg does not attach to the wall of the uterus, if conception occurs, ovulation does not occur, and the endometrium becomes thinner. After oral administration, the drug is absorbed by 70% and reaches peak concentration in the blood after an hour and a half. The half-life averages 17 hours. It is completely eliminated from the body within three days.

Release forms

The average cost of medicine in Russia is 290 rubles per package.

The instructions indicate that the drug looks like tablets that are round and convex on both sides. One package contains 1 or 2 pieces, color – yellow-green. Can be sold in packs or jars.

Mode of application

How to take the medicine:

The product can be drunk 2 hours after meals or before, since food in the stomach impairs the absorption of the active substance. Before using the tablets, you should consult a gynecologist to understand whether mifepristone will help in a particular case, namely, to get your period after taking it. To ensure the effect of the medicine, it must be taken within three days after unprotected sex.

How long does it take for the medicine to start working?

The drug begins to act approximately 2 hours after administration, and over time, a possible interruption of conception occurs. If the drug was taken during ovulation or in the first phase of the cycle, then there may be a delay after pregnancy. In the second phase, rapid menstruation often occurs. Pregnancy after zhenale most often occurs in obese women and in those who took the required dosage late.

Genale or escapelle?

Escapelle consists of synthetic progestogens. It should be taken no later than 1-2 days after completion of sexual intercourse. There may be a negative consequence from use - the woman will become pregnant ectopically. Such a pregnancy must be terminated as early as possible, otherwise it is possible to rupture the ovary, and the fetus will not survive 100% in any case. Which is better to choose? The first drug is recommended.

Genale or postinor?

Postinor consists of levonogestrel, a synthetic progestin. In order for the drug to work well after some time, you should have as little body weight as possible, that is, it may not help large women. There is always one negative effect - after postinor, daubing begins. This is bleeding that resembles menstruation. Such unpleasant consequences are fraught with severe bleeding, which will begin suddenly and with severe pain.

Gynepriston or Zhenale?

Gynepristone has the same active ingredient - mifepristone, so these are two identical analogues. Does gynepristone help or not and which one can be considered the best? The remedies work the same way, but only a doctor prescribes medications.

During pregnancy and breastfeeding

If a woman becomes pregnant and her period does not come, then she can take mifepristone for a medical abortion for 3-4 weeks after the start of the delay. This procedure cannot be carried out independently; the dosage is prescribed by the doctor. If bleeding begins, then after 1.5 - 2 days, prostaglandin-based medications are prescribed. After 1-2 months of pregnancy, a vacuum or surgical abortion is performed.

Contraindications

Porphyria, liver and kidney diseases, impaired homeostasis, anemia, impaired adrenal function, allergic reaction, desired pregnancy and lactation.

Precautionary measures

Cross-drug interactions

Genale and alcohol

It is not recommended to mix alcohol with medicine, otherwise the side effects may worsen; alcohol itself negatively affects the effectiveness of the medicine. Also, do not inject non-steroidal painkillers for 12 hours after taking the drug.

Side effects

Migraine, dizziness, allergic rash, loss of performance, diarrhea and vomiting, pain in the lower abdomen, spotting, increased body temperature.

Overdose

Hypofunction of the adrenal glands is possible.

Conditions and shelf life

Up to three years in a dry and cool place.

Analogs

CJSC "Obninsk Chemical Pharmaceutical Company", Russia

average price– 2100 rubles per package.

Miropriston is a complete analogue of the active substance, but with a difference in concentration. One tablet contains 200 mg of mifepristone. Only 3 tablets per pack. Miropriston is needed for medical abortion.

Pros:

Efficiency
Convenient release form.

Minuses:

Expensive
Causes severe discomfort.

Gedeon Richter, Hungary

average price in Russia – 390 rubles per package.

Postinor contains a synthetic gestagen in large quantities - levonorgestrel, which causes a sharp disruption of the cycle in order to prevent conception. The pack contains 2 tablets of 750 mg each, which should be taken as quickly as possible.

Pros:

Helps
Relatively inexpensive.

Minuses:

Severely disrupts the cycle
Causes bleeding.

Zhenale belongs to the group of means for emergency contraception. The active ingredient is mifepristone of synthetic origin in the amount of 10 mg per tablet.

The drug has an antigestagenic effect, which is aimed at blocking the action of progesterone at the receptor level. Take 1 tablet once 2 hours before or after meals, but no later than 3 days after sexual intercourse.

Helps reduce the number of abortions. It is used in the following cases:

damage or incorrect use of barrier methods of contraception;
skipping pills when taking oral contraceptives;
spontaneous prolapse of the intrauterine device;
unprotected sexual intercourse;
in women who have rare sexual intercourse;
rape.

Zhenale should be used only as prescribed by a doctor, as these tablets have contraindications:

renal, adrenal or liver failure;
anemia and other extragenital pathology of severe severity;
long-term use of glucocorticosteroids and anticoagulants;
hypersensitivity to the drug;
pregnancy and lactation (and after taking the drug you must stop breastfeeding for two weeks);
after completion of therapy, do not take drugs from the group of non-steroidal anti-inflammatory drugs for 1-1.5 weeks.

The influence of Zhenale on the menstrual cycle

Mifepristone causes various hormonal disorders in the body; which ones exactly depends on the dosage. A distinctive feature of the drug is the possibility of its use in different phases of the menstrual cycle.

In the first phase of the cycle, Genale slows down the maturation of the dominant follicle, as a result of which the onset of ovulation shifts by 3-4 days. Due to inhibition of ovulation after taking Zhenale, menstruation is delayed.

Zhenale, taken in the next phase, leads to secretory changes in the endometrium, which do not allow the fertilized egg to penetrate the uterine mucosa.

The use of mifepristone during pregnancy at a dosage of 200 mg or more stimulates the synthesis of prostaglandins in the endometrium, promotes contraction of the muscular layer of the uterus, detachment and removal of the fertilized egg. This allows it to be used in combination with other drugs for medical abortion in the early stages, and later for artificial induction of labor.

The use of mifepristone at any dosage may cause the following adverse reactions:

bloody discharge from the genital tract up to uterine bleeding, which is rare;
pain in the lower abdomen;
exacerbation of inflammatory diseases of the pelvic organs;
general weakness, headache, dizziness; increased body temperature;
nausea, vomiting, diarrhea;
skin rashes.

When does your period start after taking Zhenale?

The most effective methods of preventing pregnancy are the introduction of an intrauterine device and hormonal drugs:

gestagens (levonorgestrel);
estrogen-gestagen drugs (combined oral contraceptives);
antiprogestins (mifepristone).

When considering commonly used drugs, their positive and negative aspects, and data from international studies, we can say that antigestagens are the most effective and gentle drugs compared to gestagens or COCs.

The first periods after taking Zhenale may be scanty. They usually appear on time or with a delay of several days. During the first months, disturbances in the menstrual cycle are possible, but gradually the cycle is restored.

Lack of menstruation after taking Zhenale

If the pregnancy test is negative, and your period does not appear after taking Zhenale, then you should not worry ahead of time. In the first few days this is an adverse reaction to the medicine.

But a delay can also indicate pregnancy, even if the test shows nothing. A false negative result may be due to low levels of human chorionic gonadotropin in the urine. To rule out conception for sure, it is better to determine - this analysis is able to recognize pregnancy in the first days of the delay.

When taking Zhenale, pay attention to the following:

Genale does not protect against sexually transmitted diseases and AIDS;
after using the drug, be sure to use reliable methods of contraception;
If there is a hormonal imbalance or delay, you should not try to induce menstruation with the help of Zhenale. See a doctor and get tested to determine the cause;
the dose of the drug is too small to terminate a pregnancy, so before use you need to be sure that you are not pregnant;
If pregnancy occurs while taking mifepristone, termination by medication or surgery is recommended (vacuum aspiration is preferable). If a woman wishes to continue her pregnancy, the risk of developing congenital anomalies of the fetus cannot be excluded;
do not take the drug on a regular basis as a contraceptive - This is a one-time contraception!

Vladlena Razmeritsa, obstetrician-gynecologist, especially for the site

Useful video

One of the effective methods of protection against unwanted pregnancy is emergency contraception. The advantages lie in the effectiveness of the drugs taken, and the disadvantages lie in the effect on the natural hormonal balance of a woman. It is for this reason that emergency contraception can be used no more than once every six months, less often is better. One of the popular drugs is “Zhenale”. In excellent pharmacological dosages, it can be used both as a means to prevent pregnancy and to terminate it at different stages. How does the drug work, and what will your period be like after Zhenale?

Read in this article

pharmachologic effect

Zhenale contains a synthetic antigestagen - mifepristone in a dosage of 10 mg. The active substance has some glucocorticosteroid activity, as a result of which the drug has special instructions and properties atypical for emergency contraception.

Zhenale is used as an option to prevent pregnancy after unprotected intercourse. This drug, as a means of emergency contraception, can be used effectively for 72 hours after an emergency.

Entering the gastrointestinal tract, zhenale reaches its maximum values in the blood within 1 - 2 hours and begins to act. The medicine is excreted slowly, so when using it during lactation, breastfeeding must be stopped for a period of up to 14 days. It is the long-term presence in the body that determines the period of use of the product - up to 72 hours. While for postinor, for example, the interval is several times smaller.

How pregnancy is prevented

Genale operates on several levels. The predominant effect of one or another method depends on the day of the cycle on which the drug was taken. It looks like this in detail:

In the case when the remedy was used before the onset of ovulation, then zhenale changes the hormonal background so that its onset is delayed. Accordingly, sperm that penetrate the uterine cavity will not be able to fertilize the egg, since it will still be in the follicle. That is why marriage is a common situation, and there is no need to worry.
When the drug is used after ovulation, it promotes the rejection of the fertilized egg. This happens due to the fact that zhenale stimulates the production of interleukin-8, which promotes the destruction of the decidula. And it is very important, as it plays a role in attaching the fertilized egg to the wall of the uterus. Interleukin-8 also increases the sensitivity of the myometrium to prostaglandins. And they cause rhythmic contractions of the uterine walls. All this promotes the release of the fertilized egg and prevents pregnancy.
If the drug is used at the time of ovulation, then, in addition to the above effects, it promotes endometrial atrophy in this cycle. This leads to the fact that the fertilized egg cannot attach to the wall; figuratively speaking, it has nothing to hold on to.

It is important that zhenale affects the fertilized egg. Therefore, it may have an adverse effect on the developing embryo. Due to these reasons, if the drug is taken and pregnancy still occurs, it is recommended to terminate it in another way - medication or instrumentally. Otherwise, the risk of pathologies in the fetus is high. By the way, escapelle and postinor are less safe in this regard.

Contraindications

You should take one 10 mg tablet 2 hours before meals or the same time after. The dosage should not be increased without a doctor's prescription, as this drug can cause adrenal insufficiency, which can lead to a threat to the woman's life.

Zhenale is a hormonal drug with glucocorticosteroid activity. Based on this, restrictions on the use of the medicine will be built.

It should also be noted that the effectiveness of zhenale also depends on the woman’s constitution. With overweight and obesity, the effectiveness of the drug decreases: the more extra pounds, the greater the likelihood of an unsuccessful attempt.

Since zhenale acts on receptors in tissues similar to glucocorticosteroid hormones, it cannot be used after a course of treatment with drugs of this group.

It is also not recommended to take it during lactation. Using Zhenale during pregnancy can provoke a threat of miscarriage, and in the early stages - developmental defects in the fetus. Mifeprestone, only in higher dosages, is used to terminate labor in later stages and to activate labor.

It is also not advisable to take zhenale in the following situations:

in case of hypersensitivity to any component of the drug;
with pathology of the kidneys and adrenal glands, especially with their insufficiency;
with a decrease in hemoglobin of unspecified etiology;
in the presence of porphyria;
with increased blood clotting;
with decompensation of extragenital pathology.

After taking zhenale, it causes menstruation, during which it is recommended to refrain from taking non-steroidal anti-inflammatory drugs, this includes aspirin, ketones and others.

Effect on the menstrual cycle

Since Zhenale is a hormonal drug, it often causes menstrual irregularities in women. However, in comparison with other similar drugs, the likelihood of such disorders is lower.

Like other emergency contraceptives, this drug increases the risk of developing an ectopic pregnancy. That is why many are interested in the question of when menstruation will begin after marriage, in order to suspect pathology in time.

The drug has a multifaceted effect, which is why the failure will depend on what phase of the cycle the medicine was taken.

In the first phase of the cycle

Since zhenale slows down ovulation in this case, a delay often occurs. Its duration is approximately equal to the number of days of the cycle that have already passed. If the drug was taken within 1 - 7 days, i.e. almost during menstruation, then there may not be a delay next month. Sometimes failures occur for up to 14 - 20 days, but over 10 days require medical supervision.

In the second phase of the cycle

Zhenale, which was taken in the second phase of the cycle, may not lead to any problems. But it also often causes various spotting of a bloody nature and even menstruation ahead of schedule. In this case, the new cycle should be counted from the first day of heavy menstruation.

If at the time of ovulation

If Zhenale is taken at the time of expected ovulation, it most often leads to delays of various types.

In any case, if the cycle lengthens, a pregnancy test should be performed to ensure that conception has not occurred. If the opposite is confirmed, it is better to take other methods of interruption, since zhenale can even have a teratogenic effect.

If a girl has taken zhenale and menstruates, you should observe their character. After taking this emergency contraceptive, periodic spotting may occur until the onset of normal menstruation. If they are accompanied by abdominal pain or a disturbance in general well-being, they should be excluded.

To do this, you should do a regular test or, better yet, donate blood for hCG. The latest study is more informative and allows you to be 100% sure whether conception has occurred or not.

Zhenale is an emergency contraceptive drug, the effective action of which is observed within 72 hours after unprotected sexual intercourse. To a lesser extent, compared to analogues, but even when taking this emergency contraceptive, disruptions in the menstrual cycle may occur. The main thing is to interpret them in a timely and correct manner, since zhenale increases the risk of ectopic pregnancy and negatively affects the condition of the embryo if it was not possible to prevent conception.