Unprotected sexual intercourse: how to avoid pregnancy. Prevention of STIs after an unprotected act, symptoms and consequences of infection. Mechanical means of preventing STDs

Sex is an important part of adult life. But intimate relationships are not only pleasure, but also a source of big problems. Fortunately, modern contraceptives help protect not only from unwanted pregnancy, but also from various diseases. But what if the partners didn’t use them?

Unprotected sex and its dangers

Unprotected sex is defined as sexual intercourse during which no means of protection against unwanted pregnancy or STDs were used. In addition, sex during which contraception fails, for example, the condom breaks or the woman forgets to take a pill, also becomes unprotected.

This term should not be associated only with casual relationships. Even spouses can forget about protection or use it incorrectly.

Why is unprotected sex dangerous? Sexual intercourse without any means of protection can lead to unwanted pregnancy. In addition, sexual intercourse without barrier contraception sometimes causes STDs.

You can get sexually transmitted infections through unprotected sex

Of course, among these diseases there are many that can be cured with conventional antibiotics (for example, chlamydia). But there are others who stay with a person forever and poison his life.

The consequences of unprotected sex can be not only pregnancy, but also incurable diseases that will have to be controlled for the rest of your life.

Don't forget that it only takes one unprotected sex to become infected with HIV.

To prevent conception, you can use many different methods of contraception: condoms, hormonal drugs, IUDs, spermicides. But only barrier products protect against diseases: male and female condoms.

Spermicides can also protect a couple from some sexually transmitted diseases, but the effectiveness of this method of protection is not very high, so it is recommended to combine it with something else, such as condoms.

The condom is one of the most popular methods of protection, and in the case of protection against STDs, it is the most effective means. It is necessary if you have recently met your partner and cannot be 100% sure that he is healthy. Of course, in a family, in a relationship with a trusted partner, other methods of contraception are acceptable. You can take hormonal medications, get an IUD - this is enough to prevent you from getting pregnant.

The saying “trust, but verify” fits perfectly in this situation. First, get tested with your partner, and only then refuse contraception. The point here is far from being a matter of mistrust. Diseases such as mycoplasmosis, ureaplasmosis, chlamydia, human papillomavirus, herpes, and sometimes HIV, often go unnoticed. Pathogens can remain in the human body for a long time, and he does not even know about their presence. In addition, not all STDs are transmitted only through sexual contact. For example, syphilis or gonorrhea can be contracted through contact with a sick person and his things. It is for this reason that it is advisable to get tested for STDs 2 times a year.

But during pregnancy, using a condom will definitely not be superfluous. In the first trimester, the expectant mother's immunity is greatly weakened, and the vaginal environment becomes favorable for the proliferation of microorganisms. Introduced fungi or bacteria can cause infection.

Video: doctor Ekaterina Makarova about protected sex with a condom

What to do after unprotected intercourse

Any unprotected sex can lead to not very good consequences: unwanted pregnancy and sexually transmitted diseases. But you can still reduce the likelihood of problems occurring.

How to avoid pregnancy

After unprotected sexual intercourse, women most often use postcoital contraceptives.

The most famous emergency contraceptives are Escapelle and Postinor. They are classified as progestin drugs, the active substance is levonorgestrel. These drugs act on the cervix and endometrium, which prevents sperm from penetrating the uterus and preventing the embryo from attaching to it. Once implanted, they are ineffective. Postinor has a serious effect on the body; it disrupts hormonal levels and the menstrual cycle, although it is quite effective. Escapelle is a more modern remedy; it does not cause such harm to the body.

Preparations based on mifepristone, which are classified as antigestagenic, are quite effective. Gynepristone, Agesta are non-hormonal drugs, under the influence of which the endometrium changes, making it more difficult for a fertilized egg to attach to the uterus. And if implantation does occur, the uterus begins to actively contract and pushes out the embryo. In addition, antigestagens can block the release of an egg, so they are quite effective in situations where unprotected sex occurred on days close to ovulation.

Postinor is one of the most popular emergency contraceptives

You can take emergency contraception within 72 hours after sexual intercourse; it is recommended to consult your doctor. In some cases, mifepristone is used as a drug for medical abortion before the 42nd day of pregnancy.

Another option is to insert a copper-containing intrauterine device. Copper has a spermicidal effect, and the coil itself prevents the egg from implantation. Such a contraceptive will not harm a woman’s body, moreover, it will be effective for several more years. The IUD can be inserted within 5 days after sexual intercourse. The spiral is placed only in a medical facility.

Some women use home remedies - douche with water, lemon juice, potassium permanganate, and then inject spermicides. Such methods are ineffective and can only disrupt the vaginal microflora. It's better to see a doctor.

The intrauterine device can be used for 5 days after sex

How to Avoid STDs

A truly effective method of protection against STDs is a condom. But if for some reason you did not use it, then immediately after sex you need to take some preventive measures.

  1. Go to the toilet so that urine can wash away any remaining semen or discharge, as well as possible pathogenic bacteria.
  2. Wash your genitals thoroughly, it is better to use soap. This way you will kill microorganisms.
  3. Within an hour after sex, treat the genitals with an antiseptic: chlorhexidine, miramistin. You will need 2–3 ml of the substance. A man needs to insert it into the urethra, and a woman needs to douche. After the procedure, do not go to the toilet for as long as possible.

In addition, you need to visit a doctor as soon as possible: a gynecologist, urologist or venereologist to prescribe preventive treatment.

It is effective only in the first two days, so hurry up. If you do not know what infection you might have contracted, then you will most likely be offered Safocid - a combination drug that is effective against bacteria, viruses, and fungi.

Douching is recommended to prevent STDs after unprotected sex.

  • The doctor may also prescribe the following antibiotics:
  • Benzathine benzylpenicillin if there is a possibility of syphilis;
  • Cefixime, if there was a possibility of becoming infected with gonorrhea;
  • Azithromycin for suspected chlamydia;

Tinidazole if there is a possibility of trichomoniasis.

Antibiotics have a serious effect on the body, so you should not take them without a doctor’s prescription. In addition to this treatment, a specialist may prescribe antiviral drugs (Amiksin, Lavomax), as well as drugs that enhance immunity (interferons). They are effective in the presence of herpes and hepatitis.

Important! In the first few hours, special suppositories can help you, for example, Viferon, Genferon, Vagiferon, Betadine. Epigen intimate spray has a good effect.

Diseases such as hepatitis or HIV cannot be prevented with medication. About a month after sexual intercourse, a blood test can detect infection, so it is at this time that you should go to a hospital or clinic.

A month after unprotected sex, you should get tested for HIV and hepatitis

Sometimes we face difficult problems that need to be solved. So, such a nuisance as a sudden rupture of a condom can happen to all of us. It is probably no longer a secret to anyone that in this case it is quite simple to protect yourself from unwanted pregnancy - just by taking certain medications within a couple of days after sexual intercourse. But what to do with the likelihood of contracting various unpleasant diseases? In fact, there are methods that can reduce the likelihood of developing an STD after unprotected sexual intercourse to zero.

Unprotected sexual intercourse can occur for a variety of reasons. This, as mentioned above, is a banal torn condom and rape. Sometimes contact can occur in a not entirely sober state. In any of these cases, you should immediately begin to take certain measures to prevent sexually transmitted diseases.

The first step is to treat the external genitalia and inner thighs with soap, and also, rather than earlier, urinate. Afterwards, an antiseptic preparation should be applied to the skin and mucous membranes. For this purpose, you can use miramistin or betadine. It should be taken into account that all these medications can only help if they were used no later than two hours after the incident. Inject the contents of the bottle (using a urological applicator) into the urethra for a couple of minutes. The recommended dosage for men is two to three milliliters, and for women – one to two milliliters. Also, five to ten milliliters of the medicinal composition must be inserted into the vagina. Carry out a thorough treatment of the skin on the inner thighs, pubic area and genitals. After completing this procedure, it is advisable to hold back urination for two hours.

Medication measures

Then try to see a doctor as quickly as possible so that he can select the most optimal preventive measures. Although such treatment is almost 100% effective, it will not protect you from HIV, hepatitis and some other diseases. Therefore, it is recommended that a couple of weeks after unprotected intercourse, you undergo a diagnostic test aimed at identifying urogenital infections. In this case, a PCR test will be very informative, and after about a month and a half it is necessary to donate blood for the presence of antibodies to HIV, various types of hepatitis and tryponema pallidum. During this entire time, it is necessary to avoid intimate relations with a sexual partner until the results of the examination are received.

Drug prevention of insufficiently protected sexual intercourse can be carried out exclusively for a couple of days after intimate intercourse. In principle, such measures are preventive treatment that prevents the formation of various sexually transmitted diseases. Prevention of accidental relationships is carried out according to the same scheme as the treatment of an acute type of infectious lesion that is not accompanied by complications.

Drug prevention can only be prescribed by a venereologist. Antibiotic drugs will simply prevent the infection from transforming into a real disease.

Experts especially recommend resorting to drug therapy when information appears that the partner with whom unprotected contact occurred suffers from diseases such as gonorrhea, mycoplasmosis, trichomoniasis, chlamydia or ureaplasmosis.

How soon can you resume a full intimate life?

Unprotected sexual intercourse is allowed approximately five to six days after preventive measures have been taken. Until this date, it is imperative to use a condom when communicating with sexual partners. This helps prevent transmission of infection if infection does occur.

In what cases does such prevention help?

Drug prevention of STIs after an unprotected act effectively prevents the development of diseases such as gonorrhea, chlamydia, mycoplasmosis, ureaplasmosis, trichomoniasis and syphilim. However, it must be borne in mind that such therapy cannot prevent HIV, HPV, genital herpes and some other less common ailments.

Are such medications dangerous to health?

In principle, most medications are used only once, so pathological conditions such as intestinal or vaginal dysbiosis simply do not have time to develop. For negative effects to occur, antibiotic use must continue for one week or more. The only danger that such drugs may pose is the likelihood of developing an allergic reaction. If you are prone to allergies, be sure to tell your doctor about it.

It should be borne in mind that drug prevention of sexually transmitted diseases can be carried out only in extreme cases. It should not be considered as an alternative to using condoms.

Casual sexual intercourse can happen to any of us, so every person should have information about urgent STI prevention. It is worth remembering that the best way to protect against diseases and unwanted pregnancy is a condom.

The lack of awareness among young people, and even older people, about sex issues leads to quite frequent unprotected sexual intercourse. Such sexual acts can occur in a state of alcohol or drug intoxication, random impulsive acts with an unknown partner, sex after youth discos, etc. As a rule, during casual sexual intercourse, few people think about the consequences, and of course, about any precautionary measures (there can be no talk of any condom). What to do if accidental sexual intercourse does occur, but you don’t want to expect possible consequences from it.

What could be the consequences of casual sex? Is there a risk of contracting AIDS, syphilis and other sexually transmitted infections? And also, is it possible to get pregnant after such unprotected intercourse?

Options for what happens after unprotected sex

After you have had unprotected sexual intercourse, there are 3 main options for your actions:

  • Immediately after sexual intercourse, you need to immediately carry out so-called preventive treatment, which includes the prevention of major diseases that are sexually transmitted - this is gonorrhea, chlamydia, mycoplasmosis, etc. It is very important to prevent infections within 3-5 days after sexual intercourse . You will be able to find out whether the preventive treatment worked only after 3 weeks from a venereologist, by taking a blood test for infections.
  • According to the second scenario, you may not carry out any treatment or prevention of sexually transmitted infections, but wait 1 month and, for personal peace of mind, take a blood test for these infections. Before this period, the analysis will not be valid, since the incubation period of infections is exactly 30 days.
  • Further, the most impossible scenario is to ask your casual partner to take a blood test for HIV and other sexually transmitted infections. But, you understand that not all casual partners agree to this.

Prevention of casual sex

Prevention of casual sexual intercourse is a single or intramuscular injection of drugs. In most cases, this is the use of antibiotics, which in a limited period of time eliminate both minor bacterial and infectious manifestations in the form of thrush, and quite serious ones - syphilis, ureaplasma.

Prevention of casual sexual intercourse can be carried out only once if the sexual intercourse was without a condom.

Prevention of sexually transmitted diseases using pharmaceutical products

There is an option to treat the genital tract with chlorhexidine immediately after sexual intercourse. But venereologists claim that this method is not reliable enough. The only thing is that you can resort to one-time treatment of the genitals with chlorhexidine when promiscuity occurs by accident. But, again, even after using chlorhexidine, it is necessary to take a blood test for sexually transmitted infections after 3 weeks. So, you can resort to one-time treatment of the genitals with Gibitan, Miramistin, Chlorhexidine.

Drug prevention of sexually transmitted diseases

Drug prevention is the prevention of the occurrence of sexually transmitted diseases, which theoretically can be transmitted to a healthy person from a partner through accidental sexual intercourse. Drug prevention is used within 2 days after unprotected sex.

Before the procedure, the patient must consult a dermatovenerologist, then drug prophylaxis is carried out.

Sexual life after drug prevention

After drug prophylaxis, you can be sexually active after 7 days. But in subsequent cases it will be necessary to resort to contraceptive methods, in particular the use of a condom. You should not risk your health and life (which is no less important) for the sake of sexual relations with an untested partner. If you are attracted to unprotected sex, then together with your partner, take a blood test for sexually transmitted infections.

After drug prophylaxis, you can be sure that you will not become infected with infections such as ureaplasma, gonorrhea, syphilis, HIV, and human papillomavirus.

By drug therapy you should mean one injection for infections and certain medications (tablets).

Are there any health risks from medical prophylaxis?

There is no danger to your health from medical prophylaxis, since absolutely all medications are selected taking into account patient tolerability and, of course, effectiveness. The only thing is that no one has canceled an allergic reaction to certain medications.

Necessary medications after casual sex

After accidental sexual intercourse, you must take the following antibiotics for 3-5 days:

  • Amoxicillin with clavulanic acid;
  • Penicillin injections - bicillin 3 or 5;
  • Cephalosporin or ciprofloxacin.

Complex therapy (which it would be desirable for both partners to undergo) is understood as: taking vibramycin 2 times a day after meals at a dosage of 100 mg for 7 days (an alternative to the drug is clarithromycin). To eliminate candidiasis - 100 mg per day for 3 days.

Emergency contraception methods

If your condom breaks during sexual intercourse, then you need to use emergency contraception methods. A woman can take medications such as Postinor, Exapel during the day. The only thing is that they can only be used once - otherwise there will be a hormonal imbalance with the occurrence of a lot of side effects. The active substances of these medications lead to problems with the desired pregnancy in the future.

As emergency contraception, you can also take 3 tablets at a time of such hormonal contraceptives as Yarina, Janine, Jazz, Rigevidon. And then, after 12 hours, a repeat dose of 3 tablets is taken.

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