Escapelle: the effectiveness of the drug, whether it helps and whether it may not work, how to understand that it has helped and who has not, and also, in what cases should you consult a doctor?

Features of the impact of Escapelle

Escapelle contains levonorgestrel, the exact mechanism of action of which is not yet well understood. Its concentration in each tablet is 1500 mcg, and in regular birth control pills it is only 30 mcg. Such a comparison, of course, is not in Escapelle’s favor and the consequences, taking into account the individuality of each female body, may be different.

Levonorgestrel, once in the stomach, is absorbed into the blood and acts on the ovaries and uterus as follows:

  • interferes with the ovulation process;
  • reduces the likelihood of fertilization;
  • rebuilds the endometrium so that the introduction of the fertilized egg into its wall becomes impossible.

Mechanism of action of Escapel

The consequences of taking Escapel are comparable to a blow that causes hormonal stress. A one-time intake of a huge dose of Escapel forces the function of the reproductive system to work in an unusual mode, and a day after such stimulation a decline occurs. It is clear that these surges and declines do not pass without a trace and as a result, some failures and various consequences are possible.

Escapelle how to find out what worked

Good day. My girlfriend and I have the same question. We had PA and the condom broke. On the third day, escapelle was taken, one tablet. It’s been four days since I took the drug, but there are no visible effects of its action (side effects, any sensations, or anything new at all.)

The girl begins to panic (the drug is not working!). first: How to understand whether the drug works or not? It’s just that its acceptance is completely imperceptible and unnoticeable, which is actually scary! second: Well, accordingly, I would like to know how the drug behaves in the absence of its need? (accepted as a safety net, but in fact in vain)

After taking the drug Escapelle, as a rule, bleeding begins after 6 days, which indicates that pregnancy has been prevented. The state of health may not change in any way.

Even if the drug was taken when there was no need for it, spotting will still occur - usually after 6 days.

Read more about the action of this contraceptive and the rules for its use, indications and contraindications in the thematic section of our website by clicking on the link: Escapelle

What is the probability of successfully taking the drug for hours after PA? And the second no less important question: if the drug still does not work, is it possible to terminate an unwanted pregnancy in the first month with the help of drugs (medicines) (well, that is, in the early stages, in the first days), if so, then with what drugs, (medicines) in what order and how should it be (desirable) done? Is it possible not to contact a gynecologist in this case?

The later the drug Escapelle is taken after unprotected sexual intercourse, the lower its effectiveness. If its use turns out to be ineffective, then it is possible to terminate an early pregnancy only in a medical institution.

It is strictly prohibited to perform a medical abortion outside a medical institution. To prescribe this procedure, a consultation with a gynecologist is required, as well as an examination confirming the presence of pregnancy (hCG blood test, pregnancy test).

Read more on this issue in the section: Abortion

Taking the pill is an effective method of emergency protection against pregnancy. The tablets contain a synthetic hormone - progestogen (a substance close to progesterone). This component is also known as levonorgestrel. The action of Escapel is aimed at suppressing the synthesis of estrogen.

Thus, the mechanism of action of this drug causes a shift in the hormonal balance in the female body and leads to significant difficulty in conception. Escapelle also makes the cervical mucus thicker, which prevents sperm from moving through it.

In addition, there is a failure in the formation of the endometrial layer and a slowdown in the release of the egg from the follicle. All together prevents the blastocyst from forming and gaining a foothold in the uterus. This is the operating principle of Escapelle.

Due to the fairly rapid mechanism of pregnancy, you need to understand how long it takes for Escapelle to act. Therefore, you need to take the drug no later than 72 hours (3 days) after unprotected coitus. Over time, the effectiveness of the pills decreases and the likelihood that pregnancy will take shape increases. Therefore, there are limits to the relationship between time and probability of conception after taking the pill:

After the blastocyst is fixed in the uterus, Escapelle has no effect on it, i.e. It is impossible to perform a home abortion in the early stages using it.

Taking the drug after the 72-hour mark is ineffective. although there is data on the permissibility of using the pill after 96 hours. However, its effectiveness will be less than 58%.

However, you need to take the medication not only quickly, but also correctly. The blister contains 1.5 g of levonorgestrel, which must be taken after making sure there are no contraindications. In addition, it is necessary to determine whether drugs from the list of Escapelle blockers are used.

The dynamics of inclusion in the metabolism and bioavailability of progestogen can be negatively affected by the following medications:

In addition, levonorgestrel is poorly absorbed by the body in case of Crohn's disease or other problems in the gastrointestinal tract.

Next, let's look at what will happen after taking this drug. After taking Escapel, the drug is completely absorbed into the blood, reaching peak concentration within 2 hours from the moment of use. The medication stays in the body for a long time: for example, its half-life is min 23 hours.

Many people are concerned about the question: how do you know that the drug has worked? Unfortunately, there is no reliable way to determine before the onset of menstruation. Some believe that an indirect symptom of preventing pregnancy is bleeding, pain in the lower abdomen, or heaviness in the chest. However, this is the “work” of a hormonal surge in the body and does not directly indicate resistance to conception.

However, there is no need to worry too much - the probability of blastocyst implantation and its development is about 1%. However, the medicine may not work if:

You can take levonorgestrel again only in case of severe vomiting. which occurred within 3 hours after taking the first pill.

A double dose of hormones will not enhance the contraceptive effect, but will deal a blow to the woman’s body.

And therefore, you need to clearly understand that when the pill takes effect, certain changes occur in the woman’s body. Due to the large dose of progestogen, Escapelle has a certain effect on the menstrual cycle. According to standards and instructions, menstruation may come 5-7 days later due to hormonal imbalance in the body. The picture of clinical trials looks like this:

However, if the cycle does not start even after a 7-day delay, you need to contact a gynecologist and check the possibility of fetal implantation. The probability of this is only 1%, but the sooner the effectiveness of the emergency contraception method is clear, the better.

As for the characteristics of menstruation after consuming Escapelle, they may be more abundant and scarlet in color.

Minor bloody smears, soon after taking the hormone, are not related to menstruation and are called acyclic. The frequency of critical days in the next six months may also shift.

Half the dose of levonorgestrel leaves the body within 24 hours, but the other half may remain in the body for about 24 hours. The substance is primarily excreted:

And although Escapel almost completely disappears from metabolism after 2 days, its consequences remain. One of the most vulnerable places in the body is the hormonal background, the ovaries. They can return to individual normality only after 3-6 months.

That is why you can take emergency contraceptive pills no more than 2 times a year. Under heavy external stress, the ovarian resources may be depleted, which can lead to infertility, as well as serious hormonal problems.

Escapelle is a reliable and fairly safe way to avoid conception if the usual contraception did not work or the coitus was completely unprotected. However, you should not overuse it, as it can seriously damage the reproductive organs. In addition, progestogen in such a significant dosage does not give the most pleasant sensations.

Synthetic gestagen with a contraceptive effect, pronounced gestagenic and antiestrogenic properties. Causes inhibition of ovulation, changes in the endometrium, and prevents the implantation of a fertilized egg. Increases the viscosity of cervical mucus, which interferes with the advancement of sperm.

Emergency post-coital contraception in women with a regular menstrual cycle (including after unprotected sexual intercourse and if the method of contraception used cannot be considered reliable).

Hypersensitivity, liver and biliary tract diseases, jaundice (including history), pregnancy (including suspected), puberty.

From the endocrine system: dysmenorrhea (including intermenstrual bleeding). From the digestive system: nausea. Overdose. Symptoms: increased side effects.

Escapelle is taken orally, after sexual intercourse within 48 hours, but no later than 72 hours - 0.75 mg, 12 hours after taking the first dose, another 0.75 mg is taken. You can take no more than 4 tablets per month. If vomiting occurs within 2 hours after taking the tablet, the dose should be repeated.

Not used as permanent and continuous contraception (leads to a decrease in the effectiveness of levonorgestrel and an increase in the frequency of adverse reactions). In case of uterine bleeding, a gynecological examination is recommended.

Rifampicin, ampicillin, tetracycline reduce the effect of levonorgestrel.

Before using Escapelle, consult your doctor!


Consequences after taking the drug

The most common consequence after taking Escapel is menstrual irregularity, manifested in its irregularity. Painful periods are recorded, with a delay until complete cessation; ovulation may be absent. But these consequences are excluded if Escapelle is taken for its intended purpose, strictly following the instructions.

Indications for use

Indications for its use are:

  • rape, unprotected contact;
  • case of a broken condom;
  • missing a regular birth control pill.

Carefully study the indications for use and consequences before taking Escapel

Escapelle can be drunk at any time of the day, regardless of food. Doctors' advice dictates that no more than 72 hours should pass after dangerous sex. The sooner it gets inside, the lower the risk of conception. Taking it during the first day guarantees avoidance of fertilization in 95% of cases, and with each passing hour the effectiveness decreases.

Impact result

In situations with a positive outcome, periods are delayed by 5-7 days or less. The risk of violations is minimal and next month the cyclical process becomes the same. But the consequences of adopting Escapelle are not at all rosy. Then critical days come late or begin on days 2-5 and repeat after 1-2 weeks.

Considering the risk of consequences after Escapelle, reviews and advice from doctors agree on a very important point. You only need to use one Escapel pill once per cycle.

The intake of a large concentration of levonorgestrel causes the endometrial layer, which is not yet ready for this process, to be shed prematurely, causing uterine bleeding, which requires treatment in a hospital. And frequent use leads to depletion of the ovaries. They slow down or completely stop their work, which is then very difficult to restore.


Like any medicine, Escapelle has contraindications; it cannot be used for the following conditions:

  • hypersensitivity to the components of the drug;
  • liver dysfunction;
  • intestinal diseases;
  • girls under 16 years of age, since the reproductive function that has not yet been formalized can be completely undermined.

Please note the contraindications of the drug before taking it.

Side effects

Adverse reactions when taking Escapel, confirmed by reviews from doctors, include:

  • cycle disruption;
  • nausea, vomiting, stool upset;
  • breast engorgement and tenderness;
  • pain in the lower abdomen;
  • headache;
  • increased fatigue;
  • allergic reactions.

Will escapelle help on the day of ovulation?

» Ovulation » Will Escapel help on the day of ovulation?
The drug Escapel, produced by the Hungarian pharmaceutical company Gedeon Richter, is one of the widely used means of emergency post-coital contraception.

When starting to use it, you need to understand the principle of action and find out on what factors its effectiveness depends.

So, let's talk in detail about whether Escapelle helps or not?

  • Mechanisms of action of the drug
  • Efficiency of Escapelle
  • Can Escapelle not work?
  • Time of administration as a factor of effectiveness
  • Action during ovulation
  • How to enhance contraceptive properties?
  • Why does the effect of the drug decrease?
  • What to do if Escapelle did not help?

Mechanisms of action of the drug

Escapelle is a progestin containing leronorgestrel intended for emergency contraception. Its release form is flat round tablets, white or as close to this color as possible. Each tablet has a line mark and GOO engraving. One package contains a single tablet for one-time use.

These tablets are indicated for use after unprotected sexual intercourse, as well as if a woman has doubts about the reliability of the contraceptive used.

Having a progestogenic effect, the drug suppresses any activity of estrogen, including delaying the onset of ovulation, minimizing the possibility of fertilization of the egg at a time when the probability of pregnancy is highest - namely, in the preovulatory phase.

Escapelle is able to change the normal state of the uterine mucosa so that a fertilized egg cannot get inside it.

If the process of implantation of the embryo into the endometrium has already begun, the drug loses its effectiveness.

Read more about how effective Escapelle is.

According to statistics, using Escapel tablets can prevent unwanted pregnancy in 85% of cases.

Escapelle has helped many women, but the effectiveness of this drug depends on how well it is taken, so you need to remember simple rules and follow them:

  • if unprotected coitus occurs, or the contraceptive methods used are unreliable, it is necessary to take one Escapel tablet as soon as possible;
  • the maximum interval between sexual intercourse and taking the drug is 72 hours, but the maximum effect can be achieved by taking the tablet within the first 24 hours.

Can Escapelle not work?

Women who find themselves in an ambiguous situation related to unprotected sexual intercourse or the insufficient effectiveness of the drug used often place high hopes on post-coital or emergency contraception methods.

However, it is impossible to say that there is at least one remedy in the world that could guarantee one hundred percent effectiveness. Does Escapelle help in such situations?

The drug Escapelle is positioned as an emergency contraceptive, providing maximum effect in approximately 85% of cases. The remaining 15% may be associated with incorrect time of use of the tablet, combination with drugs that negatively affect the behavior of the main active ingredient, as well as with some individual factors.

Time of administration as a factor of effectiveness

One of the most important factors guaranteeing maximum effectiveness of the contraceptive drug Escapelle is the correct time of taking it.

It is necessary to take the pill as early as possible, because as the interval increases, the degree of reliability of the drug decreases significantly.

Escapelle helps within 12-24 hours from the moment of unprotected coitus - it is during this period that the active ingredient of the drug provides the maximum possible contraceptive protection in this case - 95%.

The use of this method within 24 to 48 hours from the moment of sexual intercourse provides protection of up to 85%.

If 48 to 72 hours have passed after sexual contact, you should not count on a high level of protection. In this case, it is no more than 58%.

If a woman begins vomiting within three hours of taking Escapel, she must take another tablet. In order to increase protection, it is recommended to use barrier contraceptives.

Those who were not helped by Escapelle forget about these numbers and recommendations for use and do not read the instructions. Women who drank Escapelle correctly are almost one hundred percent confident in the effect of Escapelle.

If you hear the statement: “Escapelle didn’t help me,” before drawing conclusions, check whether all admission rules were followed. Also, do not write off the individual characteristics of the body.

The emergency contraceptive drug Escapelle can be used at any stage of the menstrual cycle. During ovulation, when the risk of pregnancy increases significantly, this drug changes the lining of the uterus, as a result of which the implantation of a fertilized egg becomes impossible. Taking the drug at other stages of the cycle helps inhibit ovulation.

How to enhance contraceptive properties?

In order to increase the contraceptive effect of Escapelle, women are recommended to use reliable barrier methods until the end of the menstrual cycle.

It is highly not recommended to take this drug repeatedly during one cycle, as it can cause intermenstrual bleeding.

Why does the effect of the drug decrease?

Every woman should keep in mind that the Escapella tablet will be absolutely ineffective if more than 72 hours have passed from the moment of sexual intercourse before taking the drug, as well as if pregnancy has already occurred.

The contraceptive effect of Escapel may slow down and decrease somewhat when used simultaneously with antibiotics and herbal preparations based on St. John's wort.

How to understand that Escapelle helped? The woman learns that the drug Escapelle has worked correctly and the onset of an unwanted pregnancy has been prevented at the onset of her next period.

It should also be taken into account that when taking this contraceptive drug, the onset of menstruation may occur a little earlier or later than usual - this phenomenon is absolutely normal.

There are a number of situations in which it is recommended to visit a doctor. These include:

  • feeling of mental discomfort and concern about pregnancy;
  • delay of menstruation by more than five to seven days;
  • unusually scanty or, conversely, too heavy periods;
  • delay of menstruation, accompanied by sudden and sharp pain in the lower abdomen.

Every woman should keep in mind that, as an emergency contraceptive, Escapelle is a good drug, but it is not intended for frequent use.

And in order for it to demonstrate maximum effectiveness, it is important to take it in strict accordance with the instructions, otherwise Escapelle may not work. If Escapelle does not work, the following actions can be taken only after consultation with your doctor.

See inaccuracies, incomplete or incorrect information? Do you know how to make an article better?

Would you like to suggest photos on the topic for publication?


Feedback on using Escapelle

Those who have used these drugs have different reviews of Escapelle and the consequences that arise after taking it. Some ladies did not observe any special changes in themselves, except for the delay before the first critical days. Some suffered a cyclic failure for several months. Someone in the councils notes the occurrence of a side effect. But there are also reviews from women who observed long-term and irregular periodic rhythms.

Reviews about taking the drug are contradictory, so it is always better to seek the advice of a doctor

Emergency contraception and their features

Despite a number of serious contraindications, emergency contraception does not lose popularity.

The most well-known methods include:

  • Take one Postinor tablet within two days from the moment of unprotected sexual intercourse and the second one another day later. It is important to remember that the sooner the first tablet is taken, the lower the risk of fertilization;
  • Escapelle differs from Postiron in that administration is limited to one tablet. The amount of levonongestrel contained in one tablet is sufficient to achieve the effect. The speed of action and high level of effectiveness have led to an increase in the popularity of the drug;
  • Taking conventional combined oral contraceptives according to a specific regimen. So, you can take three tablets of Regividon or Silesta at a time and repeat the procedures in the same quantity three more days later;
  • Installation of an intrauterine device. However, it is important to remember that carrying out this procedure in a short time is not always possible. This is due to the need to undergo a series of tests and undergo an ultrasound to determine the condition of the organs of the reproductive system. In addition, the procedure has a number of contraindications and side effects; the likelihood of cervical injury is especially high.

It is important to remember that if vomiting or diarrhea begins after taking oral contraceptives, you must take the pills again. Without this, the risk of unwanted pregnancy increases significantly.

Doctors' advice

An interesting provision is also among the prohibitions for taking Escapel. Therefore, if menstruation is delayed, first of all, it is necessary to make sure that there is no pregnancy after Escapel, although the consequences of its effect on the fetus have not yet been sufficiently clarified.

Also, in order to avoid unpleasant moments, when taking the Escapella tablet, you should use a condom during sexual intercourse for another 7 days.

When breastfeeding, Escapelle can be taken provided that the child is weaned for a certain period of time, since the drug passes into breast milk and can have a negative effect on the development of the small organism.

Why doesn't the manufacturer warn about possible consequences?

Side effects after taking the drug are possible. This is reported in the accompanying instructions, and doctors are sure to warn about this. Among them are:

  • dizziness;
  • nausea;
  • vomit;
  • diarrhea;
  • pain in the lower abdomen or lower back.

This happens quite rarely, but alcohol can be the main trigger. Moreover, it does not matter when the woman took alcohol: before taking the pill or after it. These side effects may or may not occur. All this is individual. But a sharp hormonal surge in the body cannot go unnoticed. To eliminate the harmful interaction of the hormone and alcohol, drinking alcohol after taking the medicine is undesirable.

A woman may not notice drastic changes in her health. But she must remember that there has been a severe failure in the body, and long-term rehabilitation is required.

If you want to quickly restore your hormonal levels, do not drink alcohol, even with low alcohol content, for at least two weeks. Each body is individual, so the effect of levonorgestrel on the body cannot be the same. But women and men who respect them must know and be aware of the possible consequences.

The manufacturer of this drug is a Hungarian company with a good reputation in the pharmaceutical market and among consumers. Numerous studies were conducted before the drug was released into the public market.

But not a single experiment was carried out on drunken subjects. Therefore, the manufacturer does not indicate anything about this. Seeing that there are no restrictions in this regard in the instructions, most women are confident that alcohol and Escapelle are compatible.

But negativity is possible, and its manifestations have already been indicated above. It is unlikely that anyone will want to put themselves at risk and conduct such tests. It is not without reason that there is a warning that it is advisable to take the drug under the supervision of a doctor. Even if we consider that this is a drug for emergency contraception, there is still time for medical consultation.

It is impossible to hide from the doctor the fact that you have drunk some alcohol. Otherwise, the cause of possible intoxication will be determined incorrectly. And this already brings the patient to a hospital bed. Many gynecologists argue that such a combination can be detrimental to reproductive functions, up to the complete loss of the ability to have children.

These frightening warnings from doctors are aimed only at the benefit of patients. Since they warn you, it means there is some risk. After all, both the drug itself and alcohol can destroy reproductive abilities, especially if taken frequently.

And if such depressing components are combined, then it simply turns out to be an explosive mixture, the effect of which can make a woman infertile. Is it worth risking your own women's health and the ability to have children? Maybe it’s better to give up alcohol so that such an extraordinary situation does not happen? Take care of your health!

Author of the article

A practicing journalist, he tests recipes on himself. Knows everything about men and traditional medicine.

Pregnancy after taking Escapelle

Pregnancy after Escapelle most often occurs when the pill is taken 72 hours after the event, but the individual characteristics of the reproductive system can lead to any outcome. In the case when the embryo is implanted into the uterus, the pill is no longer effective; this remedy does not contribute to the occurrence of a miscarriage.

The risk of pregnancy is possible if the timing of taking Escapel is not followed

But the risk of ectopic pregnancy exists, especially in women who have undergone surgery on the pelvic organs or their inflammation. Therefore, if you experience cramping pain in the lower abdomen that does not reduce its intensity, consult a doctor immediately.

How long does it take for Escapelle to work?

The packaging of the drug Escapelle contains one flat white tablet, on one side of which “G00” is engraved. The tablet contains 1.5 mg of levonorgestrel, a progestogen of synthetic origin.

Depending on the phase of the menstrual cycle, the active substance has the following effect on the female body:

  • reduces the production of luteinizing (LH) and follicle-stimulating (FSH) hormones by the anterior pituitary gland, suppressing the onset of ovulation;
  • prevents the attachment of a fertilized egg to the inner wall of the uterus due to changes in the structure and composition of the endometrium;
  • increases the thickness of cervical mucus, creating a barrier to the movement of sperm.


When taken orally, the maximum concentration of the component in the blood serum is achieved after approximately 2 hours.

The half-life of the active component after reaching the peak concentration in the general bloodstream is slightly less than a day. Metabolites of the active substance are excreted equally in urine and feces. When used in the prescribed dosage, the drug does not have a significant effect on metabolic processes in the body.

Efficacy of the drug

The reliability of emergency contraception when using Escapel in strict accordance with the instructions depends on two factors:

  1. Time to take the pill after sexual intercourse. If during the first day the effectiveness of the medication is about 95%, then after 72 hours it is no more than 60%.
  2. Period of the menstrual cycle. According to medical studies, during ovulation, as well as 3-4 days before it, the reliability of the emergency oral protection method decreases by approximately 7-10%.

Many women are concerned about the question of how many hours does Escapelle take to act. The drug component begins to influence the secretion of the gonads within 1-2 hours after taking the tablet. Its effect lasts for 3-4 days, that is, the entire period of activity of sperm entering the vagina.

Reviews of Escapelle birth control pills are mostly positive. Almost all women who used this remedy managed to avoid unwanted pregnancy with its help.

The latest generation drug has fewer side effects and is more convenient to use than its analogue, Postinor.

However, many patients noted disruptions in the menstrual cycle and deterioration in well-being after taking the contraceptive.

When should your period start after Escapelle?

A delay of five days is considered normal. In this case, the failure should only affect the month in which the drug was taken; the next month the cycle should return to normal.

This break is due to a sharp increase in the amount of progesterone, which was caused by the action of Escapel. Menstruation can begin only after progesterone levels return to normal.

If your period does not start after five days, it is recommended to take a pregnancy test. If the result is negative, it is recommended to repeat the test after a few more days. If this time the test gives a negative answer, you should consult a doctor.

A delay in menstruation that does not exceed five days is considered normal. The action of the active substances of the product inhibits the performance of the reproductive system, as a result of which the destruction of the follicle and the release of the egg are delayed. Exceeding this period is a serious reason to consult a doctor.

What to do if the delay after taking Escapel is 7 days

If a delay of five days is considered normal, then a delay of a week or more is pathological. One of the first causes of the problem may be fertilization that has occurred. However, if the test gives a negative result, you should not delay visiting a specialist.

The absence of menstruation for seven or more days is often a sign of an ectopic pregnancy, which can lead to the death of the woman. If this is not the reason, it is too early to relax.

A visit to a gynecologist-endocrinologist is mandatory.

Not only an ectopic pregnancy can be dangerous, but also a malfunction of the endocrine system. This negatively affects both the state of reproductive function and the general well-being of a woman.

Timely elimination of pathology significantly reduces the likelihood of developing serious failures and problems in the future. If the problem is ignored, not only a general deterioration of the condition is possible, but also the development of infertility.

( 2 ratings, average 4.5 out of 5 )
Did you like the article? Share with friends:
For any suggestions regarding the site: [email protected]
Для любых предложений по сайту: [email protected]