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Related Experiment Videos

[Postcoital emergency contraception].

C Spycher1, G Bigler

  • 1Familienplanungs- und Beratungsstelle, Universitäts-Frauenklinik, Inselspital Bern.

Therapeutische Umschau. Revue Therapeutique
|October 12, 2001
PubMed
Summary

Progestagen-only pills are the preferred method for emergency contraception due to higher effectiveness and fewer side effects compared to combined pills. Copper intrauterine devices offer an alternative when the pill is not an option.

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Area of Science:

  • Reproductive Health
  • Pharmacology
  • Contraception

Background:

  • Emergency contraception (EC) methods are crucial for preventing unintended pregnancies.
  • Various EC methods exist, each with different efficacy, side-effect profiles, and administration requirements.

Purpose of the Study:

  • To compare the effectiveness and side-effect profiles of different postcoital emergency contraception methods.
  • To evaluate the suitability of progestagen-only pills versus combined estrogen-progestagen pills and copper intrauterine devices.

Main Methods:

  • Comparative analysis of existing data on emergency contraception methods.
  • Review of clinical outcomes, including reliability, effectiveness, and incidence of side-effects.
  • Discussion of the role of levonorgestrel-alone pills and copper intrauterine devices (IUDs).

Main Results:

  • Progestagen-only pills (levonorgestrel) demonstrate superior reliability and effectiveness with a lower incidence of side-effects compared to the combined estrogen-progestagen pill (Yuzpe-Method).
  • Copper IUDs are highly effective but invasive, serving as an option when hormonal EC is no longer feasible.
  • Consultation settings and patient counseling approaches, particularly for adolescents, are vital for promoting self-responsibility.

Conclusions:

  • Levonorgestrel-based progestagen-only pills are the recommended first-line treatment for postcoital emergency contraception.
  • Copper IUDs are a highly effective alternative for emergency contraception when hormonal methods are unsuitable or too late.
  • Accessibility of EC, including prescription requirements for progestagen-only pills, warrants re-evaluation to improve uptake.

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