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Emergency contraception.

Sheila Dunn1, Edith Guilbert, Guylaine Lefebvre

  • 1Clinical Practice Gyneacology and Social Sexual Issues Committees, Society of Obstetricians and Gyneacologists of Canada (SOGC), Canada.

Journal of Obstetrics and Gynaecology Canada : JOGC = Journal D'Obstetrique Et Gynecologie Du Canada : JOGC
|August 9, 2003
PubMed
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Emergency contraception (EC) options, including hormonal pills and copper IUDs, are reviewed for efficacy and safety. Levonorgestrel EC is more effective with fewer side effects than the Yuzpe regimen.

Area of Science:

  • Reproductive Health
  • Contraception
  • Evidence-Based Medicine

Background:

  • Review of current knowledge on emergency contraception (EC).
  • Assessment of available EC options, mechanisms of action, efficacy, and safety.
  • Focus on effective EC provision in clinical practice settings.

Framework:

  • MEDLINE and Cochrane Database search (1998-2003) for English-language articles.
  • Inclusion of clinical guidelines and position papers from health organizations.
  • Keywords: emergency contraception, post-coital contraception, emergency contraceptive pills, postcoital copper IUD.

Implementation:

  • Levonorgestrel-only regimen recommended over Yuzpe regimen due to higher efficacy and fewer side effects.
  • Copper IUDs can be used up to 7 days post-intercourse.

Related Experiment Videos

  • Hormonal EC is effective up to 5 days post-intercourse and should be initiated promptly.

    • Implications:

    • Guidelines aim to reduce unintended pregnancies through increased EC awareness and appropriate use.
    • Prescriptions for hormonal EC can be provided in advance.
    • Women should be evaluated for pregnancy if menses are delayed by 21 days post-EC treatment.