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Vasectomy is a surgical form of male sterilization that involves severing and sealing the vasa deferentia, preventing sperm from mixing with semen during ejaculation. Because a vasectomy does not impact the testes' ability to produce testosterone, hormone levels, libido, and sexual function generally remain unchanged. While vasectomy is highly effective in preventing pregnancy, with a success rate near 99.85%, rare cases of recanalization (spontaneous reconnection) can occur. Although vasectomy...
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Emergency contraception: separating fact from fiction.

Pelin Batur1

  • 1Cleveland Clinic Independence Family Health Center, 5001 Rockside Road, Independence, OH 44131, USA. baturp@ccf.org

Cleveland Clinic Journal of Medicine
|November 6, 2012
PubMed
Summary
This summary is machine-generated.

Emergency contraception options are reviewed to address high unintended pregnancy rates. This article clarifies myths and provides guidance on emergency contraceptive efficacy and use, including ulipristal acetate.

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Area of Science:

  • Reproductive Health
  • Pharmacology

Background:

  • High rates of unintended pregnancy and abortion persist globally.
  • Healthcare providers often lack confidence discussing emergency contraception (EC), even post-sexual assault.
  • Recent advancements and controversies surrounding ulipristal acetate (ella) necessitate clear guidance.

Purpose of the Study:

  • To review current emergency contraceptive methods.
  • To evaluate the efficacy and safety of various EC options.
  • To address confusion and debunk myths regarding EC, particularly ulipristal acetate.

Main Methods:

  • Literature review of clinical studies and guidelines on emergency contraception.
  • Comparative analysis of the efficacy of different EC methods.
  • Synthesis of information on special considerations for EC use.

Main Results:

  • Multiple effective emergency contraceptive options are available.
  • Ulipristal acetate (ella) is a highly effective EC option with a favorable profile.
  • Understanding EC protocols can improve patient care and reduce unintended pregnancies.

Conclusions:

  • Healthcare providers need enhanced education on EC options and counseling.
  • Addressing myths and controversies surrounding EC is crucial for patient access.
  • Timely and appropriate use of EC can significantly impact reproductive health outcomes.