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Updated: Feb 3, 2026
06:59
A Novel Approach for the Administration of Medications and Fluids in Emergency Scenarios and Settings
Published on: November 9, 2016
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[Emergency contraception: CNGOF Contraception Guidelines].
N Hamdaoui1, C Cardinale1, A Agostini1
1Service de gynécologie-obstétrique, hôpital de la Conception, boulevard Baille, 13005 Marseille, France.
Gynecologie, Obstetrique, Fertilite & Senologie
|November 4, 2018
Summary
Emergency contraception (EC) is not 100% effective. For best results, use EC as soon as possible after unprotected intercourse, with options like ulipristal acetate or levonorgestrel available within 72 hours.
Area of Science:
- Gynecology
- Reproductive Health
- Evidence-Based Medicine
Background:
- Emergency contraception (EC) is crucial for preventing unintended pregnancies.
- Understanding the effectiveness and safety of different EC methods is essential for clinical practice.
Purpose of the Study:
- To provide evidence-based recommendations for the use of emergency contraception (EC).
- To evaluate the effectiveness, safety, and side effects of various EC methods.
Main Methods:
- A comprehensive literature review was conducted.
- Databases searched included Medline and Cochrane Library.
- International guidelines in French and English from 1979 to 2018 were analyzed.
Main Results:
- Emergency contraception (EC) is not 100% effective; prompt use maximizes pregnancy prevention.
- Ulipristal acetate (UPA) and levonorgestrel (LNG) are effective EC options within 72 hours, with UPA showing potential superiority.
- The copper IUD is a highly effective EC method usable up to 120 hours post-intercourse.
Conclusions:
- Patients should be informed that EC is not foolproof and a pregnancy test is advised if menses are delayed.
- The timing of EC intake significantly impacts its effectiveness.
- While UPA may offer advantages, practical considerations influence its priority recommendation over LNG within the first 72 hours.
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