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Postcoital interception with steroids
1State University Hospital, Dept. Obst. & Gyn., Utrecht, The Netherlands.
Wiener Medizinische Wochenschrift (1946)
|October 15, 1987
Summary
Postcoital contraception (PCI) offers emergency pregnancy prevention after unprotected sex, reducing distress and abortion rates. It is not a substitute for regular contraception, especially for frequent intercourse.
Area of Science:
- Reproductive Health
- Family Planning
- Emergency Contraception
Background:
- High demand exists for postcoital contraception (PCI).
- Psychological distress after unprotected intercourse can be mitigated by timely postcoital treatment.
- Availability of PCI is linked to lower abortion rates in countries with robust health services.
Purpose of the Study:
- To review the role and effectiveness of various postcoital contraception methods.
- To inform optimal use of PCI in family planning and fertility regulation.
Main Methods:
- Review of current postcoital contraception options, including progestagens, estrogen-progestin combinations, and anti-progestins.
- Discussion of efficacy, side effects, and timing of administration for different PCI methods.
- Comparison of PCI with regular contraceptive methods.
Main Results:
- Estrogen-only and estrogen-progestin combinations are recommended within 2-3 days post-intercourse.
- Anti-progestins (morning-after pill) show promise with minimal side effects and good efficacy.
- Postcoital progestagens can cause menstrual disturbances with frequent use.
Conclusions:
- PCI is a valuable tool for emergency contraception and fertility regulation.
- It is not suitable for regular, monthly use or as a replacement for daily contraceptives.
- Individual needs assessment is crucial for selecting the most appropriate PCI method.