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Postcoital interception with steroids.

M R van Santen1, A A Haspels

  • 1State University Hospital, Dept. Obst. & Gyn., Utrecht, The Netherlands.

Wiener Medizinische Wochenschrift (1946)
|October 15, 1987
PubMed
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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.

Related Experiment Videos

  • 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.