I read with interest the letter by Webb et al. about the pitfalls of adapting the Clinical Effectiveness Unit’s guidance on emergency contraception (EC). Their letter discusses, in relation to maximising the pharmacodynamic attributes of ulipristal acetate (UA), the significant inaccuracies inherent in the calculation of the timing of ovulation based on the menstrual history. However, we freque...

-the; A major reduction in the number of unwanted pregnancies and pregnancy terminations could be achieved if an effective method of emergency pregnancy interception (postcoital contraception) was readily available to women. This policy stakmnt describes a method which is the Yuzpe 2 + 2 regimen; the use of two tablets of estradioI/levonorgestrel, with an antiemetic, followed by a second identi...

nétics for prepackaged emergency contraceptive pills. The application was approved, and the company began marketing the product (under the trade name Preven) in September 1998. This development presumably indicates a more open and positive policy climate for emergency contraception, and the product should lead to standardization of postcoital contraception service delivery at the clinic level. ...

QUESTION I have b e en fol lowing the S o ciety of Obstetricians and Gynaecologists of Canada’s (SOGC’s) guidelines on emergency contraception. One of my colleagues tells me that implantation takes place on about the fifth day after conception and, therefore, use of an intrauterine device (IUD) on the sixth or seventh day (in accordance with the guidelines) could be seen as abortion. Does this ...

Madam We read with great interest the editorial on progestogen-only emergency contraception (POEC).1 The author refers incorrectly to a July 2002 article as the first case report of ectopic pregnancy following failed postcoital POEC. In late 2000 we undertook a post-marketing surveillance study of POEC prescription in France in order to investigate the efficacy and safety of this method in ‘rea...

7 Journal of Family Planning and Reproductive Health Care 2004: 30(1) Subsequent to the 2002 World Health Organization (WHO) study,1 the licence for levonorgestrel emergency contraception (EC) in the UK has changed. It now states: ‘Two tablets should be taken together, as soon as possible, preferably within 12 hours, and no later than 72 hours after unprotected intercourse’. This simplification...

An emergency contraceptive method is used after coitus but before pregnancy occurs. The use of emergency contraception is largely under-utilized worldwide. One of the main barriers to widespread use is concern about the mechanism of action. Recently, treatment with either 10 mg mifepristone or 1.5 mg of levonorgestrel has emerged as the most effective hormonal method for emergency contraception...

BACKGROUND Unintended pregnancy is a complex phenomenon which raise to take an emergency decision. Low contraceptive prevalence and high user failure rates are the leading causes of this unexpected situation. High user failure rates suggest the vital role of emergency contraception to prevent unplanned pregnancy. Levonorgestrel - a commonly used progestin for emergency contraception. However, l...

Background: Unwanted pregnancies are one of the important problems of countries. In our country despite the numerous efforts of authorities and cover a wide family planning, unwanted pregnancies and the consequences of that such as infectious abortions are common problems. Unwanted pregnancies are often due to lack of use or uncorrected use of common methods of contraception due to low knowledg...