Emergency Contraception


 

The Bottom Line

Emergency contraception is underused, and the most important barrier to use is a lack of information. The levonorgestrel-only regimen is more effective than the combined regimen, with less nausea associated with it and is therefore the preferred regimen. Emergency contraception can be made available for up to 5 days after intercourse.

It is recommended that when initiating family planning or contraception discussions, emergency contraception options should be discussed and prescribed.

A list of commonly prescribed oral contraceptives that can be used for emergency contraception in the United States can be found at the following two excellent Web sites: http://ec.princeton.edu/ and http://ec.princeton.edu/questions/dose.html#dose.

References

• Emergency Contraception. ACOG Practice Bulletin 112, May 2010.

Ella product Web site.

Dr. Ward is a first-year ob.gyn. resident at Abington (Pa.) Memorial Hospital. Dr. Skolnik is an associate director of the family medicine residency program at Abington Memorial Hospital.

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