Emergency Contraception Review: Evidence-based Recommendations for Clinicians

被引:55
作者
Cleland, Kelly [1 ]
Raymond, Elizabeth G. [2 ]
Westley, Elizabeth [3 ]
Trussell, James [1 ]
机构
[1] Princeton Univ, Off Populat Res, Princeton, NJ 08544 USA
[2] Gynu Hlth Projects, New York, NY USA
[3] Family Care Int, New York, NY USA
关键词
emergency contraception; morning-after pill; levonorgestrel; ulipristal acetate; copper IUD; ULIPRISTAL ACETATE; INTRAUTERINE-DEVICE; UNINTENDED PREGNANCY; BLEEDING PATTERNS; RANDOMIZED-TRIAL; INCREASED ACCESS; YUZPE REGIMEN; COPPER IUD; LEVONORGESTREL; PILLS;
D O I
10.1097/GRF.0000000000000056
中图分类号
R71 [妇产科学];
学科分类号
100211 ;
摘要
Several options for emergency contraception are available in the United States. This article describes each method, including efficacy, mode of action, safety, side effect profile, and availability. The most effective emergency contraceptive is the copper intrauterine device (IUD), followed by ulipristal acetate and levonorgestrel pills. Levonorgestrel is available for sale without restrictions, whereas ulipristal acetate is available with prescription only, and the copper IUD must be inserted by a clinician. Although EC pills have not been shown to reduce pregnancy or abortion rates at the population level, they are an important option for individual women seeking to prevent pregnancy after sex.
引用
收藏
页码:741 / 750
页数:10
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