Emergency Contraception

Do you watch the tv present “ER”? Throughout an episode in 1997, Nurse Hathaway (Carol) provided the choice of emergency contraception drugs to a younger girl who had simply been pressured to have intercourse in opposition to her will. It is potential that between 5 and 6 million individuals realized about emergency contraception that day.

In response to the Kaiser Household Basis, virtually 3 million unintended pregnancies occur annually in the USA. You’ll be able to think about why — a condom tears, a diaphragm slips out of place, a girl misses two birth control pills in a row. Or, a pair has gotten “swept away” within the momentum of lovemaking and has uncared for to make use of contraception. Maybe a rape has occurred. With out therapy, eight in 100 girls who’ve had one act of unprotected intercourse throughout the second or third week of their cycle are prone to change into pregnant. With emergency contraception, solely two girls in 100 could be in the identical scenario.

What Is Emergency Contraception?

There are two forms of emergency contraception drugs (ECPs). One is a mixture of estrogen and progestin, and the opposite is a progestin-only tablet. Relying on when they’re taken throughout the menstrual cycle, ECPs can inhibit or delay ovulation; inhibit transport of the egg or sperm; or alter the liner of the uterus to forestall implantation of a fertilized egg.

An alternative choice, which is definitely the best, is a copper IUD. This must be inserted by a medical skilled inside 5 days of unprotected intercourse. It will probably forestall the implantation of a fertilized egg.

How Does It Work?

ECPs, typically known as the morning after tablet, should be taken inside 72 hours of the unprotected intercourse. The drugs are simpler the sooner a girl takes them inside the 72-hour time interval.

Drugs are taken in two doses, with the second dose taken 12 hours after the primary. Every dose is one, two, 4 or 5 drugs, relying on the model. You want a prescription to get ECPs, though some medical suppliers are actually writing prescriptions prematurely.

L evonorgestrel/ethinyl estradiol (Preven) is packaged particularly for emergency-contraceptive use. It incorporates each hormones, estrogen and progestin, and reduces the possibility of being pregnant by 75 %. About 50 % of ladies who take this really feel nauseous and one other 20 % vomit.

Levonorgestrel ( Plan B ) is progestin-only and has been available on the market since July of 1999. It is simpler than Preven and has fewer negative effects related to it.

The copper IUD prevents a fertilized egg from being implanted within the uterus. About 80% of ladies hold the IUD inserted as contraception for as much as 10 years. 

Why Have not You Heard about ECPs?

Though the Meals and Drug Administration declared ECPs to be protected and efficient in 1997, solely 10 % of well being professionals focus on emergency contraception on a routine foundation with their sufferers, in response to a survey that very same yr by the Kaiser Household Basis.

Forty-one % of Individuals are nonetheless unaware of the existence of ECPs. In reality, solely 11 % of ladies aged 18 to 44 have each heard of ECPs and know that the drugs have to be taken inside 72 hours of unprotected intercourse.

Do not forget that all of us make errors. Unintended being pregnant crosses all boundaries — age, race, ethnicity, social class. Specialists estimate that as many as 1.7 million of the over 3 million unintended pregnancies that occur annually in the USA might doubtlessly be prevented by way of ECPs. This contains as many as 800,000 pregnancies that now end in abortions. Would not you reasonably hold a provide readily available, simply in case? Ask your physician about emergency contraception at your subsequent go to.


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