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PREGNANCY

Types of Emergency Contraceptives

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There are two most widely accepted methods of emergency Contraception (EC).
  • Contraceptive pills and
  • Postcoital insertion of intrauterine device (IUD)
With the first, you take special doses of birth control pills. With the other, an intrauterine device (also called an IUD) is placed in your Uterus (or womb).

Emergency contraceptive pills
Emergency contraceptive pills (ECPs) are the most well-known method of postcoital Contraception. Two types of ECPs are available in the market:
The classic ECP or the morning-after pill is really a high-dose combination of Estrogen and Progestin that is taken twice in a 12-hour period. Please bear in mind that high-dose Estrogen regimens are not suitable for everyone, especially those with an increased risk of blood clots or other serious complications from oral contraceptive pills should use a different form of emergency Contraception.

Kindly consult your health care provider before taking an ECP. A high-dose, progestin-only morning-after pill have now largely replaced the older combined ECPs because they are more effective and cause fewer side effects. Many people prefer it to the estrogen-containing method. They contain no Estrogen

Copper T
A copper-containing IUD inserted within 5 days of unprotected intercourse can prevent implantation of a fertilized egg in the uterus, as well as provide long-term Contraception from that time forth. They can be inserted up to the time of implantation—five to seven days after ovulation—to prevent pregnancy.

A downside of this method is that some people who have unprotected sex are at risk for sexually transmitted disease, and the IUD is not recommended for women with Gonorrhea or Chlamydia. This method has the lowest failure rate: About 1 woman in 1,000 who uses the IUD as emergency Contraception becomes pregnant.

A copper IUD can also be left in place to provide effective ongoing Contraception for up to ten years. But IUDs are not ideal for all women and rarely prescribed for teens.

Adapted from: Emergency Contraception and Brief Update on Regular Contraception. Guide Book for Health-Care Providers, authored by Dr. Suneeta Mittal, Director-in-Charge WHO-CCR in Human Reproduction, AIIMS. 2003.

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