Emergency contraception

Emergency contraception (EC) is a birth control measure, used after sexual intercourse to prevent pregnancy.

Emergency contraception
An emergency contraception pill
Background
TypeHormonal (progestin or others) or intrauterine
First use1970s
SynonymsEmergency postcoital contraception
Failure rates (per use)
Perfect useECP: see article text
IUD: under 1%
Typical use% (please see Effectiveness of ECPs below)
Usage
User remindersPregnancy test required if no period seen after 3 weeks
Clinic reviewConsider need for STI screening and ongoing birth control needs
Advantages and disadvantages
STI protectionNo
PeriodsECP may disrupt next menstrual period by a couple of days. IUDs may make menstruation heavier and more painful
BenefitsIUDs may be subsequently left in place for ongoing contraception
RisksAs per methods
Medical notes
  • Use as soon as possible.
  • Copper IUD within 5 to 10 days
  • Ulipristal acetate or mifepristone pill within 5 days
  • Levonorgestrel pill within 3 days
  • Yuzpe regimen (combined estrogen/progestin pills at higher doses) is no longer recommended unless other options are not available

There are different forms of EC. Emergency contraceptive pills (ECPs), sometimes simply referred to as emergency contraceptives (ECs), or the morning-after pill, are medications intended to disrupt or delay ovulation or fertilization, which are necessary for pregnancy.

Intrauterine devices (IUDs)  usually used as a primary contraceptive method  are sometimes used as the most effective form of emergency contraception. However, the use of IUDs for emergency contraception is relatively rare.

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