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  • Dr.Niraj Mahajan
  • Dr.Niraj Mahajan
  • Dr.Niraj Mahajan
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    Morning after pill - Emergency Contraception

    By AdminPosted On 05-Oct-2016

    Morning after pill or Emergency contraception, or post-coital contraception, refers to methods of contraception that can be used to prevent pregnancy in the first few days after intercourse. It is intended for emergency use following unprotected intercourse, contraceptive failure or misuse (such as forgotten pills or torn condoms), rape or coerced sex. (WHO: 2012)

    Methods of emergency contraception

    There are two methods of emergency contraception:

    • emergency contraception pills (ECPs)
    • copper-bearing intrauterine devices (IUDs).

    1. Emergency contraception pills

    WHO recommends levonorgestrel for emergency contraception pill use. Ideally, this progestogen-only method should be taken as a single dose (1.5 mg) within five days (120 hours) of unprotected intercourse. Alternatively, a woman can take the levonorgestrel in two doses (0.75 mg each; 12 hours apart).

    2. Copper-bearing intrauterine devices (IUDs)

    WHO recommends that a copper-bearing IUD, as an emergency contraception, be inserted within five days of unprotected intercourse. This may be an ideal emergency contraceptive for a woman who is hoping for an ongoing, highly effective contraceptive method.

    Morning after pill or Emergency contraceptive pill (i-pill/ e-pill) or Plan-B one-step

    • Emergency contraception or i-pill or e-pill or Morning after pill or Plan-B one-step can be used following unprotected intercourse, contraceptive failure, incorrect use of contraceptives, or in cases of sexual assault.
    • There are two methods of emergency contraception: emergency contraceptive pills and copper-bearing intrauterine devices (IUCD).
    • It refers to methods of contraception that can be used to prevent pregnancy in the first few days after intercourse. It is intended for emergency use following unprotected intercourse, contraceptive failure or misuse (such as forgotten pills or torn condoms), rape or coerced sex. (Ref: WHO)

    Plan B One-Step is a type of emergency contraception. This is birth control that can prevent pregnancy after unprotected sex. People sometimes call it the "morning after pill." But you don't have to wait until the morning after sex to take it. In fact, Plan B is more effective the sooner you take it.

    Mode of action of  Morning after pill

    Levonorgestrel emergency contraceptive pills prevent pregnancy by preventing or delaying ovulation. They may also work to prevent fertilization of an egg by affecting the cervical mucus or the ability of sperm to bind to the egg. Levonorgestrel emergency contraceptive pills are not effective once the process of implantation has begun, and they will not cause abortion.

    Safety

    Levonorgestrel-alone emergency contraception pills are very safe and do not cause abortion or harm future fertility. Side-effects are uncommon and generally mild.

    There are no medical contraindications to the use of levonorgestrel emergency contraception pills.




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    MD- Gynecologist, Laparoscopic Surgeon, Uro-gynecologist , Infertility specialist & Cosmetic Gynecologist.

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