Emergency contraception; [Acil kontrasepsiyon]
Abstract
The standard method for emergency contraception used to be the Yüzpe regimen, which consisted of two doses of oral contraceptive pills at 12 hour intervals. It can prevent 74% of the expected pregnancies but incidence of side effects like nausea and vomiting is high. Ten mg tablets of mifepristone are not commercially available except in Turkey. A single dose of 1.5 mg of levonorgestrel is as effective as two doses of 0.75 mg levonorgestrel given at 12 h intervals or 10 mg of mifepristone. The insertion of copper intrauterine contraceptive device is probably the most effective method of emergency contraception, preventing over 90% of the future pregnancies. However, it may not be suitable for women with high risk factors for pelvic inflammatory disease. There has been increase in the awareness of emergency contraception in the recent decade but the level of awareness is still very low in some countries. There also exits need to improve the access to emergency contraception.
Description
Keywords
copper intrauterine device , danazol , levonorgestrel , mifepristone , oral contraceptive agent , attitude , contraception , drug dose regimen , drug efficacy , emergency contraception , emergency treatment , female , health care access , high risk patient , human , nausea , pelvic inflammatory disease , review , single drug dose , vomiting , Yuzpe regimen