Emergency Contraception: America’s Best-Kept Secret

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

In accordance with the Kaiser Household Basis, nearly 3 million unintended pregnancies occur every year in the US. You may think about why — a condom tears, a diaphragm slips out of place, a lady 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 through the second or third week of their cycle are more likely to turn into pregnant. With emergency contraception, solely two girls in 100 can be in the identical scenario.

What Is Emergency Contraception?

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

An alternative choice, which is definitely the best, is a copper IUD. This needs to 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, have to be taken inside 72 hours of the unprotected intercourse. The tablets are simpler the sooner a lady takes them throughout the 72-hour time interval.

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

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 girls 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 girls preserve 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 talk about emergency contraception on a routine foundation with their sufferers, in accordance with a survey that very same yr by the Kaiser Household Basis.

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

Keep in mind 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 every year in the US may doubtlessly be prevented by way of ECPs. This consists of as many as 800,000 pregnancies that now end in abortions. Would not you relatively preserve a provide readily available, simply in case? Ask your physician about emergency contraception at your subsequent go to.

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