Emergency contraception

doi:10.1136/bmj.326.7393.775

BMJ 2003;326:775-776 ( 12 April )

Editorials

Emergency contraception

Even easier to prescribe, but users still need a holistic sexual health service

The first 150 words of the full text of this article appear below.

Atrial by the World Health Organization published in 1998 established "levonorgestrel only" as the gold standard in hormonalemergency contraception.¹ Over 80 countries have now approveddedicated emergency contraception products containing progestogenonly, that are often available directly from pharmacies. Innovativestrategies to improve access are also proliferating, expandingthe ranks of those who can supply to nurses and other health workers,and offering supplies to women in advance. More recently, a furtherWHO trial has encouraged new flexibility in offering emergencycontraception.² Emergency contraception with levonorgestrelcan now be given as "one stat" dose. However, women who need emergencycontraception also have other needs, and a holistic sexual healthservice isessential.

The trial compared the effectiveness of the standard two dose regimen of 0.75 mg levonorgestrel repeated after 12 hours withthe effectiveness of a double dose (1.5 mg levonorgestrel) takenall at once.² Women in a third group took low dose (10 mg). . . [Full text of this article]

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This article has been cited by other articles:

Hamoda, H., Ashok, P. W., Stalder, C., Flett, G. M. M., Kennedy, E., Templeton, A. (2004). A Randomized Trial of Mifepristone (10 mg) and Levonorgestrel for Emergency Contraception. Obstet Gynecol 104: 1307-1313 [Abstract] [Full text]

Rapid Responses:

Read all Rapid Responses

Newer Regimens of Emergency Contraception are welcome: Jai B Sharma, et al.
bmj.com, 12 Apr 2003 [Full text]
Starting contraception at the same visit: Andrew Marshall
bmj.com, 12 Apr 2003 [Full text]
Post Coital Contraception Still Unavailable in Ireland: Juliet M Bressan
bmj.com, 14 Apr 2003 [Full text]
Emergency contraception - a misnomer: Antony C Latham
bmj.com, 14 Apr 2003 [Full text]
Correction to letter on Emergency Contraception: Antony C. Latham
bmj.com, 18 Apr 2003 [Full text]
There is a better way than emergency contraception: Trevor G Stammers, et al.
bmj.com, 22 Apr 2003 [Full text]
Re: Starting contraception at the same visit: anne m webb
bmj.com, 26 Apr 2003 [Full text]
Re: Correction to letter on Emergency Contraception: anne m webb
bmj.com, 26 Apr 2003 [Full text]
Single or double dose?: james evans
bmj.com, 29 Apr 2003 [Full text]
Re: Single or double dose?: anne m webb
bmj.com, 30 Apr 2003 [Full text]
Pharmacy supply of emergency hormonal contraception and STIs: Claire Anderson, et al.
bmj.com, 2 May 2003 [Full text]
Holistic is an overused word: Christopher J Harrison
bmj.com, 4 May 2003 [Full text]
Re: Pharmacy supply of emergency hormonal contraception and STIs: Trevor G Stammers
bmj.com, 15 May 2003 [Full text]
Is a single dose as good as two, and does it matter if it is delayed?: Andrew D Hutchinson
bmj.com, 3 Jul 2003 [Full text]
Is a single dose as good as two, and does it matter if it is delayed? - correction: Andrew Hutchinson
bmj.com, 9 Jul 2003 [Full text]