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Emergency contraception. Widely available and effective but disappointing as a public health intervention: a review

Year: 2015
Type: review
Abstract: Emergency contraception (EC) prevents pregnancy after unprotected sex or contraceptive failure. Use of EC has increased markedly in countries where a product is available over the counter, yet barriers to availability and use remain. Although effective in clinical trials, it has not yet been possible to show a public health benefit of EC in terms of reduction of unintended pregnancy rates. Selective progesterone receptor modulators developed as emergency contraceptives offer better effectiveness than levonorgestrel, but still EC is less effective than use of ongoing regular contraception. Methods which inhibit ovulation whenever they are taken or which act after ovulation to prevent implantation and strategies to increase the uptake of effective ongoing contraception after EC use would prevent more pregnancies.
DOI: 10.1093/humrep/dev019
Authors: ESHRE CapriWorkshop Group, ESHRE Capri Workshop Group, D. T. Baird, S. Cameron, J. L. H. Evers, K. Gemzell-Danielsson, A. Glasier, C. Moreau, J. Trussell, H. von Hertzen, P. G. Crosignani, C. La Vecchia, A. Volpe, A. Glasier, P. G. Crosignani
Language: English
Field: Medicine
Open Access status: bronze
Funders: World Health Organization, Princeton University, European Society of Human Reproduction and Embryology, National Institutes of Health, National Institute of Child Health and Human Development, Eunice Kennedy Shriver National Institute of Child Health and Human Development
OpenAlex ID: W2102000283
FWCI: 1.208
Cites: 54
Cited by: 60
Related to: 10