Emergency contraception: Difference between revisions

Revision as of 04:02, 15 January 2015

Progestin-Only Regimen

General

First dose within 48 hours after unprotected intercourse followed by second dose 12 hours later
- may take both at once
Relative risk reduction of pregnancy = 89% (1% with vs 8% without)

Adverse Reactions

Nausea (23%)
Vomiting (6%)
No teratogenisis

FDA approved regimens

Plan B (marketed specifically for emergency contraception) - 1 pill (0.75 mg levonorgestrel) per dose
- Plan B levonorgestrel 0.75mg po q12h x2

Yuzpe Regimen (Combination OCPs)

General

First dose within 72 hours after unprotected intercourse followed by second dose 12 hours later
May be given up to 120 hours later (but efficacy reduced)
Reduces risk of pregnancy by 75% (2% with vs 8% without)

Adverse Reactions

Nausea (50%)
Vomiting (20%)

Safety

No teratogenic effect

Contraindications

Pregnancy

FDA approved regimens

Ovral, Ogestrel - 2 pills (100 ug ethiny estradiol/0.5 mg levonorgestrel) per dose; repeat in 12h
Alesse, Aviane, Levlite - 5 pills (100 ug ethiny estradiol/0.5 mg levonorgestrel) per dose; repeat in 12h
Levlen, Levora, Lo/Ovral, Low-Ogestrel - 4 pills (120 ug ethiny estradiol/0.6 mg levonorgestrel) per dose; repeat in 12h
Triphasil, Tri-Levlen, Trivora - 4 pills (120 ug ethiny estradiol/0.5 mg levonorgestrel) per dose; repeat in 12h

Source

Authors:

@@ Line 1: / Line 1: @@
-==Treatment==
+==Progestin-Only Regimen==
-===Progestin-Only Regimen===
+===General===
 *First dose within 48 hours after unprotected intercourse followed by second dose 12 hours later
 **may take both at once
 *Relative risk reduction of pregnancy = 89% (1% with  vs 8% without)
-*Side effects
-**Nausea (23%)
+===Adverse Reactions===
-**Vomiting (6%)
+*Nausea (23%)
+*Vomiting (6%)
 *No teratogenisis
-*FDA approved regimens:
-**Plan B (marketed specifically for emergency contraception) - 1 pill (0.75 mg levonorgestrel) per dose
-***Plan B levonorgestrel 0.75mg po q12h x2
-===Yuzpe Regimen===
+===FDA approved regimens===
-(combination OCPs)
+*Plan B (marketed specifically for emergency contraception) - 1 pill (0.75 mg levonorgestrel) per dose
-*Yuzpe ethinyl estradiol 100mcg po plus levonorgestral 0.5mg po; repeat in 12h
+**Plan B levonorgestrel 0.75mg po q12h x2
+==Yuzpe Regimen (Combination OCPs)==
+===General===
 *First dose within 72 hours after unprotected intercourse followed by second dose 12 hours later
 *May be given up to 120 hours later (but efficacy reduced)
 *Reduces risk of pregnancy by 75% (2% with vs 8% without)
-*Side effects
-**Nausea (50%)
+===Adverse Reactions===
-**Vomiting (20%)
+*Nausea (50%)
-*Safety
+*Vomiting (20%)
-**No teratogenic effect
-*Contraindications
+===Safety===
-** Pregnancy
+*No teratogenic effect
-*FDA approved regimens:
-** Ovral, Ogestrel - 2 pills (100 ug ethiny estradiol/0.5 mg levonorgestrel) per dose
+===Contraindications===
-** Alesse, Aviane, Levlite - 5 pills (100 ug ethiny estradiol/0.5 mg levonorgestrel) per dose
+* Pregnancy
-** Levlen, Levora, Lo/Ovral, Low-Ogestrel - 4 pills (120 ug ethiny estradiol/0.6 mg levonorgestrel) per dose
-** Triphasil, Tri-Levlen, Trivora - 4 pills (120 ug ethiny estradiol/0.5 mg levonorgestrel) per dose
+===FDA approved regimens===
+* Ovral, Ogestrel - 2 pills (100 ug ethiny estradiol/0.5 mg levonorgestrel) per dose; repeat in 12h
+* Alesse, Aviane, Levlite - 5 pills (100 ug ethiny estradiol/0.5 mg levonorgestrel) per dose; repeat in 12h
+* Levlen, Levora, Lo/Ovral, Low-Ogestrel - 4 pills (120 ug ethiny estradiol/0.6 mg levonorgestrel) per dose; repeat in 12h
+* Triphasil, Tri-Levlen, Trivora - 4 pills (120 ug ethiny estradiol/0.5 mg levonorgestrel) per dose; repeat in 12h
+==See Also==
+*[[Sexual assault]]
 ==Source==
 [[Category:OB/GYN]]