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خرید پکیج
تعداد آیتم قابل مشاهده باقیمانده : 3 مورد
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Comparison of ongoing contraception after use of emergency contraception[1]

Comparison of ongoing contraception after use of emergency contraception[1]
  Copper and LNG IUDs UPA LNG
Efficacy Most effective EC Optimal oral EC Preferred oral EC if UPA not available
Preferred for Women who desire the most effective EC Women at high risk of pregnancy who desire oral EC Women at low risk of pregnancy who desire oral EC
Women who desire the most effective immediate ongoing contraception Women more concerned about pregnancy from recent UPI than future sex Women more concerned about preventing future pregnancy
Women who do not wish to return for contraceptive visit Women likely to return to initiate contraception Women unlikely to return for future contraceptive start
Approach to starting ongoing contraception
Barrier methods* N/A Immediate start Immediate start
Pericoital contraceptives N/A Immediate start Immediate start
Short-acting hormonal contraceptivesΔ N/A Provide prescription for patient to start 5 days after UPA dose Immediate start
N/A Use backup contraception for an additional 7 days from contraceptive start Use backup contraception for an additional 7 days
Long-acting reversible contraceptives§ Already in place Schedule repeat visit for LNG IUD or etonogestrel implant 5 days from UPA ingestion Immediate insertion of LNG IUD or etonogestrel implant
N/A Use backup contraception for an additional 7 days from contraceptive start Use backup contraception for an additional 7 days
Future care N/A Check urine pregnancy test in 2 to 4 weeks Check urine pregnancy test in 2 to 4 weeks
IUD: intrauterine device; UPA: ulipristal acetate; LNG: levonorgestrel; EC: emergency contraception; UPI: unprotected intercourse; N/A: not applicable.
* Barrier contraceptives include male and female condoms.
¶ Pericoital contraceptives include the single-size diaphragm, cervical cap, spermicidal sponge, and spermicide.
Δ Short-acting hormonal contraceptives include combined estrogen-progestin oral pills, patch, or ring; progestin-only pills; and Depo-Provera injection.
Delaying contraceptive start for 5 days from the UPA dose is a conservative approach. Some experts advise delaying contraception start for 5 days from the date of UPI.
§ Long-acting reversible contraceptives include the LNG-releasing IUDs, the copper IUD, and the etonogestrel implant.
Reference:
  1. Providing Ongoing Hormonal Contraception after Use of Emergency Contraceptive Pills. American Society for Emergency Contraception. September 2016. Available at: https://www.americansocietyforec.org/reports-and-factsheets (Accessed on May 8, 2019).
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