IMR Press / CEOG / Volume 32 / Issue 2 / pii/2005031

Clinical and Experimental Obstetrics & Gynecology (CEOG) is published by IMR Press from Volume 47 Issue 1 (2020). Previous articles were published by another publisher on a subscription basis, and they are hosted by IMR Press on imrpress.com as a courtesy and upon agreement with S.O.G.

Original Research

Clinical, ethical, and medical legal considerations on emergency contraception

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1 Division of Obstetrics and Gynaecology, City Hospital, Prato (Italy)
2 Department of Obstetrics and Gynaecology, University of Verona (Italy)
3 Department of Gynaecology, Perinatology, and Human Reproduction, University of Florence (Italy)
Clin. Exp. Obstet. Gynecol. 2005, 32(2), 107–110;
Published: 10 June 2005
Abstract

Purpose of investigation: To evaluate how many women required the so-called "emergency contraception" at our outpatient service and what the actual role is of this kind of pharmacological administration in interfering with ovulation and pregnancy, paying particular attention to the ethical and medico-legal aspects of this subject Methods: During the period from 1 December 1998 to 30 November 2003, emergency contraception was prescribed to a total of 1,160 women. With regard to the contraceptives used, in most cases (1,132, 97.6%) a combined oral estrogen-progestogen pill (ethinyloestradiol 0.05 mg plus levonorgestrel 0.25 mg) was prescribed; in some cases (20 patients, 1.8%) danazol (400 mg), in four women (0.3%) a progestin-only pill (levonorgestrel 0.75 mg), and in four other women (0.3%) an intrauterine device Results: It does not come out that there were any pregnancies in our study patients since none of them, who were told to come back for follow-up, were seen at our termination of pregnancy service or delivery room. Conclusion: The “Yuzpe regimen” of a combined oral estrogen-progestogen pill has been the most commonly used method for emergency contraception. A new method recently proposed, a progestin-only pill with levonorgestrel 0.75 mg, is having better results than the previous one, with a lower incidence of side-effects and higher efficacy. Moreover, the treatment with this method does not interfere in case of a pregnancy already being carried and cannot interrupt it.

Keywords
Emergency contraception
Interception
Post-coital pill
Ethinyloestradiol
Levonorgestrel
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