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‘Morning -after Pill’ or Emergency Contraception

 

Emergency Contraception has been with us for over three decades now. The intended user is a woman who wishes to prevent unplanned pregnancy following unanticipated sexual intercourse or failure of a barrier method of contraception such as a ruptured condom.

 

Emergency contraception is supposed to be very effective if taken in the recommended period. The success is traditionally quoted at 95% if taken in the first 24 hours, falling to a shade over 50% if taken on the third day, that is 49-72 hours after having sex.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

The ‘Morning After’ Pill

Emergency contraception is more popularly known as the Morning After Pill. If the use actually lived up to the letter and spirit of this moniker, then we would expect it to be very effective. What is the reality? We shall see shortly.

What is Emergency Contraception

At risk of stating the obvious, it is important to explain that self-administered Emergency contraception comes in the form of  a progestogen hormone pill taken as soon as possible after (usually unplanned) sexual intercourse to prevent pregnancy.  It is meant to do this mainly by preventing or delaying the release of the egg (ovulation) or implantation of a fertilized egg.

 

Emergency contraception is also available in the form of an intrauterine device (IUD or ‘coil’) which has to be inserted in the same 72 hour window. This is more effective but is used much less partly because it cannot be self-administered and inevitably involves the input of a  doctor or specialist nurse.

 

Availability of Emergency Contraception:

In the UK, the ‘Morning After Pill can be bought over the counter, without a prescription, by anybody over the age of 16. It is also available (free) from GP surgeries, Family Planning clinics, GUM clinics and Brook Clinics.

In Australia, in 2004 the Emergency Contraceptive pill was re-classified as a Schedule 3 drug meaning it is now available without a prescription.

France had been there well before with the approval of over the counter Emergency Contraception pill (NorLevo®) without prescription in 1999.

Many other countries have since removed this restriction including developing countries such as South Africa and India. This is to make the availability as easy as possible.

 

 

 

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Levonelle: An emergency contraceptive
NorLevo: An emergency contraceptive

Levonelle and NorLevo are some of the brands of the ‘Morning-after Pill’; the latter available in France. They both contain the progestin hormone Levonorgestrel