A New Option for Morning-After Contraception?


Only two types of “morning-after” contraception are accepted by the Food and Drug Administration, each hormonal medicine taken orally as tablets: levonorgestrel (Plan B One-Step and different manufacturers, out there over-the-counter) and ulipristal acetate (Ella, out there by prescription). Observational research strongly recommend {that a} nonhormonal copper intrauterine gadget (ParaGard) may be efficient.

Now researchers have discovered that one other sort of IUD, one containing the hormone levonorgestrel (Liletta and different manufacturers) works in addition to the copper IUD, and even perhaps higher than the F.D.A.-approved oral tablets for stopping being pregnant.

The research, within the New England Journal of Medicine, examined the copper IUD in opposition to intrauterine levonorgestrel in a randomized trial. Researchers recruited 638 girls searching for emergency contraception at three Utah household planning clinics, randomly assigning them to 1 gadget or the opposite.

After one month, there have been no pregnancies amongst girls who used the copper IUD, and one amongst those that used the hormonal IUD. The researchers calculate that the incidence of being pregnant with intrauterine levonorgestrel is 0.3 %, in contrast with 1.4 to 2.6 % with oral contraceptives.

Neither of the intrauterine gadgets is now accepted for emergency contraception, however the lead writer of the research, Dr. David Okay. Turok, an affiliate professor of obstetrics and gynecology on the University of Utah, expects skilled pointers to incorporate them quickly.

“The predominant factor is that that is another choice which may be extremely engaging,” he stated. “Now we’ve got a well-designed and executed research that exhibits it may be used.”



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