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Federación Mexicana de Ginecología y Obstetricia, A.C.

2020, Number S1

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Ginecol Obstet Mex 2020; 88 (S1)

Emergency contraception in clinical practice

Durand-Carbajal MM

Language: Spanish
References: 46
Page: 121-130
PDF size: 200.52 Kb.


ABSTRACT

Emergency contraception, postcoital or morning after pill refers to the consumption of certain oral hormonal contraceptives or the placement of a copper device (IUD-TCu) after intercourse as an emergency measure to prevent an unwanted pregnancy. Emergency contraception is an occasional backup method and not for routine or continuous use. Emergency hormonal contraception, in any of its presentations and compounds, should be administered as soon as possible after unprotected intercourse within a period not exceeding 120 hours. However, the woman should be informed that the effectiveness is reduced the longer the interval between intercourse and contraceptive intake is prolonged. The highest efficiency is recorded when taken in the first 24 to 72 hours. There are no situations in which the risks of emergency contraception (in combination or progestin alone) outweigh the advantages of preventing pregnancy. Women with previous ectopic pregnancy, who are breastfeeding, with cardiovascular diseases, migraines and liver disease can receive emergency contraception. It is important that health personnel correctly prescribe contraceptive methods, including emergency contraception.


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