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There are currently three forms of emergency contraception: oral levonorgestrel, oral ulipristal acetate, and the copper intrauterine device. The copper intrauterine device is the most effective, followed by ulipristal acetate and levonorgestrel, respectively. Although levonorgestrel is the least effective method, studies show that more prescribers are familiar with it and that is the most frequently used method. Clinicians should consider several factors when helping women make informed medical decisions regarding emergency contraception, including access to the products, a woman's individual preference, timing since unprotected intercourse, body mass index or weight, and initiation or resumption of routine contraception. This article explains and summarizes these considerations and provides an algorithm to guide clinicians.
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http://dx.doi.org/10.1016/j.nwh.2017.06.005 | DOI Listing |
Reprod Health
September 2025
Department of Sexual and Reproductive Health including UNDP/UNFPA/UNICEF/WHO/World Bank Special Programme of Research, Development and Research Training in Human Reproduction, World Health Organization, Avenue Appia 20, 1211, Geneva, Switzerland.
Background: The COVID-19 pandemic disrupted the provision of sexual and reproductive health services, including contraceptive and family planning (FP) services. The World Health Organization conducted a multi-country study in India, Nigeria and Tanzania to assess the impact of the pandemic on the health system's capacity to provide contraceptive and FP services. In this paper, we share the results of a qualitative study aimed at understanding clients' perspectives at the primary healthcare level on accessing contraceptive services in COVID-19-affected areas in the three aforementioned countries.
View Article and Find Full Text PDFJ Am Coll Health
September 2025
Department of Obstetrics and Gynecology, Section of Complex Family Planning, Ci3 at the University of Chicago, Chicago, Illinois, USA.
This study investigates the barriers and facilitators to emergency contraception (EC) use among university students and assesses interest in vending machines that sell EC on university campuses. 363 students at a private Illinois university completed an electronic survey regarding on-campus EC access (73.6% cisgender women, 52.
View Article and Find Full Text PDFmedRxiv
August 2025
Infectious Diseases Institute, Makerere University, Kampala, Uganda.
Objective: Our study aimed to determine the prevalence and correlates of sexually transmitted infections (STIs) among adolescent girls and young women (AGYW) employed as household domestic workers in Kampala, Uganda.
Methods: Ugandan AGYW aged 14-24 participated in a community-based cross-sectional study in the Kampala Metropolitan Area from November 2023 to March 2024. Self-collected vaginal swabs were tested for (NG) and (CT) using GeneXpert.
PLOS Glob Public Health
September 2025
Department of Public Health, Institute of Tropical Medicine, Antwerp, Belgium.
Using modern contraceptives is essential for promoting economics, limiting the space of pregnancies, and improving maternal and newborn health outcomes. Despite progress in Cambodia, disparities in contraceptive use persist, particularly across socio-demographic and geographic groups. This study examined the prevalence and determinants of modern contraceptive use among married and sexually active women of reproductive age (15-49 years) in Cambodia, focusing on geographic and socio-demographic factors.
View Article and Find Full Text PDFMil Med
August 2025
Department of Obstetrics and Gynecology, Naval Hospital Rota, AE 09645, Spain.
Introduction: Gynecologic care remains a critical but under-addressed component of deployed readiness. Despite the growing number of deployed female service members and the prevalence of reproductive health issues in theater, hospital corpsman receive little to no formal training in women's health topics. This study aimed to develop and implement a brief, reproducible training intervention to improve corpsman knowledge of common gynecologic concerns encountered during deployment.
View Article and Find Full Text PDF