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These five statements provide official ICEC policy
statements, supporting our mission of increasing
access to EC in developing countries. They are
periodically reviewed and revised as necessary.
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Fact sheet on the safety of levonorgestrel-alone emergency contraceptive pills (LNG ECPs)
English - Spanish - French (Arabic available shortly)
April 2010
Emergency contraception has been in use for decades and its safety is well established through monitoring and studies. This fact sheet, produced jointly with the World Health Organization, the International Federation of Obstetrics and Gynecology, and the International Planned Parenthood Foundation, is based on a thorough reading of the literature and extensive technical review by medical experts from around the world.
- How Do Emergency Contraceptive Pills Work to Prevent Pregnancy?
Mechanism of Action
English - Spanish
October 2008
The mechanisms through which EC prevents pregnancy after unprotected sex have been extensively researched and over 20 studies have been published on this topic over the last forty years. The overwhelming evidence is that the method works primarily through preventing ovulation with a possible effect on sperm function.
The International Federation of Gynecology and Obstetrics (FIGO) has endorsed this statement, which is posted on their website.
- Regimen Update
Dosage and Timing
English
- Spanish
- French
- Russian
July 2003
A study published by WHO in 2002 found that
a single 1.5 mg dose of levonorgestrel is as
effective as two 0.75 mg taking 12 hours apart;
a single dose is also simpler for women. Study
results also indicate that EC is more effective
the sooner it is used, but can provide some
protection from unwanted pregnancy as many as
five days (120 hours) after unprotected intercourse.
(However, because of the challenges in changing
labeling, most EC products are still labeled
to be taken in two doses, up to 72 hours after
unprotected intercourse).
- Repeated Use
of Emergency Contraception: The Facts
English
- Spanish
- French
- Russian
July 2003
EC can safely be used repeatedly; however, studies
have found that women rarely rely on EC repeatedly.
Easier access to EC also does not increase risky
sexual behavior or lead women to abandon their
regular contraceptive methods.
- Improving Access
to Emergency Contraception
English
- Spanish
- French
- Russian
July 2003
Despite endorsements
of EC by the World Health Organization and others,
and greater worldwide availability of dedicated
ECPs, women's access to this contraceptive method
remains limited. This Policy Statement describes
the need for improved access, reviews barriers,
and recommends steps to improve access.
- EC and Medical
Abortion
English
- Spanish
- French
- Russian
July 2003
EC can only prevent pregnancy within the first
120 hours after unprotected sex and has no effect
on an established pregnancy (a fertilized egg
that has attached itself to the uterine wall).
The drugs in EC are completely different in
composition and in action from the drugs used
for medical abortion. This statement clarifies
the differences and underscores EC's role in
preventing unwanted pregnancy.
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