1 THE DIFFERENCE BETWEEN THE MORNING-AFTER PILL AND There has been considerable public confusion about the difference between the morning-after pill and the abortion pill because of misinformation disseminated by groups that oppose safe and legal abortion. The morning-after pill, also known as emergency contraception, helps prevent pregnancy; the abortion pill, also known as medication abortion, terminates pregnancy. According to the general medical definitions of pregnancy that have been endorsed by many organizations including the American College of Obstetricians and Gynecologists and the United States Department of Health and Human Services pregnancy begins when a pre-embryo completes implantation into the lining of the uterus (ACOG, 1998; DHHS, 1978; Hughes, 1972; Make the Distinction, 2001). Hormonal methods of contraception, including the morning-after pill, prevent pregnancy by inhibiting ovulation and fertilization (ACOG, 1998). The abortion pill terminates a pregnancy without using instruments. By helping women terminate unwanted pregnancies up to 63 days after their last menstruation, the abortion pill is a safe and effective option. THE MORNING-AFTER PILL What is the morning after pill? Also known as emergency contraception, the morning-after pill contains medication that reduces the risk of pregnancy if started within 120 hours (five days) of unprotected intercourse. Plan B One-Step contains the hormone progestin and are currently available over the counter in the family planning aisle of drug stores with no age requirement. Other brands of levonorgestrel EC such as Next Choice remain behind the counter with pharmacists for purchase by anyone 17 or older without a prescription, or anyone younger than 17 with a prescription. ella, which contains ulipristal acetate (UPA), and certain brands of oral contraception taken in increased doses for use as emergency contraception require a prescription at any age (Barr Pharmaceuticals, 2006; Glasier, 2010; RHTP, 2009; Rodrigues et al., 2001; Van Look & Stewart, 1998). What is the abortion pill? Also known as medication abortion, the abortion pill contains medication called mifepristone to induce abortion. Mifepristone (Mifeprex ) can be taken under supervision up to 63 days after the first day of the last menstrual period. It is used in conjunction with misoprostol, which is taken later to complete the abortion (Creinin & Aubény, 1999; Middleton et al., 2005; Schaff et al., 2000; Schaff et al., 2001).
2 THE MORNING-AFTER PILL How does the morning-after pill work? In its approval of the morning-after pill, the U.S. Food and Drug Administration (FDA) declared, Emergency contraceptives act by delaying or inhibiting ovulation and/or altering tubal transport of sperm and/or ova (thereby inhibiting implantation) (FDA, 1997). More recently, studies suggested that progestin-only morning-after pills work only by preventing ovulation or fertilization, and have no effect on implantation (Croxatto et al., 2003; Novikova et al., 2007). In 2008, a consortium of authorities declared that progestin-only emergency contraception does not interfere with implantation (ICEC-FIGO, 2008). UPA works only by preventing ovulation (Glasier, 2010). How effective is the morning-after pill? The morning-after pill is very effective at reducing the risk of pregnancy. Studies have shown that it reduces the risk of pregnancy when taken up to 120 hours after unprotected intercourse. With the exception of UPA, the sooner the dosing begins, the more effective the treatment. When taken within 72 hours of unprotected intercourse, morning-after pills that contain both estrogen and progestin reduce the risk of pregnancy by 75 percent. Within that same time, progestin-only regimens, such as Plan B One-Step and Next Choice, reduce the risk of pregnancy by 89 percent. When initiated within 24 hours of unprotected intercourse, progestin-only morning-after pill reduced the risk of pregnancy by 95 percent (Ellertson et al., 2003; Rodrigues et al., 2001; TFPMFR, 1998; Van Look & Stewart, 1998). The effectiveness of UPA, however, does not diminish over the course of the five days following unprotected intercourse (Fine et al., 2010; Glasier et al., 2010). How does the abortion pill work? Mifepristone ends pregnancy by blocking the hormones necessary for maintaining a pregnancy. Misoprostol causes the uterus to contract and empty (Creinin & Aubény, 1999). How effective is the abortion pill? The abortion pill is highly effective at ending very early pregnancies. Complete abortion will occur in percent of women who choose mifepristone. In the small percentage of cases that medication abortion fails, other abortion procedures are required to end the pregnancies (ACOG, 2001; Schaff et al., 2000).
3 THE MORNING-AFTER PILL How safe is the morning-after pill? The morning-after pill is safe for nearly all women millions of women around the world have used it safely (Guillebaud, 1998; Van Look & Stewart, 1998). Does the morning-after pill cause an abortion? The morning-after pill will not induce an abortion in a woman who is already pregnant, nor will it affect the developing pre-embryo or embryo (Van Look & Stewart, 1998). Emergency contraception prevents pregnancy and helps a woman prevent the need for abortion. Why might a woman choose the morning-after pill? Women may choose emergency contraception as a way to prevent pregnancy after unprotected intercourse in cases of unanticipated sexual activity, contraceptive failure, or sexual assault. Nearly half of America s 6.7 million annual pregnancies are unintended (Finer & Zolna, 2011). Does the morning-after pill have side effects? Side effects are far less common using progestinonly and UPA pills than using combined hormone pills. The most common side effects include nausea and vomiting. Abdominal pain, breast tenderness, dizziness, fatigue, headaches, and irregular bleeding may also occur (Van Look & Stewart, 1998; OPR, 2011; TFPMFR, 1998; Trussell & Schwarz, 2011). How safe is the abortion pill? The abortion pill is safe for most women millions of women around the world have used it safely. There are risks associated with all medical procedures, including abortion. And, in extremely rare cases, death is possible from serious complications of the abortion pill, but it remains safer than carrying a pregnancy to term (ARHP, 2008). Can the medicines used in the abortion pill also be used for emergency contraception? Although some studies show that mifepristone could be used in very low doses to reduce the risk of pregnancy as a method of emergency contraception within five days of unprotected intercourse, it is not approved for use as emergency contraception in the United States at this time (Ho et al., 2002: TFPMFR, 1999). Why might a woman choose the abortion pill? Women might choose the abortion pill as a way to end pregnancy because it is a noninvasive procedure and does not require anesthesia. It is free from the risk of injury to the cervix or uterus and the possible complications caused by the use of anesthesia used for other abortion procedures (Aguillaume & Tyrer, 1995). Women who chose medication abortion also reported that they felt it was a more natural way to end a pregnancy (Winikoff, 1995). Does the abortion pill have side effects? The most common side effects following medication abortion are similar to those of a miscarriage abdominal pain, bleeding, changes in body temperature, dizziness, fatigue, and gastrointestinal distress (ACOG, 2005; Creinin & Aubény, 1999; Stewart et al., 2005).
4 THE MORNING-AFTER PILL How long does the process of using the morning-after pill take? Combined hormone pills are taken in two doses, 12 hours apart. Progestin-only pills can be taken in one dose. UPA is taken in one dose. Side effects associated with emergency contraception pills generally subside within 48 hours. They affect the timing of the menstrual cycle in percent of women. Changes in the menstrual cycle are seen with combined hormone, progestin-only, and UPA pills. If the next menstrual cycle is more than one week late, a woman should visit her clinician for a pregnancy test (Fine et al., 2010; Van Look & Stewart, 1998; von Hertzen et al., 2002). Are women who have used the morning-after pill satisfied with it? An overwhelming majority of morning-after pill users are satisfied with it. One study found that 97 percent of users would recommend it to friends and family (Harvey et al., 1999). Another study found that 92 percent of women who had used emergency contraception would use it again in the case of a contraceptive emergency (Breitbart et al., 1998). Where can I get the morning-after pill? Plan B-One Step is now available over the counter in the family planning aisle of drug stores with no age requirement. Other brands of levonorgestrel EC remain behind the counter with pharmacists for purchase by anyone 17 or older without a prescription, or anyone younger than 17 with a prescription. ella requires a prescription at any age. If you need a prescription for emergency contraception, you can contact your nearest Planned Parenthood health center at PLAN or How long does the process of the abortion pill take? It begins immediately after taking the mifepristone. Some women may begin spotting before taking the misoprostol, the second medication. For most, the bleeding and cramping associated with medication abortion begin after taking it. More than 50 percent of women who use mifepristone abort within four or five hours after taking the misoprostol. Heavy bleeding may continue for about 13 days. Spotting can last for a few weeks. About 92 percent of mifepristone abortions are completed within a week (ACOG, 2001; el-refaey et al., 1995; Newhall & Winikoff, 2000; Peyron et al., 1993; Wiebe et al., 2002). Are women who have used the abortion pill satisfied with the method? An overwhelming majority of women who choose medication abortion were satisfied with it. A recent study found that 97 percent of women who had a medication abortion would recommend it to a friend. Additionally, 91 percent of the women reported that they would choose medication abortion again if they had to have another abortion (Hollander, 2000). Where can I get the abortion pill? Contact your nearest Planned Parenthood health center at PLAN or www. plannedparenthood.org, another women s health care center, or your private clinician. Planned Parenthood health centers that do not provide medication abortion can refer you to a provider who does.
5 How much does the morning-after pill cost? Nationwide, the price of EC ranges from $30 $65 (PPFA, 2013b). Costs vary from community to community, based on regional and local expenses. Contact your nearest Planned Parenthood health center at PLAN or www. plannedparenthood.org, another women s health care center, or your private clinician. How much does the abortion pill cost? Nationwide, the price of medication abortion ranges between $300 and $800. This includes two or three office visits, testing, and exams (PPFA, 2013a). Costs vary from community to community, based on regional and local expenses. CITED REFERENCES ACOG American College of Obstetricians and Gynecologists. (1998, July). Statement on Contraceptive Methods.. (2001, April). Medical Management of Abortion. ACOG Practice Bulletin, 26, (2005, October). Medical Management of Abortion. ACOG Practice Bulletin, 67, Aguillaume, Claude & Louise Tyrer. (1995). Current Status and Future Projections on Use of RU-486. Contemporary Ob/Gyn, 40(6), ARHP Association of Reproductive Health professionals. (2008, April). What You Need to Know Mifepristone Safety Overview. [Online]. upload/docs/mifepristonefactsheet.pdf, accessed September 29, Barr Pharmaceuticals, Inc. (2006, August 24). FDA Grants OTC Status to Barr s Plan B Emergency Contraceptive: Historic Dual Status Decision Provides OTC Access to Those 18 Years of Age and Older; Remains Prescription for Women 17 and Younger. [Online]. Breitbart, Vicki, et al. (1998). The Impact of Patient Experience on Practice: The Acceptability of Emergency Contraceptive Pills in Inner City Clinics. Journal of the American Medical Women s Association, 53(5 Supplement 2), Creinin, Mitchell & Elizabeth Aubény. (1999). Medical Abortion in Early Pregnancy. In Maureen Paul, et al., Eds. A Clinician s Guide to Medical and Surgical Abortion. New York: Churchill Livingstone. Croxatto, Horatio B., et al. (2003). Mechanisms of Action of Emergency Contraception. Steroids, 68, DHHS U.S. Department of Health and Human Services. (1978). Code of Federal Regulations. 45CFR Ellertson, Charlotte, et al. (2003). Extending the Time Limit for Starting the Yuzpe Regimen of Emergency Contraception to 120 hours. Obstetrics and Gynecology, 101, El-Refaey, H., et al. (1995). Induction of Abortion with Mifepristone (RU 486) and Oral or Vaginal Misoprostol. New England Journal of Medicine, 332(15), FDA U.S. Food and Drug Administration. (1997). Prescription Drug Products; Certain Combined Oral Contraceptives for Use as Postcoital Emergency Contraception. Federal Register, 62(37), Fine, Paul T. et al. (2010). Ulipristal Acetate Taken Hours after Intercourse for Emergency Contraception. Obstetrics and Gynecology, 115(2), 1 7. Finer, Lawrence B. & Mia R. Zolna. (2011). Unintended pregnancy in the United States: incidence and disparities, Contraception, 84(5), Glasier, Anne F. et al. (2010). Ulipristal acetate versus levonorgestrel for emergency contraception: a randomized non-inferiority trial and meta-analysis. The Lancet, 365, Guillebaud, John. (1998). Commentary: Time for Emergency Contraception with Levonorgestrel Alone. The Lancet, 352(9126), 416. Harvey, S. Marie, et al. (1999). Women s Experience and Satisfaction with Emergency Contraception. Family Planning Perspectives, 31(5), & 260. Ho, Park Chung, et al. (2002). Mifepristone: Contraceptive and Non-Contraceptive Uses. Current Opinions in Obstetrics and Gynecology, 14(3), Hollander, Dore. (2000). Most Abortion Patients View Their Experience Favorably, But Medical Abortion Gets a Higher Rating Than Surgical. Family Planning Perspectives, 32(5), 264. Hughes, Edward, Ed. (1972). Obstetric-Gynecologic Terminology. Philadelphia, PA: F. A. Davis Company.
6 ICEC-FIGO International Consortium for Emergency Contraception International Federation of Gynecology & Obstetrics. (2008-October). How do levonorgestrelonly emergency contraceptive pills (LNG ECPs) prevent pregnancy? [Online]. accessed September 25, Make the Distinction: EC Prevents Pregnancy. (2001). Contraceptive Technology Update, 22(1),4. Middleton, Tamer, et al., (2005). Randomized Trial of Mifepristone and Buccal or Vaginal Misoprostol for Abortion Through 56 Days of Last Menstrual Period. Contraception, 72, Newhall, Elizabeth Pirruccello & Beverly Winikoff, (2000). Abortion with Mifepristone and Misoprostol: Regimens, Efficacy, Acceptability and Future Directions. American Journal of Obstetrics and Gynecology, 183(2), S Novikova, Natalia, et al. (2007). Effectiveness of levonorgestrel emergency contraception given before or after ovulation a pilot study. Contraception, 75, OPR Office of Population Research, Princeton University. (2011, February 22, accessed April 21, 2011). Answers to Frequently Asked Questions About Types of Emergency Contraception. [Online]. and questions/ecsideeffects. Peyron, R., et al. (1993). Early Termination of Pregnancy with Mifepristone (RU 486) and Orally Active Prostaglandin Misoprostol. New England Journal of Medicine, 328(21), PPFA Planned Parenthood Federation of America. (2013a). The Abortion Pill (Medication Abortion). [Online]. abortion/abortion-pill-medication-abortion-4354.asp, accessed December 5, (2013b). Emergency Contraception (Morning After Pill). [Online]. accessed December 5, RHTP Reproductive Health Technologies Project. (2009). FDA Approved Emergency Contraceptive Products Currently on the U.S. Market. [Online]. rhtp.org/contraception/emergency/documents/fdaapprovedemergencycontraceptivechartdecember2011-printable_000.pdf, accessed January 10, Rodrigues, Isabel, et al. (2001). Effectiveness of Emergency Contraceptive Pills Between 72 and 120 Hours After Unprotected Sexual Intercourse. American Journal of Obstetrics and Gynecology, 184(4), 416. Schaff, Eric, et al. (2000). Low-Dose Mifepristone Followed by Vaginal Misoprostol at 48 Hours for Abortion up to 63 Days. Contraception, 61(1), Schaff, Eric, et al. (2001). Randomized Trial of Oral Versus Vaginal Misoprostol at One Day after Mifepristone for Early Medical Abortion. Contraception, 64, Stewart, Felicia H., et al. (2005). Abortion. Pp in Robert A. Hatcher, et al., Eds., Contraceptive Technology 18th Revised Edition. New York: Ardent Media, Inc. TFPMFR Task Force on Postovulatory Methods of Fertility Regulation. (1998). Randomised Controlled Trial of Levonorgestrel Versus the Yuzpe Regimen of Combined Oral Contraceptives for Emergency Contraception. The Lancet, 352(9126), (1999). Comparison of Three Single Doses of Mifepristone as Emergency Contraception: A Randomised Trial. The Lancet, 353(9154), Trussell, James, and Eleanor Bimla Schwarz. (2011). Emergency Contraception. Pp in Robert A. Hatcher et al., eds., Contraceptive Technology 20th Revised Edition. New York: Ardent Media, Inc. Van Look, Paul & Felicia Stewart. (1998). Emergency Contraception. In Robert A. Hatcher et al., Eds, Contraceptive Technology 17th Revised Edition. New York: Ardent Media. von Hertzen, Helena, et al. (2002). Low Dose Mifepristone and Two Regimens of Levonorgestrel for Emergency Contraception: A WHO Multicentre Randomised Trial. The Lancet, 260, Wiebe, Ellen, et al. (2002). Comparison of Abortions Induced by Methotrexate or Mifepristone Followed by Misoprostol. Obstetrics and Gynecology, 99(5), Winikoff, Beverly. (1995). Acceptability of Medical Abortion in Early Pregnancy. Family Planning Perspectives, 27(4), 142 8, 185, & Planned Parenthood Federation of America, Inc. All rights reserved. Planned Parenthood, PPFA, and the logo of nested Ps are registered service marks of PPFA. Media Contact Last updated December 2013
Post-Coital Hormonal Contraception Instructions for Use of Plan B, Plan B One-Step, Next Choice One Dose, My Way, Generic Levonorgestrel and Ella Several options for emergency birth control exist for women
Family Planning Curriculum University of Alabama at Birmingham Department of Obstetrics and Gynecology Module 1: Introduction Incidence of unintended pregnancy and abortion Safety of abortion, morbidity
Effective long-lasting strategy to prevent unintended pregnancy. The intrauterine system for contraception after abortion. After the abortion I started re-thinking my birth control method. I am looking
Patient Education Facts for Women Termination of pregnancy, abortion, or miscarriage management This handout answers common questions about miscarriage management and the termination of a pregnancy, also
EMERGENCY CONTRACEPTION A Practitioner s Guide Emergency Contraceptive Pills Emergency contraceptive pills (ECPs) are a safe, effective way to prevent pregnancy after unprotected intercourse, including
Frequently Asked Questions (FAQ) for Medical Abortion 1. What is medical abortion (MA)? MA is the use of one or more medications to terminate or end a pregnancy. Medical abortion is most effective when
Emergency Contraception A P r a c t i t i o n e r s G u i d e Food and Drug Administration Decision In August 2006, the FDA ruled that the emergency contraceptive pill Plan B would be available over the
Birth Control Pills WOMENCARE A Healthy Woman is a Powerful Woman (407) 898-1500 Birth control pills (also called oral contraceptives or "the pill") are used by millions of women in the United States to
Emergency Contraception (EC) An Affirmative Agenda to Improve Access Table of Contents Emergency Contraception (EC): An Affirmative Agenda to Improve Access I. General Information A. Factsheet: Emergency
Clinical Interruption of Pregnancy (Medical/Surgical Abortion) Approximately one fifth of all pregnancies in the United States end in abortion (Ventura et al., 2009). According to the CDC (2011a), there
What s New in Contraception? Evelyn Kieltyka, Maine Family Planning, firstname.lastname@example.org WHAT S NEW IN CONTRACEPTION? EVELYN KIELTYKA, MSN, MS, FNP 1 2 CONTRACEPTIVES FOR TEENS: THE NEW PARADIGM
Bayer HealthCare Pharmaceuticals HealthCare Programs Family Planning 13342 Berlin, Germany www.bayerpharma.com www.jadelle.com September 2013 HealthCare Programs Family Planning Contents What is Jadelle?.................................5
Frequently Asked Questions What is Medabon? Medabon is a combination therapy for medical abortion. Medical abortion refers to the process of ending a pregnancy by taking medication, rather than through
The Challenges, Risks, and Benefits of Oral Contraceptives Learning Objectives After participating in this educational activity, participants should be better able to: 1. Identify the currently available
Safe & Unsafe Facts About abortion WHAT IS THE DIFFERENCE BETWEEN UNSAFE AND SAFE ABORTION? What is unsafe abortion? Unsafe abortion is a procedure for terminating an unplanned pregnancy either by a person
The Availability of Plan B Emergency Contraception in Arizona Pharmacies Results of a 2007 joint research project conducted by NARAL Pro-Choice Arizona and Planned Parenthood of Central and Northern Arizona
Menstruation and the Menstrual Cycle Q: What is menstruation? A: Menstruation (men-stray-shuhn) is a woman's monthly bleeding. When you menstruate, your body sheds the lining of the uterus (womb). Menstrual
WOMENCARE A Healthy Woman is a Powerful Woman (407) 898-1500 Hormonal Contraception: Injections, Implants, Rings, and Patches In addition to oral contraceptives (birth control pills), there are several
Adolescent Girls and Abortion Lawren Wellisch, MD; and Julie Chor, MD, MPH Abstract Abortion is an extremely common procedure in the United States, with approximately 2% of women having an abortion before
Table of Contents Executive Summary...3 Unintended Pregnancies...7 New York Costs Associated with Unintended Pregnancies...11 Emergency Contraception...15 Activities to Increase Access to ECPs...23 Estimated
www.rhm-elsevier.com A 2005 Reproductive Health Matters. All rights reserved. Reproductive Health Matters 2005;13(26):20 24 0968-8080/05 $ see front matter PII: S0968-8080(05)26212-2 FEATURES Medical Abortion:
POSTNATAL CONTRACEPTION INTRODUCTION There are a number of methods available to help prevent pregnancy, with some of the most popular including condoms and birth control pills. Deciding which method is
Overview of Existing State Distribution Mechanisms and Barr s Proposed Educational Program and Distribution for Plan B In most states throughout the US, emergency contraception pills, including Plan B,
Hormonal Oral Contraceptives: An Overview By Kelsie Court A variety of methods of contraception are currently available, giving men and women plenty of options in choosing a method suitable to his or her
Health Service Human Services Building 600 Lincoln Avenue Charleston, Illinois 61920-3099 Office: (217) 581-3013 Fax: (217) 581-3899 Positive Pregnancy Test Information Packet You were just informed that
Advocacy Resource Guide Making a Difference... Emergency Contraception for Adolescents ISSUE IN BRIEF Although there are many highly effective contraceptive options to choose from, none is 100% effective,
Medicines To Help You Birth Control Guide This guide gives the basic facts about the different kinds of FDA-approved medicines and devices for birth control. Ask your doctor to tell you about all of the
The debate over the morning after pill Plan B By Ali Ibrahim Over the counter drugs (OTC) offer easy, convenient, and relatively inexpensive access for treatment of many common acute conditions. The aisles
What is new: (EC). Ulipristal is now available over the counter in pharmacies free of charge without the need for a prescription. Evidence has emerged that starting hormonal contraception immediately after
The Correct Use of Birth Control: In order for any method of birth control to be effective, it must be used correctly ALL THE TIME. This means: One condom every time you have sex One pill every day One
1 of 5 6/2/2014 9:46 AM Return to Web version Birth Control Options What is contraception? Contraception means preventing pregnancy, also called birth control. Most people know about options such as birth
Q: Who has abortions? Q: Who has abortions? 1 A: Women who have abortions come from all racial, ethnic, socioeconomic, and religious backgrounds. Most abortions occur among women who are 20-24, low-income,
NovaSure: A Procedure for Heavy Menstrual Bleeding The one-time, five-minute procedure Over a million women 1 have been treated with NovaSure. NovaSure Endometrial Ablation (EA) is the simple, one-time,
BACKGROUNDER CONTRACEPTION DID YOU KNOW?» Approximately 85 out of 100 sexually active women who are not using any contraceptive method will get pregnant within one year. 1» Worldwide 38% of women who become
Menstruation and the Menstrual Cycle Q: What is menstruation? A: Menstruation is a woman s monthly bleeding, also called a period. When you menstruate, your body is shedding the lining of the uterus (womb).
Information for you Abortion care Published in February 2012 This information is for you if you are considering having an abortion. It tells you: how you can access abortion services the care you can expect
ABORTION CLINICS CARE, BC Women's Hospital andhealth Centre Vancouver V6H 3Nl 604-875-2022 Surgical abortions from the i h to 16 th week ofpregnancy. Decision-making counselling, pre- and post-abortion
Cheng L, Che Y, Gülmezoglu AM This is a reprint of a Cochrane review, prepared and maintained by The Cochrane Collaboration and published in The Cochrane Library 2012, Issue 8 http://www.thecochranelibrary.com
your guide to contraceptive Helping you choose the method of contraception that is best for you ions ections injection njections injection tions 2 Contraceptive Contraceptive contain a progestogen hormone
Chapter 8 Drug-Induced or Medical Abortion Since 1985, when the drug RU-486 was introduced by the French pharmaceutical company, Roussel-Uclef, women have had an alternative to surgical abortion. RU-486
FDA-Approved Patient Labeling Patient Information Mirena (mur-ā-nah) (levonorgestrel-releasing intrauterine system) Mirena does not protect against HIV infection (AIDS) and other sexually transmitted infections
Plan B (Levonorgestrel) Tablets, 0.75 mg Rx only for women age 17 and younger For women age 17 and younger, Plan B is a prescription only emergency contraceptive. Plan B is intended to prevent pregnancy
WHAT YOU SHOULD KNOW ABOUT ABORTION It is the public policy of the state of Idaho to prefer live childbirth over abortion: "The Supreme Court of the United States having held that the states have a "profound
your guide to emergency contraception Helping you choose the method of contraception that is best for you emergency cont gency contrace emergency contraception ency emergency contra- emergen mergency contraception
your guide to the progestogenonly pill Helping you choose the method of contraception that is best for you the progestogen rogestogen-only the progestogen-only pill progestogen-only pill stogen-only progestoge
Abortion Your questions answered abortio bortion ion ortion on abortio 2 Are you pregnant but not sure you want to have the baby? Do you need more information about your pregnancy choices? Unplanned pregnancy
But emergency contraception has. effective when it matters most ELA-WEBPHARMA-0813-EU This booklet contains content for Healthcare Professionals only. The information on this booklet is based on the European
FDA-Approved Patient Labeling Patient Information Skyla (sky-lah) (levonorgestrel-releasing intrauterine system) Skyla does not protect against HIV infection (AIDS) and other sexually transmitted infections
PILLS & RING INFORMATION AND INSTRUCTIONS ON COMBINED HORMONAL CONTRACEPTION INCLUDING BIRTH CONTROL PILLS & NUVA RING What is combined hormonal contraception? Birth control which contains two hormones
ALTERNATIVE TREATMENT PLAN AND CONSENT FOR MEDICAL ABORTION WITH MIFEPREX (MIFEPRISTONE) AND MISOPROSTOL The FDA gave its approval status to Mifepristone in 1996 based on research up to that time. Extensive
One-hour ACPE accredited continuing education program is available at no charge for pharmacists provided by the University of Illinois-Chicago College of Pharmacy at www.pharmacyce.uic.edu Accidents happen...
Comments of the National Abortion Federation and Planned Parenthood Federation of America in Opposition to Citizen Petition and Request for Administrative Stay Regarding MifeprexB (Mifepristone) I ^ I~
Abnormal Uterine Bleeding FAQ Sheet What is abnormal uterine bleeding? Under normal circumstances, a woman's uterus sheds a limited amount of blood during each menstrual period. Bleeding that occurs between
WHAT YOU SHOULD KNOW ABOUT ABORTION It is the public policy of the state of Idaho to prefer live childbirth over abortion: "The Supreme Court of the United States having held that the states have a "profound
Intrauterine Device (IUD) Quick Facts Effectiveness in Preventing Pregnancy: Use: Of 100 women using IUDs for a year, about one may become pregnant. IUDs are better at preventing pregnancy than condoms,
Testimony of Anne Davis, MD, MPH Medical Director Physicians for Reproductive Choice and Health Before the President s Council on Bioethics September 12, 2008 My name is Dr. Anne Davis, and I am an Associate
page 1 Birth Control Methods Q: What is the best method of birth control (or contraception)? A: There is no best method of birth control. Each method has its pros and cons. All women and men can have control
What Athletic Trainers Need to Know About Gynecology Mona M. Shangold,, M.D. Director The Center for Women s Health and Sports Gynecology Philadelphia, PA Main Topics Normal development and function Effects
Information about östradiolvalerat och dienogest This leaflet provides information about your new oral contraceptive, Qlaira. It is important that you read this leaflet before starting to take the tablets.
International Planned Parenthood Federation Statement on Contraception and STI/HIV Protection for Adolescents Introduction The World Health Organization defines adolescence as the period between 10 and
Heavy menstrual bleeding and what you can do about it! The intrauterine system as an alternative to hysterectomy. What is heavy menstrual bleeding? Do I have it? A woman s menstrual periods are considered
Combination Birth Control Pills - FAQ How does the birth control pill work? prevents ovulation thickens cervical mucus, which makes it hard for sperm to enter the uterus thins the lining of the uterus,
International Planned Parenthood Federation IMAP Statement on Safe Abortion Key points: When performed early in pregnancy by trained health personnel in adequate facilities, abortion is a very safe procedure
Management of Side Effects and Complications in Medical Abortion: A Guide for Triage and On-Call Staff Managing daytime and after-hours calls from medical abortion patients is an important component of
Who s s The Daddy? What You Should Know About OTC Contraception By: Vona Broughton, BS Public Health & Kevin McCarthy, RPH This program has been brought to you by PharmCon PharmCon is accredited by the
BUTTE COUNTY PUBLIC HEALTH DEPARTMENT POLICY & PROCEDURE SUBJECT: Pregnancy Testing and Counseling Protocol P&P # APPROVED BY: EFFECTIVE DATE: Mark Lundberg MD Health Officer REVISION DATE: 2/20/2010 Phyllis
STANDARD APRN PROTOCOL FOR IUD INSERTION: Levonorgestrel (LNG) Releasing Intrauterine System DEFINITION The LNG-releasing intrauterine systems (Mirena, Liletta and Skyla ) are on the market. The LNG-releasing
your guide to Helping you choose the method of contraception that is best for you I the IUD 2 3 The intrauterine device (IUD) An IUD is a small plastic and copper device that is put into your uterus (womb).
November 211 Beyond Birth Control: The Overlooked Benefits Of Oral Contraceptive Pills Rachel K. Jones November 211 Beyond Birth Control: The Overlooked Benefits Of Oral Contraceptive Pills Rachel K. Jones
your guide to the contraceptive implant Helping you choose the method of contraception that is best for you contra ontraceptive im contraceptive implant mpl ceptive contraceptive contracepti ntraceptive
your guide to Helping you choose the method of contraception that is best for you IUD IUD the e IUD IU IUD the IUD 2 The intrauterine device (IUD) An IUD is a small plastic and copper device that is put
INTERNATIONAL RESEARCH JOURNAL OF PHARMACY www.irjponline.com ISSN 2230 8407 Research Article USE OF MIFEPRISTONE AND MISOPROSTOL COMBINATION ON ABORTION IN FIRST TRIMESTER PREGNANCY AT GOVERNMENT HOSPITAL
A COMPARISON OF EFFICACY AND SIDE-EFFECTS OF TWO METHODS OF VAGINAL MISOPROSTOL ADMINISTRATION IN THE FIRST TRIMESTER OF PREGNANCY TERMINATION FOR PATIENTS OF BANDARABAS HOSPITAL LOCATED IN IRAN *Azadeaskari,
After a Miscarriage Patient Information Rapid Access Gynecology Clinic Gordon and Leslie Diamond Health Care Centre 6th Floor Gynecology - 2775 Laurel Street Vancouver BC V5Z 1M9 Tel: 604-875-4111 local
Hydrothermal Endometrial Ablation Introduction A hydrothermal endometrial ablation also known as HTA is a procedure that allows doctors to destroy the inner lining of the uterus. It is one way to treat
Oxford University Hospitals NHS Trust Copper intra-uterine device (IUD) Page What is an inter-uterine device? 3 How does it work? 4 Would an IUD be suitable for me? 5 Are there any risks or complications?
TERMINATION OF PREGNANCY- MEDICAL Information Leaflet Your Health. Our Priority. Page 2 of 8 You have been offered a medical termination of pregnancy using mifepristone. You will have been given some verbal
Patient information leaflet for Termination of Pregnancy (TOP) / Abortion Families Division Options available If you d like a large print, audio, Braille or a translated version of this leaflet then please
The Combined Pill Combined oral contraceptive pill A service provided by What is the combined pill? The combined pill is usually just called the pill. It contains two female hormones, oestrogen and progestogen.