ISSN: 1305-3876
Dil: Türkçe
Hakkında: Özel sayılar şeklinde yayınlanır.
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Emergency Postcoital Contraception
Dr. Talat Umut Kutlu DİLEK,a Dr. Sadettin GÜNGÖR,b Dr. Faik Gürkan YAZICIa
aKadın Hastalıkları ve Doğum AD, Mersin Üniversitesi Tıp Fakültesi, MERSİNbKadın Hastalıkları ve Doğum AD, GATA, ANKARA
Women can use emergency contraception to prevent pregnancy after known or suspected failure of birth control, after unprotected intercourse or sexual assult such as rape. Many patients do not ask for emergency contraception because they do not know of its availability. Emergency contraception has been an off-label use of oral contraceptive pills since the 1960s. In the Turkey, Levonorgestrel or combined estrogen-progestin preparations are avalaible since 2002. Another effective method for emergency contraception is single dose mifepristone (25-50 mg) A third approved method of emergency contraception is the insertion of an intrauterine device. Emergency contraception is about 75 to 85 percent effective. It is most effective when initiated within 120 hours after unprotected intercourse. The mechanism of action may vary, depending on the day of the menstrual cycle on which treatment is started. Despite the large number of women who have received emergency contraception, there have been no reports of major adverse outcomes. If a woman becomes pregnant after using emergency contraception, she may be reassured about the lack of negative effects emergency contraception has on fetal developmentKeywords: Postcoital contraception, Yuzpe regimen, levonorgestrel, mifepristoneTurkiye Klinikleri J Surg Med Sci 2006, 2(24):89-94
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