• Am J Emerg Med · Jan 2023

    Review

    Emergency contraception in the emergency department.

    • Maryann Mazer-Amirshahi and Peggy Ye.
    • Department of Emergency Medicine, MedStar Washington Hospital Center, Washington, DC, United States of America; Georgetown University School of Medicine, Washington, DC, United States of America. Electronic address: maryannmazer@gmail.com.
    • Am J Emerg Med. 2023 Jan 1; 63: 102105102-105.

    BackgroundOn June 24, 2022, the Supreme Court overturned Roe v. Wade, which will limit legal abortion in many areas of the U.S., making the need for effective emergency contraception even more critical.MethodsThis narrative review focuses on the approach to providing safe and effective emergency contraception in the emergency department (ED) with a focus on agents that are used in the U. S.; however, many of the agents discussed are also available and utilized in other countries.ResultsEmergency contraception methods included in this review are, ulipristal, levonorgestrel, combined oral contraceptive pills, and copper intrauterine devices (IUDs).ConclusionThe efficacy of products used for emergency contraception depend on patient and temporal factors. Emergency physicians must have an understanding of the optimal use of these agents to prevent unwanted pregnancy, particularly in the setting of restricted abortion access.Copyright © 2022 Elsevier Inc. All rights reserved.

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