PDF Emergency Contraception Jan 2009

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    rgency contremergency contraceptio

    ergency contracontraception

    ontraception

    emergency contrace

    emergency contraception

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    your guide to

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    gency contraception

    mergency contraceptionontraception

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    Helping you choose the method

    of contraception that is best for you

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    Method 1: The emergencycontraceptive pill

    What is the emergency pill?

    The emergency contraceptive pill is a tablet

    containing progestogen, a hormone which is similar

    to the natural

    progesterone

    women produce

    in their ovaries.

    How do I take it?

    You will be given one pill to take. It should be taken

    within three days (72 hours) of having unprotected

    sex. It is more effective the sooner it is taken.

    How does the emergency pill work?

    The emergency pill is most likely to stop an egg

    being released (ovulation) or delay ovulation. It

    may also stop a fertilised egg settling in your

    uterus (implanting).

    How effective is the emergency pill?

    It is very effective and is more effective the sooner

    it is taken after sex. However, it is not as effective

    as using, other methods of contraception regularly

    and does not protect you against sexually

    transmitted infections.

    Of the pregnancies that could be expected to

    have occurred if no emergency contraception had

    been used, the emergency pill will prevent:

    up to 95 per cent if taken within 24 hours

    up to 85 per cent if taken between 2548 hours

    up to 58 per cent if taken between 4972 hours.

    The emergency pill may be considered for use up

    to 120 hours after unprotected sex but it is not

    believe life begins when the egg is fertilised may

    not wish to use the emergency contraception

    methods outlined in this leaflet.

    Where can I get emergency

    contraception?

    You can get the emergency pill and the emergency

    IUD free from: any general practice that provides

    contraceptive services

    a contraception clinic

    any young persons service or Brook clinic

    any sexual health clinic

    some genitourinary medicine (GUM) clinics.

    You can also get the emergency pill free from:

    most NHS walk-in centres (in England only)

    some pharmacies (there may be agerestrictions)

    most NHS minor injuries units

    some hospital accident and emergency

    departments (phone first to check).

    You can buythe emergency pill from:

    most pharmacies if you are 16 years old or over

    some privately run clinics, such as bpas and

    Marie Stopes.

    The price will vary but at the pharmacy it will cost

    around 25.

    All the advice and treatment you receive is

    confidential wherever you receive it.

    4 5

    Q Q

    Q

    Q

    Q

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    In these circumstances you will need to see

    a doctor or nurse.

    Can I get emergency pills in advance?

    Yes, if you are worried about your contraceptive

    method failing, you are going on holiday, or you

    cannot get emergency contraception easily. Ask

    your doctor or nurse about this.

    Method 2:The copper IUD

    What is the copper IUD?

    An IUD is a small plastic and copper device that

    is put into your uterus by a trained doctor or

    a nurse. It can be fitted up to five days after

    unprotected sex at any time in the menstrual cycleprovided this is the only unprotected sex that has

    occurred since your last period.

    If you have had unprotected sex more than once

    since your last period then an IUD can be fitted up

    to five days after the earliest time you could have

    released an egg (ovulation).

    If the IUD cannot be fitted immediately you may

    be advised to take the emergency pill in the

    meantime.

    10 11

    How does the IUD work?

    It may stop an egg being fertilised or implanting

    in your uterus.

    How effective is a copper IUD?

    The IUD is the most effective method of emergency

    contraception. It will prevent up to 99 per cent of

    pregnancies expected to occur if no emergency

    contraception had been used.

    Who can use an IUD?

    Most women can use an IUD for emergency

    contraception. An IUD may be suitable if:

    you want to use the most effective method

    of emergency contraception

    you do not want to, or cannot take progestogen

    you want to use the IUD as an ongoing methodof contraception.

    What are the disadvantages of using an

    IUD for emergency contraception?

    It is not as easily available as the emergency pill.

    Not all women can use the IUD, for example,

    women who have certain problems with their

    cervix or uterus.

    Q

    Q

    Q

    uterus(womb)

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    ovary

    cervix

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    Q

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    How fpa can help you

    sexual health direct is a nationwide service run by

    fpa. It provides: confidential information and advice and a wide range

    of booklets on individual methods of contraception,

    common sexually transmitted infections, pregnancychoices, abortion and planning a pregnancy

    details of contraception, sexual health and

    genitourinary medicine (GUM) clinics and sexualassault referral centres.

    fpa helplines

    England

    helpline 0845 122 8690

    9am to 6pm Monday to Friday

    Northern Ireland

    helpline 0845 122 8687

    9am to 5pm Monday to Thursday, 9am to 4.30pm Friday

    or visit fpas websitewww.fpa.org.uk

    A final word

    This booklet can only give you basic information aboutemergency contraception. The information in this booklet isbased on evidence-guided research from the World Health

    Organization and the Faculty of Sexual and ReproductiveHealthcare of the Royal College of Obstetricians andGynaecologists. Different people may give you differentinformation and advice on certain points. All methods ofcontraception come with a Patient Information Leaflet

    which provides detailed information about the method.

    Remember contact your doctor, practice nurse or acontraception clinic if you are worried or unsure aboutanything.

    Registered charity number 250187.

    Supported by the Department of Health.

    fpaJanuary 2009

    ISBN: 190550635X