Levonorgestrel vs. Copper Intrauterine Devices for Emergency Contraception

Turok, David K.; Gero, Alexandra; Simmons, Rebecca G.; Kaiser, Jennifer E.; Stoddard, Gregory J.; Sexsmith, Corinne D.; Gawron, Lori M.; Sanders, Jessica N.

doi:10.1056/nejmoa2022141

Cited by 78 publications

(61 citation statements)

References 20 publications

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“…Multiple recent studies compared between levonorgestrel 52-mg intrauterine and copper intrauterine devices in terms of emergency contraception effectiveness, and the findings showed that levonorgestrel 52mg in noninferior to Cu-IUD as an emergency contraception option. Additionally, no significant difference in outcome nor side effects was observed between the two intrauterine device alternatives [30][31][32].…”

Section: Resultsmentioning

confidence: 88%

Birth Control: A Review of Pharmacological and Non-pharmacological Modalities, Associated Pros and Cons, and Their Effectiveness

Fairag

Alghamdi

Baghlaf

et al. 2021

JPRI

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Introduction: Family planning importance is increasing progressively and is regarded as an essential part in every couple’s life. Family planning has a lot of benefits for the whole family as it provides a better control over the period between each pregnancy leading to a better balance over the personal, financial, and societal life. There are multiple birth control methods, from which couples can choose from with the assistance of their physicians since each method has its own advantages and disadvantages. Furthermore, some contraceptive methods may be more suited for a certain couple or situation than another one. This review of current methods aims to shed the lights on the various contraception options along with their advantages and disadvantages to aid providers in taking care of their patients. Methodology: A thorough search was carried out on PubMed using the most suitable keywords representing the aim of the present study. A total of 120 were found and based on whether they are suited to achieve the aim of the study, 28 were selected. Discussion: There is a great variety of birth control methods, and each has its associated advantages and disadvantages. Barrier contraceptive methods, most common of which are male condoms, are extremely popular in Western countries. Combined hormonal contraception methods which are available in the form of pills, patches, and rings. Progestin only contraception either in the form of a pill, injection or an implant is the most commonly used type among breastfeeding women. Furthermore, intrauterine devices are another effective contraceptive method which may be copper-based or hormonal-based. Conclusion: Contraception is an integral part of family planning, which can be achieved through a variety of methods. Each birth control method has its own pros and cons that should be explained to the couple clearly, so they can choose the method that is most suited for them.

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Section: Resultsmentioning

confidence: 88%

Birth Control: A Review of Pharmacological and Non-pharmacological Modalities, Associated Pros and Cons, and Their Effectiveness

Fairag

Alghamdi

Baghlaf

et al. 2021

JPRI

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“…Study methodology details including inclusion and exclusion criteria are published elsewhere. 6 We enrolled participants at one of six family planning clinics in Utah between August 2016 and December 2019. The original study included people aged 18–35 years who had at least one unprotected intercourse episode 5 days before enrollment, normal menstrual cycle lengths (21–35 days), and knew their last menstrual period (±3 days).…”

Section: Methodsmentioning

confidence: 99%

“…Therefore, we have used data from a recent randomized clinical trial of 655 participants receiving emergency contraception who were assigned to either the levonorgestrel 52-mg intrauterine system (IUS) or the copper T380 intrauterine device (IUD) to assess pregnancy risk based on the number and timing of unprotected intercourse episodes in the 14 days before IUD placement. 6 …”

mentioning

confidence: 99%

Pregnancy Risk by Frequency and Timing of Unprotected Intercourse Before Intrauterine Device Placement for Emergency Contraception

BakenRa

Gero

Sanders

et al. 2021

Obstetrics &Amp; Gynecology

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“…IUDs may be used as planned contraception, including immediately postpartum or postabortion (for most devices), and as emergency contraception, although they aren't FDA-approved for this indication. 16 They are effective for 3 to 10 years, depending on the type and brand used. They may be removed at any time with a quick return to fertility.…”

Section: ■ Iud Indications and Mechanisms Of Actionmentioning

confidence: 99%