The Nation’s Best-Kept Secret: Strategies for Promoting Emergency Contraception

What if ?

Emergency Contraceptives

Emergency Contraceptives (cont)

Definition of Pregnancy

Emergency Contraception:  History

Emergency Contraception:  History

Emergency Contraception:  History

Women Obtaining Abortions Who Reported Contraceptive Use, by Year

Emergency Contraception: Indications

Emergency Options in the
United States

Conflicting Contraindications: Combined ECPs

Conflicting Contraindications: Combined ECPs

Conflicting Contraindications: Combined ECPs

Contraindications:
Progestin-only ECPs

Emergency Contraceptive Pills: Combined

Emergency Contraceptive Pills: Progestin-only

Copper IUD Insertion

Effectiveness

How Long After the Morning After?
Meta-Analysis of 9 Yuzpe Trials

How Long After the Morning After?
WHO Pooled Data (Yuzpe and LNg)

How Long After the Morning After?
Quebec (Yuzpe)

How Long After the Morning After?
Population Council (Yuzpe)

How Long After the Morning After?
Latest WHO Trial (LNg)

Yuzpe Regimen: PREVENÔ

Yuzpe Regimen: OC Formulations

Yuzpe Regimen: Efficacy

Yuzpe Regimen: Side Effects

Yuzpe Regimen: Contraindications

Plan B: Progestin-Only Emergency Contraception

Plan B: Progestin-Only EC

Proportion of Pregnancies Prevented by Levonorgestrel vs. Yupze Regimen*

Proportion of Pregnancies Prevented by Levonorgestrel vs. Yupze, by Timing of Treatment

Levonorgestrel and Yuzpe Regimens: Delay of Treatment and Pregnancy Rates

Levonorgestrel vs. Yuzpe:
Side Effects

Single vs. Two-Dose Levonorgestrel vs. Mifepristone: Efficacy*

Single vs. Two-Dose Levonorgestrel: Side Effects

Copper IUD for EC

Copper IUD for EC

Mifepristone (RU 486)

Mifepristone: Efficacy

Mifepristone: Side Effects

Mifepristone vs. Yuzpe*: Side Effects

Delay of Menses* by Dose of Mifepristone for Emergency Contraception

Mifepristone: Prescribing for EC

Emergency Contraception:
Rx by Telephone

Patient Counseling for EC

Emergency Contraception: Barriers

Plan BÔ: Rx Data

Advance Provision of EC

Advance Provision of EC: Teens

FDA Rejects Plan B OTC

The Setting

Potential Impact

Actual Impact

The Problem:
Why a 25-Year Delay ?

The Solution

The Value of a Dedicated Product

The Value of a Dedicated Product

Emergency Contraception in Europe

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"OTC in Norway 10/00 and..."

Emergency Contraception BTC

Pharmacists Providing ECPs

Response to Enhanced Availability: Washington State

California Pharmacy Access Partnership

Planned Parenthood State Hotlines

Planned Parenthood State Hotlines

Providing EC is Now the
Medico-Legal Standard of Care

Provider Practice: Good News

Provider Practice: Bad News

The Clinical Bottleneck

The Clinical Bottleneck (cont)

Educate Women

Providers on the Hotline and Website

Providers on the Hotline and Website

Public Education Campaign Messages

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Resources:
Emergency Contraception

Summary

Sponsored by
Association of Reproductive Health Professionals

Medical Advisory Committee