[Emergency contraception: CNGOF Contraception Guidelines]. 2018

N Hamdaoui, and C Cardinale, and A Agostini
Service de gynécologie-obstétrique, hôpital de la Conception, boulevard Baille, 13005 Marseille, France. Electronic address: naima.hamdaoui@ap-hm.fr.

Edit, by the French National College of Gynecologists and Obstetricians (CNGOF), recommendations based on the evidence available in the literature for the use in terms of effectiveness, safety and side effects of emergency contraception (EC). A review of the literature was conducted by consulting Medline, Cochrane Library and international recommendations in French and English from January 1, 1979 to May 1, 2018. It is recommended to inform patients that EC is not 100% effective. A pregnancy test is recommended if there is a delay after taking an EC. It is recommended to use EC as soon as possible after the unprotected intercourse. In the absence of long-term contraception, in the first 72hours after unprotected intercourse, ulipristal acetate (UPA) and levonorgestrel (LNG) may be offered with a superiority of UPA from 0 to 72h. Beyond 72hours, the data suggest a better efficiency of the UPA. However, taking into account practical elements (access to EC, cost, impact on the taking of hormonal contraception after UPA), it is difficult to recommend the UPA as a priority between 0 and 72h. Menstruation is more likely to happen early with LNG. The copper IUD is an effective method that can be used in EC until 120hours after unprotected intercourse or when there is a risk of contraceptive failure. EC is not 100% effective. The closer the intake of EC with the unprotected intercourse, the more effective is the EC in terms of pregnancy rate.

UI MeSH Term Description Entries
D007435 Intrauterine Devices, Copper Intrauterine contraceptive devices that depend on the release of metallic copper. Copper Intrauterine Devices,Copper-Releasing IUDs,IUD, Copper Releasing,Copper Intrauterine Device,Copper Releasing IUD,Copper-Releasing IUD,Device, Copper Intrauterine,Devices, Copper Intrauterine,IUD, Copper-Releasing,IUDs, Copper-Releasing,Intrauterine Device, Copper
D009649 Norpregnadienes Pregnadienes which have undergone ring contractions or are lacking carbon-18 or carbon-19.
D011247 Pregnancy The status during which female mammals carry their developing young (EMBRYOS or FETUSES) in utero before birth, beginning from FERTILIZATION to BIRTH. Gestation,Pregnancies
D011258 Pregnancy Tests Tests to determine whether or not an individual is pregnant. Pregnancy Test,Test, Pregnancy,Tests, Pregnancy
D005260 Female Females
D005602 France A country in western Europe bordered by the Atlantic Ocean, the English Channel, the Mediterranean Sea, and the countries of Belgium, Germany, Italy, Spain, Switzerland, the principalities of Andorra and Monaco, and by the duchy of Luxembourg. Its capital is Paris. Corsica,Saint Pierre and Miquelon,Miquelon and Saint Pierre,Miquelon and St. Pierre,St. Pierre and Miquelon
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D016239 MEDLINE The premier bibliographic database of the NATIONAL LIBRARY OF MEDICINE. MEDLINE® (MEDLARS Online) is the primary subset of PUBMED and can be searched on NLM's Web site in PubMed or the NLM Gateway. MEDLINE references are indexed with MEDICAL SUBJECT HEADINGS (MeSH). Index Medicus
D016912 Levonorgestrel A synthetic progestational hormone with actions similar to those of PROGESTERONE and about twice as potent as its racemic or (+-)-isomer (NORGESTREL). It is used for contraception, control of menstrual disorders, and treatment of endometriosis. 18,19-dinorpregn-4-en-20-yn-3-one, 13-ethyl-17-hydroxy-, (17alpha)-(-)-,l-Norgestrel,Capronor,Cerazet,D-Norgestrel,Microlut,Microval,Mirena,NorLevo,Norgeston,Norplant,Norplant-2,Plan B,Vikela,duofem,D Norgestrel,Norplant 2,Norplant2,l Norgestrel
D044363 Contraception, Postcoital Means of postcoital intervention to avoid pregnancy, such as the administration of POSTCOITAL CONTRACEPTIVES to prevent FERTILIZATION of an egg or implantation of a fertilized egg (OVUM IMPLANTATION). Emergency Contraception,Fertility Control, Postcoital,Contraception, Emergency,Control, Postcoital Fertility,Postcoital Contraception,Postcoital Fertility Control

Related Publications

N Hamdaoui, and C Cardinale, and A Agostini
December 2018, Gynecologie, obstetrique, fertilite & senologie,
N Hamdaoui, and C Cardinale, and A Agostini
December 2018, Gynecologie, obstetrique, fertilite & senologie,
N Hamdaoui, and C Cardinale, and A Agostini
December 2018, Gynecologie, obstetrique, fertilite & senologie,
N Hamdaoui, and C Cardinale, and A Agostini
December 2018, Gynecologie, obstetrique, fertilite & senologie,
N Hamdaoui, and C Cardinale, and A Agostini
December 2018, Gynecologie, obstetrique, fertilite & senologie,
N Hamdaoui, and C Cardinale, and A Agostini
December 2018, Gynecologie, obstetrique, fertilite & senologie,
N Hamdaoui, and C Cardinale, and A Agostini
December 2018, Gynecologie, obstetrique, fertilite & senologie,
N Hamdaoui, and C Cardinale, and A Agostini
December 2018, Gynecologie, obstetrique, fertilite & senologie,
N Hamdaoui, and C Cardinale, and A Agostini
December 2018, Gynecologie, obstetrique, fertilite & senologie,
N Hamdaoui, and C Cardinale, and A Agostini
December 2018, Gynecologie, obstetrique, fertilite & senologie,
Copied contents to your clipboard!