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. 2020 Dec;75(12):770-774.

[Emergency contraception : practical guideline]

[Article in French]
A Béliard  1 , N Chabbert-Buffet  2 , A Pintiaux  3
Affiliations
  • PMID: 33331699
Free article

[Emergency contraception : practical guideline]

[Article in French]
A Béliard et al. Rev Med Liege. 2020 Dec.
Free article

Abstract
in English, French

The goal of emergency contraception (EC) is to avoid unintended pregnancies after unprotected sexual intercourse (UPSI) or incorrect use of regular contraception. EC is intended for occasional use and does not replace effective regular contraception. A thorough understanding of EC is mandatory for optimal use of EC by healthcare professionals. Three EC methods are available in Belgium : oral levonorgestrel (LNG), oral ulipristal acetate (UA) and copper intrauterine device (Cu-IUD). EC should be offered as soon as possible after UPSI. The guidance aims to summarise the available evidence on EC methods, mechanism of action, and advantages/disadvantages of each method.

La contraception d’urgence (CU) a pour but d’éviter les grossesses non désirées après un rapport sexuel non protégé ou une prise incorrecte d’une contraception habituelle. Elle doit être réservée pour un usage occasionnel et ne doit pas remplacer la contraception régulière. La connaissance des méthodes de CU est indispensable pour optimaliser leur usage en pratique quotidienne. Trois méthodes de CU existent en Belgique : la prise de lévonorgestrel oral (LNG), l’acétate d’ulipristal oral (AU) ou l’insertion d’un dispositif intra-utérin (DIU) au cuivre. Il est recommandé d’utiliser la CU le plus rapidement après le rapport à risque. Nous donnerons une description détaillée des méthodes de CU, leurs mécanismes d’action, leurs avantages et inconvénients.

Keywords: Copper intrauterine device; Levonorgestrel; Ulipristal acetate; Unprotected sexual intercourse; Emergency contraception.

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