Monday Medical: Emergency contraception is a critical component of women's health care – Steamboat Pilot & Today
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An necessary a part of ladies’s well being care is their reproductive well being, together with the choice when — and when not — to grow to be pregnant.
For ladies who’ve had unprotected intercourse or used insufficient safety, emergency contraception (EC) could be a protected and viable choice to cut back the prospect of being pregnant. Conditions when it could be wanted may embrace forgetting to take contraception capsules for a number of days, a condom breaking or not utilizing one other technique of contraception.
“Contraception could be very efficient, but it surely’s not excellent and other people aren’t excellent,” mentioned Dr. Kathryn Feller, an OB/GYN with UCHealth Girls’s Care Clinics in Steamboat Springs and Craig. “It’s necessary to speak about emergency contraception as a result of many ladies will not be even conscious of it, or don’t know the differing types obtainable or tips on how to use them.”
Feller pressured that whereas EC is an excellent preventative technique, it is just efficient earlier than being pregnant is established.
There are two forms of EC. The copper intrauterine system (IUD) modifications the ionic surroundings of the endometrium, or the within lining of the uterus, to forestall sperm motility and viability, and stops fertilization from occurring. EC capsules work by delaying or stopping ovulation.
In response to Feller, the kind of EC it is best to use depends upon two elements. Crucial issue is the timing of your menstrual cycle, adopted by how a lot time has elapsed since unprotected intercourse occurred.
An IUD is the simplest kind of EC for a number of causes.
Whereas it requires an workplace go to, Feller mentioned most OB/GYN practices like hers reserve some appointment occasions every day for issues like this. Sufferers are inspired to examine with their insurance coverage supplier as most prescribed contraception strategies are absolutely lined. Moreover, many communities have businesses that may assist with low or no price appointments and prescriptions.
EC capsules are an excellent choice for ladies with a serious caveat — they won’t stop a being pregnant in case you have already ovulated, which for most girls happens on the two-week mark of a month-to-month cycle, normally between days 11 and 14.
“Lots of people don’t learn about Ella, however are very as soon as they find out about it,” mentioned Feller. “It’s newer and may work for an extended time period right into a ladies’s cycle than Plan B.”
Unwanted effects for each capsules are minor and may embrace nausea and complications, with some irregular bleeding or recognizing resolving after a month or so.
As a result of EC capsules solely delay ovulation and don’t inhibit it, it’s necessary to do not forget that a girl can grow to be pregnant in the identical cycle after utilizing both Plan B or Ella, Feller mentioned.
“When you have unprotected intercourse once more in the identical cycle, that you must use emergency contraception once more,” she mentioned, including that in case your interval is delayed greater than per week from when it ought to have occurred, it is best to take a being pregnant take a look at.
Feller urges ladies to speak to their well being care supplier about acquiring EC capsules earlier than they may want them, in addition to doable long-term contraception options in the event that they wish to keep away from being pregnant. That is notably related in rural components of the county the place pharmacies won’t have EC capsules available.
“The very best time to get a prescription for emergency contraception is earlier than you want it, and one of the best ways to forestall needing emergency contraception is to have long-term contraception,” mentioned Feller. “Emergency contraception is one thing we have to discuss, because it’s a vital piece of ladies’s well being care.”
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