Emergency Contraception


Postcoital Treatments for Preventing Pregnancy
(Recommended within 120 Hours)
Option Treatment Comments
Combination OCP 2 doses (12 h apart) N/V not uncommon; prophylactic emetic
Levonorgestrel (Plan B One-Step) Single dose (1.5mg) Single dose simplifies use; no increase in side effects
Ulipristal actetate (ELLA) Single dose Progesterone agonist/antagonist; inhibits/delays ovulation
Copper IUD (Paragard)   Failure rate < 1%

Indications (ACOG - 2005)