Emergency Contraception
Top in women’s health: Antidepressant use during pregnancy; prasterone lowers UTI risk
In a study of approximately 386,000 women published in JAMA Network Open, almost half of those who took antidepressants before conception stopped treatment during pregnancy without substituting psychotherapy.
Ulipristal-misoprostol regimen ‘viable alternative’ for early medication abortion
Ulipristal acetate followed by misoprostol was effective and acceptable for medication abortion up to 63 days’ gestation with no serious adverse events, but more studies are needed, data from a proof-of-concept study show.
Expanding contraceptive services in EDs could reduce unintended adolescent pregnancies
More than one-quarter of sexually active adolescents who accessed care in EDs reported not using contraception, raising their risk for pregnancy, according to a study published in JAMA Network Open.
Top in women’s health: Sildenafil clinical trial results; Supreme Court abortion decision
Some women with sexual arousal disorder reported improved sexual function after receiving topical sildenafil cream compared with placebo cream, according to results of a phase 2b study published in Obstetrics & Gynecology.
Fewer filled oral contraceptive prescriptions in states restricting abortion
The Dobbs decision was associated with declines in prescriptions for oral contraceptive pills, especially for emergency contraception, in states with the most restrictive abortion laws, according to cohort study results.
Same-day start contraception common, tied to low pregnancy risk
Same-day start contraception was common and associated with a low pregnancy risk during the first month of initiation, regardless of emergency contraception use or recent unprotected intercourse, researchers reported.
Decreased emergency contraception-related ED visits in US from 2006 to 2020
Since FDA approval of over-the-counter emergency contraception in 2006, there has been a large decrease in emergency contraception-related ED visits and total annual hospital charges, researchers reported.
Adding oral piroxicam to levonorgestrel improves emergency contraception efficacy
Oral piroxicam administered along with levonorgestrel improved emergency contraception efficacy without increasing the risk for adverse outcomes, according to trial data published in The Lancet.
No difference in 1-year usage, pregnancy rates between hormonal, copper IUD users
Pregnancy rates and continued use of IUDs at 1 year after placement were similar between people using levonorgestrel and copper IUDs, according to data published in the American Journal of Obstetrics & Gynecology.
Levonorgestrel IUD noninferior to copper IUDs as emergency contraception
Levonorgestrel intrauterine devices were noninferior to copper IUDs as emergency contraception, according to research published in the New England Journal of Medicine.