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Previous Volume 349:1830-1835 November 6, 2003 Number 19 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

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This Journal feature begins with a case vignette highlighting a common clinical problem. Evidence supporting various strategies is then presented, followed by a review of formal guidelines, when they exist. The article ends with the author's clinical recommendations.

A healthy 19-year-old woman comes in for a routine appointment. She is sexually active in a monogamous relationship. Pregnancy is not currently desired. Her partner uses condoms most of the time. She is uncertain of the date of her last menstrual period but has had sexual intercourse several times since her last menses, including unprotected intercourse four days earlier. A high-sensitivity urine . . . [Full Text of this Article]

The Clinical Problem

Strategies and Evidence

The Yuzpe Regimen

Progestin-Only Regimen

Timing of Use

Other Approaches

Safety of Emergency Contraception

Outcomes of Pregnancy after Emergency Contraception

Advance Prescribing

Possible Over-the-Counter Status

Areas of Uncertainty

Guidelines

Conclusions and Recommendations

Source Information

From the Department of Obstetrics and Gynecology, Columbia University, New York.

Address reprint requests to Dr. Westhoff at the Department of Obstetrics and Gynecology, Columbia University, 630 West 168 St., New York, NY 10032, or at clw3@columbia.edu.

This article has been cited by other articles:

• Marston, C., Meltzer, H., Majeed, A. (2005). Impact on contraceptive practice of making emergency hormonal contraception available over the counter in Great Britain: repeated cross sectional surveys. BMJ 331: 271- [Abstract] [Full Text]