Elnasr, I., Fahmy, M., Hamza, H., El-Fiqy, H., Ammar, H. (2021). Intrauterine Device Versus Levonorgestrel As Emergency Contraception. Observational Study. The Egyptian Journal of Hospital Medicine, 82(1), 1-5. doi: 10.21608/ejhm.2021.137350
Ibrahim Saif Elnasr; Mohamed Fahmy; Haitham Hamza; Heba Mahmoud El-Fiqy; Hesham Ammar. "Intrauterine Device Versus Levonorgestrel As Emergency Contraception. Observational Study". The Egyptian Journal of Hospital Medicine, 82, 1, 2021, 1-5. doi: 10.21608/ejhm.2021.137350
Elnasr, I., Fahmy, M., Hamza, H., El-Fiqy, H., Ammar, H. (2021). 'Intrauterine Device Versus Levonorgestrel As Emergency Contraception. Observational Study', The Egyptian Journal of Hospital Medicine, 82(1), pp. 1-5. doi: 10.21608/ejhm.2021.137350
Elnasr, I., Fahmy, M., Hamza, H., El-Fiqy, H., Ammar, H. Intrauterine Device Versus Levonorgestrel As Emergency Contraception. Observational Study. The Egyptian Journal of Hospital Medicine, 2021; 82(1): 1-5. doi: 10.21608/ejhm.2021.137350
Intrauterine Device Versus Levonorgestrel As Emergency Contraception. Observational Study
Obstetrics and Gynecology Departments, Faculty of Medicine, Menoufia University, Menoufia Governorate, Egypt
Abstract
Background: Emergency contraception (EC) is a method to be used in the case of unprotected sexual intercourse, failure of a regular contraceptive method and after rape to try to prevent an unintended pregnancy. They include copper intrauterine devices (IUD) and different types of pills like estrogen-progestin combination pill, levonorgestrel containing pills (LNG). Objective: This study was conducted to compare the efficacy; satisfaction, pregnancy rate and side effect of emergency contraception in women who selected either oral levonorgestrel (LNG) or copper intrauterine device (IUD). Patient and methods: This observational prospective cohort study was conducted on 200 women enrolled and separated into two groups, IUD group: 100 women used cupper T380A IUD. LNG group: 100 women using levonorgestrel 1.5 mg divided into two doses each 0.75 mg 12 hours a part. Satisfaction was assessed using a 5-point Likert scale. Results: There was significantly higher rate of contraption efficacy in IUD group compared with LNG group (p < 0.05). Significantly higher rates of nausea, vomiting and headache in LNG group (p < 0.05) when compared with IUD group. IUD patients had significantly higher rate of bleeding (p < 0.05) and higher rate of satisfaction among LNG users (p < 0.05). Significant association between women satisfaction and efficacy in LNG group (p < 0.05) and significant association between women satisfaction and efficacy in IUD group (p < 0.05). Conclusion: Emergency IUD has higher efficacy than emergency contraceptive pills (LNG) and has fewer side effects. However, there is more satisfaction regarding emergency contraceptive pills (ECP) as compared to IUD.
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