WHO includes EC in new guidelines on adolescent survivors of sexual abuse

WHO has published new Clinical Guidelines “Responding to children and adolescents who have been sexually abused to orient health workers in providing quality clinical care to child and adolescent survivors of sexual abuse. (Pour le moment, en anglais seulement)(Por ahora, sólo en inglés.)

The most relevant sections to emergency contraception starts on page 28, which details “pregnancy prevention and management among girls who have been sexually abused”. The existing recommendation for providing EC to women applies to girls in the following conditions: 1) those who have attained menarche and who are in the beginning stages of puberty (i.e. Tanner physical developmental stage 2 or 3), and 2) those who have been exposed to forced sex involving penile-vaginal penetration.

The document outlines: the timeframe and the diversity of EC regimens, pills (LNG, UPA, Yuzpe), and copper-IUD; the safety of the treatment, particularly compared to the potential harms in the absence of treatment; and that pregnancy testing is not required.

For details relevant to this topic, please review the following ICEC documents: Medical and Service Delivery Guidelines; EC for survivors of rape; and Questions and Answers for Decision-makers, with a brief section on adolescents and young people.