
Emergency
contraception is not the "abortion pill".
The two therapies are entirely different and it
is important not to confuse them.
"Emergency contraception" refers to
contraceptive methods that work after unprotected
sex but before pregnancy. It is often referred
to as the "morning after pill". Emergency
contraception pills are typically taken within
72 hours after unprotected intercourse, well before
a pregnancy can be established. They supply the
same drugs as regular birth control pills, in
a higher dose. Emergency contraceptives are true
contraceptives in that they prevent pregnancy,
often by delaying or inhibiting ovulation. They
will not cause an abortion if a woman is already
pregnant at the time she takes the pills.
The "abortion pill" refers to mifepristone
(formerly called RU 486) which is approved for
use in some countries to terminate a confirmed
pregnancy. In contrast with emergency contraception,
mifepristone is used after a woman misses her
period, up to seven - nine,weeks into a confirmed
pregnancy; it is typically used in conjunction
with another type of drug called a prostaglandin
that causes uterine contractions. Used this way,
the drugs cause an abortion.
Confusion can arise because mifepristone is a
very versatile drug and has been studied (although
never registered) for a number of indications
related to women's health besides abortion. These
include daily contraception (very low doses will
prevent ovulation), emergency contraception (when
taken within several days of unprotected sex,
mifepristone does work to prevent pregnancy
just as do the other methods of emergency contraception),
early abortion (as was just registered in the
United States), cervical ripening, and even labor
induction. It is critical to note two facts, however.
Mifepristone is not registered anywhere in the
world for emergency contraception, and none of
the methods of emergency contraception that are
registered anywhere in the world will work to
cause abortion. All of them prevent pregnancy.
Emergency contraception and early medical abortion
with compounds like mifepristone are both important
options for women. In order for women to understand
their choices and make informed decisions, they
need accurate information about these therapies,
and the differences between them.
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