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Recent advances in contraception

Author(s): Aiken, Abigail; Trussell, James

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Abstract: Focusing on intrauterine contraceptives (IUC), contraceptive implants, and emergency contraceptives, we review recent advances in contraceptive development and discuss progress in policies to improve access to the most effective methods. We report on the shift in practice towards routinely providing IUCs and implants to young and nulliparous women, prompted in part by the reduced diameter of the insertion tube for the Mirena IUC and the development of a smaller IUC called Skyla. Additionally, we describe the new SCu300A intrauterine ball and the development of an implant called Nexplanon, which comes with a preloaded inserter. We also discuss the efficacy of ulipristal acetate versus levonorgestrel for emergency contraception, especially for women who weigh more than 75 kg. Finally, in light of the increasing interest in providing IUCs and implants to women in the immediate postpartum and post-abortion periods, we consider the rationale for this change in practice and review the progress that has been made so far in the United States.
Publication Date: 2014
Citation: Aiken, ARA, Trussell, J. (2014). Recent advances in contraception. F1000Prime Reports, 6 (1-6). doi:10.12703/P6-113
DOI: doi:10.12703/P6-113
ISSN: 2051-7599
Pages: 1-6
Type of Material: Journal Article
Journal/Proceeding Title: F1000Prime Reports
Version: Final published version. This is an open access article.

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