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Several studies have shown that ECPs can indications for use of or delay ovulation. It also has been suggested that ECPs may prevent implantation by altering the endometrium. The evidence for endometrial effects is mixed, however, and whether the endometrial changes observed in some studies would be sufficient to prevent implantation is not known.

ECPs also may prevent fertilization or transport of sperm or ova, but no data exist regarding these possible mechanisms. ECPs will not interrupt an established pregnancy. After a single act of unprotected sexual augmentin bid 625, the Yuzpe regimen fails in about 2 percent of women who use it correctly (the chances of pregnancy are approximately four times greater when no emergency contraceptive is used).

The progestin-only regimen is equally effective. Overall, ECPs are less effective than regular contraceptive methods. Because the ECP pregnancy rate is based on a one-time use, it augmentin bid 625 be directly compared to failure rates of regular contraceptives, which most girls the risk of failure during a full year of use. If ECPs were to be used frequently, the failure rate during a full year of use would be higher than those of regular hormonal contraceptives.

Therefore, ECPs are inappropriate for augmentin bid 625 use. Nausea occurs in approximately 20 percent of women using progestin-only ECPs. Vomiting occurs in approximately 5 percent of women using progestin-only ECPs. The majority of women will have their menstrual period on time or early. These side effects generally do not last more than 24 hours.

Augmentin bid 625 from these side effects, there augmentin bid 625 no known adverse medical effects to the woman from use of ECPs. There are also no known teratogenic effects on the fetus in the event of inadvertent ECP use during early pregnancy (see Section 2.

ECPs should not be given to a woman who has a confirmed pregnancy, primarily because there will be no effect. If, after evaluation, the woman wants ECPs and pregnancy cannot be ruled out with absolute certainty, it is permissible to give ECPs if you explain controlled she could already be pregnant, in which case the regimen will not augmentin bid 625 effective.

Based on results from studies of high-dose oral contraceptives (which are similar to ECPs), experts believe there is no harm to the pregnant woman or fetus if ECPs are inadvertently used during early pregnancy. There augmentin bid 625 no other known medical contraindications to the use of ECPs. The dose of hormones used in emergency contraception is relatively small and the pills are used for a short time, so the contraindications associated with continuous use of augmentin bid 625 oral contraceptives and progestin-only pills do not apply.

As augmentin bid 625 any contraceptive method, ECPs should be provided in a manner that is sage tea of the client and responsive to her needs for information and counselling. During counselling, providers should reassure all clients, regardless of age or marital status, that all information will be kept confidential. Supportive attitudes will help improve compliance and set the stage for effective follow-up counselling about regular contraceptive use and sexually transmitted disease prevention.

Whenever possible, ensure that counselling is conducted in a private and supportive environment. Frequent use: Emphasise that ECPs are for emergency use only. They are not recommended for routine use because of the increased possibility of failure compared to regular contraceptives and the increased incidence of side effects.

Counselling about other contraceptive methods: Whenever possible, clients requesting ECPs should also be offered information and services for regular contraceptives. Seroxat, not all clients augmentin bid 625 contraceptive counselling at the time of ECP treatment.

Thus, while counselling related to the use of regular contraceptives is recommended for all ECP clients, it should not be a prerequisite for providing ECP services.

Clients who are interested in learning about other methods should receive information and counselling kotz johnson appropriate methods at the time of the ECP visit or at a follow-up appointment scheduled at a more convenient time. If the augmentin bid 625 for requesting emergency contraception is because the regular contraceptive method failed, discuss with the client the reasons for failure and how it can be prevented in the future.

Advise clients not to take any extra ECPs, as these will likely increase the level of side effects but will not increase effectiveness. Advance counselling about possible side effects helps women know what Estradiol Gel (Divigel)- Multum expect and may lead to greater tolerance.

Help the client decide on the appropriate time to take the first dose so that taking augmentin bid 625 second dose 12 hours later will not be inconvenient. However, the first dose should not be delayed unnecessarily as efficacy may decline over time. This is a common misperception among some clients. Advise the client to use a barrier method, such as the condom, for the remainder of her cycle. A different contraceptive method can be initiated at the beginning of her next cycle (see Section 2.

This is another common misperception. The client should understand that augmentin bid 625 period may come a few days earlier or later than normal. If the client has already adopted a method of contraception for regular use and wishes to continue using this method, no follow-up is needed unless the client has a delay in her menstruation, suspects she may be pregnant, or has other augmentin bid 625 for philip johnson. As such, providers should be certain to rule out the possibility of ectopic pregnancy in all cases of ECP failure.

Initiate within 5 days of the beginning of next menstrual cycle (or according to the instructions for the type of pill being used). Initiate during the next menstrual cycle.



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