Contraception
Volume 82, Issue 6 , Pages 520-525, December 2010

A pilot study of the Copper T380A IUD and oral levonorgestrel for emergency contraception☆☆☆

  • David K. Turok

      Affiliations

    • Department of Obstetrics and Gynecology, University of Utah Health Sciences Center, Salt Lake City, UT 84132-2209, USA
    • Corresponding Author InformationCorresponding author. Tel.: +1 801 581 8995; fax: +1 801 585 5146.
    • ,
  • Shawn E. Gurtcheff

      Affiliations

    • Department of Obstetrics and Gynecology, University of Utah Health Sciences Center, Salt Lake City, UT 84132-2209, USA
    • ,
  • Erin Handley

      Affiliations

    • Division of Public Health, Department of Family and Preventive Medicine, University of Utah Health Sciences Center, Salt Lake City, UT 84132, USA
    • ,
  • Sara E. Simonsen

      Affiliations

    • Division of Public Health, Department of Family and Preventive Medicine, University of Utah Health Sciences Center, Salt Lake City, UT 84132, USA
    • ,
  • Christina Sok

      Affiliations

    • Department of Obstetrics and Gynecology, University of Utah Health Sciences Center, Salt Lake City, UT 84132-2209, USA
    • ,
  • Patricia Murphy

      Affiliations

    • College of Nursing, University of Utah Health Sciences Center, Salt Lake City, UT 84132, USA

Received 17 March 2010; received in revised form 27 May 2010; accepted 1 June 2010. published online 20 July 2010.

Abstract 

Background

This study evaluates the willingness of women presenting for emergency contraception (EC) to enroll in a study offering the copper intrauterine device (IUD) or oral levonorgestrel (LNG) and follows up the two groups for 6 months after EC administration to compare use of an effective method of contraception.

Study Design

This prospective observational study offered these two methods to women presenting for EC. The primary outcome was use of an effective method of contraception 6 months after presenting for EC.

Results

Thirty-four women (60%) chose oral LNG and 23 (40%) chose the copper IUD. One month after presenting for EC, 21 (96%) of 22 in the IUD group were still using the IUD and all 22 were using an effective method of contraception (efficacy ≥92%). In the LNG group, 13 (52%) of 25 were using an effective method of contraception (p<.001). At 6 months, 9 (69%) of 13 IUD users and 11 (52%) of 21 oral LNG EC users were using an effective method (p=NS).

Conclusion

Women presenting for EC were willing to enroll in a study offering the copper IUD or oral LNG.

Keywords: Emergency contraception, IUD, Oral levonorgestrel, Pilot study

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☆ This research was supported by an anonymous foundation. David Turok receives research support in the form of product from Duramed Pharmaceuticals and has served on an advisory board for Bayer Healthcare.

☆☆ The findings from this report were presented as a poster at Reproductive Health 2009 in Los Angeles, CA, USA, in September 2009.

PII: S0010-7824(10)00352-5

doi:10.1016/j.contraception.2010.06.001

Contraception
Volume 82, Issue 6 , Pages 520-525, December 2010

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