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Addenda au Consensus canadien sur la contraception – Contraception d'urgence : 1) Exclure la présence d'une grossesse avant l'insertion d'un DIU de cuivre et 2) Amorcer une contraception hormonale après la prise d'une contraception d'urgence

Published:October 13, 2016DOI:https://doi.org/10.1016/j.jogc.2016.09.014
      De récentes données
      • Brache V.
      • Cochon L.
      • Duijkers I.J.
      • et al.
      A prospective, randomized, pharmacodynamic study of quick-starting a desogestrel progestin-only pill following ulipristal acetate for emergency contraception.
      • Cameron S.T.
      • Berger C.
      • Michie L.
      • Klipping C.
      • Gemzell-Danielsson K.
      The effects on ovarian activity of ulipristal acetate when ‘quickstarting’ a combined oral contraceptives: a prospective, randomized, double-blind parallel-arm, placebo-controlled study.
      • Turok D.K.
      • Sanders J.N.
      • Thompson I.S.
      • et al.
      Preference for and efficacy of oral levonorgestrel for emergency contraception with concomitant placement of a levonorgestrel IUD: a prospective cohort study.
      publiées après le Consensus canadien sur la contraception et son chapitre trois intitulé « Contraception d'urgence » ont mené à une révision des recommandations à ce sujet.

      Abréviations:

      CCC (Consensus canadien sur la contraception), CU (Contraception d'urgence), CU-LNG (Contraception d'urgence au lévonorgestrel), CU-UPA (Contraception d'urgence à l'acétate d'ulipristal), DIU (Dispositif intra-utérin), DIU de cuivre (Dispositif intra-utérin de cuivre), LNG (Lévonorgestrel), SIU (Système intra-utérin), SIU-LNG (Système intra-utérin au lévonorgestrel), RSNP (Relation sexuelle non protégée), UPA (Acétate d'ulipristal)
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      Références

        • Brache V.
        • Cochon L.
        • Duijkers I.J.
        • et al.
        A prospective, randomized, pharmacodynamic study of quick-starting a desogestrel progestin-only pill following ulipristal acetate for emergency contraception.
        Hum Reprod. 2015; 30: 2785-2793
        • Cameron S.T.
        • Berger C.
        • Michie L.
        • Klipping C.
        • Gemzell-Danielsson K.
        The effects on ovarian activity of ulipristal acetate when ‘quickstarting’ a combined oral contraceptives: a prospective, randomized, double-blind parallel-arm, placebo-controlled study.
        Hum Reprod. 2015; 30: 1566-1572
        • Turok D.K.
        • Sanders J.N.
        • Thompson I.S.
        • et al.
        Preference for and efficacy of oral levonorgestrel for emergency contraception with concomitant placement of a levonorgestrel IUD: a prospective cohort study.
        Contraception. 2016; 83: 526-532

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