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| How might Ortho Tri-Cyclen Lo be used for emergency contraception? #502/8 |
What is the dosage of Orthro Tri-Cyclen Lo for emergency birth control?
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We do not have data to provide an evidence-based response to your question. If you are going to use this approach, I would suggest 4 of any of the hormonally active pills followed by 4 more of the hormonally active pills. I am sending you along another possibility and the comments of a woman who has inserted many IUDs as emergency contraceptives:
The most effective approach to emergency contraception, by far, is to have a copper T IUD (ParaGard) insertion as in the following case history:
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44 year old white female presented on Jan 30, 2008 for an annual exam. She has problems with her short-term memory due to a prior head injury in an auto accident. She had let her Depo lapse and had not had any bleeding since the lapse. Last Depo was 8-29-07. Another nurse practitioner had done her exam, pregnancy test negative, given Plan B and told her to return in 2 weeks and if
pregnancy test negative she could resume Depo. She next presents to clinic on 2-13-08 when I see her. She was requesting Depo. She still had not had any bleeding and admitted to having unprotected sex 2-3 days prior to the visit. The RN came to me requesting an order for Plan B. She had not told her about the ParaGard. I went and reviewed her options including the ParaGard. She very quickly decided that was what she wanted and why had someone not told her about this before as not only EC but ongoing contraception. We did a pregnancy test, placed the IUD and she left a happy camper with her sister. She is to return in a month for follow-up.
When I returned in Nov after the meeting, I began wondering why it had been awhile since someone had wanted the ParaGard as EC. We have had staff
turnover. I began asking staff if they gave options Plan B vs. ParaGard and sadly found out that they had not been telling patients about ParaGard. What I found out was that some of the staff did not know that a ParaGard could be used as EC and the older staff did not inform patients because they said it took too much time. I let management know. Since then, I have personally made sure each patient that I care for requesting EC are given both options and information myself so that they are making an informed decision. So, carefully consider having a ParaGard IUD (copper T IUD) inserted. It gives you greater protection as an emergency contraceptive AND provides you over 10 years of incredibly effective contraception thereafter if you want long-term contraception.
Good luck with this important decision!
Email sent 5-17: Two questions: What did you decide to do? Had you ever read of this insertion of the copper T IUD as an emergency contraceptive? I will be most interested in your answer.
Key Words: dosage, Ortho Tri-Cyclen, Lo, emergency contraception, evidence, hormonally active pills, effective approach, copper T IUD (ParaGard)
Posted 5-11-2008, Updated 5-17-2008 , Updated 5-22-2008
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Robert A. Hatcher MD, MPH
Professor of Gynecology and Obstetrics
Emory University School of Medicine
Atlanta, GA
---2008-05-23
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The directors and owners of this website and any publications and information concerning health matters offered here advise a person with a particular problem to consult a primary-care clinician or a specialist in obstetrics, gynecology, or urology (depending on the problem or the contraceptive) as well as the product package insert and other references before diagnosing, managing, or treating the problem. |
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