Research conducted by the south staffordshire sexual health service.doc



Is the Mirena suitable at any age? Moss EL, Pryce A, Kundu A. Annual Scientific
Meeting of the Faculty of Family Planning and Reproductive Health Care, Newcastle,
May 2006

Patterns of Emergency Contraception use in Women Attending South Staffordshire
Sexual Health Clinics. Moss EL, Reynolds TM, Kundu A. 31st British International
Congress on Obstetrics and Gynaecology, London, July 2007
Emergency Intrauterine Device - No thanks we’re teenagers. Moss EL, Reynolds TM,
Kundu A. BMOGS (Burton) May 2007
Is the Mirena suitable at any age? Moss EL, Kundu A. BMOGS (Birmingham
Women’s Hospital) October 2005
EL Moss, TM Reynolds, A Kundu
Time from Event to Presentation
Levonorgestrel emergency contraception (EC) is well known
to have a lower efficacy for preventing a pregnancy
compared to an emergency copper intrauterine device (IUD).
The failure rate of hormonal contraception increases further
of patients
when levonorgestrel EC is used out of license between 73-
<20 years
120 hours after an episode of unprotected intercourse
>20 years
A prospective audit of patients attending the South
Staffordshire Sexual Health Service over a 4-month period
requesting emergency contraception.
260 (97%) patients attended within the first 72 hours after
the episode of UPSI.
There was no significant difference in the time to
presentation between the under and over 20 year old
populations, p=0.652.
Information was collected on 269 patients. 59% of the
population were teenagers.
Method of Emergency Contraception Offered
There was no difference in the proportion of women in the
two age groups offered levonorgestrel EC alone or both
methods, p=0.459.
Under 16 years
16-19 years
20-24 years
25-29 years
30-39 years
Over 40 years
of patients
Levonelle alone
IUCD alone
Levonelle + IUCD
There was a significant difference in parity between the
teenage and over 20 year old populations, 86% of the under 20
year olds were nulliparous compared to 40% of the over 20
years olds, p<0.001.
Teenagers were less likely to attend the clinic alone compared
260 (97%) women were treated with levonorgestrel EC, 5
to the over 20 year olds, 43% compared to 74%. Instead they
women had an IUD fitted and 4 women had both forms of
were more likely to attend with a female friend, 42%
emergency contraception.
compared to 8% in the over 20 years olds, p<0.001.
9 women presented at 73-120 hours - 3 had an IUD fitted
(all over 20 years), 6 (all under 20 years) chose unlicensed
levonorgestrel EC instead.
Teenagers were less likely to have an IUD fitted - 2 out of
47 consultations (4%) where both methods were discussed
compared to 7 out of 35 consultations (20%) in the over 20
Reason for requesting Emergency Contraception
year old population, p=0.058.
Percentage 50
of patients
Under 20 years
Sexually Transmitted Infections (STIs)
Over 20 years
Health care professionals were significantly more likely to
discuss STI screening with teenagers than the over 20 year
No condom
Poor pill
old population, 89% compared to 78%, p=0.009.
Teenagers attending our clinics rarely accept an IUD as
62% of teenagers reported using condoms as their usual
emergency contraception.
method of contraception, 24% reported taking an oral
Teenagers presenting 72 hours after an episode of UPSI
contraceptive pill and 12% did not use contraception. There
prefer unlicensed levonorgestrel rather than an IUD,
was no significant difference in contraception use in the
despite the reduced efficacy being explained.
over 20 year old population, p=0.183.


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