Wednesday, May 1st, 2013
The birth control medication known as the “morning-after pill” will soon be available without a prescription to women age 15 and older, the Food and Drug Administration announced Tuesday. More from CNN.com:
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This move comes just weeks after a federal judge in Brooklyn, New York, ordered the FDA to make the morning-after birth control pill available to women of any age, without a prescription. Tuesday’s FDA announcement, which pertains to an application from Teva Women’s Health, Inc., is not related to that, the FDA said.
“The FDA’s approval of Teva’s current application for Plan B One-Step is independent of that litigation and this decision is not intended to address the judge’s ruling,” the FDA said in a statement.
In early April, the U.S. Justice Department indicated an appeal of the Brooklyn judge’s order was under consideration. “The Department of Justice is reviewing the appellate options and expects to act promptly,” department spokeswoman Allison Price said.
According to the new FDA decision, Plan B One-Step will now be labeled to reflect that proof of age is required to purchase it, and it cannot be sold where age cannot be verified. The packaging will include a product code that prompts the cashier to ask and verify the age of the customer.
The product will be available in retail outlets with pharmacies, but the pill can be sold during non-pharmacy hours, too.
“While we fully support this expansion of access to birth control, we continue to believe that the administration should lift all unnecessary restrictions to emergency contraception, consistent with the prevailing science and medicine,” Planned Parenthood Federation of America President Cecile Richards said Tuesday in a statement.
The FDA decision does not pertain to the two other emergency contraceptive drugs marketed in the United States. Plan B is available from generic manufacturers over-the-counter for women 17 and older and Ella is available by prescription only, for all ages, and prevents pregnancy within five days of unprotected sex or contraceptive failure.
Thursday, April 11th, 2013
A new research study published in the journal Obstetrics and Gynecology has found that intrauterine devices, or IUDs, are safe and effective for teenage girls. The findings are based on analysis of more than 90,000 women who used the contraceptive device. More from Reuters:
Researchers found less than 1 percent of all women developed serious complications from the devices, such as pelvic inflammatory disease, regardless of their age.
And teens were only slightly more likely than older women to lose their periods or become pregnant while using an intrauterine device (IUD), according to findings published in Obstetrics & Gynecology.
“It shows exactly what many of us have thought all along, that IUDs are great options for teens,” said James Trussell, who studies birth control methods at Princeton University in New Jersey.
IUDs include the hormone-releasing Mirena, which can prevent pregnancy for five years, and a copper version, sold as ParaGard, which is effective for 10 years. The devices cost a few hundred dollars each, not including doctors’ charges for inserting them.
Evidence has been mounting that new IUDs are safe and effective in preventing pregnancy. But some doctors have been difficult to convince since an older and badly-designed version of the IUD, the Dalkon Shield, caused serious infections and even deaths in the 1970s.
In guidelines published last year, the American College of Obstetricians and Gynecologists said IUDs and contraceptive implants should now be considered one of the best birth control options for teens because they are reliable and reversible.
Image: Teenage girl and her doctor, via Shutterstock
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Friday, January 11th, 2013
The Food and Drug Administration has approved a new intrauterine device (IUD), the first such new approval in 12 years, Reuters is reporting:
The T-shaped polyethylene device is designed to prevent pregnancy for 3 years, during which time it releases a diminishing dosage of progestin, according to Bayer documents.
The proportion of women using long-acting reversible contraceptive methods such as an intrauterine device (IUD) climbed to 7.7 percent in 2009 up from 2.0 percent in 2002, according a 2012 study by the Guttmacher Institute, a reproductive health and rights organization based in New York.
The highest level of use was among women aged 25-39 and those who already had at least one child.
The IUD, called Skyla, is aimed at younger women who have not had children. During a trial of 1,432 women aged 18 to 35 years, the rate of pregnancy over a three-year period was 0.9 per 100 women, and 77 percent of women wishing to become pregnant did so within 12 months of its removal, Bayer documents said.
“Over half of all pregnancies in the U.S. are unintended and there’s just a need out there to have effective birth control,” said Pamela Cyrus, Bayer’s head of medical affairs said in an interview.
Image: Woman talking to her doctor, via Shutterstock
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Tuesday, November 27th, 2012
The American Academy of Pediatrics is revising its policy on contraception, now recommending that pediatricians should discuss safe sex and contraceptive options including the “morning-after” pill Plan B with teenaged patients and their parents. Further, the AAP is recommending pediatricians prescribe a “just-in-case” Plan B prescription teens can carry in their wallets. More from CNN.com:
The United States has one of the highest rates of teen pregnancy among developed countries. Nearly 80% of teen pregnancies are unplanned, a result of contraception failure or nonuse, according to the AAP.
The use of emergency contraception has been around since the 1970s, when doctors often advised patients to double up on their regular birth control pills in a method called “Yuzpe.” Since then several products have been approved for use by prescription and over-the-counter. Yet lead author Dr. Cora Beurner said there are still many people who don’t know about emergency contraception or have unfounded fears about using it.
Emergency contraception is designed to prevent pregnancy after unprotected sex. It works by inhibiting ovulation and disrupting the production of key cells needed in a woman’s body to conceive. It works best if taken up to 24 hours after intercourse, although it lowers pregnancy risk if taken within 120 hours (five days). It will not work if you are already pregnant.
Emergency contraception is available with a prescription for all patients and available over-the-counter for women over the age of 17. The pills cost around $80.
Image: Teenage girl with doctor, via Shutterstock
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Monday, October 8th, 2012
A new large-scale study has found that access to free contraceptive pills is part of the explanation for well-documented drops in the rates of both teen pregnancy and abortions. The finding comes just before the Obama administration’s health care law takes effect, including provisions that will offer birth control coverage to women nationwide. The Associated Press has more:
When price wasn’t an issue, women flocked to the most effective contraceptives — the implanted options, which typically cost hundreds of dollars up-front to insert. These women experienced far fewer unintended pregnancies as a result, reported Dr. Jeffrey Peipert of Washington University in St. Louis in a study published Thursday.
The effect on teen pregnancy was striking: There were 6.3 births per 1,000 teenagers in the study. Compare that to a national rate of 34 births per 1,000 teens in 2010.
There also were substantially lower rates of abortion, when compared with women in the metro area and nationally: 4.4 to 7.5 abortions per 1,000 women in the study, compared with 13.4 to 17 abortions per 1,000 women overall in the St. Louis region, Peipert calculated. That’s lower than the national rate, too, which is almost 20 abortions per 1,000 women.
In fact, if the program were expanded, one abortion could be prevented for every 79 to 137 women given a free contraceptive choice, Peipert’s team reported in the journal Obstetrics & Gynecology.
Image: Birth control pills, via Shutterstock
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