The Yuzpe regimen is a method of
emergency contraception
Emergency contraception (EC) is a birth control measure, used after sexual intercourse to prevent pregnancy.
There are different forms of EC. Emergency contraceptive pills (ECPs), sometimes simply referred to as emergency contraceptives (ECs), o ...
that uses a combination of
ethinyl estradiol
Ethinylestradiol (EE) is an estrogen medication which is used widely in birth control pills in combination with progestins. In the past, EE was widely used for various indications such as the treatment of menopausal symptoms, gynecological dis ...
and
levonorgestrel
Levonorgestrel is a hormonal medication which is used in a number of birth control methods. It is combined with an estrogen to make combination birth control pills. As an emergency birth control, sold under the brand name Plan B One-Step among ...
. It is less effective and less commonly used than a larger dose of levonorgestrel alone, a dose of
ulipristal acetate
Ulipristal acetate, sold under the brand name Ella among others, is a medication used for emergency contraception (birth control) and uterine fibroids. As emergency contraception it should be used within 120 hours of vaginally penetrating inter ...
, or insertion of a
copper intrauterine device. It is designed to be used within 72 hours of unprotected sexual intercourse because it works by inhibiting ovulation.
Typically, the Yuzpe regimen uses several doses of
combined oral contraceptive
The combined oral contraceptive pill (COCP), often referred to as the birth control pill or colloquially as "the pill", is a type of birth control that is designed to be taken orally by women. The pill contains two important hormones: progesti ...
pills. It may be preferred in locations where other forms of emergency contraception are unavailable or accessing emergency contraception carries a societal stigma. In these places, people often self-administer combined oral contraceptives as emergency contraception.
Subsequently, the
World Health Organization
The World Health Organization (WHO) is a specialized agency of the United Nations responsible for international public health. The WHO Constitution states its main objective as "the attainment by all peoples of the highest possible level of h ...
(WHO) undertook an investigation into the use of progestogen-only tablets as an Emergency Hormonal Contraceptive (i.e. without any estrogen component). This showed greater efficacy with reduced side effects and has therefore superseded the Yuzpe method. A single dose of 100 mg
mifepristone
Mifepristone, also known as RU-486, is a medication typically used in combination with misoprostol to bring about a medical abortion during pregnancy and manage early miscarriage. This combination is 97% effective during the first 63 days of p ...
is also more effective than the Yuzpe regime.
History
The method was first developed by
Canadian
Canadians (french: Canadiens) are people identified with the country of Canada. This connection may be residential, legal, historical or cultural. For most Canadians, many (or all) of these connections exist and are collectively the source of ...
Professor of Obstetrics and Gynecology
A. Albert Yuzpe
Abraham Albert "Al" Yuzpe (born 1938) is a Canadian obstetrician-gynecologist known for his work on human fertility and emergency contraception.RengelMarian (2000). ''Encyclopedia of Birth Control.'' Greenwood Publishing Group, The Yuzpe regimen, ...
as a method of reducing potential unwanted pregnancies, including
pregnancy from rape
Pregnancy is a potential result of rape. It has been studied in the context of war, particularly as a tool for genocide, as well as other unrelated contexts, such as rape by a stranger, statutory rape, incest, and underage pregnancy. The curr ...
.
He published the first studies demonstrating the method's safety and efficacy in 1974.
References
{{Hormonal contraceptives
Hormonal contraception