Quick Start of Highly Effective Contraception

NCT ID: NCT02076217

Last Updated: 2024-12-13

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

ACTIVE_NOT_RECRUITING

Total Enrollment

1030 participants

Study Classification

OBSERVATIONAL

Study Start Date

2014-02-28

Study Completion Date

2026-01-31

Brief Summary

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This project will quantify rates of contraceptive failure when unprotected intercourse occurs 6-14 days prior to initiation of highly effective reversible contraceptives (such as IUD's and Implants).

Detailed Description

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Women seeking emergency contraception (EC) frequently report multiple recent episodes of unprotected sex. Although high sensitivity urine pregnancy tests effectively rule-out pregnancy resulting from sex that occurred more than 14 days ago, clinicians are frequently concerned that pregnancy may result from unprotected sex that occurred \<14 days prior to IUD placement. Placement of a copper IUD within 5 days of unprotected sex is a highly effective form of EC. Among 52 Chinese women who reported unprotected intercourse 5-7 days prior to copper IUD insertion, no pregnancies occurred. However, the effectiveness of the copper IUD when unprotected sex occurs 7-14 days prior to IUD placement is unknown. Intrauterine pregnancies rarely occur with a copper IUD in place. As some clinicians are concerned about injuring a pregnancy that occurs with an IUD in place, women who have had unprotected sex 7-14 days prior to requesting IUD placement are typically told they must use another, less effective, contraceptive for 2+ weeks and then return to obtain an IUD. To remove this barrier to emergency placement of a copper IUD, we propose to study rates of pregnancy when a copper IUD is placed "any time a urine pregnancy test is negative." We believe that simplifying guidance regarding the recommended timing of copper IUD placement has the potential to significantly increase the number of women offered "same-day" IUD service.

Conditions

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IUD Contraceptive Implant Contraception Birth Control Emergency Contraception

Keywords

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Highly Effective Contraception Emergency Contraception Birth Control LARC (Long Acting Reversible Contraception) HERC (Highly Effective Contraception)

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Study Groups

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unprotected intercourse 6-14 days prior to contraception

Women who initiate highly effective reversible contraception within 6-14 days of unprotected intercourse.

Copper T-380 IUD

Intervention Type DRUG

LNG IUD

Intervention Type DRUG

Contraceptive implant Nexplanon

Intervention Type DEVICE

Depo-Provera

Intervention Type DRUG

Interventions

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Copper T-380 IUD

Intervention Type DRUG

LNG IUD

Intervention Type DRUG

Contraceptive implant Nexplanon

Intervention Type DEVICE

Depo-Provera

Intervention Type DRUG

Other Intervention Names

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Paragard IUD Mirena IUD, Skyla IUD Etonorgestrel contraceptive implant, Implanon, Nexplanon Depo, Intramuscular medroxyprogesterone acetate

Eligibility Criteria

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Inclusion Criteria

* Women between the ages of 15 and 45 years who request injectable, subdermal, or intrauterine contraception, 6-14 days after having unprotected intercourse.

Exclusion Criteria

* History of tubal ligation or hysterectomy.
* Positive urine pregnancy test
Minimum Eligible Age

15 Years

Maximum Eligible Age

45 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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University of Utah

OTHER

Sponsor Role lead

Responsible Party

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David Turok

MD

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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David Turok, MD

Role: PRINCIPAL_INVESTIGATOR

University of Utah

Locations

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Planned Parenthood Association of Utah

West Valley City, Utah, United States

Site Status

Countries

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United States

References

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Sadler LS, Chen JY, Daley AM, Leventhal JM, Reynolds H. Reproductive care and rates of pregnancy in teenagers with negative pregnancy test results. J Adolesc Health. 2006 Mar;38(3):222-9. doi: 10.1016/j.jadohealth.2004.10.007.

Reference Type BACKGROUND
PMID: 16488819 (View on PubMed)

Schwarz EB, Kavanaugh M, Douglas E, Dubowitz T, Creinin MD. Interest in intrauterine contraception among seekers of emergency contraception and pregnancy testing. Obstet Gynecol. 2009 Apr;113(4):833-839. doi: 10.1097/AOG.0b013e31819c856c.

Reference Type BACKGROUND
PMID: 19305327 (View on PubMed)

Westhoff C, Kerns J, Morroni C, Cushman LF, Tiezzi L, Murphy PA. Quick start: novel oral contraceptive initiation method. Contraception. 2002 Sep;66(3):141-5. doi: 10.1016/s0010-7824(02)00351-7.

Reference Type BACKGROUND
PMID: 12384200 (View on PubMed)

Boraas CM, Sanders JN, Schwarz EB, Thompson I, Turok DK. Risk of Pregnancy With Levonorgestrel-Releasing Intrauterine System Placement 6-14 Days After Unprotected Sexual Intercourse. Obstet Gynecol. 2021 Apr 1;137(4):623-625. doi: 10.1097/AOG.0000000000004118.

Reference Type DERIVED
PMID: 33706343 (View on PubMed)

Other Identifiers

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67314

Identifier Type: -

Identifier Source: org_study_id