Bibliographic Info
Recommendation
Recommended in favor
Strong
Certainty of evidence
Moderate
(Women survivors of sexual assault, Interventions during the first 5 days after the assault) Health-care providers should offer levonorgestrel, if available. A single dose of 1.5 mg is recommended, since it is as effective as two doses of 0.75 mg given 12–24 hours apart. If levonorgestrel is NOT available, the combined oestrogen–progestogen regimen may be offered, along with anti-emetics if available. If oral emergency contraception is not available and it is feasible, copper-bearing intrauterine devices (IUDs) may be offered to women seeking ongoing pregnancy prevention. Taking into account the risk of sexually transmitted infections (STIs), the IUD may be inserted up to 5 days after sexual assault for those who are medically eligible