In their recent letter to the editor, Leona Jovanovich and Ben McDonald offer their own version of how emergency contraception (EC) works. They employ emotionally charged words (killed embryo, destroy, thwart, human life, roughened uterus, etc.) to advance a certain moral position on the subject than describe a mechanism that is supported by the facts. A more appropriate explanation of how EC works is the one offered by the Reproductive Health Technologies Project, a source that Jovanovich and McDonald reference, (but do not cite) in their letter: âÄúEC prevents pregnancy the same way the daily pill does. Studies clearly show that EC delays or inhibits ovulation. Research suggests it might also inhibit fertilization or prevent implantation of the fertilized egg in the uterus, with several studies showing no effect after ovulation. âĦ Regardless, all these events occur before the beginning of pregnancy. EC will not inhibit or harm an established pregnancy.âÄù Boynton Health Service Pharmacy has been in the forefront of providing low-cost, easily accessible EC for 20 years. The goal has been to prevent unintended pregnancies that often occur among American women. (American women have significantly higher pregnancy rates, relative to their Canadian and Northern European counterparts; a result, in part, due to the lack of easily available, low-cost contraceptive agents). Along with this pregnancy rate comes a high rate of abortions (American women have one of the highest aborted pregnancy rates in the world). If we could prevent these unintended pregnancies with easily available low-cost EC, we could also prevent the countless abortions that occur as a result. Now this is an idea on which everyone could agree. Steve Cain Boynton Health Service
Importance of emergency contraception
Published April 14, 2009
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