Research Article| Volume 11, ISSUE 2, P80-86, March 2001

Bringing emergency contraception to american women: the history and remaining challenges


      Emergency contraception has been called “America’s best-kept secret.” This article chronicles what it took to move it from secret to the pharmacy shelf. The fact that an emergency contraception product is available today in many pharmacies is indeed a major accomplishment. However, the job is not yet done. The shelf it needs to be found on is not just the pharmacists’ shelf, behind the counter—but the shelf in the medicine cabinet in millions of homes everywhere, like burn medicine, “just in case.”
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        • Yuzpe A.A
        • Thurlow H.J
        • Ramzy I
        • Leyshon J.I
        Post-coital contraception—a pilot study.
        Reprod Med. 1974; 13: 53-58
        • Trussell J
        • Stewart F
        The effectiveness of postcoital hormonal contraception.
        Fam Plann Perspect. 1992; 24: 262-264
        • Trussell J
        • Stewart F
        • Guest F
        • Hatcher R
        Emergency contraception pills.
        Fam Plann Perspect. 1992; 24: 269-273
      1. The Henry J. Kaiser Family Foundation. Is the secret getting out? 1997 National Surveys of Americans and Health Care Providers on Emergency Contraception. Menlo Park, CA; 1997.

        • Harvey S.M
        • Beckman L.J
        • Sherman C
        • Petitti D
        Women’s experience and satisfaction with emergency contraception.
        Fam Plann Perspect. 1999; 31: 237-240
      2. American College of Obstetrics and Gynecology (ACOG). Emergency oral contraception. ACOG Practice Patterns 1996; 3.

      3. Food and Drug Administration. Prescription drug products; certain combined oral contraceptives for use as postcoital emergency contraception. Federal Register 1997;56:203–10.

      4. Castle MA, Friedlander E, Bird ST, Coeytaux F. Introducing emergency contraceptive pill services at family planning clinics in Philadelphia: the organizational and social context. Los Angeles: CA: Pacific Institute for Women’s Health; 1999.

      5. Grimes DA. Emergency contraceptives over the counter: allowing easy access is important. West J Med 2000;172:148–9.

        • Ellertson C
        • Trussell J
        • Stewart F
        • Winikoff B
        Should emergency contraception be available without prescription?.
        J Am Med Womens Assoc [Special Issue]. Emergency contraception. 1998; 53: 226-229