Emergency contraception is a method to prevent pregnancy in women who have had unprotected sex, or for whom a barrier method has failed (slipped condom, diaphragm, or cervical cap, or broken condom).

Morning-after pill; Postcoital contraception; Birth control - emergency; Plan B

Emergency contraception may be used following many different situations, including:

• After intercourse in which no birth control method is used
• Sexual assault or rape
• When a condom breaks or a diaphragm slips out of place
• When a woman forgets to take birth control pills

Emergency contraception medicine is not the same as the "abortion pill." A woman who knows she is pregnant takes the abortion pill with the intent to end an early pregnancy (usually 4 to 7 weeks after conception). Emergency contraception pills are taken after unprotected sex to prevent pregnancy from occurring.

TYPE OF EMERGENCY CONTRACEPTION

Several types of emergency contraception drugs are available.

Two emergency contraceptive pills have been approved:

• Plan B One-Step is a single tablet that contains 1.5 mg of levonorgestrel.
• Next Choice is taken as two doses, which each contain 0.75 mg of levonorgestrel. Both pills can be taken at the same time or as two separate doses 12 hours apart.

Birth control pills, if available, can be used for emergency contraception. You must take two to five "regular" pills together to equal one dose of emergency contraception. It is best to talk to your health care provider about the correct dosage before doing this.

An alternative emergency contraception relies on insertion of a copper-releasing intrauterine device (IUD) within 5 days (120 hours) after unprotected intercourse. It can be removed after your next period, or left in place to provide ongoing contraception. The copper IUD reduces the risk of pregnancy by 99.9%.

MORE ABOUT EMERGENCY CONTRACEPTIVE PILLS

Both types Plan B One-Step and Next Choice are available over-the-counter (without a prescription) to women 17 years and older. Women younger than 17 can contact their health care provider to get a prescription for these pills. These pills are still considered safe to use for this younger age group.

Emergency contraceptives work best when taken within the first 24 hours after intercourse.

• About 7 out of 8 women who would have gotten pregnant do not become pregnant if emergency contraceptives are taken within 72 hours.
• These pills may still prevent pregnancy for up to 5 days after unprotected intercourse.

Emergency contraceptives work mostly by preventing or delaying the release of an egg (ovulation) - the same way that taking regular birth control pills works. It is possible that these drugs work by preventing an egg from being fertilized by a sperm, or by preventing a fertilized egg from implanting in (sticking to) the walls of your uterus (womb).

Mild and often unpleasant side effects from emergency contraception medication may include:

• Abdominal pain, fatigue, headache, and changes in menstrual bleeding.
• Nausea and vomiting are most common when an estrogen-containing pill is used. These side effects are less common with Plan B, which contains a synthetic progesterone.

After taking emergency contraception, a woman's next menstrual cycle may start earlier or later than expected and the menstrual flow may be lighter or heavier than usual.

• Most women will start their next period within 7 days of the expected date.
• If a woman's menstrual bleeding does not start within 3 weeks after taking emergency contraception, she might be pregnant and should call or visit her health care provider.

OTHER IMPORTANT FACTS

Women who believe that they are already pregnant and may have been for longer than several days should not take emergency contraception medicine. Also, women who have vaginal bleeding for an unknown reason should discuss this with their health care provider before taking emergency contraception.

Women who cannot take birth control pills regularly may often still be able to use emergency contraceptives, but they should also discuss this option with their health care provider.

If emergency contraception fails and the woman becomes pregnant, there do not appear to be any long-term effects on the pregnancy or the fetus.

Emergency contraception should not be used as a routine birth control method, because it is actually less effective at preventing pregnancies than most types of birth control.

Amy JJ, Tripathi V. Contraception for women: an evidence based overview. BMJ. 2009;339:b2895.doi:10.1136/bmj.b2895.

Prine L. Emergency contraception: myths and facts. Obstet Gynecol Clin N Am. 2007;34:127-136

Mischell DR. Family planning: contraception, sterilization, and pregnancy termination. In: Katz VL, Lentz GM, Lobo RA, Gershenson DM, eds. Comprehensive Gynecology. 5th ed. Philadelphia, Pa: Mosby Elsevier; 2007:chap 14.

There's so much going on in these three episodes, it's hard to put in one post, but here's some of the highlights. First and foremost is the opening credits, which are a mesmerizing montage of old surf film clips cut beautifully together with Joe Strummer's "Johnny Appleseed." In this regard, JFC dutifully fills The Sopranos shoes as opening credits that you relish watching again (see it here.) I'm not sure if it's intentional or not, but Strummer's lyric about "don't go killing all the bees" feels especially ominous with recent news and all John's talk about "the end is near." The music grows as a storytelling method throughout the series. When the second episode ends with a 'resurrection,' TV On The Radio's "Staring at the Sun" plays with the opening lyrics "cross the street from your storefront cemetary..." and goosebumps instantly appear. In the surf tent, just before Shaun's accident the soundtrack introduces the wonderful sounds of English band Kava Kava and their song "Tic"

By the third episode, we're inundated with musical references. As Freddy "the ice cream man" (Deadwood's Dayton Callie) talks to himself in his car parked outside the hospital, he's listening to the Sarah Brightman duet with Andrea Bocelli of "Time to Say Goodbye (Con te partirò)" Freddy must assume the worst about Shaun to be listening to a song like this (especially considering his brutish nature.) "Aww. That's where the blind dago was supposed to come in. What's this, a different version?" No, Freddy, Bocelli actually comes in later. Some may remember once upon a time this song served as a sort of theme for Carmela on The Sopranos. Then, in a very Twin Peaks-like scene back at the 'haunted' hotel room, Barry says, knee-deep in Milchspeak: "I alone, then, am favored by that jovially croaking postcoital falsetto winsomely caricaturing Debby Boone?" To which he starts to sing "You Light Up My Life," (did anyone else flashback to Todd Solondz' Happiness here?) When Barry later mutters the seemingly non-sequiter "black bobby socks," I find myself eerily looking forward to a Lynchian flashback that involves said song and socks. Later in the episode, John makes Kai "see God," set to Buddy Guy's rendition of John Lee Hooker's "Boogie Chillen." NEW COMMENT

In addition to your great music review, there was also the first song that I heard in the Van when he picked up John. Canned Heat's "Going to the country" played. Bring back memories? Joe Strummer "appleseed" has to be one the summer of 2007 sounds. It's an award-winning opening music/vid sequence. JOHN FROM CINCINNATI 10 EPISODE SEASON SOUNDTRACK:

1. "Johnny Appleseed" - Joe Strummer and the Mescaleros - Main title/theme song

2. "The Perfect Ending" - Harriet Street

3. "Goin' Up The Country" - Canned Heat - Episode 101: Vietnam Joe in van

4. "Sun/Rise/Light/Flies" - Kasabian - Episode 101: Closing credits

5. "Tic" - Kava Kava - Episode 102: Shaun prepares for competition

6. "Staring at the Sun" - TV On The Radio - Episode 102: Closing credits

7. "Time To Say Goodbye" - Sarah Brightman - Episode 103: Freddie in his car outside the hospital

8. "You Light Up My Life" - Debby Boone - Episode 103: Barry recalls what happened in Room 24

9. "Boogie Chillen" - Buddy Guy - Episode 103: John says "See God Kai" and trippy montage ensues

10. "Feeling Good" - Muse - Episode 103: Closing credits, Shaun on halfpipe after Dr. Smith says "I'm so...happy!"

11. "Unisono" - Control Machete - Episode 104: John gets in the van before 'the stare-down'

12. "Un Di Felice, Eterea" - David Byrne - Episode 104: Vietnam Joe finds John, John signals Cass

13. "In Your Eyes" - Peter Gabriel - Episode 104: Kai reminds Butchie of their Jr Prom

14. "Over, Under, Sideways, Down" - The Yardbirds - Episode 104: Closing credits

15. "Tonights The Night" - The Shirelles - Episode 105: Butchie and Tina in diner

16. "Don't Let Me Be Misunderstood" - Elvis Costello - Episode 105: Closing credits

17. "And When I Die" - Laura Nyro - Episode 106: Freddie & Bill

18. "My Favorite Things" - John Coltrane - Episode 106: Closing credits

19. "Watching The Wheels" - Matisyahu - Episode 107: Closing credits

20. "Tennessee Waltz" - Patti Page - Episode 108: Barry has vision in bar

21. "When Love Comes To Town" - U2 - Episode 108: Closing credits

22. "Hold On, I'm Coming" - Sam & Dave - Episode 109: Closing credits

23. "Series of Dreams" - Bob Dylan - Episode 110: Opening scene w/clouds and John & Shaun's return, surfing in together

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prosecting, prosectors, prosecuted, prosecutes, prosecutor, proselyted, proselytes, proseminar, prosimians, prosodical, prosodists, prospected, prospector, prospectus, prospering, prosperity, prosperous, prostatism, prostheses, prosthesis, prosthetic, prostitute, prostomial, prostomium, prostrated, prostrates, protamines, protectant, protecting, protection, protective, protectors, protectory, proteinase, protending, protensive, protestant, protesters, protesting, protestors, prothallia, prothallus, protistans, protocoled, protoderms, protohuman, protonated, protonates, protonemal, protoplasm, protoplast, protostars, protostele, protostome, prototroph, prototypal, prototypes, prototypic, protoxylem, protozoans, protracted, protractor, protreptic, protruding, protrusion, protrusive, proustites, provenance, provenders, proverbial, proverbing, providence, provincial, proviruses, provisions, provitamin, provolones, proximally, prudential, pruriences, pruriently, prurituses, psalmbooks, 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1788 words