National Institute for Health and Clinical Excellence (NICE)
Printable version E-mail this to a friend

Coil is more effective than pill as emergency contraception, says NICE

NICE is calling for women to be told that the coil is more effective than the ‘morning after pill’ for emergency contraception, in a new quality standard.

A new quality standard has set out the key areas where advice to women on contraception needs to improve.

In 2014/15 95% of emergency contraception issued by sexual and reproductive health services was for the pill.

The new standard says women requesting emergency contraception should be told that a copper intrauterine device (IUD or ‘coil’) is more effective than the pill; and women should be informed about long-acting reversible (LARC) methods such as the coil when asking for contraception.

Professor Gillian Leng, deputy chief executive of NICE, said: “We want to empower women with the best information about all methods of contraception and their effectiveness so they can make an informed decision.

“For instance women are often surprised by how soon after birth they can become fertile again so we have included a statement ensuring midwives speak to them about contraception.

“We also want to ensure women are told the coil is more effective than the pill as emergency contraception.”

The coil is the most effective form of emergency contraception and is effective for up to 5 days after unprotected sex or within 5 days of expected ovulation.

Dr Jan Wake, GP and member of the guideline development group, said: “The advantage of the coil, on top of being more effective is that it can be retained and used as long term contraception, some can even be left in place for 10 years.

“Timing however is essential and women deciding on the coil should make contact with the clinic they have been advised to attend as soon as is possible.”

Whilst approximately one in five pregnancies is unplanned, conceptions amongst under 18s is falling.

In 2014 conceptions in women aged 15-17 was the lowest since records began in 1969, and between 2013 and 2014 the estimated number of under-18 conceptions fell by 6.8% to 22,653.

Dr Asha Kasliwal, President of the Faculty of Sexual & Reproductive Health and member of the guideline development group, said: “The publication of this QS represents a fundamental step towards achieving FSRH’s vision of high-quality sexual and reproductive healthcare that is accessible to all, in whatever setting it is delivered.

“We hope that this Quality Standard will help healthcare professionals, service providers and commissioners alike to help reduce unintended pregnancies in their localities, while making tangible improvements in the provision of, and access to, contraception.”

Sue Burchill, Head of Nursing at Brook, the UK’s leading provider of sexual health services for young people, said: “Brook works with almost 250,000 under 25’s each year.

“We believe all young people should be provided with accurate information about the different methods of emergency contraception available in order to make an informed choice about what is best suited to their individual needs and we would urge local authorities not to jeopardise this by making cuts to funding for sexual health services.”

“We know that the coil is the most effective method of emergency contraception available, so we must all continue to ensure that ease of access to this method is increased and maintained across services from a variety of providers. 

“Anyone seeking emergency contraception should also consider if they require screening for infections, and we always encourage the use of condoms in addition to LARC. It is really encouraging to see an increase in the uptake of LARC in general.”

Latest News from
National Institute for Health and Clinical Excellence (NICE)