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Answers to Questions About Ulipristal's Indications

Ulipristal and Ethical Issues

Some people may be concerned about the ethical issues surrounding ulipristal. Unlike other forms of emergency contraception, ulipristal is similar to RU-486, the so-called "abortion pill."
At least theoretically, ulipristal could potentially cause miscarriages, based on the results of animal studies. Because ulipristal blocks the effects of progesterone (and because progesterone is absolutely necessary for a developing pregnancy), it is possible for ulipristal to disrupt an established pregnancy. This is much different from the other emergency contraceptive pills (like Plan B), which contain high doses of progesterone-like hormones (which will not disrupt an established pregnancy).

Can Children Use Ulipristal?

Ulipristal is approved for use in women of reproductive age. This means that it is not approved for use in girls who have not yet had their first menstrual period.

Is It Used for Off-Label Reasons?

On occasion, your healthcare provider may recommend using ulipristal for something other than contraception. This is called an "off-label" use. Using ulipristal to terminate an established pregnancy would be an off-label use. It should be noted that this product has not been studied for this use and women should not take this contraceptive for this purpose, especially without a healthcare provider's approval and supervision.
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