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[֨!g Gi&lm?_q\r4#c|ìT\$F}}*P 9})2Yi18ؒiC鹹:V}96=4s02 β9Trͥ21HzAPiU"B5D##cf m ˟fEK3f0|փ "#qW rQuQĻ΁kl<5`X0 G8d#C G2.X!H5*xh|Mw0o/"t<8aŁUl mHPF.C$=-JYIRQx ,#[tk1o f-U7At#OdR14YIq53)VWX;ނ`t*镎 =v0@b=Z@^r("ᜠ*(mSsX]xoS*6f( 2֨ye &Hvp 6RxO1ץR_(kb f?@|lNQ&UDXÕDF ǯZ(aCH< W00L'׹Tev.Ør•"S;dE^VHv2&u+h3&02&aj 0ϊĘ(qNuE4^2Z&A6-{Ƃ(@Rd: yE  /2mOzT\#*Ēt4"U$fFߝ\(cB5P @_Qe,  &/aB$6^F(NĐ#Dn G)޶!5ۑP.2+h"ĉ؄6''QMLa Q!*Р>ו0rĝ2hG Y~<22LA6ւe59%vmt}<ʡhu?Hd#SށHn3076֬B%PfW=[ 1mZg"i4 1.@=̍}+v:j:|# ٠|Gz |Em6\Ԍ1eԆ8>Z9Codk? 8&ML|R fߔH_pͧ]>󠎮fb7¯:Zf v#q֦."Eyq)y4HtblPu/EkKT7hR9C n ! ۣ(nG#`ۃ:/g vFhi R|4tA'}wsQ/i|O]Z^m@8l$š}C|HLj48lq J6qp;ĭĄHL< C8&jL*lby-U<%&2&1cb('[o뾧}ľ"|]4M O2{ҩ~{-}aPmכO>1td˘zPAܮ 8zQ}Tb }]?v1@1@]5o=f]b4#f9s Zc0TM~g{Lr,tVv֐iz}i1;=s~'e0o\v s~&e{F=Hcж٘N<_![`v"`dJ^2F9|d=/70A {FdlL+w{rjr%ϝ@.ərCx);'x||*+C'bTVEb GSl@Ú̃B_۵@BDFJKLO GL HM $b$3n珸W8.CE.C. (MAP) without a medical prescription : luxury or necessity ? @D> a doctor s physical or gynaecological exam is not needed for E.C.  J 8n````````C``4  D?/P Levonorgestrel E.C. without a medical prescription : luxury or necessity ? LQ8 0> June 1999 the French health authorities by decree have allowed levonorgestrel E.C. without a medical prescription in pharmacies for everybody, including minors This decision was contested by Pro-Life organisations 42ZoZ6Z8Z0Z ````$!``-6```` '      -       WDvUKLevonorgestrel E.C. without a medical prescription : luxury or necessity ? LL6 <  In some countries a medical prescription is needed There is no medical reason to deliver levonorgestrel E.C. on medical prescription (ESC Seminar, September 2003) There are only political reasons fZ2 4                         A1MLevonorgestrel E.C. without a medical prescription : luxury or necessity ? :N6 (< SResults of 4 years of levonorgestrel E.C. without a medical prescription in France8+ T6   /hQkLevonorgestrel E.C. without a medical prescription : luxury or necessity ? 4 years of French experience Ll7>?  Levonorgestrel E.C. can be bought without a medical prescription in pharmacies by everybody at a price of 7 euros whith a medical prescription in pharmacies at the price of 7 euros and it is reimbursed by social insurance at 65 %  20F202QZtn$2X                                (gLevonorgestrel E.C. without a medical prescription : luxury or necessity ? 4 years of French experienceNhn6(< C3gLevonorgestrel E.C. without a medical prescription : luxury or necessity ? 4 years of French experienceLh66<  j Women use E.C. in a proper way, as E.C., not as a regular contraception (contraceptive pill sales keep on rising) E.C. meets a real need |Z20qx0 ZZ wm                "     gPjLevonorgestrel E.C. without a medical prescription : luxury or necessity ? 4 years of French experienceLk7>=   In countries where levonorgestrel E.C. needs a medical prescription, women use it very little August 2002 users : Germany (with a medical prescription) : 9 000 Austria (with a medical prescription) :1 800 France, U.K. (without a medical prescription) : 85 000D_                           $     hLevonorgestrel E.C. without a medical prescription : luxury or necessity ? 4 years of French experienceNin7(= B2 n' wZs Levonorgestrel E.C. without a medical prescription : luxury or necessity ? 4 years of French experience dt83H>  a Results Prevention of abortion In France, in 2000, for the first time, one year after the selling of levonorgestrel E.C.without a prescription, a slight decrease has been noticed in the number of abortions Coincidence or beneficial effect of this decision ? It is too early to arrive at a conclusion  =0Z2y8n2<8F258Z2:0Z2Z  n ,                                   iLevonorgestrel E.C. without a medical prescription : luxury or necessity ? 4 years of French experiencebjn``7>=  Four years later the authorisation to deliver levonorgestrel E.C. without a medical prescription appears in France to be a very good measurela( 2-8nP-(. MYF` Levonorgestrel E.C. without a medical prescription : luxury or necessity ? French experiencexa6L  6  Two specific French dispositions for easy accessibility to emergency contraception for adolescents ,xbxx b$f$f$$N  !  J N;Y Levonorgestrel E.C. without a medical prescription : luxury or necessity ? NZ= 0C z Interest of E.C. for adolescents Stastistics show : In France the average age of first sexual intercourse is 16 It is a fact : French adolescents are sexually active >@@# >f6    !                       E5O Levonorgestrel E.C. without a medical prescription : luxury or necessity ? PPP 8 . >  Interest of E.C. for adolescents When sexual activity starts at adolescence Contraceptive information not always accurate (Ogino method, no risk the first time& ) Problems with contraceptive methods difficulties in using condoms properly forgotten birth control pills E. Aubny, French Association for Contraception ,'Z,(zZ FZ@ZZZ" .z  F    ;  m      m  m   ^   &   Q>Levonorgestrel E.C. without a medical prescription : luxury or necessity ? hMB( S"   Interest of E.C. for adolescents Adolescence is the age of - Crushes - Living in the present time - Intermittent intercourse - Intercourse more or less forced So unexpected, unprotected sex happens JZ%$(3Z-(n   '"                    R?   Interest of E.C. for adolescents Accessibility E. C., so useful for adolescents, to be used by them should be easily accessible Ease of use Rapidity of use $#1                LLevonorgestrel E.C. without a medical prescription : luxury or necessity ?0M29?KLevonorgestrel E.C. without a medical prescription : luxury or necessity ?BLn8>[HL Levonorgestrel E.C. without a medical prescription : luxury or necessity ?@M``8=n Levonorgestrel E.C. free delivery by high school nurses Results September 2001/September 2002 : - 9 735 received it (preventing many unwanted pregnancies) - It allowed discussions between nurses and the students on contraception and on any sexual matter E. Aubny, French Association for Contraception aZ&n(AZxPZL`` dj /                 '               /  \IO Levonorgestrel E.C. without a medical prescription : luxury or necessity ? HP70=  Second French disposition for easy accessibility for adolescents : Levonorgestrel E.C. free delivery in pharmacies for minors The law passed in December 2000 came into effect in January 2002 GLh F f 6  ff >                      ]JNLevonorgestrel E.C. without a medical prescription : luxury or necessity ? RO6(< W Levonorgestrel E.C. free delivery in pharmacies for minors Minors just have to ask for it : no identity control Pharmacists have - to councel minors - to give a leaflet about E.C. - to dispence E.C free.to minors. They are refunded by Health Insurance s \IZ5%Z%ZnZP<Z$F Z{                                       %   2#hLevonorgestrel E.C. without a medical prescription : luxury or necessity ? 4 years of French experienceRi8@=   Unexpected beneficial consequences of 4 years of levonorgestrel E.C. without a medical prescription E. Aubny, French Association for Contraception E. Aubny, French Association for Contraception5 H !((/(,  0m +       / / 6'l1) Renewed interest in contraception particularly about non compliance with regular contraception`m!FB   BfOLevonorgestrel E.C. without a medical prescription : luxury or necessity ? 4 years of French experience Unexpected beneficial consequences of levonorgestrel E.C. without a medical prescription C  .VI &  ) 2) Involvement of new health professionals in contraception - Pharmacists - High school nurses They get interested in regular contraception. The majority is very pleased to have this responsibility and to be involved in the contraception development 0" P?0" Z0%8Z/%8z%8Z;  `                   D    7( Levonorgestrel E.C. without a medical prescription : luxury or necessity ? 4 years of French experience Unexpected beneficial consequences of levonorgestrel E.C. without a medical prescription n``= QzC   $  ( 9 3) Liberalization of regulation on contraceptive drugs.:Z4b        _L Levonorgestrel E.C. without a medical prescription : luxury or necessity ? 4 years of French experience Unexpected beneficial consequences of levonorgestrel E.C without a medical prescriptionnZ  Tl` *  * n Levonorgestrel E.C. delivered by high school nurses and free in pharmacies for minors - opened the discussion about teenagers sexuality and contraception in the society - obliged to its recognition This recognition is the best way to prevent abortion and STD among adolescents E. Aubny, French Association for Contraception WnvZZZZ,)v\C %                        ! / \U Levonorgestrel E.C. without a medical prescription : luxury or necessity ? RV>`` `` D Others experiences of levonorgestrel E.C. without a medical prescription : In U.K. in spite of a very high price (32 euros) each month 85 000 women use it : it meets a real need In Finland during the second trimester of 2002, the time when levonorgestrel E.C. without a medical prescription started, the minor abortion rate decreased by 30 % E. Aubny, French Association for Contraception MZ Z6Z ZMa 6m m                                                  & 8)[ Levonorgestrel E.C. without a medical prescription : luxury or necessity ? Conclusion tnU``" `` ""([.  Levonorgestrel E.C. without a medical prescription is essential for women It makes it possible for them to have a better protection | 7``C$``$|=           /Gdx}~     !"#$%&'  ` ˽"i6ffff` ˽"i6ffff` MMMwww>?" dd@,|?" dd@   " @ ` n?" dd@   @@``PR    @ ` ` p>>  s(    <$Ș"J B  rB  <g "`z  c D A A:\minispir.GIF"  z  c DffA A:\minispir.GIF"d   6˘ "`  i1Cliquez pour modifier le style du titre du masque22 L  0Θ "P`p  vCliquez pour modifier les styles du texte du masque Deuxime niveau Troisime niveau Quatrime niveau Cinquime niveau4w   0Ll "/'  V*     0q "'   X*     08v "'  X*  Z  BmX޽h))?? ˽"i6ffff  Cahier spirale  /'  (    \ؘA  Canvas"Mi B  t  S >A A:\minispir.GIF"    3 L?A ? ?Canvas"* xJ  B  z  c DffA A:\minispir.GIF"d   s * "@@  i1Cliquez pour modifier le style du titre du masque22   c $ "    p8Cliquez pour modifier le style des sous-titres du masque99   0K "[   V*     0 K "   K X*     0K "  K X*  Z  BmX޽h))?? ˽"i6ffffP 0 0 (     < K ?  K X*    <HK ? K Z*  v  6 ?  KJ  <\K ? @  K vCliquez pour modifier les styles du texte du masque Deuxime niveau Troisime niveau Quatrime niveau Cinquime niveau4w   BвV ?  K X*    B V ? V Z*  H  0޽h ? ̙33 PH@(    <V ?P   V \*    <dV ?   V ^*    BLV ?`P  V \*    BV ?`  V ^*  H  0޽h ? ̙33 PT(     6\V4 >' V    6X `z   H  0޽h ? ff̙3[[fMf  p 8(     6V@<$  0 V   S ~V0e0e   V z 08   @0 ,$D 0  0V8  XjYuzpe method (EE + levonorgestrel) : less efficacy and medical contra-indications. It has been abandoned $kj````            hhx  HY ?0Az  \    6E,$D 0  H V? \  )aLevonorgestrel alone : more efficacy, no contra-indication : Reference as emergency contraceptionF 2K0<2=``$^       x   HY ? Q   H$? P c/E. Aubny, French Association for Contraception0(20H  0޽h ? ff[55A=X* j(  r  S  @@  r  S x    >  # lP1?@ 0 0E. Aubny, French Association for Contraception &0(2 21 (' H  0޽h ? ˽"i6ffff   7/(     6!`<$ 0  "8,X  S ~(0e0e    z 0Pl  `p,$D 0  0A #??0Pl8 #$ 0  <$ ?x _  Q%   B(?P ,$D  0 #7E.C. is a real emergency it must be used very quickly ^(28P2j         H0? P 1 E. Aubny, French Association for Contraception.2(2 0H  0޽h ? ̙33U      (     6@D@p<$ 0  *h$,4  S ~|#0e0e b8P   p  H A?p   s *G  B ,$D 0 .|2 - Prevents women from using E.C. Women find this process too complicated for the prevention of an hypothetical pregnancyR$8nY8n#``X Zh$,4  s *K PZ ,$D 0 P1 - Delays the use of medication because of the waiting time for an appointment<Q8n 02   Fh$,4  s *|W   ,$D  0 j"8n h$,4  Hf?`   y/E. Aubny, French Association for Contraception.0(2  # l l1? 0  @ 2 H  0޽h ? ̙33^       (  x  c $wp     c $x`@ <$  0  qz . L   `x,$D  0  B{ ? ()  H(8   B< ?.0" H ``   6؂ ? )  T  hR  Z?l p S T @  #  L    B\ ? 5It can be safely used without a medical prescription0655 r   BԔ?@  c $4 0 ,$D 0 8L has no contra-indication $F`` ````````B    p  H A?  H?p  y/E. Aubny, French Association for Contraception.0(2  H?   Levonorgestrel E.C. @0Z(2   p  H A?\ H  0޽h ? ff̙3[[fMf  =5(  x  c $ @P     c $|` <$D 0  %  Hԯ?p ,$D 0 y/E. Aubny, French Association for Contraception.0(2t  H?p7,$D 0 4Levonorgestrel E.C. without a medical prescription :P5 2```` ````  !  H? !,$D  0 R December 2000 a law was passed to confirm this decision PR0Z(2CN     H  0޽h ? ff̙3[[fMf     0$| (  |z c  | ,$D  0F" | 3 r@eeGeejJ2c?k,$D  0 h*H   __: | 6Tc  dLevonorgestrel E.C.sale without a medical prescription It is now authorised in many countries 70Z2+ 2 $#b(       xX | N ee P,$D 0 ( Pharmacies Belgium Denmark Finland France Portugal U.K. Switzerland Slovenia Latvia Quebec South Africa Drugstores Norway Sweden  8  0P +%  T   5   ,  | Z eeo @ -e Levonorgestrel E.C. without a medical prescription : luxury or necessity ? .nfnF6L    $| # l1?@p REurope 2  H | 0޽h ? ̙33B:___PPT10+: D ' = @B D ' = @BA?%,( < +O%,( < +D' =%(%(D' =%(D3' =4@BBBB%(D' =1:Bvisible*o3>+B#style.visibility<* %(D' =-o6Bwipe(up)*<3<* D ' =%(D' =%(D@' =A@BBBB0B%(D' =1:Bvisible*o3>+B#style.visibility<* %(D' =-o6Bwipe(up)*<3<* D' =%(D3' =4@BBBB%(D' =1:Bvisible*o3>+B#style.visibility<*1 %(D' =-o6Bwipe(up)*<3<*1 D"' =%(D' =4@BBB B%(D' =1:Bvisible*o3>+B#style.visibility<*> %(D%' =+4 8?pCBB+#ppt_w*sin(2.5*pi*$)CB?B*Y3>B ppt_w<*> D' =+4 8?\CB#ppt_hBCB#ppt_hB*Y3>B ppt_h<*> +8+0+  +  O , $ P (    c $`p1<$ 0     s *p<$ 0    c $ ? L J (2$   # l0 1?Pp @ 2 z c   0?,$D  0F"  3 rX9 eeGeejJ2c?k,$D  0 h*H   __  6H; c  x< Levonorgestrel E.C. sale with a medical prescription 70Z2 2 !D &   xXp  H A?p@p^  # l\R 1? @ 4 0E. Aubny, French Association for Contraception F0(2 2(' H  0޽h ? ̙33  pA(  ~  s *b       6c         Hd ?`   y/E. Aubny, French Association for Contraception.0(2H  0޽h ? ff̙3[[fMf  <(  x  c $_ PP   x  c $= P`p     Hq ?  0E. Aubny, French Association for Contraception @1(2H  0޽h ? ff̙3[[fMf   m e +  (     0 &,$D 0  First hormonal contraceptive available without a prescription Women were informed about the availability of non-prescription E.C. by magazines, radio, newspapers and T.V. l  pC pq0n@p,  4XX  6H      # H ? ,$D 0 33 Results Acceptability by women 2'02   V      f % H ?pm,$D 0 2 E. Aubny, French Association for Contraception N20n(2m0m2   )3 ` ,$D 0 * BDCDEDFNSQQqb'S5GC=P7\0~,&D '377 ``G`/`>>>>??*>8>D=A80-X,D'&! ubUF8)<W~omV;rX= @` + BECDE8FBSNN%(0=Maw  p\K=1+(+w/a8ME=T0f({%sV=4(Mj  .*E8aA}EB9,*4:eeEEee8s1Y$A, %@`H  0޽h ? ffD3f   :(   x   c $ P       0  p @@<$ 0       c $8  `@ ,$D 0 ~ 85 000 women use it each month, more than 1 000 000 each year Women have adopted this method by themselves 80 % without a medical prescription, 20 % with a medical prescription !v 0 qx ,``Fmm          .            3 ` ,$ 0   BDCDEDFNSQQqb'S5GC=P7\0~,&D '377 ``G`/`>>>>??*>8>D=A80-X,D'&! ubUF8)<W~omV;rX= @`   BECDE8FBSNN%(0=Maw  p\K=1+(+w/a8ME=T0f({%sV=4(Mj  .*E8aA}EB9,*4:eeEEee8s1Y$A, %@`   H\ ? p[ ) Results Acceptability by woment 28P2    V     ]   # l 1?0 0 5 E. Aubny, French Association for Contraception @10 qx 21m(& H   0޽h ? ff̙3[[fMf+   k(     0  P   ~  s *  pp     H ? 0,$D  0 RDelivery of levonorgestrel E.C. without a medical prescription facilitates its use S(2Sh          H ?   y/E. Aubny, French Association for Contraception.0(2v   3 r 1? ` * Results Acceptability by womenb+    $   H  0޽h ? ff̙3[[fMf  VN4(  4 4 B ?  ,$D 0 :Post-marketing surveillance has received no complaint No medical publication about complications No increase in ectopic pregnancies (French Drug Agency)>6nc0x````(o! hh 4 6  @<$D 0   W 4 0  ,$D 0 5Results Medical problemsB62 (   4 H<? 0` ,$D  0 (No medical problem for 4 years in FranceV)(2%V      4 H ?`   y/E. Aubny, French Association for Contraception.0(2H 4 0޽h ? ff̙ff     0 @ (    S ~(, 0e0e    c  0-  Z,$D 0  Levonorgestrel E.C. without a medical prescription : luxury or necessity ? 4 years of French experience  ~00  Gp A     s *$;  @@ ,$D 0 ph At the beginning, some of them Felt that they had inadequate information about the drug Had ethical doubts with the drug Felt that it was too much responsibility 8xE (P (````A <,X'  s *hA   p,$D  0  Now, the majority is very pleased to have this responsibility and to be included in the contraception development|+ (7 8P2 8FJ  l  <,X  HE ? ,$D 0 3 Results Acceptability by pharmacistst 2*0F2 ! P      %   Hd ?p P,$D 0 y/E. Aubny, French Association for Contraception.0(2   s *A a?? 8 a$D 0H  0޽h ? ̙33K  Ps(  x  c $       0X    /  # l@p 1?0  /E. Aubny, French Association for Contraception0 20(& H  0޽h ? ̙33  p H7(  H H  B pk <$D 0    H < P F   H 6̒  p     H H ?p  c/E. Aubny, French Association for Contraception0(20H H 0޽h ? ff̙3[[fMfg  (  x  c $    x  c $D p    W  H  ?#"l0ey      ``   k/E. Aubny, French Association for Contraception 00 *20     # `@ ,$D  0   BCgDEHFRS08@HQ Z`io!u'{.5=FKUcmz %,4<DHLPPPPOKGB=5,&*W)W+()2'9"BJQW ]`dfgggea^[TOJB<6-([][](\.[6X<UCPJKRFW>\7`/d'f gggeb_[WRLF>6.([L[q+l6h?cG^OVSQVGY>[3Z,Y%YTPJ E=60(ltmip`qZsRvIxA~7/(! &(@` J H2  C S  H  0޽h ? ___ff3ff   B : L (  Lx L c $     L  <  0    L Hܼ ?0 P c/E. Aubny, French Association for Contraception0(20     L#  T,$D  0  L BCgDEHFRS08@HQ Z`io!u'{.5=FKUcmz %,4<DHLPPPPOKGB=5,&*W)W+()2'9"BJQW ]`dfgggea^[TOJB<6-([][](\.[6X<UCPJKRFW>\7`/d'f gggeb_[WRLF>6.([L[q+l6h?cG^OVSQVGY>[3Z,Y%YTPJ E=60(ltmip`qZsRvIxA~7/(! &(@` J H2  L C S   L  fd 1? ` [ French society has to help adolescents to protect against unwanted pregnancies and STD J[0 Z 2X@- )   H L 0޽h ? ___ff3ff   (    (    s * p<$D 0     s *0   <$D 0   B  BD?"0@NNN?N *g ,$D 0  T ?  H j  H ? ,$D  0 R Interest of post-sex contraception : emergency contraception2S0 ZKR     #  D,$D  0  BCgDEHFRS08@HQ Z`io!u'{.5=FKUcmz %,4<DHLPPPPOKGB=5,&*W)W+()2'9"BJQW ]`dfgggea^[TOJB<6-([][](\.[6X<UCPJKRFW>\7`/d'f gggeb_[WRLF>6.([L[q+l6h?cG^OVSQVGY>[3Z,Y%YTPJ E=60(ltmip`qZsRvIxA~7/(! &(@` J H2   C S  H  0޽h ? ___ff3ff80___PPT10.=PF     \ (  \ \ c $, <$D 0    \ c $  <$D 0   \ \ H ?P ,$D  0 BInterest of post-sex contraception : emergency contraception 4C0 nBA     \#  D,$D  0 \ BCgDEHFRS08@HQ Z`io!u'{.5=FKUcmz %,4<DHLPPPPOKGB=5,&*W)W+()2'9"BJQW ]`dfgggea^[TOJB<6-([][](\.[6X<UCPJKRFW>\7`/d'f gggeb_[WRLF>6.([L[q+l6h?cG^OVSQVGY>[3Z,Y%YTPJ E=60(ltmip`qZsRvIxA~7/(! &(@` J H2 \ C S   \ # l 1?  1E. Aubny, French Association for Contraception d00  Z0  Z 2/m6&  H \ 0޽h ? ___ff3ff80___PPT10.+a   T L  d (  dx d c $. ^   x d c $l/  P`    c d H1  ?#"l0ey      @ w 60(*2)  d H5  ?#"l0ey      0 w ,$D  0 1 How to make it very easily accessible ?:20 *2 (2     d Hx: ?  c/E. Aubny, French Association for Contraception0(20    d#  D,$D  0 d BCgDEHFRS08@HQ Z`io!u'{.5=FKUcmz %,4<DHLPPPPOKGB=5,&*W)W+()2'9"BJQW ]`dfgggea^[TOJB<6-([][](\.[6X<UCPJKRFW>\7`/d'f gggeb_[WRLF>6.([L[q+l6h?cG^OVSQVGY>[3Z,Y%YTPJ E=60(ltmip`qZsRvIxA~7/(! &(@` J H2  d C S  u  d 3 rx1?P@m SLevonorgestrel E.C. without a medical prescription : luxury or necessity ?<5 Z x@ E H d 0޽h ? ___ff3ff80___PPT10.5`^  O 0P v(  PX8 `p  PP P 0lN  t\  (N E. Aubny, French Association for Contraception  nJ n 8nm/m`` 4 x P H ``Ԕ?`ph  P BtU  R@   F P H_ ?  Levonorgestrel E.C. free delivery in high schools by school nurses The nurse can deliver levonorgestrel E.C. only if it is impossible to have a quick appointment with a doctor or to go to a pharmacy %0  P(2%+                   X P Hxe ?` DFirst French disposition for easy accessibility for adolescents 8E 2?``@     P s *A J?? +8 J$D  0H P 0޽h ? ̙33     P\  (  \P8 VX  \ PR ~ \ N ``Ԕ?V  \ Br ?o{   (For Nurses, Pupils, parents associations))( ~ \ N ``Ԕ? X   \ BTw ? n pPublic opinion in France   \ B{ ?r y  &The decision was more or less accepted.'&````&   \ B ? }  ~&Supports this practice (63% in favour)''``&  \ 6   HLevonorgestrel E.C. delivered by high school nurses At the beginning47<7 \ < p F  \ B  A    = \ HD ?p`y 3 E. Aubny, French Association for Contraception X3(2m/m 1= \ H ?P P0,$D  0 CThis decision was contested, but a law enforced it in December 20002D(2C`` \ s *A K?? 8 K$D  0H \ 0޽h ? ff̙ff  :2p(  x  c $X P   x  c $ `/     s *A N?? @8 N$D  0H  0޽h ? ___ff3ff80___PPT10.: ?(  x  c $    x  c $  @    m  H0  ?#"l0ey       p /E. Aubny, French Association for Contraception600 *2  s *A <?? 8 <$D  0H  0޽h ? ___ff3ff   (  x  c $l >      0       s *A =?? p*8 =$D  0  # l 1? @! *b Difficulties of implementation : pharmacists are afraid to speak with youngstersc c             H  0޽h ? ___ff3ff80___PPT10.;>^  6(  ~  s *@  x  c $   H  0޽h ? ff̙3[[fMf  ! 9(    c $  <$  0  "p`Pp  BԣV? 00 ,$D  0 b 2 national campaigns in favour of contraception<2 2``0H      8hh  B0?` 0B,$D  0 : Study on contraception failure and non compliance E. Aubny, French Association for Contraceptiont4 2 2T 22T|        %/ 8hh  s *V P@p /Levonorgestrel E.C. without a medical prescription : luxury or necessity ? 4 years of French experience Unexpected beneficial consequences of levonorgestrel E.C. without a medical prescription C  ! PdI E  & H  0޽h ? ff̙3[[fMf "O wo(  r  S 89   r  S 9@`    H:?`P   c/E. Aubny, French Association for Contraception0(20H  0޽h ? ff̙3[[fMf # 0*(  x  c $cP`     c $`d@p<$  0    BK?pp ,$D 0 ^ Before emergency contraception without a medical prescription, all contraceptive drugs needed a medical prescription Now (by law) new contraceptive drugs with no known medical contra-indications will be sold without a medical prescription E. Aubny, French Association for Contraception z0x2 250 2 2!````A5!````{/v                           / 8hhH  0޽h ? ff̙3[[fMf( $ PP(    c $fP <$D 0     B$?p` ,$D 0 F, 4) Recognition of teenagers sexuality ,0Z(23 N       x  c $po  H  0޽h ? ff̙3[[fMf ' p$(  r  S |   r  S 8Pp  H  0޽h ? ˽"i6ffff % O c[(  `  s *  P@ bLevonorgestrel E.C. without a medical prescription : luxury or necessity ? Conclusion`c;``  `` " A S  s * ,$D 0  From 4 years of French experience of levonorgestrel E.C. without a medical prescription - is safe from a medical point of view - allows a large and safe use - is needed by women who use it properly and not as a regular contraception - is very useful for youngsters\HT!$3!L   ,X`hp  s * 0,$D 0 ]  ,X`hp  H?@?,$D 0 Y9 E. Aubny, French Association for Contraception  4  (2mm0mm  B  / H  0޽h ? ff̙ff7 &  _(  r  S    r  S 0@p0`  3  # l1? ` /E. 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̙33  0 |`(  `R ` 3      ` C    @]    " H ` 0޽h ? ̙33F 0 |d(  dR d 3      d C    @]    " H d 0޽h ? ̙33; 0 |h(  hR h 3      h C    @]    " H h 0޽h ? ̙33? 0 | l(  lR l 3      l C E   @]    " H l 0޽h ? ̙33 0 |@p(  pR p 3      p C m   @]    " H p 0޽h ? ̙33 0 |`t(  tR t 3      t C |   @]    " H t 0޽h ? ̙33H 0 |x(  xR x 3      x C h   @]    " H x 0޽h ? ̙33I 0 ||(  |R | 3      | C    @]    " H | 0޽h ? ̙33J 0 |(  R  3       C   @]    " H  0޽h ? ̙33# 0 |( d R  3       C   @]    " H  0޽h ? ̙33' 0 |(  R  3       C  4  @]    " H  0޽h ? ̙33O 0 | ( 5 R  3       C `F  @]    " H  0޽h ? ̙33( 0 |@( 5 R  3       C \  @]    " H  0޽h ? ̙33L 0 |`( 5 R  3       C   @]    " H  0޽h ? ̙33) 0 |(  R  3       C   @]    " H  0޽h ? ̙33[ 0  (  X  C       S   @]    " H  0޽h ? ̙33\ 0  (  X  C       S   @]    " H  0޽h ? ̙33 0xkTg|y},Je,P`"ka@w]V A$@:I@VTQcBulSƊVCDe&^K2ː e<ߊ%gFWrt/#PV:_#, F$gY@7]Y% yI^qfV[J* gȧ1JU>hZa@ߖ`5Fn6~,ZI wlWeˍr-ȯ~ޯ:{ZGGcV_en#,|FaLwL!t 'NtW>(m[{6SOХrNnည#AFiT_c!Uq$/E[KJ~%Ec qG! xβwa'ec"3Nni`<@R/i'Y͵Q4Ui/Y)('$4V*$Y, IwgY*6M}$M=fSO6uM=jSmjMeSm*y*WW\ lŝ l#9HlY]m⧴>)VFHx+=[+>) lbq^ 4bC&<:HLQtsܶ"(UsU]qXRLo6q1 <~ rs34,{5hѭ~q{:'al挫v5sNls&=hlҭ_^{͍V݅;d:8*ظJ|'1'BGl7I$wɄ*f}&[%e,B9’"̺?FQ;1 *UNsh˓>ju>zz'!l.x/w IaR%jFG6WaSHT2q* b/+ft~Ԯ lrj@ȧifMG5{n6mޠn-[I+TZtgμiuaY V\Jbg+jSe l>U}Ȁ[F5hۭHTS"ր_SD5;3­tݯ/䂩i1kzƒ>,B9.{U:Ԣ 5J64ؼ1&pM=P Cp C~=njFҟT#e1\fPƭt*@- +[uݑ<ߌd4E"30B@YڇQ*gqJkLձ76p?&AWm$q#KC ϣOi͡hRNa-G_sgfNJCfgq {H.rnwd='\d/uqAM \n]^w;*$W%t 7u_\ Cw*MlWo}ߞ]fAu6"9D1O,ГS6pԥ+k40UA;L&kdW^knHW(֡<6JG#a ZBsS_Iꏇw`ϒ1)ޜ'L:ocn舭>p(ؚv6KQS R/ /Sc0GF:< ǃoND@zm4ֿuDj7m~֐2V[ɍ*OV\Z=pX?sz[@mV=›/dejE\YIR+I+Lr^j[&ُd6fe%4-G 쟀n%~`NQ7]qJ,mvdv/=-1t]%eLOdx]HKmz_mFzX><)`*s_Wƹ+IMڍ%6b7/kXWױm<%#2|kR[C2hi+(i C؋|tV L*$('OD^zg9&t>"'rUǿYgC|'Ͷ\ RU.IWjLQ[B*# 9YWyBY2Bq\w;+9rdJjrCs(ܐU` I3~񲋶|M붅ǭt7;ó*՗ys"^O92HqFd]XJi۫A[KS:G>s'voIkbLJ>@{AMmvߞNa`B6gw} ۓ[SFK,\9P<=㼆8~E*]_hrO*y=([E\ s5< qg4_y]-{?rpx:!g4|䎫+}UMX,h''a6c&,OF2kX (#~Si״7`z?lZ\!zω3i<"`Cşlf 6`y pl T0bkn`0ِ7C&<9.;^ԲY ;1`9 M ,aU&`D'O,:ᐌ_ ,q܇MixAh}q8Ze &~oHz̫󖏪#Sw<qxbpYD}z;A}ɰ ZD cʫ::-_C JS:{ m=bz] ܭ.VwCgih%y}*b t0XV:/й(j/a) VM/oci#B(^1ea.2p3Pʫ5(ԣb@0? 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