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Despite being safe, highly effective, and associated with almost no absolute medical contraindications or age limits, emergency contraception is often underutilized due to systemic barriers, limited access, persistent misconceptions, and inconsistent clinical guidance, provider knowledge gaps, or stigma. This FIGO Committee statement provides an evidence\u2010based overview of the current landscape of emergency contraception, including available methods such as the copper\u2010bearing intrauterine device, levonorgestrel, and ulipristal acetate pills and combined oral contraceptives as well as their mechanisms of action, safety, repeated use, and key implementation challenges. The statement also presents practical recommendations to improve equitable access and uptake, including integrating emergency contraception into routine family planning, sexual violence, and sexually transmitted infection care as well as promoting advance provision, strengthening provider education, and supporting advocacy and policy efforts to reduce barriers to access. FIGO calls upon governments, donors, and health professionals to uphold every individual's right to timely access to emergency contraception, affirming this is not only a clinical issue but a matter of reproductive justice.<\/jats:p>","DOI":"10.1002\/ijgo.71357","type":"journal-article","created":{"date-parts":[[2026,9,7]],"date-time":"2026-09-07T11:10:51Z","timestamp":1788779451000},"page":"522-525","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["<scp>FIGO<\/scp>\n                    statement on emergency contraception"],"prefix":"10.1002","volume":"175","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4578-4502","authenticated-orcid":false,"given":"Mikaela","family":"Koch","sequence":"first","affiliation":[{"name":"University of Pittsburgh Medical Center  Pittsburgh Pennsylvania USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Asha","family":"Kasliwal","sequence":"additional","affiliation":[{"name":"Manchester University NHS Foundation Trust  Manchester UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"James","family":"Kiarie","sequence":"additional","affiliation":[{"name":"Human Reproduction Programme (HRP), Department of Sexual and Reproductive Health and Research World Health Organization  Geneva Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nasser","family":"Elkholy","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Ain Shams University  Cairo Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Azra","family":"Ahsan","sequence":"additional","affiliation":[{"name":"Association for Mothers &amp; Newborns  Karachi Pakistan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0813-9130","authenticated-orcid":false,"given":"Aparna","family":"Sridhar","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, David Geffen School of Medicine at University of California Los Angeles  Los Angeles California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,9,7]]},"reference":[{"key":"e_1_2_10_2_1","unstructured":"World Health Organization.Emergency contraception.2021.https:\/\/www.who.int\/news\u2010room\/fact\u2010sheets\/detail\/emergency\u2010contraception"},{"key":"e_1_2_10_3_1","unstructured":"World Health Organization.High rates of unintended pregnancies linked to gaps in family planning services: New who study.2019https:\/\/www.who.int\/news\/item\/25\u201010\u20102019\u2010high\u2010rates\u2010of\u2010unintended\u2010pregnancies\u2010linked\u2010to\u2010gaps\u2010in\u2010family\u2010planning\u2010services\u2010new\u2010who\u2010study"},{"key":"e_1_2_10_4_1","unstructured":"United Nations Population Fund.Nearly half of all pregnancies are unintended\u2010a global crisis says new UNFPA report.2022https:\/\/www.unfpa.org\/press\/nearly\u2010half\u2010all\u2010pregnancies\u2010are\u2010unintended%E2%80%94\u2010global\u2010crisis\u2010says\u2010new\u2010unfpa\u2010report"},{"key":"e_1_2_10_5_1","volume-title":"Medical Eligibility Criteria for Contraceptive Use","year":"2025"},{"key":"e_1_2_10_6_1","unstructured":"USAID.Emergency Contraception Trends from the Contraceptive Security Indicators Survey.2023https:\/\/www.ec\u2010ec.org\/wp\u2010content\/uploads\/2023\/03\/EmergencyContraceptives_TechBrief_Final_March2023.pdf"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.contraception.2023.109958"},{"key":"e_1_2_10_8_1","unstructured":"European Consortium for Emergency Contraception.Descriptive analysis of price and availability of emergency contraceptive pills in 127 countries.2025."},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1155\/2015\/986439"},{"key":"e_1_2_10_10_1","unstructured":"American College of Obstetrics and Gynecology.Access to emergency contraception.2017https:\/\/www.acog.org\/clinical\/clinical\u2010guidance\/committee\u2010opinion\/articles\/2017\/07\/access\u2010to\u2010emergency\u2010contraception"},{"key":"e_1_2_10_11_1","unstructured":"Centers for Disease Control and Prevention.Emergency contraception.2024https:\/\/www.cdc.gov\/contraception\/hcp\/usspr\/emergency\u2010contraception.html"},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.1080\/03630242.2019.1635560"},{"key":"e_1_2_10_13_1","doi-asserted-by":"publisher","DOI":"10.1155\/2018\/2785839"},{"key":"e_1_2_10_14_1","doi-asserted-by":"publisher","DOI":"10.1363\/4007914"},{"key":"e_1_2_10_15_1","doi-asserted-by":"publisher","DOI":"10.1002\/ijgo.70637"},{"key":"e_1_2_10_16_1","doi-asserted-by":"publisher","DOI":"10.1080\/13625187.2020.1806998"},{"key":"e_1_2_10_17_1","doi-asserted-by":"publisher","DOI":"10.1002\/ijgo.70682"},{"key":"e_1_2_10_18_1","unstructured":"The Faculty of Sexual & Reproductive Healthcare.FSRH Guideline Quick Starting Contraception. 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