Douglas P. Miller, MD
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Miller D.; Emergency Contraception. Ann Intern Med. 2003;138:237-238. doi: 10.7326/0003-4819-138-3-200302040-00024
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Published: Ann Intern Med. 2003;138(3):237-238.
TO THE EDITOR:
In their review on emergency contraception (1), Grimes and Raymond claim that emergency postcoital contraception is fundamentally different from early abortion of an established pregnancy. In so doing, they have created a distinction without a difference.
Hormonally mediated contraception, whether pre- or postcoital, is well recognized as having a dual mechanism of action. Sometimes conception itself is prevented and sometimes implantation of an already conceived embryo is prevented, thus precipitating an early abortion. The use of the term abortion is appropriate for this type of procedure because a human embryo is genetically a distinct individual from the moment of conception. Implantation simply changes its home and its mode of nutrition.
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Print ISSN: 0003-4819 | Online ISSN: 1539-3704
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