Levonorgestrel is a drug that can be taken after sexual
intercourse to prevent pregnancy. It is commonly referred to as
"emergency contraception." It is controversial because there is
some ambiguity about its mechanism of action. Some people
believe it works by preventing the implantation of a fertilized
ovum and thus causes an abortion. (Scientific evidence
suggests that, instead, it works by inhibiting
ovulation.) Those who think that levonorgestrel causes
abortion sometimes claim conscientiously object to prescribing or
recommending it. Diane Plantz, bioethicist and ER physician,
reviews both the scientific evidence for the mechanism of action of
levonorgestrel and the American Academy of Pediatrics position
statement on conscientious objection in clinical practice.
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