Can an IUD work as emergency contraception? large study aims to find out
NCT ID NCT05444582
First seen Jun 25, 2026 · Last updated Jun 27, 2026 · Updated 1 time
Summary
This study is testing how well the levonorgestrel 52 mg IUD works as emergency contraception and for same-day start in real-world conditions. About 1,400 participants at Planned Parenthood clinics across the U.S. will choose to get the IUD and be followed for one month. The main goal is to see how many pregnancies occur after IUD placement.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Levonorgestrel 52 mg intrauterine device (IUD)
- What this could lead to
- If successful, this could confirm that the LNG 52 mg IUD is a highly effective emergency contraception option in real-world settings, expanding access and choice.
- What could go wrong
- This is a Phase 4 observational study without randomization, so results may be influenced by participant self-selection. The follow-up is only one month, so long-term outcomes are not assessed.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 4
Runs after approval, following long-term safety and how well the treatment works in everyday use.
- Participants
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About 1,404 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Nov 2022
- Expected to finish
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Jul 2027
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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16 to 35 years
- Sex
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Female participants only
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Meet clinic eligibility for IUD placement * Have a LNG 52 mg IUD placed for either emergency contraception (had unprotected intercourse in the last 5 days) OR Same-day start, \>7 days since the onset of last menstrual period and have no report of unprotected intercourse in the last 5 days * Negative high sensitivity urine pregnancy test prior to IUD placement. * No known contraindications to the LNG 52 mg IUD per the CDC Medical Eligibility Criteria for Contraceptive Use 2016 * Have had penile-vaginal intercourse at least once since their last menstrual period. If last menstrual period is unknown or irregular, then have had penile-vaginal intercourse at least once in the last month. * Fluent in English or Spanish * Working Cell Phone number that receives text messages * Willing to comply with the study requirements including providing 1-month follow up data including a urine pregnancy test result one month after IUD placement Exclusion Criteria: * Current pregnancy * Currently Breastfeeding * Current use of permanent contraception (has had a hysterectomy, tubal permanent contraception, or partner with a vasectomy in the last month) * Use of any contraceptive pills, patches, vaginal rings or any contraceptive implant or IUD use in the last 4 weeks * Use of oral emergency contraception in last 5 days * Vaginal bleeding of unknown etiology * Use of injectable hormonal contraceptive (Depo-Provera) in the last 6 months * Planned use of any non-contraceptive estrogen, progesterone, or testosterone * Acute cervicitis * Known abnormalities of the uterus that distort the uterine cavity * Ended pregnancy at or under 20 weeks gestational age within the last 2 weeks * Ended pregnancy over 20 weeks gestational age within the last 6 weeks
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As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
7 sites. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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Planned Parenthood Association of Utah
RECRUITINGSalt Lake City, Utah, 84102, United States
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Planned Parenthood Columbia Willamette
RECRUITINGPortland, Oregon, 97212, United States
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Planned Parenthood Great Northwest Hawaii, Alaska, Indiana, Kentucky
RECRUITINGSeattle, Washington, 98122, United States
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Planned Parenthood Illinoi
RECRUITINGChicago, Illinois, 60603, United States
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Planned Parenthood League of Massachusetts
RECRUITINGBoston, Massachusetts, 02215, United States
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Planned Parenthood Mar Monte
RECRUITINGSan Jose, California, 95126, United States
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Planned Parenthood North Central States
ACTIVE_NOT_RECRUITINGSaint Paul, Minnesota, 55114, United States
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Planned Parenthood of the Rocky Mountains
RECRUITINGDenver, Colorado, 80207, United States
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Watching the IUD go in: can a camera make contraception safer?
- Patch tested to block pregnancy
- Can a polymer block tubes without surgery? a trial investigates
- Can a redesigned IUD inserter make birth control safer and easier?
- Texts and local mentors: a new way to empower teen girls on contraception?
- Could a single implant replace the morning-after pill?