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Each row is one question a systematic review asked: who, what, compared with what, and which outcome, with the effect it found and how certain that is. Words match anywhere in the field.

Limit to evidence status or GRADE (optional)

515 questions in 31 reviews · Fertility Regulation

current versions
No studies 99 · 19.2%Ungraded 11 · 2.1%Very low 70 · 13.6%Low 147 · 28.5%Moderate 153 · 29.7%High 35 · 6.8%

Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.

QuestionEffectEvidenceStatus / GRADE
Summary of findings table ‐ Intravenous paracetamol 1000 mg vs 2 pumps of cervical lidocaine spray
Pain with dilation ‐ not measured · people requesting a surgical abortion at 5+0 to 7+0 weeks' gestation
Local anaesthesia for pain control in first trimester surgical abortion (2024) · Cochrane
no estimate extractedNRNo studies
Summary of findings table ‐ Intravenous paracetamol 1000 mg vs 2 pumps of cervical lidocaine spray
Pain with aspiration ‐ not measured · people requesting a surgical abortion at 5+0 to 7+0 weeks' gestation
Local anaesthesia for pain control in first trimester surgical abortion (2024) · Cochrane
no estimate extractedNRNo studies
Summary of findings table ‐ Intravenous paracetamol 1000 mg vs 2 pumps of cervical lidocaine spray
Pain during procedurea,b · people requesting a surgical abortion at 5+0 to 7+0 weeks' gestation
Local anaesthesia for pain control in first trimester surgical abortion (2024) · Cochrane
no estimate extracted1 study · 48 participantsLow
Summary of findings table ‐ 20 mL 1% lidocaine paracervical block vs normal saline paracervical block
Pain during procedure ‐ not measured · people requesting a surgical abortion at less than 14 weeks' gestation
Local anaesthesia for pain control in first trimester surgical abortion (2024) · Cochrane
no estimate extractedNRNo studies
Summary of findings table ‐ 80 mg lidocaine paracervical block vs normal saline paracervical block
Pain with dilation ‐ not measured · people requesting a surgical abortion at seven weeks' gestation or less
Local anaesthesia for pain control in first trimester surgical abortion (2024) · Cochrane
no estimate extractedNRNo studies
Summary of findings table ‐ 80 mg lidocaine paracervical block vs normal saline paracervical block
Pain with aspiration ‐ not measured · people requesting a surgical abortion at seven weeks' gestation or less
Local anaesthesia for pain control in first trimester surgical abortion (2024) · Cochrane
no estimate extractedNRNo studies
Summary of findings table ‐ 80 mg lidocaine paracervical block vs normal saline paracervical block
Pain during procedurea,b · people requesting a surgical abortion at seven weeks' gestation or less
Local anaesthesia for pain control in first trimester surgical abortion (2024) · Cochrane
no estimate extracted1 study · 54 participantsModerate
Summary of findings table ‐ Mobile phone‐based interventions vs standard of care
Contraception use · women users/non‐users of contraception
Mobile phone‐based interventions for improving contraception use (2023) · Cochrane
OR 1.3 [1.06, 1.6]16 studies · 8972 participantsModerate
Summary of findings table ‐ Mobile phone‐based interventions vs standard of care
Pregnancy · women users/non‐users of contraception
Mobile phone‐based interventions for improving contraception use (2023) · Cochrane
OR 0.82 [0.48, 1.38]8 studies · 2947 participantsModerate
Summary of findings table ‐ Levonorgestrel IUDs vs Copper IUDs
Pregnancy rates at one month · individuals seeking emergency contraception after unprotected intercourse
Progestin intrauterine devices versus copper intrauterine devices for emergency contraception (2023) · Cochrane
no estimate extracted1 study · 638 participantsVery low
Summary of findings table ‐ Levonorgestrel IUDs vs Copper IUDs
Failed insertion · individuals seeking emergency contraception after unprotected intercourse
Progestin intrauterine devices versus copper intrauterine devices for emergency contraception (2023) · Cochrane
RR 1.05 [0.58, 1.9]1 study · 711 participantsVery low
Summary of findings table ‐ Levonorgestrel IUDs vs Copper IUDs
Rates of expulsion · individuals seeking emergency contraception after unprotected intercourse
Progestin intrauterine devices versus copper intrauterine devices for emergency contraception (2023) · Cochrane
RR 0.67 [0.11, 4]1 study · 655 participantsVery low
Summary of findings table ‐ Levonorgestrel IUDs vs Copper IUDs
Rates of removal · individuals seeking emergency contraception after unprotected intercourse
Progestin intrauterine devices versus copper intrauterine devices for emergency contraception (2023) · Cochrane
RR 1.25 [0.5, 3.14]1 study · 655 participantsVery low
Summary of findings table ‐ Levonorgestrel IUDs vs Copper IUDs
Number of bleeding days in first month · individuals seeking emergency contraception after unprotected intercourse
Progestin intrauterine devices versus copper intrauterine devices for emergency contraception (2023) · Cochrane
no estimate extracted1 study · 510 participantsLow
Summary of findings table ‐ Levonorgestrel IUDs vs Copper IUDs
Cramping score since insertion · individuals seeking emergency contraception after unprotected intercourse
Progestin intrauterine devices versus copper intrauterine devices for emergency contraception (2023) · Cochrane
no estimate extracted1 study · 547 participantsLow
Summary of findings table ‐ Levonorgestrel IUDs vs Copper IUDs
Patient satisfaction · individuals seeking emergency contraception after unprotected intercourse
Progestin intrauterine devices versus copper intrauterine devices for emergency contraception (2023) · Cochrane
RR 0.84 [0.57, 1.22]1 study · 615 participantsVery low
Summary of findings table ‐ Combined hormonal contraception (estrogen plus progestin) vs no contraception
Mortality · COVID‐19 positive patients
Risk of thromboembolism in patients with COVID‐19 who are using hormonal contraception (2023) · Cochrane
OR 1 [0.41, 2.4]1 study · 18892 participantsVery low
Summary of findings table ‐ Any type of hormonal contraception (estrogen plus progestin or progestin‐only) vs no contraception
Venous thromboembolism ‐ not measured · COVID‐19 positive patients
Risk of thromboembolism in patients with COVID‐19 who are using hormonal contraception (2023) · Cochrane
no estimate extractedNRNo studies
Summary of findings table ‐ Any type of hormonal contraception (estrogen plus progestin or progestin‐only) vs no contraception
Arterial thromboembolism ‐ not measured · COVID‐19 positive patients
Risk of thromboembolism in patients with COVID‐19 who are using hormonal contraception (2023) · Cochrane
no estimate extractedNRNo studies
Summary of findings table ‐ Any type of hormonal contraception (estrogen plus progestin or progestin‐only) vs no contraception
Acute respiratory distress syndrome ‐ not measured · COVID‐19 positive patients
Risk of thromboembolism in patients with COVID‐19 who are using hormonal contraception (2023) · Cochrane
no estimate extractedNRNo studies
Summary of findings table ‐ Combined hormonal contraception (estrogen plus progestin) vs no contraception
Hospitalization · COVID‐19 positive patients
Risk of thromboembolism in patients with COVID‐19 who are using hormonal contraception (2023) · Cochrane
OR 0.79 [0.64, 0.97]1 study · 295689 participantsVery low
Summary of findings table ‐ Combined hormonal contraception (estrogen plus progestin) vs no contraception
Venous thromboembolism · COVID‐19 positive patients
Risk of thromboembolism in patients with COVID‐19 who are using hormonal contraception (2023) · Cochrane
no estimate extracted2 studies · 13 participantsVery low
Summary of findings table ‐ Combined hormonal contraception (estrogen plus progestin) vs no contraception
Intubation · COVID‐19 positive patients
Risk of thromboembolism in patients with COVID‐19 who are using hormonal contraception (2023) · Cochrane
no estimate extracted1 study · 7 participantsVery low
Summary of findings table ‐ Combined hormonal contraception (estrogen plus progestin) vs no contraception
Arterial thromboembolism ‐ not measured · COVID‐19 positive patients
Risk of thromboembolism in patients with COVID‐19 who are using hormonal contraception (2023) · Cochrane
no estimate extractedNRNo studies
Summary of findings table ‐ Combined hormonal contraception (estrogen plus progestin) vs no contraception
Acute respiratory distress syndrome ‐ not measured · COVID‐19 positive patients
Risk of thromboembolism in patients with COVID‐19 who are using hormonal contraception (2023) · Cochrane
no estimate extractedNRNo studies
Summary of findings table ‐ Any type of hormonal contraception (estrogen plus progestin or progestin‐only) vs no contraception
Hospitalization · COVID‐19 positive patients
Risk of thromboembolism in patients with COVID‐19 who are using hormonal contraception (2023) · Cochrane
OR 0.99 [0.68, 1.44]1 study · 123 participantsVery low
Summary of findings table ‐ Any type of hormonal contraception (estrogen plus progestin or progestin‐only) vs no contraception
Intubation · COVID‐19 positive patients
Risk of thromboembolism in patients with COVID‐19 who are using hormonal contraception (2023) · Cochrane
no estimate extracted1 study · 123 participantsVery low
Summary of findings table ‐ Any type of hormonal contraception (estrogen plus progestin or progestin‐only) vs no contraception
Mortality ‐ not measured · COVID‐19 positive patients
Risk of thromboembolism in patients with COVID‐19 who are using hormonal contraception (2023) · Cochrane
no estimate extractedNRNo studies
Mifepristone (600 mg) plus prostaglandin vs mifepristone (200 mg) plus prostaglandin
Failure to achieve complete abortion · women undergoing first trimester abortion
Medical methods for first trimester abortion (2022) · Cochrane
RR 1.07 [0.87, 1.33]4 studies · 3494 participantsModerate
Medical abortion self‐administered at home vs administered
Nausea · women undergoing first trimester abortion
Medical methods for first trimester abortion (2022) · Cochrane
RR 1.09 [0.74, 1.61]3 studies · 1532 participantsLow
Medical abortion self‐administered at home vs administered
Women's dissatisfaction with the procedure · women undergoing first trimester abortion
Medical methods for first trimester abortion (2022) · Cochrane
RR 1.63 [0.95, 2.8]4 studies · 2155 participantsLow
Medical abortion self‐administered at home vs administered
Blood transfusion · women undergoing first trimester abortion
Medical methods for first trimester abortion (2022) · Cochrane
RR 0.33 [0.01, 8.18]1 study · 731 participantsVery low
Medical abortion administered by nurses vs by doctors
Failure to achieve complete abortion · women undergoing first trimester abortion
Medical methods for first trimester abortion (2022) · Cochrane
RR 2.69 [1.39, 5.22]3 studies · 3056 participantsLow
Medical abortion administered by nurses vs by doctors
Nausea · women undergoing first trimester abortion
Medical methods for first trimester abortion (2022) · Cochrane
no estimate extractedNRNo studies
Medical abortion administered by nurses vs by doctors
Women's dissatisfaction with the procedure · women undergoing first trimester abortion
Medical methods for first trimester abortion (2022) · Cochrane
RR 2.7 [0.16, 44.49]2 studies · 1988 participantsVery low
Medical abortion administered by nurses vs by doctors
Blood transfusion · women undergoing first trimester abortion
Medical methods for first trimester abortion (2022) · Cochrane
no estimate extracted1 study · 1068 participantsLow
Oral misoprostol vs vaginal misoprostol
Failure to achieve complete abortion · women undergoing first trimester abortion
Medical methods for first trimester abortion (2022) · Cochrane
RR 2.38 [1.46, 3.87]3 studies · 1704 participantsModerate
Oral misoprostol vs vaginal misoprostol
Nausea · women undergoing first trimester abortion
Medical methods for first trimester abortion (2022) · Cochrane
RR 1.14 [1.03, 1.26]2 studies · 1380 participantsLow
Oral misoprostol vs vaginal misoprostol
Women's dissatisfaction with the procedure · women undergoing first trimester abortion
Medical methods for first trimester abortion (2022) · Cochrane
no estimate extractedNRNo studies
Mifepristone (600 mg) plus prostaglandin vs mifepristone (200 mg) plus prostaglandin
Nausea · women undergoing first trimester abortion
Medical methods for first trimester abortion (2022) · Cochrane
RR 1.02 [0.95, 1.09]2 studies · 2432 participantsModerate
Oral misoprostol vs vaginal misoprostol
Blood transfusion · women undergoing first trimester abortion
Medical methods for first trimester abortion (2022) · Cochrane
no estimate extractedNRNo studies
Sublingual misoprostol vs vaginal misoprostol
Failure to achieve complete abortion · women undergoing first trimester abortion
Medical methods for first trimester abortion (2022) · Cochrane
RR 0.68 [0.22, 2.11]2 studies · 3229 participantsModerate
Sublingual misoprostol vs vaginal misoprostol
Nausea · women undergoing first trimester abortion
Medical methods for first trimester abortion (2022) · Cochrane
RR 1.11 [0.93, 1.33]3 studies · 3543 participantsModerate
Sublingual misoprostol vs vaginal misoprostol
Women's dissatisfaction with the procedure · women undergoing first trimester abortion
Medical methods for first trimester abortion (2022) · Cochrane
RR 1.67 [0.8, 3.5]2 studies · 3303 participantsModerate
Sublingual misoprostol vs vaginal misoprostol
Blood transfusion · women undergoing first trimester abortion
Medical methods for first trimester abortion (2022) · Cochrane
no estimate extractedNRNo studies
Mifepristone alone vs mifepristone/prostaglandin
Failure to achieve complete abortion · women undergoing first trimester abortion
Medical methods for first trimester abortion (2022) · Cochrane
RR 3.25 [0.81, 13.09]3 studies · 273 participantsVery low
Mifepristone alone vs mifepristone/prostaglandin
Nausea · women undergoing first trimester abortion
Medical methods for first trimester abortion (2022) · Cochrane
no estimate extractedNRNo studies
Mifepristone alone vs mifepristone/prostaglandin
Women's dissatisfaction with the procedure · women undergoing first trimester abortion
Medical methods for first trimester abortion (2022) · Cochrane
no estimate extractedNRNo studies
Mifepristone alone vs mifepristone/prostaglandin
Blood transfusion · women undergoing first trimester abortion
Medical methods for first trimester abortion (2022) · Cochrane
no estimate extractedNRNo studies
Prostaglandin alone vs combined regimen
Failure to achieve complete abortion · women undergoing first trimester abortion
Medical methods for first trimester abortion (2022) · Cochrane
RR 2.39 [1.89, 3.02]18 studies · 3471 participantsLow