Choice of Emergency Contraception Flashcards

1
Q

When can a copper IUD be inserted as emergency contraception?

A

Up to 5 days after first UPSI in the menstrual cycle.

Or up to 5 days after the earliest likely date of ovulation (whichever is later).

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2
Q

When would you give oral emergency contraception?

A

When copper IUD is not appropriate or acceptable.

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3
Q

When is oral emergency contraception unlikely to be effective?

A

After ovulation.

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4
Q

If there has been more than 5 days after ovulation, and unprotected sex was more than 5 days ago, can any emergency contraception be given?

A

No.

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5
Q

When would you consider doing a pregnancy test?

A

If had UPSI this cycle more than 21 days ago.

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6
Q

When would you use UPA-EC?

A

If the last unprotected sexual intercourse was <96 hours ago and took place <5 days prior to the estimated day of ovulation

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7
Q

When can you start hormonal contraception after taking each type of oral emergency contraception?

A
Ulipristal acetate (UPA): 5 days. 
Levonorgestrel (LNG): right away.
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8
Q

In what specific situations would you use UPA-EC over LNG-EC?

A

If BMI >26 or weight >70kg (or use double dose of LNG)

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9
Q

In what specific situations would you use LNG-EC over UPA-EC?

A

If woman has recently taken progesterone.

Use a double dose if woman is taking enzyme inducing drugs.

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10
Q

Why do you need to wait 5 days before starting hormonal contraception with UPA-EC?

A

Progesterone makes it less effective.

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11
Q

Can you give a woman who has had unprotected sex earlier in her cycle emergency contraception after recent unprotected sex and why?

A

Yes

Because oral EC does not cause abortion or harm to a very early pregnancy.

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