Contraception: Emergency Contraception

Question 1

Yuzpe method

Answer 1

Using on-hand birth control as EC

Question 2

When do you use the Yuzpe method?

Answer 2

Within 3 days of unprotected sex

Question 3

Advantages to the Yuzpe method

Answer 3

Patient may have the BC pills on hand

Question 4

Disadvantages to the Yuzpe method

Answer 4

2 doses, high risk of N/V, cost, using home CHC

Question 5

Yuzpe method ADEs

Answer 5

N/V, breast tenderness, headache

Question 6

Yuzpe method pearls

Answer 6

May take with food or meclizine 50mg 30-60 minutes before each dose as prophy

Question 7

When do you take levonorgestrel (Plan B)?

Answer 7

Within 3 days of unprotected sex

Question 8

Advantages to Plan B

Answer 8

Accessible to all ages in pharmacies as OTC

Question 9

Disadvantages to Plan B

Answer 9

Cost, access

Question 10

Plan B ADEs

Answer 10

N/V, menstrual cycle changes

Question 11

Plan B pearls

Answer 11

Ongoing need for contraception, need to get checked for STI, need for medical follow-up, have to use BUM for 7 days when restarting contraception

Question 12

When do you take ulipristal (Ella)?

Answer 12

Within 5 days of unprotecred intercourse

Question 13

Ulipristal advantages

Answer 13

More effective than Plan B

Question 14

Ulipristal disadvantages

Answer 14

Rx only, cost, access, drug interactions (CYP3A4 substrate)

Question 15

Ulipristal ADEs

Answer 15

N/V, headache, abdominal pain, menstrual cycle changes, dysmenorrhea

Question 16

Ulipristal pearls

Answer 16

Ongoing need for contraception, need to get checked for STIs, menstrual cycle irregularities, need for medical follow-up, BUM for 2 weeks or until end of cycle when restarting contraception, can only take once per menstrual cycle

Question 17

When do you place a copper IUD?

Answer 17

Within 3 days of office treatment

Question 18

Copper IUD pearls

Answer 18

Requires in-office placement

Question 19

Levonorgestrel IUD

Answer 19

Off-label use, place within 5 days