EHC

Question 1

When is levonorgestrel most effect?

Answer 1

When taken within 72 hours of UPSI

Question 2

When is ulipristal most effective?

Answer 2

When taken within 120 hours of UPSI

Question 3

If the patient is greater than 70g, which drug should be recommended?

Answer 3

Ulipristal, or a double dose of levonorgestrel

Question 4

Can ulipristal and levonorgestrel be used more than once in the same cycle?

Answer 4

Yes

• But with levonorgestrel you may be at an increased risk of side effects e.g menstrual irregularities

Question 5

At what age can you buy ulipristal?

Answer 5

Childbearing age e.g 13

Need to assess capability

Question 6

At what age can you buy levonorgestrel?

Answer 6

16 and over)

Question 7

How many days after child birth can EHC be offered?

Answer 7

21 days

Question 8

How many days after abortion, miscarriage, ectopic pregnancy or uterine evacuation can EHC be offered?

Answer 8

5 days

Question 9

A copper IUD can be inserted up to how many hours after UPSI?

Answer 9

120 hours

Question 10

After taking levonorgestrel, when can you start hormonal contraceptives?

Answer 10

Immediately

Question 11

After taking ulipristal, how long should you wait before starting hormonal contraceptives?

Answer 11

5 days

Question 12

Ulipristal and breastfeeding?

Answer 12

Breastfeeding should be avoided for one week after taking

Question 13

Levonorgestrel and breastfeeding?

Answer 13

Avoid for at least 8 hours after taking