EHC Flashcards

1
Q

what does ulipristal do

A

it inhibits or delays ovulation by postponing follicular rupture

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2
Q

how does ulipristal work

A

it suppress a surge in LH

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3
Q

when can ulipristal be used

A

within 5 days after UPSI or contraceptive failure

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4
Q

what does levonorgestrel do

A

it inhibits ovulation by delaying follicle rupture

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5
Q

how does levonorgestrel work

A

if taken prior to LH surge it inhibits ovulation for next 5 days until sperm from UPSI stops being viable

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6
Q

can ulipristal and levonorgestrel be used in the late follicular phase

A

ulipristal can and levonorgestrel can’t be

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7
Q

is levonorgestrel effective once process of implantation can occur

A

no

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8
Q

when is levonorgestrel licensed for use

A

within 3 days after UPSI or contraceptive failure

OR

between 3-4 days after UPSI or contraceptive failure but efficacy decreases with time

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9
Q

how long are sperm viable in female genital tract

A

for about 5 days after UPSI

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10
Q

how does Cu-IUD work

A

it inhibits fertilisation by its toxic effect on sperm and ova.

if fertilisation occurs the inflammatory reaction prevent implantation

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11
Q

when is the Cu-IUD licensed for use as EHC

A

within 5 days after UPSI or within 5 days of 1st date of estimated date of ovulation (WHICHEVER IS LATER)

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12
Q

which EHC is first line

A

ulipristal

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13
Q

what age can have ulipristal and levonorgestrel

A

patients over 13 years old

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