EHC Flashcards
What is the most effective EHC?
IUD
When is EHC indicated with a COCP?
2 or more missed pills within 7 days
When is EHC indicated with a POP?
If 1 or more pills are missed within 7 days
When is EHC indicated with Zoely or Qlaira?
If a pill is taken over 12 hours late
When is EHC indicated with Micronor or Noriday?
If a pill is taken over 3 hours late
When is EHC indicated in GI illness?
If vomiting occurs within 2 hours of taking a POP
If the patient has persistent diarrhoea for >24 hours
Describe the use of regular COCP after levonelle.
Omit dose of pill today
Take contraception as normal from tomorrow
Use extra precautions for 7 days
Describe the use of regular POP after levonelle.
Omit dose of pill today
Take contraception as normal from tomorrow
Use extra precautions for 2 days
Describe the use of regular COCP after ella one.
Omit pill for 5 days
Use extra precautions until NMP
Describe the use of regular POP after ella one.
Omit pill for 5 days
Use extra precautions until NMP
What is the advice for regular contraception if EHC is given in the 3rd week?
Omit 7 day break and run the next pack through
Extra precautions until next bleed
What is the window of efficacy for levonelle?
72 hours
What is the window of efficacy for ella one?
120 hours
What advice should be given after EHC regarding NMP?
May be lighter, heavier, earlier or later
If over 5 days late, take a pregnancy test
Describe the efficacy of levonelle.
95% effective within 24 hours
84% efficacy over entire window
