Emergency Contraception

Question 1

What is the MOST efficient form of EC?

When can it be used?

How does it work?

Answer 1

Cu-IUD

Up to 5 days post unprotected sex
Up to 5 days post ovulation

Prevents fertilisation/implantation if fertilised

Question 2

If someone cannot have a Cu-IUD fitted that day what should be done?

Answer 2

MUST be given some form of oral EC in case they can’t make followup appointment

Question 3

What are the two forms of oral EC?

How do they both work?

What one can be taken for the longest time post sex?

Answer 3

EllaOne - ulipristal acetate - anti-progesterone
5 days post sex

Levonelle - levonesgestrel - MEGA dose of progesterone
3 days post

Both delay ovulation

Question 4

A 18 day postpartum breastfeeding woman has attended clinic asking for EC as she had unprotected sex last night. Does she need EC?

Answer 4

No

Need it if NOT breastfeeding and 21 days postpartum