emergency contraception

Question 1

What are the 3 ways to prevent pregnancy?

Answer 1

1) prevent sperm
2) prevent ovum
3) prevent implantation

Question 2

How does emergency hormonal contraception work?

Answer 2

by inhibiting/postponing ovulation

Question 3

What is the non-hormonal option for emergency contraception?

Answer 3

copper IUD (intrauterine device)

Question 4

What are the hormonal options of emergency contraception?

Answer 4

1) ulipristal acetate

2) levonorgestrel

Question 5

How does the copper IUD work?

Answer 5

1) kills sperm

2) prevents implantation

Question 6

How long after intercourse can a copper IUD be inserted?

Answer 6

up to 5 days

Question 7

What is the efficacy of copper IUDs?

Answer 7

over 99%

Question 8

How long after ovulation can the egg remain in the fallopian tube?

Answer 8

12 to 24 hours

Question 9

How long can sperm cells survive in a woman’s reproductive tract?

Answer 9

up to 5 days

Question 10

What percentage of women ovulate on day 14?

Answer 10

12%

Question 11

What percentage of women ovulate between days 12 and 16?

Answer 11

49%

Question 12

levonorgestrel

Answer 12

synthetic progestogen hormone (antagonist of the progesterone receptor)

Question 13

How does levonorgestrel work?

Answer 13

inhibition/delaying of ovulation

Question 14

ulipristal acetate

Answer 14

orally-active synthetic selective progesterone receptor modulator which acts via high-affinity binding to the human progesterone receptor

Question 15

How does ulipristal acetate work?

Answer 15

inhibition/delay via suppression of the LH surge

Question 16

What is the trigger for ovulation?

Answer 16

a rise in LH

Question 17

Can ellaOne and levonorgestrel delay ovulation before or after the LH surge?

Answer 17

before, but ellaOne can delay ovulation during the LH surge

Question 18

Which is more effective, Ulipristal Acetate or Levonorgestral?

Answer 18

Ulipristal Acetate

Question 19

When should emergency contraception be taken with the combined hormonal transdermal patch?

Answer 19

if there is removal in week one and unprotected sexual intercourse has taken place

Question 20

When should emergency contraception be taken with the combined hormonal contraceptive pill?

Answer 20

if more than two pills are missed in week one, or if the pill-free interval has been extended to more than seven days and unprotected sexual intercourse has taken place

Question 21

When should emergency contraception be used with the progestogen-only pill?

Answer 21

if it has been more than 27 hours since the last pill was taken and unprotected sexual intercourse has taken place

Question 22

When should emergency contraception be taken with the progestogen injection?

Answer 22

if there has been more than 14 weeks since the last injection and unprotected sexual intercourse took place within the first 7 days following the injection

Question 23

When should emergency contraception be taken with liver enzyme-inducing medicines?

Answer 23

if UPSI has taken place in the 28 days after (double dose of Levonorgestrel/copper IUD recommended)

Question 24

When should emergency contraception be taken with the desogestrel-only pill?

Answer 24

if it has been 36 hours since the last pill was taken and UPSI has taken place

Question 25

Who can take Ulipristal Acetate?

Answer 25

all women of childbearing potential, including <16

Question 26

Who can take Levonorgestrel?

Answer 26

women >16 who are purchasing it, and <16 if they are prescribed it

Question 27

When should a patient check to see if they are pregnant after taking EHC?

Answer 27

if their period is unusually light or delayed by more than 7 days (5 for Levonorgestrel

Question 28

How long is breastfeeding not recommended for after taking Ulipristal Acetate?

Answer 28

one week

Question 29

How long is breastfeeding not recommended for after taking Levonorgestrel?

Answer 29

8 hours