emergency contraception

Question 1

timeframe - levonorgestrel

Answer 1

within 72hrs UPSI

3 days

Question 2

timeframe - ulipristal

Answer 2

within 120hrs UPSI

5 days

Question 3

timeframe - copper coil

Answer 3

within 5 days UPSI
or
within 5 days estimated date ovulation

Question 4

what can reduce effectiveness of oral methods

Answer 4

BMI
enzyme inducing drugs
malabsorption

Question 5

when does ovulation occur

Answer 5

14 days before end of cycle

if cycle 28days then earliest ovulation is day 14

Question 6

most effective option

Answer 6

copper coil

Question 7

levonorgestrel - how does it work

Answer 7

preventing/delaying ovulation

Question 8

levonorgestrel - contraception after taking it

Answer 8

COCP or POP should be started immediately

condoms needed forst 7 days COCP or 2 days POP

Question 9

levonorgestrel - dose

Answer 9

1.5mg single dose

3mg single dose if >70kg or BMI > 26

Question 10

levonorgestrel - if vomit

Answer 10

if vomit within 3hrs of taking it then dose should be repeated

Question 11

levonorgestrel - side effects

Answer 11

N&V
spotting, change to next period
diarrhoea
dizzy 
tender breatss
depressed

Question 12

levonorgestrel - breastfeeding

Answer 12

avoid for 8hrs after dose

Question 13

Ulipristal -

Answer 13

(ellaOne)

delays ovulation

Question 14

Ulipristal - starting contraception after

Answer 14

wait 5 days before starting COCP or POP

Question 15

Ulipristal - dose

Answer 15

30mg

up to 120hrs post UPSI

Question 16

Ulipristal - vomit

Answer 16

if vomit within 3hrs of taking pill then repeat dose

Question 17

Ulipristal - side effects

Answer 17

spotting and change to next period
abdo/pelvic pain
back pain 
mood change 
headache
dizzy 
breast tenderness

Question 18

Ulipristal - breastfeeding

Answer 18

should be avoided 1wk after taking ulipristal

milk should be exprssed and discarded

Question 19

Ulipristal - should be avoided in patients with

Answer 19

severe asthma