Emergency contraception

Question 1

methods of emergency contraceptive

Answer 1

cu-IUD
Ella one
Levonelle

Question 2

if a pt has had UPSI 10 days ago and are 17 days into their cycle what can be offered to them if anything

Answer 2

cuIUD

Oral contraceptives are ineffective

Question 3

if a pt has had UPSI 7 days ago and are currently 21 days into their cycle what can be offered to them if anything at all

Answer 3

pregnancy test

Question 4

within how many days can Cu-IUD be offered for a pt who have had UPSI over 5 days ago

Answer 4

within 5 days or less of the likely date of ovulation

Question 5

if it is under 5 days since UPSI but over 5 days since the earliest likley date of ovulation, what should be done/given?

Answer 5

refer because Cu-IUD can not be given over 5 days since likley date of ovulation and oral EHC is ineffective

Question 6

if the days from UPSI is unknown but it is within 5 or less days of ovulation what should be done/given?

Answer 6

Offer Cu-IUD or oral EHC

however run risk of ovulation already occurred

Question 7

if the days from UPSI is unknown and it is outside the 5 days since ovulation or it is unknown what should be done/given?

Answer 7

offer oral EHC however may not prevent ovulation

Question 8

when does levonelle become ineffective after UPSI

Answer 8

96 hrs

Question 9

if a pt has a bMI Of 26 or weight 70kg what should be offered if UPSI occurred under 96hrs

Answer 9

ella one is used despite weight

levonelle can be given as double dose

Question 10

if bmi is under 26 or weight 70kg

Answer 10

ella one still first line

second line levonelle

Question 11

enzyme inducing drugs- WHAT SHOULD BE GIVEN

Answer 11

enzyme inducing drugs- cuIUD
if not then a 3mg dose of levonelle
if under age of 16 then need to refer

Question 12

if women takes progestrogen only 5 days after taking ella one what is the concern

Answer 12

reduced effectivenessof ella one

Question 13

if a women takes progestrogen 7 days before taking ellaone what is the concern

Answer 13

reduced effectivenmedd of ella one

Question 14

which condition is contraindicated in ella one use

Answer 14

severe asthma controlled by oral glucocorticoids

Question 15

can women breast feed when using ehc

Answer 15

discard breast milk for a week after using ellaone

levonelle has no adverse effect on breastfeeding

Question 16

can you provide ehc more than once on the same cycle

Answer 16

can offer ella one or levonelle again within same cycle

Question 17

if pts has been given ella one in cycle can they be given levonelle next?

Answer 17

shouldnt be taken 5 following days but after this is okay

Question 18

if pts has been given ella one in cycle can they be given ella one next?

Answer 18

ella one is less effective within those five days

Question 19

how long should woemn wait before starting contraception after ella one

Answer 19

5 days

use condoms or abstain from sex in this time

Question 20

pt and carer advice for ehc

Answer 20

vomiting eithin 3 hrs then replace dose
next period may be elry or late
notify HCP if sever abdo pain b
barrier method shoulf be used
ecause could be an ectopic pregnancy

Question 21

when should a pregnancy tets be suggested if a pt comes in saying they have had UPSI

Answer 21

Period delyaed more than 7 days
period lighter than usual or has abdo pain
if they use hormonal contraceptives soon after ehc