emergency contraception Flashcards

1
Q

when should emergency contraception be used ?

A

methods of contraception used to prevent pregnancy after sexual intercourse has happened

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2
Q

what are the three methods of emergency contraception ?

A

copper IUD
UPA
LNG

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3
Q

what is the most effective method of IUD out of the three ?

A
IUD 
followed by 
UPA 
followed by 
LNG
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4
Q

how does a copper IUD work ?

A

by preventing implantation and fertilisation

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5
Q

how do oral emergency contraceptives ?

A

delayed ovulation

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6
Q

how long can LNG delay ovulation ?

A

up to when LH surge starts , which is just before ovulation

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7
Q

how long does UPA delay ovulation for

A

up to when LH surge starts , which is just before ovulation

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8
Q

what is the effect of taking oral EC after ovulation ?

A

no effect

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9
Q

at what stage does pregnancy legally begin at ?

A

implantation

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10
Q

what is the time limit period in which you can give LNG ?

A

up to 72 hours after UPSI

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11
Q

what is the time limit period in which you can give UPA ?

A

120 hours after UPSI

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12
Q

what is the time limit associated with the insertion of an IUD ?

A

up to 5 days after unprotected sex
or
up to 5 days after the earliest ovulation

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13
Q

what are some interacting medications with contraceptives ?

A

antiepileptic drugs
antiretrovirals
Anti-TB drugs
St Johns Wort-herbal

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14
Q

considering there are some contraindicated drugs taken what is the next best step in management ?

A

avoid UPA

can use a double dose of LNG

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15
Q

what specific drugs are contraindicated with UPA ?

A

antacids
histamine H2 antagonists
PPIs

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16
Q

what diseases may be associated with a contraindication with UPA ?

A

severe asthma
any allergies
gastric ulcers

17
Q

what are the medical contraindications of LNG ?

A

no medical contraindications

18
Q

what is the association between breast milk and UPA ?

A

breast milk must be discarded for 7 days after UPA administration

19
Q

what is the association between glucocorticoids and UPA ?

A

antiglucocorticoid effect of UPA

20
Q

what is the association between LNG and women with a BMI over 26 ?

A

dose must be double for women with a BMI above 26

21
Q

are there any association between UPA and LNG with pregnancy ?

A

no risk , not associated with fetal abnormality

22
Q

which EC can normal hormonal contraception be taken immediately after ?

A

LNG and not UPA

23
Q

when should hormonal contraception or LNG be taken in association with UPA ?

A

hormonal and LNG should not be taken until 5 days after taking UPA

24
Q

which EC is more suitable for a mother who wishes to continue breast-feeding ?

A

LNG

25
Q

what are the indications for doubling the dose of LNG ?

A

if the patient is taking any enzyme inducers

if the female has a BMI over 26

26
Q

what are the contraindications to taking UPA ?

A
  1. taking oral steroids for
  2. severe asthma
  3. taking drugs that reduce gastric pH
  4. taking enzyme inducers
  5. taking hormonal contraception or LNG in previous 7 days
27
Q

what are the common side effects associated with oral EC ?

A

headache
nausea
painful period
vomiting

28
Q

what is the next best step in management if a patient experiences vomiting due to EC ?

A

repeat dose or consider IUD if the vomiting occurs within the first 3 hours of taking LNG or UPA

29
Q

when is it expected to get a period after using EC ?

A

get a pregnancy test if more than 1 week late

30
Q

how long can sperm survive ?

A

for up to 5 days in the uterus

31
Q

how long does an unfertilized egg survive for ?

A

24 hours

32
Q

how do you calculate the earliest ovulation date ?

A

shortest cycle length minus 14 days

33
Q

when should contraception be started after having a baby ?

A

should be started by 3 weeks post partum

34
Q

when should contraception be started after a miscarriage or an ectopic pregnancy ?

A

within 5 days

35
Q

how long after UPSI should u do a pregnancy test ?

A

3 weeks