emergency contraception Flashcards
when should emergency contraception be used ?
methods of contraception used to prevent pregnancy after sexual intercourse has happened
what are the three methods of emergency contraception ?
copper IUD
UPA
LNG
what is the most effective method of IUD out of the three ?
IUD followed by UPA followed by LNG
how does a copper IUD work ?
by preventing implantation and fertilisation
how do oral emergency contraceptives ?
delayed ovulation
how long can LNG delay ovulation ?
up to when LH surge starts , which is just before ovulation
how long does UPA delay ovulation for
up to when LH surge starts , which is just before ovulation
what is the effect of taking oral EC after ovulation ?
no effect
at what stage does pregnancy legally begin at ?
implantation
what is the time limit period in which you can give LNG ?
up to 72 hours after UPSI
what is the time limit period in which you can give UPA ?
120 hours after UPSI
what is the time limit associated with the insertion of an IUD ?
up to 5 days after unprotected sex
or
up to 5 days after the earliest ovulation
what are some interacting medications with contraceptives ?
antiepileptic drugs
antiretrovirals
Anti-TB drugs
St Johns Wort-herbal
considering there are some contraindicated drugs taken what is the next best step in management ?
avoid UPA
can use a double dose of LNG
what specific drugs are contraindicated with UPA ?
antacids
histamine H2 antagonists
PPIs