emergency contraception

Question 1

Levonorgestrel is it safe in breastfeeding

Answer 1

he same progestrogen found in the IUS (Mirena). It is a progestrogen only pill. Thus it is safe in breastfeeding, and for women in whom oestrogens are contraindicated

Question 2

when should you not use levonorgestrel in what disease

Answer 2

liver disease

Question 3

side effects of levonorgestrel

Answer 3

Menstrual irregularities
For most women the next period will be normal, but it can be 2-7 days late.
There may be irregular bleeding during the next menstrual cycle
Nausea
Vomiting
Breast tenderness

Question 4

if someone vomits within 2hr of taking this pill what should you do

Answer 4

If vomiting occurs within 2 hours of administration, another pill should be given. If vomiting continues, consider IUD, or consider another dose, with an antiemetic (domperidone recommended).

Another form of contraception – e.g. COCP or POP can be started immediately

Question 5

how long do both the COCP and POP need to be used

Answer 5

A barrier method of contraception needs to be used for 7 days (COCP), or 3 days for POCP.

Question 6

how long does levonorgestrel need to be taken within

Answer 6

72hr

Question 7

Ulipristal Acetate needs to be taken within how many hours after intercourse

Answer 7

120

Question 8

can you breastfeed when you have taken ullipristal

what else is it contraindicated in

Answer 8

Contraindicated in uncontrolled asthma
Avoid breast-feeding for 36 hours (precautionary, no evidence) maybe a week
LNG and copper coil are both safe with breast-feeding
Severe liver disease

Question 9

IUD can be used how many days after unprotected sex

Answer 9

5 days