Emergency Contraception Flashcards
What is the medical name of Levonelle?
Levonorgestrel
What is levonelle composed of?
Progesterone only tablet
Up until when can levonelle be taken after sex?
Up to 3 days after (72 hours)
When might you need to double the dose of levonelle?
For those with a BMI >26 or weight over 70kg
What happens to the efficiency of levonelle as time goes on after intercourse?
The efficiency decreases
How does levonelle work?
Stops ovulation and inhibit implantation
What should be given if the patient vomits within 3 hours of taking levonelle?
A repeat dose should be given
Can levonelle be taken more than once in one menstrual cycle?
Yes if clinically indicated
Can patients return to regular contraception immediately after taking levonelle?
Yes
What are the possible side effects of levonelle?
Headache
Nausea
Dysmenorrhoea
What is the medical name of EllaOne?
Ulipristal
What is EllaOne composed of?
Progesterone only
What is the main function of EllaOne?
Inhibition of ovulation
Up until when can EllaOne be taken after intercourse?
5 days (120 hours)
What can Ulipristal reduce the effectiveness of?
Hormonal contraception
When can contraception with the pill, patch or ring be started/restarted after taking ellaone?
5 days after
Who would need to be careful with taking EllaOne?
Asthmatics
Can ulipristal be used more than once in the same cycle?
Yes
How long after taking Ulipristal should breastfeeding be delayed?
Breastfeeding should be delayed for one week after taking ulipristal
What is the most effective form of emergency contraception?
A copper IUD
What are the possible side effects of EllaOne?
Headache
Nausea
Dysmenorrhoea.
When should a copper IUD be inserted after intercourse to be effective?
Within 5 days
If a woman presents after 5 days after UPSI, when can the copper IUD be fitted?
Up to 5 days after the likely ovulation date
How does the copper IUD work?
May inhibit fertilisation or implantation
How effective is the copper IUD?
99% effective regardless of where it is used in the cycle
What are the contraindications of the copper IUD?
Abnormal uterine anatomy
Unexplained vaginal bleeding
Pelvic inflammatory disease
Between 48 hours and 28 days postpartum
What does the copper IUD not affect?
Menstrual regularity
What are possible side effects of the copper IUD?
Heavier, more painful periods
What is the copper IUD not affected by?
Any other medication
