Emergency Contraception

Question 1

Timeline?

Answer 1

Needs to be taken withint 3-5 days of unprotected sex

Question 2

How does it work?

Answer 2

Delays/inhibits ovulation and therefore prevents fertilization of an egg

Question 3

Does it terminate an existing pregnancy?

Answer 3

No

Question 4

Plan B
( Drug of choice)
Administration?
Pregnancy rate?

Answer 4

Either 1.5 mg PO all at once
or 0.75 mg 12 hours apart
2.2% when taken within 72 hrs
2.6 % when taken within 120 hrs
( decrease efficacy if BMI>26)
Repeat dose if you vomit within 2 hours
Patients should start hormonal contraception within 24 hours of taking if they want

Question 5

YUPZE Method
Dose?
Pregnancy Rate?

Answer 5

100 mcg EE and 1.5 LNG do 1 dose right away and another at 12 hours
Pregnancy rate is 2.5-2.9 ,72 hrs
Repeat dose if you vomit within 2 hours

Question 6

Ulipristal ( ELLA)
Dose?
Pregnancy Rate?

Answer 6

30mg X one dose
1.4% ,72 hrs
1.6% ,120hrs
( Decreased efficacy if BMI>30)

Question 7

Special Consideration with ELLA?

Answer 7

Need to delay restarting COCs for 5 days after administration
Repeat dose if vomiting’s <3 hours after taking it
If users do start COC they need to use backup for 14 days after starting it

Question 8

Adverse effects?

Answer 8

Headaches, Irregular bleeding, N/V
Take Gravol 30 minutes prior

Question 9

Copper IUD

Answer 9

Can be used within 5-7 days if pregnancy is ruled out
1st choice if BMI>30
Pregnancy rate is 0.1% even after ovulation
Inhibits sperm function and prevents endometrial receptivity