Emergency contraception Flashcards
1
Q
What are the different types of emergency contraception and how long after UPSI can you use them?
A
Levonorgestrel 1.5mg: up to 72 hours
Ulipristal acetate 30mg: up to 120 hours
Copper IUD: up to 120 hours
2
Q
What medications can reduce the efficacy of emergency contraception?
A
Cytochrome P450 inducers e.g. carbamazepine
(Levo and Uli both metabolised in the liver)
3
Q
What dose of levonorgestrel should be given if the woman weighs >70kg or has a BMI equivalent or over 26?
A
3mg
Increases efficacy
4
Q
What do the presence of teenage
primary amenorrhea, cyclic abdominal pain, and a palpable suprapubic mass with normal sexual characteristics suggest?
A
Imperforate hymen
Sexual staging = “Tanner Stages”
Stage 4 normal in puberty, lower stages pre-pubertal or abnormal
