emergency contraception Flashcards
1
Q
what are options
A
- copper IUD
- OCPs
- oral levonorgesterol
- ulipristal acetate (progesterone receptor modulator)
- mifepristone
2
Q
copper IUD
- how long after unprotected intercourse is it effective
A
5 days
3
Q
oral levonorgesterol
- dose/timing
A
plan B
- either 1.5 mg or 2 0.75 mg doses
- 3 days
4
Q
ulipristal acetate
A
- FDA approved up to 5 days
- 30 mg single dose
- prescription
- less effective BMI > 30
5
Q
mifepristone
A
single dose within 5 days
6
Q
OCPs
A
100 nanogram estrogen, 0.5-0.6 levonorgesterol x 2, 12 hours apart
7
Q
follow-up plan:
A
- start barrier/contraception immediately, unless got ulipristal in which case have to wait 5 days
- if menses delayed 7 days, pregnancy test
8
Q
when do you have to see the patient and no rx over phone
A
- AUB
- menses > 7 days late
- pain
