Emergency Contraception (EC)

Question 1

How does Cu-IUD prevent pregnancy as EC?

Answer 1

Prevents mobilization of sperm.

Question 2

How long can it take for sperm and egg to meet?

Answer 2

6 days

Question 3

Cons to using Plan B (Levonogestrol)?

Answer 3

Less effective if >3d and >155lbs

Question 4

Precautions with Ella (Ulipristal Acetate)?

Answer 4

Do not take within 6 d of progestin-containing contraception. Use barrier method until next menses.

Question 5

How does the Yuzpe method work?

Answer 5

Taking CHC (dose varies) 12 hours apart, then cont. CHC as scheduled and skip placebo pills.

Question 6

How effective is the Cu-IUD as EC?

Answer 6

99% within the first 5 days

Question 7

How effective is Ulipristal Acetate as EC?

Answer 7

85% within 5 days

Question 8

How effective is Plan B (Progestin EC)?

Answer 8

89% within the first 3d, decreases after that, do not take >5d. after unprotected sex.

Question 9

Do you need to take a pregnancy test before EC pills?

Answer 9

NOPE!

Question 10

Breastfeeding considerations with EC pills

Answer 10

Plan B: A-okay!

UPA-Pump and dump x36hrs

Question 11

If the patient vomits after taking the EC pill, should you repeat?

Answer 11

Only if it’s been within 3 hours of taking it. Consider prescribing an anti-nausea medication to take 1 hour before.

Question 12

When can you initiate LNG-52mg IUS (Mirena)?

Answer 12

<5d since unprotected intercourse
<7d since LMP
OR
Neg UPT and repeat UPT in 4 wks.