emergency contraception management

Question 1

What is the ideal time frame for inserting a Copper Coil (Cu-IUD) for emergency contraception?

Answer 1

The Copper Coil (Cu-IUD) should ideally be inserted within 120 hours of UPSI or within 5 days after the earliest estimated date of ovulation.

Question 2

What class of contraceptive method is the Copper Coil (Cu-IUD)?

Answer 2

The Copper Coil (Cu-IUD) is an intrauterine contraceptive method.

Question 3

What is the mechanism of action for the Copper Coil (Cu-IUD)?

Answer 3

The Copper Coil (Cu-IUD) acts as a spermicide and prevents fertilization and implantation.

Question 4

What should be done if a patient is at high risk of STI when considering a Copper Coil (Cu-IUD)?

Answer 4

STI screening should be performed if the patient is at high risk of STI.

Question 5

Can the Copper Coil (Cu-IUD) be used for long-term contraception?

Answer 5

Yes, the Copper Coil (Cu-IUD) may be left in place for long-term contraception.

Question 6

Is the effectiveness of the Copper Coil (Cu-IUD) affected by BMI or other drugs?

Answer 6

No, the effectiveness of the Copper Coil (Cu-IUD) is not known to be affected by BMI or other drugs.

Question 7

What is the class of Levonorgestrel (Levonelle) emergency contraception?

Answer 7

Levonorgestrel (Levonelle) is a progestogen.

Question 8

What is the dosage for Levonorgestrel (Levonelle) emergency contraception?

Answer 8

The dosage for Levonorgestrel (Levonelle) is 1.5 mg as a single oral dose.

Question 9

What is the mechanism of action for Levonorgestrel (Levonelle) emergency contraception?

Answer 9

Levonorgestrel (Levonelle) inhibits ovulation for the next 5 days and is less effective in the late follicular phase.

Question 10

What should be done if vomiting occurs within 2 hours of taking Levonorgestrel (Levonelle)?

Answer 10

If vomiting occurs within 2 hours of taking Levonorgestrel (Levonelle), the dose should be repeated.

Question 11

What is the class of Ulipristal acetate (EllaOne) emergency contraception?

Answer 11

Ulipristal acetate (EllaOne) is a selective progesterone receptor modulator.

Question 12

What is the dosage for Ulipristal acetate (EllaOne) emergency contraception?

Answer 12

The dosage for Ulipristal acetate (EllaOne) is 30 mg as a single oral dose.

Question 13

What is the mechanism of action for Ulipristal acetate (EllaOne) emergency contraception?

Answer 13

Ulipristal acetate (EllaOne) delays ovulation until sperm are no longer viable.

Question 14

Can Ulipristal acetate (EllaOne) be used with Levonorgestrel?

Answer 14

No, Ulipristal acetate (EllaOne) should not be used with Levonorgestrel.

Question 15

When should hormonal contraception be restarted after taking Ulipristal acetate (EllaOne)?

Answer 15

Hormonal contraception should be restarted 5 days after taking Ulipristal acetate (EllaOne), and barrier contraception should be used in the meantime.

Question 16

What should be done if vomiting occurs within 3 hours of taking Ulipristal acetate (EllaOne)?

Answer 16

If vomiting occurs within 3 hours of taking Ulipristal acetate (EllaOne), the dose should be repeated.

Question 17

What is the recommended method of emergency contraception for women with a bodyweight > 70 kg or a BMI > 26?

Answer 17

EllaOne is the recommended method for women with a bodyweight > 70 kg or a BMI > 26.

Question 18

What should be done if a woman with a bodyweight > 70 kg or a BMI > 26 takes Levonorgestrel (Levonelle)?

Answer 18

If Levonorgestrel (Levonelle) is taken, a double dose (3 mg) should be given, and the woman should start ongoing contraception immediately.

Question 19

Where can LNG-EC and UPA-EC be obtained?

Answer 19

LNG-EC and UPA-EC can be obtained from community pharmacies, GP surgeries, and sexual and reproductive health and GUM clinics.

Question 20

Where is Cu-IUD as emergency contraception available free of charge?

Answer 20

Cu-IUD as emergency contraception is available free of charge when provided by SRH clinics, GP practices, and young people’s services.

Question 21

What are some common side effects of emergency contraception (excluding IUD)?

Answer 21

Common side effects of emergency contraception (excluding IUD) include nausea, vomiting, headache, breast tenderness, and abnormal menstrual bleeding.