Emergency Hormonal Contraception Flashcards
what are 3 examples of Emergency Hormonal Contraception
- Copper IUD
- Ulipristal
- Levonorgestrel
When should you take another dose of EMC if diarrhoea or vomit
if diarrhoea or vomit within 3 hours of taking, take another
When should you restart normal contraception when taking Emergency Hormonal Contraception
- Levonorgestrel
(restart immediately day after)
(use condom for 2 days) - Ulipristal
(wait 5 days after taking)
(if in week 1 of CHC, take start after 5 days)
( 7 day condom cover)
When can you start breastfeeding when taking Emergency Hormonal Contraception
- Levonorgestrel
(no delay) - Ulipristal
(1 week till can breastfeed)
When should you avoid all Emergency Hormonal Contraception
in severe liver impairment
When should you have caution when taking Levonorgestrel
in malabsorption
When should you have caution when taking Ulipristal
severe asthma controlled by glucocorticoids (prednisolone, dexomethasone)
What drugs interact with both Emergency Hormonal Contraception
Enzyme Inducers
What are the side effects of Ulipristal
- cycle irregularities
- Diarrhoea
- vomiting
- altered mood
- dizziness
What are the side effects of Levonorgestrel
- breast tenderness
- Diarrhoea
- Vomiting
- fatigue
- heamorrhage
When should you remove Copper IUD
1st trimester of pregnancy
What is the MHRA warning for the Copper IUD
uterine perforation
What are the symptoms of uterine perforation
- sever pelvic pain after insertion
- sudden change in period
- pain during sex
- can’t feel threads of iUD
How long does the Copper IUD over you for
5 days
What is the most effective emergency contraception
Copper IUD
