Emergency Hormonal Contraception

Question 1

When is the likelihood of fertilisation highest?

Answer 1

If intercourse has taken place in the pre-ovulatory phase, when the likelihood of intercourse is highest.

Question 2

What are the drug interactions of note of Levonelle One-Step?

Answer 2

Anticonvulsants, rifampicin, griseofulvin, St. John’s Wort and ciclosporin.

Question 3

Does woman who missed one pill (more than 24 hours late) and had unprotected sex need EHC?

Answer 3

No. No additional or emergency contraception is usually necessary. The patient should take the missed pill and continue to take the rest of the pack as normal.

Question 4

When would a woman who had missed only one pill and had UPSI need emergency contraception?

Answer 4

If pills have been missed earlier in the packet or in the last week of the previous packet.

Question 5

Does a patient who has missed two or more pills need EHC?

Answer 5

The patient should take the last pill they missed (even if this means taking two pills in one day) and continue taking the rest of the pack as usual.

An additional method of contraception should be used for the next seven days an if the patient has had UPSE in the previous seven days, and missed two or more pills) in the first week of the pack, EHC may be needed.

Question 6

If pills are missed in the first week (Pills 1-7), when should EHC be considered?

Answer 6

If UPSI occured in the pill free interval or in the first week of pill-taking (when the missed pills happened)

Question 7

How long after taking EHC EllaOne should a woman not breastfeed?

Answer 7

1 week. Still need to manually disgorge breasts.

Question 8

Levonelle asbsorption may be reduced in patients with what condition?

Answer 8

Crohns