flashcards_emergency_contraception

Question 1

What is the ideal timeframe for using the Copper Coil (Cu-IUD) as emergency contraception?

Answer 1

Ideally 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

Intrauterine contraceptive method.

Question 3

Why is the Copper Coil (Cu-IUD) considered the most effective method of emergency contraception?

Answer 3

It is the most effective method of emergency contraception and the only method effective after ovulation.

Question 4

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

Answer 4

Spermicide and prevents fertilisation and implantation.

Question 5

What additional screening should be considered for users of the Copper Coil (Cu-IUD)?

Answer 5

STI screening if at high risk of STI.

Question 6

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

Answer 6

Yes, it may be left in for long-term contraception.

Question 7

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

Answer 7

No, it is not known to be affected by BMI/weight or by other drugs.

Question 8

What is the ideal timeframe for taking Levonorgestrel (Levonelle) (LNG-EC) after unprotected intercourse?

Answer 8

Within 72 hours of UPSI.

Question 9

What class of drug is Levonorgestrel (Levonelle) (LNG-EC)?

Answer 9

Progestogen.

Question 10

What is the dosage and mechanism of action for Levonorgestrel (Levonelle) (LNG-EC)?

Answer 10

1.5 mg single oral dose, inhibits ovulation for the next 5 days.

Question 11

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

Answer 11

The dose should be repeated.

Question 12

What is the ideal timeframe for taking Ulipristal acetate (EllaOne) (UPA-EC) after unprotected intercourse?

Answer 12

Within 120 hours of UPSI.

Question 13

What class of drug is Ulipristal acetate (EllaOne) (UPA-EC)?

Answer 13

Selective progesterone receptor modulator.

Question 14

What is the dosage and mechanism of action for Ulipristal acetate (EllaOne) (UPA-EC)?

Answer 14

30 mg single oral dose, delays ovulation until sperm is no longer viable.

Question 15

What precaution should be taken if a patient normally uses hormonal contraception and takes Ulipristal acetate (EllaOne) (UPA-EC)?

Answer 15

They should restart it 5 days after ulipristal and use barrier contraception in the meantime.

Question 16

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

Answer 16

The dose should be repeated.

Question 17

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

Answer 17

EllaOne is the recommended method.

Question 18

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

Answer 18

Give a double dose (3 mg) and start ongoing contraception immediately.

Question 19

What detailed history should be obtained before deciding on emergency contraception?

Answer 19

A detailed gynecological history.

Question 20

What should be advised if the next period is late by 7 days or more after taking emergency contraception?

Answer 20

Have an STI screen and pregnancy test.

Question 21

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

Answer 21

Community pharmacies, GP surgeries, sexual and reproductive health, and GUM clinics.

Question 22

Is the Copper Coil (Cu-IUD) free of charge when provided by SRH clinics, GP practices, and young people’s services?

Answer 22

Yes, it is free of charge.

Question 23

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

Answer 23

Nausea and vomiting, headache, breast tenderness, abnormal menstrual bleeding.