GU: Emergency contraception Flashcards
Emergency contraception should be offered after unprotected intercourse from day __ after childbirth and from day _ after abortion, miscarriage, ectopic pregnancy or uterine evacuation for gestational trophoblastic disease.
Emergency contraception should also be offered after unprotected intercourse from day 21 after childbirth (unless the criteria for lactational amenorrhoea are met), and from day 5 after abortion, miscarriage, ectopic pregnancy or uterine evacuation for gestational trophoblastic disease.
What is the most effective form of emergency contraception?
Insertion of a copper intra-uterine device (see intra-uterine contraceptive devices (copper)) is the most effective form of emergency contraception and should be offered (if appropriate) to all women who have had unprotected sexual intercourse and do not want to conceive.
A copper IUD can be inserted up to how long after UPSI?
A copper intra-uterine contraceptive device can be inserted up to 120 hours (5 days) after unprotected intercourse or up to 5 days after the earliest likely calculated ovulation (i.e. within the minimum period before implantation), regardless of the number of episodes of unprotected intercourse earlier in the cycle.
A copper intra-uterine device is not known to be affected by body mass index (BMI) or body-weight or by other drugs.
Hormonal emergency contraception administered after what is ineffective?
Ovulation in general.
Levonorgestrel = >72 hours
Ulipristal acetate = >120 hours
Levonorgestrel is effective if taken within __ hours of unprotected intercourse and may also be used between __ and 96 hours after unprotected intercourse [unlicensed use], but efficacy decreases with time.
Levonorgestrel is effective if taken within 72 hours (3 days) of unprotected intercourse and may also be used between 72 and 96 hours after unprotected intercourse [unlicensed use], but efficacy decreases with time.
Ulipristal acetate is effective if taken within __ hours of unprotected intercourse.
Ulipristal acetate is effective if taken within 120 hours (5 days) of unprotected intercourse.
What has been demonstrated to be more effective than levonorgestrel for emergency contraception?
Ulipristal acetate is effective if taken within 120 hours (5 days) of unprotected intercourse. Ulipristal acetate has been demonstrated to be more effective than levonorgestrel for emergency contraception.
It is possible that a higher body-weight or BMI could reduce the effectiveness of oral emergency contraception, particularly levonorgestrel.
A BMI of equal to, or greater than, what would need either ulipristal acetate or a double dose of levonorgestrel [unlicensed]?
It is possible that a higher body-weight or BMI could reduce the effectiveness of oral emergency contraception, particularly levonorgestrel; if BMI is greater than 26 kg/m2 or body-weight is greater than 70 kg, it is recommended that either ulipristal acetate or a double dose of levonorgestrel [unlicensed indication]
It is possible that a higher body-weight or BMI could reduce the effectiveness of oral emergency contraception, particularly levonorgestrel.
A weight of equal to, or greater than, what would need either ulipristal acetate or a double dose of levonorgestrel [unlicensed]?
It is possible that a higher body-weight or BMI could reduce the effectiveness of oral emergency contraception, particularly levonorgestrel; if BMI is greater than 26 kg/m2 or body-weight is greater than 70 kg, it is recommended that either ulipristal acetate or a double dose of levonorgestrel [unlicensed indication]
Ulipristal acetate should be considered as the first-line hormonal emergency contraceptive for a woman who has had unprotected intercourse 96–120 hours ago (even if she has also had unprotected intercourse within the last 96 hours). It should also be considered first line for a woman who has had unprotected sexual intercourse within the last 5 days if it is likely that what has occured?
Ulipristal acetate should be considered as the first-line hormonal emergency contraceptive for a woman who has had unprotected intercourse 96–120 hours ago (even if she has also had unprotected intercourse within the last 96 hours). It should also be considered first line for a woman who has had unprotected sexual intercourse within the last 5 days if it is likely to have taken place during the 5 days before the estimated day of ovulation.
After taking levonorgestrel for EHC, how should women start suitable hormonal contraception?
After taking levonorgestrel, women should start suitable hormonal contraception immediately. They must use condoms reliably or abstain from intercourse until contraception becomes effective.
After taking ulipristal acetate for EHC, how should women start suitable hormonal contraception?
Women should wait 5 days after taking ulipristal acetate before starting suitable hormonal contraception. Women must use condoms reliably or abstain from intercourse during the 5 day waiting period and also until their contraceptive method is effective.
