Gyn Emergency contraception

Question 1

What are the 3 methods of emergency contraception in the UK

Answer 1

Copper coil
Levonestrogel
Ulipristal

Copper coil works the best -
Always offer STI screen with
In fat women (over 70kg, 26BMI)- Ulipristal

Question 2

What is the copper coil for emergency contraceptions

Answer 2

ideally best for 5d but can be used after-up to 5 days post ovulation date

spermicide and prevent implantantion - can seen abx if STI risk
can be left

Question 3

What is Levonostergel for UPSI

Answer 3

must be within 72h, best in first 24 (95% effective)

stops ovulation and inhbits implant
Safe, well tolerated
If vomit-retake
can be used several time in same cycle

NEED DOUBLE DOSE IF over 70kg/BMI>26

Question 4

What is Ulipristal; for UPSI

Answer 4

95% effective within 120h/5d
Progesterone receptor modulator-inhbits ovulation

if using contraception -restart after 5d
caution in severe ashtma
not more than 1 per cycle