MSRA: Emergency Contraception

Question 1

What are the advantages of the copper coil?

Answer 1

Most effective
Provides LARC
Not affected by weight or enzyme inducing drugs
Can be inserted 5 days following UPSI or 5 days after ovulation, which ever occurs later

Question 2

What are the disadvantages of the copper coil?

Answer 2

Risk of PID, perforation, expulsion and ectopic pregnancy
CI in Wilson’s disease and fibroids which distort the cavity

Question 3

What is the mechanism of action of Ulipristal acetate?

Answer 3

Selective progesterone receptor modulator
Inhibits ovulation

Question 4

What are the advantages of ulipristal acetate?

Answer 4

Can be used up to 5 days following UPSI
More effective than LNG
Can be used twice in one cycle

Question 5

What are the disadvantages of ulipristal acetate?

Answer 5

Affected by enzyme inducing drugs
Breastfeeding women need to discard milk for one week
Need to wait 5 days before starting long term contraception
Use with caution in severe asthma

Question 6

What is the mechanism of action of Levonorgestrel?

Answer 6

Second generation progesterone

Question 7

What are the advantages of Levonorgestrel?

Answer 7

Can be used up to 3 days following UPSI
Can be used twice in one cycle
Can be used in breastfeeding women
Hormonal long term contraception can be started immediately after

Question 8

What are the disadvantages of Levonorgestrel?

Answer 8

Less effective than UPA
Affected by weight (70kg+)