Emergency cocp

Question 1

What is the primary purpose of Emergency Contraception (EC)?

Answer 1

To prevent pregnancy after unprotected intercourse, contraceptive failure, or sexual assault

Question 2

How soon must Emergency Contraception be initiated for effectiveness?

Answer 2

Within 5 days (120 hours) of intercourse

Question 3

What is the most effective method of Emergency Contraception?

Answer 3

Copper Intrauterine Device (Cu-IUD)

Question 4

What are the mechanisms of action of the Copper IUD?

Answer 4

• Toxic effect on sperm and ova
• Prevents fertilization

Question 5

How long after intercourse can a Copper IUD be inserted?

Answer 5

Up to 5 days

Question 6

What is Ulipristal Acetate (UPA)?

Answer 6

A selective progesterone receptor modulator (SPRM)

Question 7

What does Ulipristal Acetate do even after the LH surge?

Answer 7

Delays ovulation

Question 8

How long can Ulipristal Acetate be used after intercourse?

Answer 8

Up to 5 days (120 hours)

Question 9

How does Ulipristal Acetate compare to Levonorgestrel in terms of effectiveness?

Answer 9

More effective, especially close to ovulation

Question 10

What is Levonorgestrel commonly known as?

Answer 10

Plan B

Question 11

What type of emergency contraceptive is Levonorgestrel?

Answer 11

Progestin-only

Question 12

When is Levonorgestrel most effective?

Answer 12

If taken within 72 hours (3 days)

Question 13

What is the effectiveness of Levonorgestrel after the LH surge?

Answer 13

Less effective

Question 14

What is the Yuzpe Method?

Answer 14

Uses high-dose combined OCPs (estrogen + progestin)

Question 15

How is the Yuzpe Method administered?

Answer 15

Taken in two doses, 12 hours apart

Question 16

What are the downsides of the Yuzpe Method?

Answer 16

Less effective and more side effects (nausea, vomiting)

Question 17

What is the effectiveness of the Copper IUD?

Answer 17

> 99%

Question 18

What is the effectiveness of Ulipristal (Ella)?

Answer 18

~85–95%

Question 19

What is the effectiveness of Levonorgestrel?

Answer 19

~60–85%

Question 20

What is the effectiveness of the Yuzpe Method?

Answer 20

~50–75%

Question 21

What are contraindications for using the Copper IUD?

Answer 21

• Active pelvic infection
• Wilson’s disease
• Allergy to copper

Question 22

What contraindications exist for Ulipristal and Levonorgestrel?

Answer 22

• Known pregnancy
• Severe liver disease (for ulipristal)
• Concurrent use of CYP3A4 inducers

Question 23

What is the recommended EC for obese women (BMI >30)?

Answer 23

Ulipristal preferred over levonorgestrel

Question 24

What should breastfeeding women avoid after using Ulipristal?

Answer 24

Breastfeeding for 1 week

Question 25

Is it safe to use Emergency Contraception repeatedly?

Answer 25

Safe but not ideal

Question 26

What should be done if menstruation is delayed more than 1 week after EC?

Answer 26

Perform a pregnancy test

Question 27

What should be done after using Emergency Contraception?

Answer 27

Start or resume ongoing contraception

Question 28

What counseling should be offered after EC?

Answer 28

Counseling on long-term contraceptive methods