emergency conctraception executive summary Flashcards
notes from guidelines (23 cards)
When should emergency contraception (EC) be offered to women?
After unprotected sexual intercourse (UPSI) on any day of a natural menstrual cycle, after UPSI from Day 21 after childbirth, after UPSI from Day 5 after abortion, miscarriage, or uterine evacuation, and if regular contraception has been compromised or used incorrectly.
What should EC providers do if they cannot offer all EC methods?
They should provide information regarding other methods and refer women to services that can provide them.
What should be done if a woman is referred for a Cu-IUD?
Oral EC should be given at the time of referral in case the Cu-IUD cannot be inserted or the woman changes her mind.
Do oral EC methods provide contraceptive cover for subsequent UPSI?
No, oral EC methods do not provide contraceptive cover for subsequent UPSI.
What is the most effective method of emergency contraception?
The Cu-IUD is the most effective method of emergency contraception.
oral-pill ECP
How many hours is ulipristal acetate Emergency contraceptive effect for
UPA-EC is effective for EC up to 120 hours after UPSI.
What is the effectiveness timeframe for levonorgestrel EC (LNG-EC)?
LNG-EC is licensed for EC up to 72 hours after UPSI and is ineffective if taken more than 96 hours after UPSI.
Is UPA-EC (ulipristal) more effective than (levogesterol) LNG-EC?
Yes, UPA-EC has been demonstrated to be more effective than LNG-EC.
What should women be informed about the effectiveness of the Cu-IUD?
The effectiveness of the Cu-IUD is not known to be affected by weight or BMI.
How can higher weight or BMI affect oral EC effectiveness?
Higher weight or BMI could reduce the effectiveness of oral EC, particularly LNG-EC.
What should EC providers advise women using enzyme-inducing drugs?
The effectiveness of UPA-EC and LNG-EC could be reduced.
What should be offered to women using enzyme-inducing drugs who need EC?
A Cu-IUD should be offered if appropriate.
What are the contraindications for using UPA-EC?
UPA-EC is not suitable for women with severe asthma controlled by oral glucocorticoids.
What should breastfeeding women be advised regarding UPA-EC?
They should not breastfeed and should express and discard milk for a week after taking UPA-EC.
What methods of EC should be offered to a woman who has had UPSI?
All women should be offered a Cu-IUD, and if not appropriate, oral EC should be taken as soon as possible.
What should be considered for women who have had UPSI 96–120 hours ago?
UPA-EC should be considered as the first-line oral EC.
Can oral EC be used if there has also been UPSI earlier in the cycle?
Yes, UPA-EC or LNG-EC can be offered if there has been UPSI earlier in the same cycle.
Can oral EC be taken more than once in a cycle?
Yes, UPA-EC or LNG-EC can be offered again after further UPSI in the same cycle.
What should women be advised regarding future contraception after taking oral EC?
Oral EC methods do not provide ongoing contraception and there is a pregnancy risk if there is further UPSI and ovulation occurs later.
What should women be advised after taking LNG-EC?
They should start suitable hormonal contraception immediately and use condoms or abstain until effective.
What should women be advised after taking UPA-EC?
They should wait 5 days before starting suitable hormonal contraception and use condoms or abstain during that time.
What is the recommendation for adolescents needing EC?
Adolescents should be offered all methods of EC including the Cu-IUD.
What specific considerations apply to women requiring EC after sexual assault?
They should be offered all methods of EC including the Cu-IUD.
