Emergency contraception Flashcards
1
Q
What types of emergency contraception are available?
A
HORMONAL PREPARATIONS
- Levonorgestrel = 72h limit
- Ulipristal = 120h limit (progesterone receptor modulator)
IUD
= 5 day limit
2
Q
What is the advice given about levonorgestrel?
A
- Should be taken asap as decreased effectiveness over time
- 84% effective if used before 72h
MOA
-stop ovulation and implantation
SE
- N+V (need another pill/IUD if occurs)
- Abdominal pain, headaches, breast tenderness
3
Q
When is levonorgestrel contraindicated?
A
Acute porphyria
Current severe liver disease
4
Q
What advice should be given about Ulipristal?
A
MOA
-Inhibit ovulation
May reduce the effectiveness of hormonal contraception
- Need period of barrier methods
- Hormonal contraception started/restarted 5 days after use
CAUTION
- Breastfeeding delayed for 1 week
- Caution in severe asthmatics
5
Q
What precautions must be taken when fitting IUD for emergency contraception?
A
May need course of antibiotics if high risk of STI
