Emergency Hormonal Contraception Review

Flashcards about emergency hormonal contraception

What are the uses of emergency hormonal contraceptives

1.) unprotected sexual intercourse

2.) contraceptive failure

3.) Advanced supply

If a patient has severe liver dysfunction and wants EHC, what do you do

REFER PATIENT

If a patient has had 5 day since unprotected sex and wants EHC, what do you do

REFER needs IUD fitted

If a patient has interacting medicines and wants EHC, what do you do

REFER patient if they on enzyme inducers

If a patient has changes to periods and wants EHC, what do you do

REFER

List some advice about EHC

1.) Take ASAP for greater efficacy

2.) If you vomit within 3 hours you need a replacement dose

3.) Use barrier until next period as Ellaone reduces contraceptive effectiveness

What are the two main EHC

Ellaone (Ullipristal)

Levonelle (Levonergestrel)

Describe Levonelle

1.) used for 16+

2.) within 72 hours

3.) can take more than 1 in same cycle

4.) can be used for breastfeeding

5.) regular contraception is suitable

What drug interacts with Levonelle

Ciclosporin

When would you avoid giving Levonelle to the patient

1.) severe liver impairment

2.) ectopic pregnancy risk

3.) Crohn’s disease

Describe Ellaone

1.) used for all child bearing ages

2.) use within 120 hours

3.) avoid breastfeeding for 1 week

4.) reduced efficiacy of contraception so use condom

5.) Can’t take more than 1 in same cycle

When would you avoid taking Ellaone

Severe Liver impairment

Has asthma on steroids

What scenarios would you tell the patient to go the GP after having their EHC

1.) abnormal bleeding at period

2.) delayed period

3.) severe abdominal pain