Self-Care: Emergency Contraception

What is the availability of Copper IUD?

physician office visit- device insertion

What type of Copper IUD is available?

Non-Hormonal option: inhibits fertilization (copper is toxic to sperm)

What time do you use Copper IUD after sex?

Up to 5 days after unprotected sex

What are copper IUD contraindications

• Sensitive to copper

• Pregnany

• Vagina bleed

• PID: pelvic inflammatory disease, chlamydia, gonorrhea

What are the advantages of Copper IUD?

• can be left in place for up to 10 years

• no weight considerations

• no lactation considerations

• no drug interactions

What are the disadvantages of copper IUD

• need office visit

• pain during/after insertion

• bleed change

• uterine perforation/explusion

• maybe heavier menses

• no protection against: HIV, STI, STD

What is the availability of ulipristal acetate (Ella)?

prescription

What are the types of Ella?

hormonal option: prevents progestin from binding to progesterone receptor (delay bitch)

What is the dosage for ella?

30 mg by mouth for one dose

When to use Ella?

up to 5 days after unprotected sex

What are the contraindications for Ella?

pregnancy

What should you consider when taking Ella?

• oral option

• reduced effect with BMI > 35 kg/m2

• vomit in 3 hours, can repeat once

• wait 5 days before starting combined hormonal contraceptive

What are the advantages of Ella?

oral and effect up to 5 days

What is the disadvantages of Ella?

• prescription

• less effective with BMI 30-35

• no protection against: HIV, STI, STD

What are the drug interactions of Ella?

• CYP3A4 (Phenytoin, Carbamazepine)

• Avoid progestin contraceptives with in 5 days of using Ella

Counseling points for ulipristal acetate (Ella)?

headaches, nausea

Levonorgestrel one-dose availability?

OTC, no age restrictions

Types of Levonorgestrel one-dose?

hormonal: inhibit or delay ovulation

Dosage of Levonorgestrel one-dose?

1.5 mg by mouth: one dose

When to use Levonorgestrel one-dose?

up to 3 days after unprotected sex

Levonorgestrel one-dose contraindications

pregnancy

Considerations when using Levonorgestrel one-dose?

• oral option

• less effect in BMI > 26 kg/m2

• vomiting within 2 hours, may repeat dose

Advantages of Levonorgestrel one-dose?

• oral

• OTC

• no lactation considerations

Disadvantages of Levonorgestrel one-dose?

• reduced in BMI> 26 kg/m2

• no protections against HIV, STI, STD

Drug interactions of Levonorgestrel one-dose?

CYP3A4 (Phenytoin, Carbamazepine)

Counseling points of Levonorgestrel one-dose?

• changes in menstrual bleeding

• nausea/vomiting

• headaches

Availability of Yuzpe method?

prescription

Types of Yuzpe method?

hormonal option: inhibiting ovulation, thickening of cervial mucous, alter endometrial lining

Dosage for Yuzpe method?

4-5 pills, then 4-5 pills 12 hours later

When to use Yuzpe method?

LEAST EFFECTIVE: up to 3 days after unprotected sex

Contraindications of Yuzpe method?

pregnancy

Considerations of Yuzpe method?

• oral option

• NOT COMMON OPTION

• vomiting within 2 hours, repeat dose

Advantages of Yuzpe method?

• up to 3 days

• oral

• no lactation considerations

Disadvantages of Yuzpe method?

• prescription

• no protection of HIV, STI, STD

Drug interactions of Yuzpe method?

CYP3A4 inducers (Phenytoin, Carbamazepine)

Counseling points for Yuzpe method?

nausea/vomiting