Contraceptives 2

What is emergency contraception?

Contraceptive action where no contraception was i place during time of sexual intercourse

What are the methods of emergency contraception?

Copper Intrauterinne device

Emergency hormonal contraception

What is the copper intrauterine device? How does it work?

Affects motility and viability of sperm, and viability and transport of egg

What is emergency hormonal contraception?

Levonorgestrel 1.5mg - Inhibits ovulation

Ulipristal 30mg - Selective progesterone receptor modulator

What is the most effective emergency contraception? How is it used?

copper iud

inserted by GP and reproductive health clinics up to 5 dats after the sex and up to 5 days after expected date of ovulation

How is levonorgestrel used? Requirements?

Unprotected sex has to have occurred within 72 hours, for age 16+

Must rule out the possibility of pregnancy

Any bowel/liver diseases?

Concurrent medicines?

Hypersensitivity?

History of ectopic pregnancy?

What is the counseling for levonorgestrel?

Take ASAP so offer water in pharmacy

Side effects are: nausea, vomiting, headache, dizziness, fatigue, diarrhea

If patient vomits within 3 hours 2nd dose is needed

How is ulipristal used? Requirements?

Unprotected sex writhing 120 hours (5 days)

For women of reproductive age

Must rule our possibility of pregnancy

Bowel/Liver diseases?

Severe asthma?

Concurrent medicines?

Hypersensitivity?

Counseling for ulipristal?

Take ASAP

Side effects: Nausea, vomit, dizziness, headache, fatigue, diarrhea, painful periods, muscle pain

if vomit within 3 hours 2nd dose needed

menstrual timing also changes

What needs to be done after emergency hormonal contraceptives are provided?

establish and support patient with any contraceptive needs

Give pregnancy advice

Support with STI issues

Look out for safeguarding issues

Aftercare for EHC?

Pregnancy test needed dis menstruation delayed by >7 days, is lighter than usual or associated with abdominal pain that isn’t typical

CANNOT give advanced supply, so long lasting reversible contraceptive should be considered instead