Podcast
Questions and Answers
Which emergency contraception method is considered the MOST effective and is NOT impacted by BMI?
Which emergency contraception method is considered the MOST effective and is NOT impacted by BMI?
- UPA (Ulipristal Acetate)
- LNG (Levonorgestrel)
- Copper IUD (correct)
- Yuzpe method
A patient requests emergency contraception more than 72 hours after unprotected intercourse but less than 120 hours. Which of the following is the MOST appropriate medication?
A patient requests emergency contraception more than 72 hours after unprotected intercourse but less than 120 hours. Which of the following is the MOST appropriate medication?
- Combined oral contraceptive pills
- Copper IUD
- UPA (Ulipristal Acetate) (correct)
- LNG (Levonorgestrel)
A patient with a BMI of 35 is seeking emergency contraception. Which medication's effectiveness is MOST likely to be reduced?
A patient with a BMI of 35 is seeking emergency contraception. Which medication's effectiveness is MOST likely to be reduced?
- UPA (Ulipristal Acetate)
- Both LNG and Copper IUD
- LNG (Levonorgestrel) (correct)
- Copper IUD
Which emergency contraception method requires a visit for insertion?
Which emergency contraception method requires a visit for insertion?
Following the use of UPA (Ulipristal Acetate) for emergency contraception, how long should a patient wait before starting hormonal birth control?
Following the use of UPA (Ulipristal Acetate) for emergency contraception, how long should a patient wait before starting hormonal birth control?
Which of the following methods prevent fertilization and implantation if fertilization occurred?
Which of the following methods prevent fertilization and implantation if fertilization occurred?
How does UPA (selective progesterone receptor modulator) delay or prevent ovulation?
How does UPA (selective progesterone receptor modulator) delay or prevent ovulation?
After unprotected intercourse a patient asks about emergency contraception that provides ongoing contraception and does not require back-up contraception. Which of the following is the MOST appropriate?
After unprotected intercourse a patient asks about emergency contraception that provides ongoing contraception and does not require back-up contraception. Which of the following is the MOST appropriate?
Which of the following inhibits the LH surge to delay/prevent ovulation up to the day before ovulation?
Which of the following inhibits the LH surge to delay/prevent ovulation up to the day before ovulation?
Which of the following is available OTC?
Which of the following is available OTC?
Flashcards
Emergency Contraception (EC)
Emergency Contraception (EC)
Methods used to prevent pregnancy after unprotected sex.
IUD for Emergency Contraception
IUD for Emergency Contraception
Most effective form of emergency contraception, especially for individuals with a higher BMI. Can be either copper or LNG. Requires a visit for insertion.
Medication for Emergency Contraception
Medication for Emergency Contraception
Less effective than IUDs. Can use UPA up to 120 hours (Requires Rx, must wait 5 days to start BC). Can use LNG up to 72 hours (Available OTC, can start BC at same time)
Copper or 52mg LNG IUD
Copper or 52mg LNG IUD
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LNG or Yuzpe Method
LNG or Yuzpe Method
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UPA
UPA
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Study Notes
- Emergency contraception (EC) aims to prevent pregnancy after unprotected intercourse.
IUD for Emergency Contraception
- Most effective emergency contraception method.
- Effectiveness is not impacted by BMI.
- The copper IUD and the LNG 52mg IUD can be used.
- Insertion requires a visit to a healthcare provider.
- Provides ongoing contraception.
- No back-up contraception is needed after insertion.
- Works by preventing fertilization and implantation if fertilization has occurred.
Medication for Emergency Contraception
- Less effective than IUDs in preventing pregnancy.
- UPA (Ulipristal Acetate) can be used up to 120 hours after intercourse, requires a prescription, and works by interfering with progesterone to delay or prevent ovulation.
- Must wait 5 days to start hormonal birth control after use.
- LNG (Levonorgestrel) is less effective than UPA, especially if the patient's BMI is greater than 30.
- LNG can be used up to 72 hours after intercourse and is available over the counter in many places.
- Hormonal birth control can be started at the same time as taking LNG.
- LNG inhibits the LH surge to delay/prevent ovulation, up to the day before ovulation.
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