Emergency Contraception

Front 1

Indications for emergency contraception

Back 1

- No contraception used before sex

- Contraceptive accident (IUCD expelled)

- Victims of sexual assault

Front 2

Options for emergency contraceptions, and when to use them

Back 2

1. Yuzpe regime (OCP), if within 72 hours

2. Postinor (POP), if within 48 hours

3. Copper IUCD, if within 5 days

Front 3

How to evaluate patient before using the emergency contraceptive methods?

Back 3

1. What is the LMP? Take a menstrual history

2. When was the unprotected sex performed?

3. Relevant PmHx to screen for contraindications to the various methods of contraceptions

4. Assess risk of STDs (promiscuity etc)

Front 4

What should the patients be counselled on before therapy?

Back 4

1. possibility of failure

2. possible side effects involved

3. Possibility of ectopic pregnancy, so must come back for urine pregnancy test

4. importance of regular contraception

5. importance of follow up if menses are delayed

6. Offer STD screen, HPV vaccine, pap smear if appropriate

Front 5

Describe Yuzpe regime, failure rates, and side effects

Back 5

• 2 tablets of 50ug EE + 500 ug Norgestrel, repeat 12 hours later
  
• Failure rate = 2%
  
• SE: nausea, vomiting, breast tenderness
  

Front 6

Describe postinor method, failure rates, and side effects

Back 6

• 750 ug of levonogestrel given, repeat 12 hours later
  
• Failure rate = 3%
  
• SE lesser: nausea, vomiting, breast tenderness
  

Front 7

Copper IUCD failure rate? disadvantages?

Back 7

• less than 1%
  
• more difficult to insert for nulliparous women