Emergency Contraception

University:
Western Sydney University
Course:
MEDI 2003 | Clinical Sciences 2
Academic year:

2024
Views:

443

Pages:

5
Author:

Mariam A. A.

Emergency Contraception History Why are you seeking contraceptives? What are you hoping to achieve from contraceptives? Have you used contraceptives before? What do you know about contraceptives? How would you like to take them? Oral or IUDs? Do you have any medical conditions? Do you take any medications? Do you have any allergies? Any previous surgeries? Is there a family history of any diseases? Menstrual cycle history Regular How long do they last for? Volume Flooding How often do you need to change your pad? Is there flooding? Does blood leak to clothes and bed sheets? Are there any clots? Is there associated pain Obstetric history Previous pregnancies Any previous abortions or miscarriages Complications Mode of delivery Sexual history Another other partners for you or your partner Gender of partners Screening Cervical screening Different Types of Contraceptives Available in Australia Levnonorgestrel (postinor-1) Within 72 hours MoA : Inhibits ovulation (primary mechanism) Alters cervical mucus by making it thicker Changes endometrial 0.75 mg x 2 immediately or 12 hours apart 1-2% failure Is not an abortifacient -> does not impact an established pregnancy Most effective when taken before ovulation Side effects Nausea, vomit and abdominal pain Headache, dizziness and fatigue Breast tenderness, menstrual irregularities Mood changes Yuzpe method uses combined oral contraceptive pills (COCPs) containing ethinylestradiol and levonorgestrel in higher-than-usual doses. Primary action is to inhibit ot delay ovulation Secondary action is altering the cervical mucus and the endometrial lining to reduce sperm penetration 75% effective if taken within 72 hours of unprotected sex Side effects Nausea, commit, menstrual irregularities, fatigue, mood changes, breast tenderness Vomit is within 2 hours repeat dose Must do pregnancy test if period is delayed by 1 week Advice for the Future Need to have good ongoing contraception. Contraception is a shared responsibility of both partners Condom use is effective for pregnancy and STI prevention STI screening