A 26-year-old woman presents having had unprotected sexual intercourse 10 hours ago. She was using the desogestrel POP but missed 3 consecutive pills....

Question

A 26-year-old woman presents having had unprotected sexual intercourse 10 hours ago. She was using the desogestrel POP but missed 3 consecutive pills. She weighs 65 kg and is on day 14 of a 28-day cycle. She is offered a Cu-IUD but declines. She has used no progestogens in the last 8 days. Which oral EC is most appropriate?

Accepted Answer

Ulipristal Acetate 30 mg

Answer

Levonorgestrel 1.5 mg

Answer

Levonorgestrel 3 mg (double dose)

Answer

Either LNG-EC or UPA-EC; both are equally appropriate

Answer

No oral EC is needed as she is on the POP

uk-dfsrh MCQ (SBA): UPA-EC Selection Near Ovulation After POP Failure