A 23-year-old woman has unprotected sexual intercourse (UPSI) on day 21 of a regular 28-day cycle. She presents 2 days later (day 23) requesting emerg...

Question

A 23-year-old woman has unprotected sexual intercourse (UPSI) on day 21 of a regular 28-day cycle. She presents 2 days later (day 23) requesting emergency contraception. Is EC indicated?

Accepted Answer

EC should be considered - pregnancy is theoretically possible after UPSI on most days of the cycle, though the risk is low in the late luteal phase. A Cu-IUD can be offered and would also provide ongoing contraception

Answer

No, EC is never needed after day 14

Answer

EC is only indicated within the first 3 days of the cycle

Answer

She is definitely pregnant already

Answer

Only oral EC is appropriate; Cu-IUD cannot be used this late in the cycle

uk-dfsrh MCQ (SBA): EC Late Luteal Phase Day 21

A 23-year-old woman has unprotected sexual intercourse (UPSI) on day 21 of a regular 28-day cycle. She presents 2 days later (day 23) requesting emergency contraception. Is EC indicated?