A 24-year-old woman using a COC containing 30 microgram Ethinylestradiol/150 microgram Levonorgestrel has severe diarrhoea for 3 days during week 2 of...

Question

A 24-year-old woman using a COC containing 30 microgram Ethinylestradiol/150 microgram Levonorgestrel has severe diarrhoea for 3 days during week 2 of her pack. Her symptoms resolve on day 14. She had UPSI on day 12. How should the diarrhoea episode be managed regarding her contraception?

Accepted Answer

Follow the missed pill rules as if she had missed pills for the duration of severe diarrhoea: use condoms for 7 days after recovery and consider EC for the UPSI that occurred during the episode

Answer

No action needed; diarrhoea only affects the POP

Answer

Stop the COC permanently

Answer

Double the COC dose for the next 7 days

Answer

Switch to the combined patch mid-cycle

uk-dfsrh MCQ (SBA): CHC Severe Diarrhoea Week 2 with UPSI

A 24-year-old woman using a COC containing 30 microgram Ethinylestradiol/150 microgram Levonorgestrel has severe diarrhoea for 3 days during week 2 of her pack. Her symptoms resolve on day 14. She had UPSI on day 12. How should the diarrhoea episode be managed regarding her contraception?